Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT Brain Perfusion
$3,195
$320
$350
1
clean
HC Brachiocephalic Artherectomy
$18,936
$1,894
$12,394
39
clean
HC Infectious Disease Viral Respiratory Tract Pathogen Specific Rna 3 Targets Sars 2 / Flu a / Flu B Upper Respiratory Specimen Each Pathogen - in House
$262
$26
$143
48
clean
HC Viral Respiratory Tract Rna 4 Targets Sars Cov-2 / Flu / Rsv
$242
$24
$145
47
clean
HC Insert / Replace Cardiac Contractility Modulator Pulse Generator W Transvenous Electrodes
$71,208
$7,121
$16,391
39
clean
HC Evaluate W Analysis Cardiac Contractility Modulator
$463
$46
$71
35
clean
HC Myocardial Perfusion Contrast Echo Rest / Stress Ischemia / Vialbility
$596
$60
$1,213
2
clean
HC Ablation Nerve Plexus/Truncal Nerve
$17,178
$1,718
$8,084
39
clean
HC Tmvi Implant / Replace Transcatheter Mitral Valve W Prostetic Valve W Transseptal Puncture Percutaneous
$90,297
$9,030
$8,367
21
clean
HC Fem Pop W Stent Graft Placement Percutaneous / Open W Image Guidance
$391
$39
$12,394
39
clean
HC Intraprocedural Coronary Ffp W/3d Funcjl Mapping
$250
$25
$11,106
6
clean
HC Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Initial Prosthesis
$55,122
$5,512
$8,367
21
clean
HC Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Each Additional Prosthesis During Same Session
$45,934
$4,593
$8,367
21
clean
HC Insert / Replace Implantable Cardioverter Defibrilator W Substernal Electrode
$107,585
$10,759
$35,039
35
clean
HC Transcatheter Removal / Debulking Intracardiac Mass via Suction Percutaneous W Intraoperative Reinfusion Aspirated Blood W Imaging
$17,321
$1,732
$6,574
28
clean
HC Device Evaluation Remote Cardiac Rhythm Monitor System W Device Testing / Adjustment / Permanent Programming Values W Analysis
$112
$11
$42
27
clean
HC Body Surface Mapping Pacemaker / Pacing Cardioverter-Defibrillator Leads During Follow Up Interrogation / Device Evaluation
$121
$12
$42
24
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance and Device Evaluation, When Performed
$54,816
$5,482
$20,842
35
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance (Eg, Fluoroscopy, Venous Ultrasound, Right Atrial Angiography, Right Ventriculography, Fe
$57,308
$5,731
$16,391
39
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance and Device Evaluation, When Performed; Right Ventricular Pacemaker Component
$54,816
$5,482
$16,391
39
clean
HC Transcatheter Insertion of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Imaging Guidance and Device Evaluation (Eg, Interrogation or Progr
$54,816
$5,482
$16,391
39
clean
HC Aspiration Fine Needle Bx W/O Imaging - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/US Guide - First Lesion
$1,352
$135
$1,346
33
clean
HC Aspiration Fine Needle Bx W/US Guide- Each Add Lesion
$773
$77
$10,937
15
clean
HC Aspiration Fine Needle Bx W/Fluoro - First Lesion
$1,321
$132
$1,346
33
clean
HC Aspiration Fine Needle Bx W/CT Guide - First Lesion
$1,352
$135
$1,346
33
clean
HC Aspiration Fine Needle Bx W/CT Guide - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/MR Guide - First Lesion
$1,321
$132
$1,346
33
clean
HC Aspiration Fine Needle Bx W/MR Guide - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/O Imaging - First Lesion
$946
$95
$764
33
clean
HC Drainage Soft Tissue Percutaneous W/ Image
$1,358
$136
$1,346
33
clean
HC Placement of Soft Tissue Localization Device(S) (Eg, Clip, Metallic Pellet, Wire/Needle, Radioactive Seeds), Percutaneous, Including Imaging Guidance; First Lesion
$4,037
$404
$1,346
33
clean
HC Placement of Soft Tissue Localization Device(S) (Eg, Clip, Metallic Pellet, Wire/Needle, Radioactive Seeds), Percutaneous, Including Imaging Guidance; Each Additional Lesion
$250
$25
$10,937
15
clean
HC Acne Surgery
$307
$31
$224
24
clean
HC Incision and Drainage Abscess - Simple / Single
$1,198
$120
$380
33
clean
HC Incision & Drainage Abscess-Complicated / Multiple
$884
$88
$450
25
clean
HC Incision & Removal Foreign Body-Sq Tissue Simple
$633
$63
$450
25
clean
HC Incision & Drainage Hematoma-Seroma/Fluid
$1,873
$187
$2,693
33
clean
HC Aspiration Puncture Abscess / Hematoma / Cyst
$641
$64
$764
33
clean
HC Debride Infected Skin-10% Body Surface
$757
$76
$689
25
clean
HC Debride Infected Skin- Each Add 10% Body Surface
$1,211
$121
$676
6
clean
HC Debridement of Skin Subcutaneous Tissue Muscle and Fascia for Necrotizing Soft Tissue Infection External Genitalia and Perineum
$276
$28
$10,937
15
clean
HC Removal of Foreign Body Subcutaneous
$1,240
$124
$792
22
clean
HC Debridement W Foreign Body Removal Subq Tissue & Muscle
$1,211
$121
$792
25
clean
HC Debridement W Foreign Body Removal Subq Tissue/Muscle/Bone
$1,211
$121
$3,222
25
clean
HC Debridement, Subcutaneous Tissue (Includes Epidermis and Dermis, if Performed); First 20 Sq Cm or Less
$1,106
$111
$764
33
clean
HC Debridement Muscle First 20cm2
$1,943
$194
$689
25
clean
HC Debridement Bone First 20cm2
$2,979
$298
$1,824
25
clean
HC Debridement Tissue Each Add 20cm2
$1,683
$168
$1,788
6
clean
HC Debridement Muscle Each Add 20cm2
$1,782
$178
$3,961
3
clean
HC Debridement Bone Each Add 20cm2
$2,797
$280
$3,961
3
clean
HC Remove Benign Lesion 1 Lesion
$405
$41
$224
22
clean
HC Remove Benign Lesion 2-4 Lesions
$455
$46
$224
25
clean
HC Remove Benign Lesion > 5 Lesions
$476
$48
$224
25
clean
HC Tangential Biopsy of Skin (Eg, Shave, Scoop, Saucerize, Curette); Single Lesion
$1,140
$114
$380
33
clean
HC Tangential Biopsy Each Additional Lesion
$316
$32
$219
6
clean
HC Punch Skin Biopsy Single Lesion
$2,342
$234
$764
33
clean
HC Punch Skin Biopsy Each Additional Lesion
$323
$32
$3,961
3
clean
HC Incisional Skin Biopsy Single Lesion
$2,184
$218
$689
22
clean
HC Incisional Skin Each Additional Lesion
$316
$32
$676
6
clean
HC Excision Skin Lesion Up to 15 Lesions
$378
$38
$224
24
clean
HC Excision Skin Lesion Each Add 10 Lesions
$161
$16
$3,961
2
clean
HC Shave Skin Lesion Single Trunk, Arm, Leg < 0.5cm
$371
$37
$450
24
clean
HC Shaving of Epidermal or Dermal Lesion, Single Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter 0.5 Cm or Less
$1,140
$114
$380
33
clean
HC Shave Single Lesion Feet 0.6-1.0cm
$371
$37
$224
22
clean
HC Shave Single Lesion Feet 1.1-2.0cm
$371
$37
$224
25
clean
HC Shave Single Lesion Feet >2.0cm
$371
$37
$450
25
clean
HC Excision Benign Lesion Including Margins Except Skin Tag Trunk, Arms or Legs; Excised Diameter 1.1 to 2.0 Cm
$4,131
$413
$792
25
clean
HC Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm or Less
$4,657
$466
$2,693
33
clean
HC Excision Skin Lesion 0.6cm1.0cm
$1,079
$108
$792
24
clean
HC Excision Skin Lesion > 4.0cm
$8,357
$836
$3,378
33
clean
HC Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm
$4,131
$413
$792
25
clean
HC Trim Nondystrophic Nails Any Number
$375
$38
$67
24
clean
HC Debride Nails 15 Nails
$405
$41
$67
25
clean
HC Debride Nails > 6 Nails
$443
$44
$114
33
clean
HC Avulsion of Nail Plate, Partial or Complete, Simple; Single
$1,140
$114
$380
33
clean
HC Avulse Nail Plate - Each Add Plate
$292
$29
$66
6
clean
HC Drain Hematoma/Blood Nail Bed
$267
$27
$145
22
clean
HC Excision Nail / Nail Matrix
$1,590
$159
$450
25
clean
HC Excise Nail Fold Skin / Ingrown Toenail
$615
$62
$450
25
clean
HC Injection, Intralesional; Up to and Including 7 Lesions
$1,175
$118
$224
25
clean
HC Nexplanon Insertion
$353
$35
$145
24
clean
HC Nexplanon Removal
$403
$40
$449
24
clean
HC Nexplanon Removal W/ Reinsertion
$463
$46
$449
24
clean
HC Repair Simple Superficial Wound Scalp / Neck / Axillae / Genitalia / Trunk Extremity 2.5cm or Less
$616
$62
$380
33
clean
HC Wound Repair Simple Scalp/Neck/Genetilia/Trunk/Extremities 2.6-7.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Scalp/Neck/Genetilia/Trunk/Extremities 7.6-12.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Face/Ears/Mucous Membrane < 2.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Face/Ears/Mucous Membrane 2.6-5.0cm
$1,198
$120
$380
33
clean
HC Treat Wound Rupture - Simple Closure
$2,185
$219
$1,171
33
clean
HC Wound Repair Intermediate Scalp/Neck/Genitalia/Trunk/Extremities 7.6-12.5cm
$2,318
$232
$764
33
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 2.5 Cm or Less
$2,267
$227
$764
33
clean
HC Wound Repair Complex 1.1-2.5cm
$1,567
$157
$450
25
clean
HC Repair Complex Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands and/or Ft 2.6 Cm to 7.5 Cm
$3,688
$369
$689
25
clean
HC Secondary Closure of Surgical Wound or Dehiscence, Extensive or Complicated
$5,348
$535
$2,059
25
clean
HC Epidermal Autograft Trunk Arms Legs First 100 Sq Cm or Less or 1% of Body Area of Infants and Children
$5,897
$590
$2,059
25
clean
HC Epidermal Autograft Trunk Arms Legs Each Additional 100 Sq Cm or Each Additional 1% of Body Area of Infants and Children
$2,948
$295
$2,019
6
clean
HC Epidermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet and/or Multiple Digits First 100 Sq Cm or Less or 1% of Body Area of Infants and Children
$5,897
$590
$2,059
22
clean
HC Epidermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet and/or Multiple Digits; Each Add'l 100 Sq Cm, or Each Additional 1% of Body Area of Infants and Child
$2,948
$295
$2,019
6
clean
HC Apply Graft Trunk/Arms/Legs <100cm2 Init 25cm2
$7,421
$742
$2,059
22
clean
HC Apply Graft Trunk/Arms/Legs <100cm2 Add 25cm2
$1,938
$194
$2,019
6
clean
HC Apply Graft Trunk/Arms/Legs >100cm2 Init 25cm2
$9,895
$990
$4,121
22
clean
HC Apply Graft Trunk/Arms/Legs >100cm2 Add 25cm2
$2,648
$265
$3,981
6
clean
HC Apply Graft Face/H&S/Feet <100cm2 Init 25cm2
$7,421
$742
$2,059
22
clean
HC Apply Graft Face/H&S/Feet <100cm2 Add 25cm2
$1,938
$194
$2,019
6
clean
HC Apply Graft Face/Hand/Feet >100cm2 Initial 100cm
$7,248
$725
$2,059
22
clean
HC Apply Graft Face/Hand/Feet >100cm2 Add 100cm
$1,938
$194
$2,019
6
clean
HC Excise Sacral Pressure Ulcer W Suture
$7,113
$711
$3,222
22
clean
HC Debride Partial Thick Burn Small <5% Body Surface
$1,533
$153
$224
25
clean
HC Debride Partial Thick Burn Medium 5-10% Body Surface
$1,799
$180
$224
25
clean
HC Debride Partial Thick Burn Large >10% Body Surface
$2,292
$229
$450
25
clean
HC Destruct Benign Lesion up to 14 Lesions
$378
$38
$224
25
clean
HC Destruction Benign Lesion > 15 Lesions
$638
$64
$224
25
clean
HC Chemical Cauterization of Granulation Tissue (Ie, Proud Flesh)
$1,140
$114
$380
33
clean
HC Aspiration Breast Cyst
$1,156
$116
$1,346
33
clean
HC Aspiration Breast Cyst - Each Additional Cyst
$725
$73
$10,937
15
clean
HC Injection Ductogram / Galactogram
$929
$93
$10,937
15
clean
HC Biopsy Breast Stereotactic First Lesion
$5,481
$548
$2,693
33
clean
HC Biopsy Breast Stereotactic Each Add Lesion
$1,981
$198
$10,937
15
clean
HC Biopsy Breast US Guide First Lesion
$3,653
$365
$2,693
33
clean
HC Biopsy Breast US Guide Each Add Lesion
$2,029
$203
$10,937
15
clean
HC Biopsy Breast W/ Clip Place & MR Guide - 1st Lesion
$2,897
$290
$2,693
33
clean
HC Biopsy Breast Perc Needle Core wo Imaging
$588
$59
$1,824
25
clean
HC Breast Loc Place W/ Mammo First Lesion
$4,474
$447
$2,693
33
clean
HC Breast Loc Place W/ Mammo Each Add Lesion
$579
$58
$10,937
15
clean
HC Breast Loc Place W/ US Guide First Lesion
$1,410
$141
$1,346
33
clean
HC Breast LOC Place w/ US Guide Each Add Lesion
$579
$58
$10,937
15
clean
HC Explore Penetrating Wound Extremity
$1,613
$161
$1,824
25
clean
HC Biopsy Muscle Superficial
$6,547
$655
$2,693
33
clean
HC Biopsy Muscle Deep
$6,547
$655
$3,378
33
clean
HC Biopsy Muscle Percutaneous
$4,895
$490
$2,693
33
clean
HC Biopsy Bone Superficial
$1,989
$199
$2,693
33
clean
HC Biopsy Bone Deep
$10,084
$1,008
$2,693
33
clean
HC Biopsy Bone Open Deep
$4,590
$459
$3,222
25
clean
HC Inject Sinus Tract Therapeutic
$1,705
$171
$2,693
33
clean
HC Inject Sinus Tract Diagnostic
$1,066
$107
$10,937
15
clean
HC Inject Tendon Sheath / Ligament
$1,684
$168
$565
33
clean
HC Injection Tendon Origin / Insertion
$1,684
$168
$565
33
clean
HC Inject Trigger Point 1 / 2 Muscles
$711
$71
$565
33
clean
HC Inject Trigger Point 3 / 4 Muscles
$860
$86
$565
33
clean
HC Needle Insertion W/O Injection 1 or 2 Muscles
$60
$6
$28
32
clean
HC Inject Small Joint / Bursa
$931
$93
$565
33
clean
HC Arthrocentesis Small Joint / Bursa W/ US Guide
$1,762
$176
$565
33
clean
HC Arthrocentesis Inter Joint / Bursa W/O US Guide
$1,432
$143
$565
33
clean
HC Arthrocentesis Inter Joint / Bursa W/ US Guide
$2,220
$222
$1,324
33
clean
HC Arthrocentesis Major Joint / Bursa W/O US Guide
$1,709
$171
$565
33
clean
HC Arthrocentesis Major Joint / Bursa W/ US Guide
$2,610
$261
$565
33
clean
HC Aspiration Injection Ganglion Cyst
$1,739
$174
$332
25
clean
HC Removal of Implant Superficial (Eg, Buried Wire, Pin or Rod) (Separate Procedure)
$4,646
$465
$1,824
25
clean
HC Removal of Implant; Deep (Eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod or Plate)
$8,226
$823
$3,222
25
clean
HC Monitoring of Interstitial Fluid Pressure (Includes Insertion of Device, Eg, Wick Catheter Technique, Needle Manometer Technique) in Detection of Muscle Compartment Syndrome
$4,037
$404
$1,346
33
clean
HC Temotomy Elbow Lateral/Medial Perc
$11,948
$1,195
$14,062
33
clean
HC Ablation Percutaneous Tumor Bone
$20,813
$2,081
$8,041
33
clean
HC Injection Tmj Arthrogram
$366
$37
$10,937
15
clean
HC Incision / Drain Deep Abscess / Hemotoma Neck / Thorax
$8,673
$867
$3,378
33
clean
HC Treat Wound Rupture - Simple Closure
$6,658
$666
$2,693
33
clean
HC Biopsy, Soft Tissue of Back or Flank; Superficial
$9,518
$952
$2,693
33
clean
HC Vertebroplasty W/ Imaging 1 Body Cervicothoracic
$11,724
$1,172
$3,830
33
clean
HC Vertebroplasty W/ Imaging 1 Body Lumbosacral
$20,372
$2,037
$3,830
33
clean
HC Verteproplasty W/ Imaging Each Add Body
$3,302
$330
$10,937
15
clean
HC Vertebral Augment Perc W/ Image 1 Body Thoracic
$28,527
$2,853
$8,041
33
clean
HC Vertebral Augment Perc W/ Image 1 Body Lumbar
$29,211
$2,921
$8,041
33
clean
HC Vertebral Augment Perc W/ Imageeach Add Body
$14,293
$1,429
$10,937
15
clean
HC Spinal Fixation Posterior Segment 3 -6 Vertebra
$2,199
$220
$10,937
15
clean
HC Unlisted Procedure Abdomen Musculoskeletal System
$288
$29
$459
33
clean
HC Inject Shoulder Arthrogram
$887
$89
$10,416
17
clean
HC Tenotomy Shoulder Single Tendon
$13,526
$1,353
$7,963
39
clean
HC Tenotomy Shoulder Tendons Multiple Same Incision
$21,009
$2,101
$8,041
35
clean
HC Incision and Drainage Upper Arm or Elbow Area Bursa
$9,518
$952
$1,912
39
clean
HC Biopsy Soft Tissue Upper Arm/Elbow Superficial
$2,670
$267
$1,824
25
clean
HC Biopsy Soft Tissue Upper Arm/Elbow Deep
$2,670
$267
$3,222
25
clean
HC Excision Olecranon Bone Partial
$3,524
$352
$3,961
35
clean
HC Injection Elbow Arthrogram
$872
$87
$8,367
21
clean
HC Tenotomy Elbow Lateral / Medial Percutaneous
$6,347
$635
$3,961
35
clean
HC Closed Treatment of Humeral Shaft Fracture W/O Manipulation
$1,385
$139
$792
39
clean
HC Injection Wrist Arthrogram
$999
$100
$10,416
17
clean
HC Treatment Ulnar Shaft Fracture Closed WO Manipulation
$1,380
$138
$459
39
clean
HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj
$1,385
$139
$792
39
clean
HC Closed Rx Dist Rad/Ulna Fx Manipulation
$9,089
$909
$1,889
39
clean
HC Drainage of Finger Abscess Simple
$1,117
$112
$380
35
clean
HC Closed Treatment of Phalangeal Shaft Fracture, Proximal or Middle Phalanx, Finger or Thumb; Without Manipulation, Each
$1,385
$139
$459
39
clean
HC Tenotomy Hip Adductor Percutaneous
$9,020
$902
$3,061
39
clean
HC Temotomy Hip Abductors / Extensors Open
$9,512
$951
$3,830
39
clean
HC Inject Hip Arthrogram W/O Anesthesia
$902
$90
$10,416
17
clean
HC Inject Hip Arthrogram W/ Anesthesia
$798
$80
$8,367
21
clean
HC Inject Sacroiliac Joint W/ Imaging & Arthrogram
$3,040
$304
$8,367
21
clean
HC Treatment Post Hip Arthroscopy Dislocation Closed WO Anesthesia
$1,380
$138
$459
39
clean
HC Closed Treatment of Post Hip Arthroplasty Dislocation Requiring Regional or General Anesthesia
$4,445
$445
$1,889
39
clean
HC Unlisted Procedure Pelvis / Hip Joint
$888
$89
$1,824
39
clean
HC Tenotomy Thigh Tendon Single
$8,810
$881
$4,973
39
clean
HC Temotomy Adductor / Hamstring Tendon Multiple
$9,512
$951
$3,830
39
clean
HC Injection Contrast Knee Arthrography / Contrast Enhanced CT / MRI Knee Arthrography
$1,170
$117
$8,367
21
clean
HC Closed Treatment of Patellar Dislocation; Without Anesthesia
$1,385
$139
$459
39
clean
HC Tenotomy Achilles Tendon
$9,266
$927
$1,889
39
clean
HC Biopsy Soft Tissue Upper Leg or Ankle Superficial
$3,125
$313
$1,824
25
clean
HC Biopsy Soft Tissue Upper Leg/Ankle Deep
$7,908
$791
$3,222
25
clean
HC Injection Ankle Arthrogram
$974
$97
$8,367
21
clean
HC Cltx Tibial Shaft Fx W/O Manipulation
$1,385
$139
$459
39
clean
HC Closed Treatment of Distal Fibular Fracture (Lateral Malleolus); With Manipulation
$1,385
$139
$459
39
clean
HC Cltx Trimalleolar Ankle Fx W/Manipulation
$4,600
$460
$1,889
39
clean
Showing the first 200 of 3,708 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 89230/o
error
mrf_negotiated_above_max
a negotiated rate of $252 is above the file's own maximum $50
CPT 20560/o
error
mrf_negotiated_above_max
a negotiated rate of $668 is above the file's own maximum $176
CPT 90673/o
error
mrf_negotiated_above_max
a negotiated rate of $487 is above the file's own maximum $332
CPT 36415/o
error
mrf_negotiated_above_max
a negotiated rate of $30 is above the file's own maximum $0
CPT 90746/o
error
mrf_negotiated_above_max
a negotiated rate of $375 is above the file's own maximum $297
CPT J1162/o
error
mrf_negotiated_above_max
a negotiated rate of $2 is above the file's own maximum $0
MS-DRG 017/i
error
mrf_negotiated_above_max
a negotiated rate of $122,729 is above the file's own maximum $115,538
MS-DRG 019/i
error
mrf_negotiated_above_max
a negotiated rate of $160,894 is above the file's own maximum $152,249
MS-DRG 399/i
error
mrf_negotiated_above_max
a negotiated rate of $26,603 is above the file's own maximum $26,298
MS-DRG 461/i
error
mrf_negotiated_above_max
a negotiated rate of $124,762 is above the file's own maximum $123,151
MS-DRG 714/i
error
mrf_negotiated_above_max
a negotiated rate of $24,645 is above the file's own maximum $24,292
MS-DRG 730/i
error
mrf_negotiated_above_max
a negotiated rate of $16,005 is above the file's own maximum $15,438
CPT A9510/o
error
mrf_negotiated_above_max
a negotiated rate of $65 is above the file's own maximum $16
MS-DRG 756/i
error
mrf_negotiated_above_max
a negotiated rate of $22,473 is above the file's own maximum $22,066
MS-DRG 760/i
error
mrf_negotiated_above_max
a negotiated rate of $23,527 is above the file's own maximum $23,146
MS-DRG 795/i
error
mrf_negotiated_above_max
a negotiated rate of $5,418 is above the file's own maximum $5,048
MS-DRG 797/i
error
mrf_negotiated_above_max
a negotiated rate of $23,367 is above the file's own maximum $22,983
MS-DRG 880/i
error
mrf_negotiated_above_max
a negotiated rate of $22,466 is above the file's own maximum $22,059
MS-DRG 881/i
error
mrf_negotiated_above_max
a negotiated rate of $22,033 is above the file's own maximum $21,616
MS-DRG 882/i
error
mrf_negotiated_above_max
a negotiated rate of $25,013 is above the file's own maximum $24,669
MS-DRG 894/i
error
mrf_negotiated_above_max
a negotiated rate of $14,769 is above the file's own maximum $14,172
MS-DRG 897/i
error
mrf_negotiated_above_max
a negotiated rate of $20,731 is above the file's own maximum $20,281
MS-DRG 923/i
error
mrf_negotiated_above_max
a negotiated rate of $23,755 is above the file's own maximum $23,380
CPT A9548/o
error
mrf_negotiated_above_max
a negotiated rate of $3,740 is above the file's own maximum $2,345
CPT A9550/o
error
mrf_negotiated_above_max
a negotiated rate of $611 is above the file's own maximum $0
CPT J2212/o
error
mrf_negotiated_above_max
a negotiated rate of $3 is above the file's own maximum $0
CPT 86999/o
error
mrf_negotiated_above_max
a negotiated rate of $120 is above the file's own maximum $0
CPT 90396/o
error
mrf_negotiated_below_min
a negotiated rate of $131 is below the file's own minimum $133
CPT 20560/o
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $20
CPT A9521/o
error
mrf_negotiated_below_min
a negotiated rate of $611 is below the file's own minimum $1,324
warn
mrf_negotiated_above_gross_systematic
1,173 of 2,520 comparable items (47%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $16,391 exceeds the gross charge $3,929
warn
mrf_rate_without_estimate
1,191,321 of 1,191,321 percentage/algorithm rates across 3,708 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 15277/o
info
mrf_cash_under_tenth_of_gross
cash price $725 is 10% of the gross charge $7,248
CPT 78459/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 84207/o
info
mrf_cash_under_tenth_of_gross
cash price $56 is 10% of the gross charge $564
CPT 94761/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $92
CPT 47555/o
info
mrf_cash_under_tenth_of_gross
cash price $450 is 10% of the gross charge $4,502
CPT 70130/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,173
CPT 84210/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $202
CPT 87906/o
info
mrf_cash_under_tenth_of_gross
cash price $460 is 10% of the gross charge $4,602
CPT G0219/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 70140/o
info
mrf_cash_under_tenth_of_gross
cash price $88 is 10% of the gross charge $876
CPT 78469/o
info
mrf_cash_under_tenth_of_gross
cash price $244 is 10% of the gross charge $2,441
CPT G0235/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 15931/o
info
mrf_cash_under_tenth_of_gross
cash price $711 is 10% of the gross charge $7,113
CPT 70150/o
info
mrf_cash_under_tenth_of_gross
cash price $185 is 10% of the gross charge $1,852
CPT 78473/o
info
mrf_cash_under_tenth_of_gross
cash price $342 is 10% of the gross charge $3,419
CPT 87912/o
info
mrf_cash_under_tenth_of_gross
cash price $112 is 10% of the gross charge $1,123
CPT 95117/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $63
CPT 47801/o
info
mrf_cash_under_tenth_of_gross
cash price $42 is 10% of the gross charge $424
CPT 70160/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 10% of the gross charge $1,327
CPT 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $189 is 10% of the gross charge $1,891
CPT 35321/o
info
mrf_cash_under_tenth_of_gross
cash price $1,517 is 10% of the gross charge $15,173
CPT 70190/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,173
CPT 78580/o
info
mrf_cash_under_tenth_of_gross
cash price $370 is 10% of the gross charge $3,697
CPT 84255/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $162
CPT 88108/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 10% of the gross charge $454
CPT 95711/o
info
mrf_cash_under_tenth_of_gross
cash price $194 is 10% of the gross charge $1,936
CPT 48102/o
info
mrf_cash_under_tenth_of_gross
cash price $447 is 10% of the gross charge $4,474
CPT 70210/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 10% of the gross charge $1,341
CPT 84260/o
info
mrf_cash_under_tenth_of_gross
cash price $67 is 10% of the gross charge $671
CPT 95713/o
info
mrf_cash_under_tenth_of_gross
cash price $324 is 10% of the gross charge $3,237
CPT G0239/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $242
CPT 16030/o
info
mrf_cash_under_tenth_of_gross
cash price $229 is 10% of the gross charge $2,292
CPT 70250/o
info
mrf_cash_under_tenth_of_gross
cash price $130 is 10% of the gross charge $1,301
CPT 88112/o
info
mrf_cash_under_tenth_of_gross
cash price $82 is 10% of the gross charge $821
CPT 95714/o
info
mrf_cash_under_tenth_of_gross
cash price $357 is 10% of the gross charge $3,572
CPT G0252/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 10% of the gross charge $6,514
CPT J9034/o
info
mrf_cash_under_tenth_of_gross
cash price $3,319 is 10% of the gross charge $33,186
CPT 35875/o
info
mrf_cash_under_tenth_of_gross
cash price $1,334 is 10% of the gross charge $13,336
CPT 70332/o
info
mrf_cash_under_tenth_of_gross
cash price $149 is 10% of the gross charge $1,486
CPT 78608/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 95715/o
info
mrf_cash_under_tenth_of_gross
cash price $324 is 10% of the gross charge $3,237
CPT 17110/o
info
mrf_cash_under_tenth_of_gross
cash price $38 is 10% of the gross charge $378
CPT 70371/o
info
mrf_cash_under_tenth_of_gross
cash price $124 is 10% of the gross charge $1,238
CPT 78630/o
info
mrf_cash_under_tenth_of_gross
cash price $891 is 10% of the gross charge $8,913
CPT 84392/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 10% of the gross charge $48
CPT 95716/o
info
mrf_cash_under_tenth_of_gross
cash price $631 is 10% of the gross charge $6,314
CPT G0283/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 36000/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $162
CPT 70480/o
info
mrf_cash_under_tenth_of_gross
cash price $284 is 10% of the gross charge $2,837
CPT 78650/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 10% of the gross charge $6,514
CPT 17111/o
info
mrf_cash_under_tenth_of_gross
cash price $64 is 10% of the gross charge $638
CPT 49084/o
info
mrf_cash_under_tenth_of_gross
cash price $261 is 10% of the gross charge $2,607
CPT 70481/o
info
mrf_cash_under_tenth_of_gross
cash price $329 is 10% of the gross charge $3,289
CPT 84402/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $184
CPT 88188/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 10% of the gross charge $292
CPT 95783/o
info
mrf_cash_under_tenth_of_gross
cash price $435 is 10% of the gross charge $4,349
CPT G0338/o
info
mrf_cash_under_tenth_of_gross
cash price $1,616 is 10% of the gross charge $16,158
CPT 70487/o
info
mrf_cash_under_tenth_of_gross
cash price $327 is 10% of the gross charge $3,269
CPT 78740/o
info
mrf_cash_under_tenth_of_gross
cash price $393 is 10% of the gross charge $3,932
CPT 84403/o
info
mrf_cash_under_tenth_of_gross
cash price $54 is 10% of the gross charge $538
CPT J9043/o
info
mrf_cash_under_tenth_of_gross
cash price $14,723 is 10% of the gross charge $147,233
CPT 49180/o
info
mrf_cash_under_tenth_of_gross
cash price $204 is 10% of the gross charge $2,036
CPT 70490/o
info
mrf_cash_under_tenth_of_gross
cash price $525 is 10% of the gross charge $5,249
CPT 78800/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 10% of the gross charge $3,104
CPT 88230/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 10% of the gross charge $619
CPT G0339/o
info
mrf_cash_under_tenth_of_gross
cash price $1,616 is 10% of the gross charge $16,158
CPT 19000/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 10% of the gross charge $1,156
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $758 is 10% of the gross charge $7,584
CPT 84433/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 10% of the gross charge $1,106
CPT 95805/o
info
mrf_cash_under_tenth_of_gross
cash price $441 is 10% of the gross charge $4,407
CPT 36011/o
info
mrf_cash_under_tenth_of_gross
cash price $204 is 10% of the gross charge $2,037
CPT 49185/o
info
mrf_cash_under_tenth_of_gross
cash price $626 is 10% of the gross charge $6,263
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $1,036 is 10% of the gross charge $10,356
CPT 84442/o
info
mrf_cash_under_tenth_of_gross
cash price $31 is 10% of the gross charge $309
CPT 88233/o
info
mrf_cash_under_tenth_of_gross
cash price $100 is 10% of the gross charge $1,001
CPT 70542/o
info
mrf_cash_under_tenth_of_gross
cash price $1,164 is 10% of the gross charge $11,638
CPT 78806/o
info
mrf_cash_under_tenth_of_gross
cash price $691 is 10% of the gross charge $6,908
CPT 84443/o
info
mrf_cash_under_tenth_of_gross
cash price $37 is 10% of the gross charge $369
CPT J9065/o
info
mrf_cash_under_tenth_of_gross
cash price $584 is 10% of the gross charge $5,836
CPT 36012/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $593
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $1,251 is 10% of the gross charge $12,513
CPT 95808/o
info
mrf_cash_under_tenth_of_gross
cash price $170 is 10% of the gross charge $1,697
CPT 49405/o
info
mrf_cash_under_tenth_of_gross
cash price $812 is 10% of the gross charge $8,118
CPT 70545/o
info
mrf_cash_under_tenth_of_gross
cash price $1,023 is 10% of the gross charge $10,233
CPT 78808/o
info
mrf_cash_under_tenth_of_gross
cash price $106 is 10% of the gross charge $1,058
CPT 84446/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 10% of the gross charge $282
CPT 88275/o
info
mrf_cash_under_tenth_of_gross
cash price $37 is 10% of the gross charge $368
CPT 19082/o
info
mrf_cash_under_tenth_of_gross
cash price $198 is 10% of the gross charge $1,981
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $467 is 10% of the gross charge $4,669
CPT 84450/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $142
CPT 95819/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,726
CPT G0423/o
info
mrf_cash_under_tenth_of_gross
cash price $85 is 10% of the gross charge $853
CPT J9130/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 10% of the gross charge $220
CPT 36014/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $594
CPT 49406/o
info
mrf_cash_under_tenth_of_gross
cash price $812 is 10% of the gross charge $8,118
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $1,076 is 10% of the gross charge $10,761
CPT 84460/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $142
CPT 88304/o
info
mrf_cash_under_tenth_of_gross
cash price $91 is 10% of the gross charge $913
CPT 95824/o
info
mrf_cash_under_tenth_of_gross
cash price $275 is 10% of the gross charge $2,752
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $1,237 is 10% of the gross charge $12,368
CPT 84466/o
info
mrf_cash_under_tenth_of_gross
cash price $33 is 10% of the gross charge $334
CPT 88305/o
info
mrf_cash_under_tenth_of_gross
cash price $140 is 10% of the gross charge $1,402
CPT G0438/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $137
CPT 49407/o
info
mrf_cash_under_tenth_of_gross
cash price $523 is 10% of the gross charge $5,228
CPT 71045/o
info
mrf_cash_under_tenth_of_gross
cash price $99 is 10% of the gross charge $988
CPT 84478/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $202
CPT 88307/o
info
mrf_cash_under_tenth_of_gross
cash price $333 is 10% of the gross charge $3,334
CPT G0439/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $92
CPT 19085/o
info
mrf_cash_under_tenth_of_gross
cash price $290 is 10% of the gross charge $2,897
CPT 71046/o
info
mrf_cash_under_tenth_of_gross
cash price $158 is 10% of the gross charge $1,576
CPT 78814/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 88309/o
info
mrf_cash_under_tenth_of_gross
cash price $496 is 10% of the gross charge $4,964
CPT 95951/o
info
mrf_cash_under_tenth_of_gross
cash price $531 is 10% of the gross charge $5,314
CPT 36160/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 10% of the gross charge $484
CPT 71047/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 10% of the gross charge $956
CPT 84479/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $156
CPT 96105/o
info
mrf_cash_under_tenth_of_gross
cash price $67 is 10% of the gross charge $668
CPT J9208/o
info
mrf_cash_under_tenth_of_gross
cash price $78 is 10% of the gross charge $779
CPT 19100/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $588
CPT 49418/o
info
mrf_cash_under_tenth_of_gross
cash price $1,151 is 10% of the gross charge $11,506
CPT 71111/o
info
mrf_cash_under_tenth_of_gross
cash price $120 is 10% of the gross charge $1,196
CPT 78815/o
info
mrf_cash_under_tenth_of_gross
cash price $635 is 10% of the gross charge $6,353
CPT 96360/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 10% of the gross charge $1,336
CPT J9209/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 10% of the gross charge $268
CPT 36200/o
info
mrf_cash_under_tenth_of_gross
cash price $61 is 10% of the gross charge $608
CPT 71120/o
info
mrf_cash_under_tenth_of_gross
cash price $135 is 10% of the gross charge $1,346
CPT 84484/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $204
CPT 88342/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 10% of the gross charge $1,471
CPT G2010/o
info
mrf_cash_under_tenth_of_gross
cash price $1,143 is 10% of the gross charge $11,433
CPT J9211/o
info
mrf_cash_under_tenth_of_gross
cash price $71 is 10% of the gross charge $712
CPT 19281/o
info
mrf_cash_under_tenth_of_gross
cash price $447 is 10% of the gross charge $4,474
CPT 78816/o
info
mrf_cash_under_tenth_of_gross
cash price $635 is 10% of the gross charge $6,353
CPT 84550/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 88346/o
info
mrf_cash_under_tenth_of_gross
cash price $374 is 10% of the gross charge $3,742
CPT 96361/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 10% of the gross charge $838
CPT 49421/o
info
mrf_cash_under_tenth_of_gross
cash price $882 is 10% of the gross charge $8,818
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $126 is 10% of the gross charge $1,263
CPT 84560/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $116
CPT 88360/o
info
mrf_cash_under_tenth_of_gross
cash price $155 is 10% of the gross charge $1,551
CPT G2061/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $97
CPT 19282/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 10% of the gross charge $579
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $894 is 10% of the gross charge $8,939
CPT 78999/o
info
mrf_cash_under_tenth_of_gross
cash price $68 is 10% of the gross charge $681
CPT 84588/o
info
mrf_cash_under_tenth_of_gross
cash price $69 is 10% of the gross charge $691
CPT G2063/o
info
mrf_cash_under_tenth_of_gross
cash price $32 is 10% of the gross charge $319
CPT J9228/o
info
mrf_cash_under_tenth_of_gross
cash price $39,658 is 10% of the gross charge $396,576
CPT 49422/o
info
mrf_cash_under_tenth_of_gross
cash price $823 is 10% of the gross charge $8,233
CPT 72050/o
info
mrf_cash_under_tenth_of_gross
cash price $206 is 10% of the gross charge $2,057
CPT 79005/o
info
mrf_cash_under_tenth_of_gross
cash price $1,213 is 10% of the gross charge $12,128
CPT 96368/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 10% of the gross charge $838
CPT 36218/o
info
mrf_cash_under_tenth_of_gross
cash price $40 is 10% of the gross charge $404
CPT 72052/o
info
mrf_cash_under_tenth_of_gross
cash price $283 is 10% of the gross charge $2,834
CPT 84591/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 10% of the gross charge $227
CPT 88720/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $164
CPT J9262/o
info
mrf_cash_under_tenth_of_gross
cash price $1,342 is 10% of the gross charge $13,416
CPT 19286/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 10% of the gross charge $579
CPT 49423/o
info
mrf_cash_under_tenth_of_gross
cash price $465 is 10% of the gross charge $4,652
CPT 72072/o
info
mrf_cash_under_tenth_of_gross
cash price $139 is 10% of the gross charge $1,391
CPT 79101/o
info
mrf_cash_under_tenth_of_gross
cash price $163 is 10% of the gross charge $1,632
CPT 84681/o
info
mrf_cash_under_tenth_of_gross
cash price $42 is 10% of the gross charge $424
CPT 72100/o
info
mrf_cash_under_tenth_of_gross
cash price $183 is 10% of the gross charge $1,826
CPT 79403/o
info
mrf_cash_under_tenth_of_gross
cash price $397 is 10% of the gross charge $3,969
CPT 84703/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 10% of the gross charge $247
CPT 96373/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 49424/o
info
mrf_cash_under_tenth_of_gross
cash price $155 is 10% of the gross charge $1,546
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $442 is 10% of the gross charge $4,422
CPT 89230/o
info
mrf_cash_under_tenth_of_gross
cash price $61 is 10% of the gross charge $613
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $551 is 10% of the gross charge $5,514