Hospital · CCN 310092

Capital Health Regional Medical Center

750 Brunswick Ave, Trenton, NJ 08638 · Mercer County
Part of Capital Health System · 179 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

47 admission types 34 outpatient services price file: ok 45 Medicare-file findings
Billed per dollar paid, all admissions
21.37×
$516.5M billed against $24.2M paid across 1,109 Medicare discharges; the national figure is 5.03×.
4.3%
of adults in Mercer County have medical debt in collections
8.7%
uninsured in the county · state 8.0%
$96K
median household income
17.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
25.4%
obesity in the countyⓘ
11.1%
diagnosed diabetes (PLACES)
5.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
106
$591,962
$22,807
26.0× st 6.8×
291
Heart failure and shock with mcc
63
$437,712
$15,888
27.5× st 7.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
55
$519,927
$22,715
22.9× st 7.3×
177
Respiratory infections and inflammations with mcc
55
$487,216
$18,345
26.6× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
47
$363,815
$13,097
27.8× st 8.5×
689
Kidney and urinary tract infections with mcc
45
$323,357
$14,345
22.5× st 7.5×
274
Percutaneous and other intracardiac procedures without mcc
43
$189,350
$32,789
5.8× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$360,911
$15,028
24.0× st 7.2×
690
Kidney and urinary tract infections without mcc
29
$241,509
$10,063
24.0× st 7.8×
481
Hip and femur procedures except major joint with cc
28
$514,378
$22,141
23.2× st 5.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
26
$424,200
$50,273
8.4× st 5.5×
190
Chronic obstructive pulmonary disease with mcc
26
$306,039
$13,782
22.2× st 8.3×
193
Simple pneumonia and pleurisy with mcc
26
$375,925
$15,412
24.4× st 7.6×
683
Renal failure with cc
24
$282,993
$10,759
26.3× st 7.5×
682
Renal failure with mcc
22
$422,531
$17,969
23.5× st 7.3×
101
Seizures without mcc
21
$308,353
$14,428
21.4× st 7.0×
086
Traumatic stupor and coma <1 hour with cc
21
$438,264
$15,383
28.5× st 7.3×
025
Craniotomy and endovascular intracranial procedures with mcc
21
$799,186
$43,654
18.3× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$256,485
$10,609
24.2× st 7.8×
189
Pulmonary edema and respiratory failure
19
$561,008
$16,468
34.1× st 7.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
18
$395,405
$13,640
29.0× st 7.3×
178
Respiratory infections and inflammations with cc
17
$275,618
$12,490
22.1× st 8.1×
309
Cardiac arrhythmia and conduction disorders with cc
17
$280,726
$10,360
27.1× st 8.0×
698
Other kidney and urinary tract diagnoses with mcc
16
$457,648
$18,763
24.4× st 6.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$1,076,278
$49,441
21.8× st 6.0×
312
Syncope and collapse
16
$248,471
$13,137
18.9× st 7.8×
280
Acute myocardial infarction, discharged alive with mcc
16
$448,234
$18,001
24.9× st 7.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$852,364
$32,153
26.5× st 7.1×
870
Septicemia or severe sepsis with mv >96 hours
15
$1,781,977
$70,980
25.1× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
15
$409,391
$17,700
23.1× st 7.7×
603
Cellulitis without mcc
15
$296,961
$10,863
27.3× st 7.0×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
14
$554,876
$38,669
14.3× st 6.2×
057
Degenerative nervous system disorders without mcc
14
$349,880
$20,338
17.2× st 6.0×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
14
$369,798
$20,320
18.2× st 8.3×
638
Diabetes with cc
14
$247,534
$11,878
20.8× st 7.8×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$304,371
$14,047
21.7× st 8.3×
378
Gastrointestinal hemorrhage with cc
14
$366,689
$12,709
28.9× st 7.9×
194
Simple pneumonia and pleurisy with cc
14
$231,751
$9,474
24.5× st 8.0×
552
Medical back problems without mcc
13
$268,182
$11,401
23.5× st 6.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$798,472
$59,019
13.5× st 5.8×
637
Diabetes with mcc
13
$367,270
$15,126
24.3× st 6.8×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$1,394,860
$61,439
22.7× st 6.4×
480
Hip and femur procedures except major joint with mcc
12
$826,128
$36,472
22.7× st 6.3×
314
Other circulatory system diagnoses with mcc
11
$821,153
$28,749
28.6× st 6.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
11
$705,736
$60,665
11.6× st 5.4×
884
Organic disturbances and intellectual disability
11
$232,260
$18,808
12.3× st 5.8×
087
Traumatic stupor and coma <1 hour without cc/mcc
11
$253,411
$11,549
21.9× st 11.7×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
423
$106,318
$2,855
37.2×
5213
Level 3 Electrophysiologic Procedures
44
$229,266
$24,796
9.2×
5223
Level 3 Pacemaker and Similar Procedures
30
$190,958
$11,166
17.1×
5192
Level 2 Endovascular Procedures
26
$70,085
$5,984
11.7×
5183
Level 3 Vascular Procedures
23
$64,817
$3,106
20.9×
5191
Level 1 Endovascular Procedures
22
$114,469
$3,417
33.5×
5193
Level 3 Endovascular Procedures
18
$173,661
$11,503
15.1×
5232
Level 2 ICD and Similar Procedures
17
$407,106
$34,335
11.9×
5114
Level 4 Musculoskeletal Procedures
14
$129,769
$7,490
17.3×
5302
Level 2 Upper GI Procedures
13
$66,107
$1,870
35.4×
5184
Level 4 Vascular Procedures
13
$104,195
$5,753
18.1×
5471
Implantation of Drug Infusion Device
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-06-24, template 3.0.0, 981,592 rows scanned, 11,378 distinct code–setting items kept. 1,670 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
MOLEC RED CELL AG
$6,217
$6,217
$720
21
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$511
2
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$511
2
clean
ONCO PRST8 3 GENE UR ALG
—
—
$771
2
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$771
2
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$771
2
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,325
2
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,542
2
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,047
2
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$252
2
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$35
2
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,654
2
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$124
2
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$753
2
clean
TPMT NUDT15 GENES
—
—
$473
2
clean
NEURO CSF PRION PRTN QUAL
—
—
$549
2
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,553
2
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
2
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
2
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
2
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
2
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,931
2
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,931
2
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$328
2
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$328
2
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
2
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$32
2
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
2
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$145
2
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$44
2
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,573
2
clean
ONC MLNMA PRAME & LINC00518
—
—
$771
2
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,979
2
clean
ESW MUSCSKEL SYS NOS
—
—
$266
2
clean
HERED COLON CA DO 15 GENES
—
—
$1,770
2
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$964
2
clean
TOUCH QUANT SENSORY TEST
—
—
$44
2
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$888
2
clean
VIBRATE QUANT SENSORY TEST
—
—
$44
2
clean
COOL QUANT SENSORY TEST
—
—
$66
2
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,024
2
clean
HEAT QUANT SENSORY TEST
—
—
$44
2
clean
ORTHO.KEY PJI (MICROGEN)
$1,890
$1,890
$356
40
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,795
2
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$85
2
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,324
2
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$2,158
2
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$114
2
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$511
2
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,075
2
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,325
2
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$6,603
2
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$7,924
2
clean
PERQ SACRAL AUGMT BILAT INJ
—
—
$7,924
2
clean
RESPIR PANEL W/SARS-COV-2
$2,956
$2,956
$417
21
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,249
2
clean
CLEAR EYELID GLAND W/HEAT
—
—
$143
2
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$519
2
clean
NJX PLATELET PLASMA
—
—
$443
2
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$12,580
2
clean
ARTHRECTOMY ILIAC ARTERY
$103,486
$103,486
$18,580
36
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,553
2
clean
Outpatient Services
—
—
$145
2
clean
Outpatient Services
—
—
$145
2
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,075
2
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,285
2
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$2,963
2
clean
Outpatient Services
—
—
$49,918
2
clean
Outpatient Services
—
—
$33,804
2
clean
Outpatient Services
—
—
$174
2
clean
Outpatient Services
—
—
$174
2
clean
Outpatient Services
—
—
$7,924
2
clean
TEMPR
—
—
$174
2
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$3,931
2
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,517
2
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$397
2
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$397
2
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
2
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$853
2
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,628
2
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,690
2
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,075
2
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,490
2
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$44
2
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,553
2
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,472
2
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,472
2
clean
EP RENAL DENERVATN BILAT
$58,864
$58,864
$6,475
36
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$771
2
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,979
2
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$804
2
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,356
2
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,356
2
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$753
2
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$753
2
clean
RSA LOWER EXTR EXAM
—
—
$98
2
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$264
2
clean
APOL1 RISK VARIANTS
—
—
$139
2
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,827
2
clean
BIA WHOLE BODY
—
—
$27
2
clean
NEURO ALYS ß-AMYL 1-42&1-40
—
—
$264
2
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$771
2
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$795
2
clean
Outpatient Services
—
—
$118
2
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$771
2
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$910
2
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$910
2
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$910
2
clean
ONC PRST8 CA IMG ALYS 128
—
—
$717
2
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$44
2
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,338
2
clean
ONC NONSM CLL LNG CA 37 GEN
—
—
$3,553
2
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$549
2
clean
Outpatient Services
—
—
$292
2
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$202
2
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
—
$770
2
clean
GI BARET ESPH DNA MTHYLN ALY
—
—
$1,781
2
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$2,588
2
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$771
2
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$328
2
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$771
2
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$964
2
clean
EP INS/REP CCM PGEN&ELEC
$184,413
$184,413
$17,992
18
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,963
2
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,356
2
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$397
2
clean
PRGRMG EVAL CARDIAC MODULJ
—
—
$41
2
clean
INTERRO EVAL CARDIAC MODULJ
—
—
$41
2
clean
Outpatient Services
—
—
$10,258
2
clean
GI MALABS AAT CALPRO PNCRTC
—
—
$62
2
clean
GLYCINE RECEPTOR
$2,710
$2,710
$132
20
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
—
$37
2
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$771
2
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$423
2
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$2,166
2
clean
ABLTJ PERC PLEX/TRNCL NRV
$39,038
$39,038
$8,937
18
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$2,029
2
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$220
2
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$2,029
2
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$5,724
2
clean
VISUAL EP TEST FOR GLAUCOMA
—
—
$174
2
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,568
2
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,324
2
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$679
2
clean
OCT MID EAR I&R UNILATERAL
—
—
$44
2
clean
OCT MID EAR I&R BILATERAL
—
—
$44
2
clean
PERC TRANSMRL ART BYPASS
$56,648
$56,648
$12,877
18
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$66
2
clean
PATTERN ERG W/I&R
—
—
$345
2
clean
ESW INTEG WND HLG 1ST WND
—
—
$220
2
clean
INSJ/RPLCMT COMPL IIMS
—
—
$21,155
2
clean
PRGRMG DEV EVAL IIMS IP
—
—
$41
2
clean
INTERROG DEV EVAL IIMS IP
—
—
$41
2
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$66
2
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$66
2
clean
EP INS/RPL ICDS SS ELTRD
$184,413
$184,413
$17,992
18
clean
PRGRMG DEV EVAL ICDS SS IP
—
—
$41
2
clean
INTERROG DEV EVAL ICDS SS IP
—
—
$41
2
clean
REM INTERROG DEV ICDS TECH
—
—
$41
2
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
—
$4,248
2
clean
ELEC ALYS CPLX PRGRMG IINS
—
—
$102
2
clean
R-T FLUOR WOUND IMG 1ST SITE
—
—
$345
2
clean
ABLT IRE 1+ O/T LV/PRST8 PRQ
—
—
$11,549
2
clean
ABLTJ IRE 1+TUMORS OPEN
—
—
$11,549
2
clean
Outpatient Services
—
—
$10,258
2
clean
LIMFLOW TADV BILAT
$271,040
$271,040
$38,251
54
clean
Outpatient Services
—
—
$1,054
2
clean
PERQ NJX ALGC FLUOR LMBR 1ST
—
—
$14,273
2
clean
PERQ NJX ALGC CT LMBR 1ST
—
—
$14,273
2
clean
CT BREAST W/3D BI C-/C+
—
—
$396
2
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
—
$44
2
clean
TCAT RMVL/DBLK ICAR MAS PERQ
—
—
$6,325
2
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
—
$2,104
2
clean
QUAN MR TIS WO MRI 1ORGN
—
—
$1,054
2
clean
QUAN MR TISS W/MRI 1ORGN
—
—
$1,054
2
clean
PRGRMG DEV EVAL SCRMS REMOTE
—
—
$41
2
clean
EGD FLX TRANSNASAL TUBE/CATH
—
—
$4,220
2
clean
TPRNL FOCAL ABLTJ MAL PRST8
—
—
$5,639
2
clean
ELEC IMPD SPECTRSC 1+SKN LES
—
—
$66
2
clean
IMPLT ANT SGM IO NBIO RX SYS
—
—
$4,462
2
clean
INSJ ANT SGM AQ DRG DEV 1+
—
—
$5,724
2
clean
ABLTJ B9 THYR NDUL PERQ LASR
—
—
$1,797
2
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
—
$19,413
2
clean
BDY SURF MAPG PM/CVDFB F/UP
—
—
$41
2
clean
NJX B1 SUB MTRL SBCHDRL DFCT
—
—
$3,599
2
clean
QMRCP W/DX MRI SAME ANATOMY
—
—
$1,054
2
clean
INSTLJ FECAL MICROBIOTA SSP
—
—
$143
2
clean
TCAT INS 2CHMBR LDLS PM CMPL
—
—
$21,155
2
clean
TCAT INS 2CHMBR LDLS PM RA
—
—
$21,155
2
clean
TCAT INS 2CHMBR LDLS PM RV
—
—
$21,155
2
clean
PRGRMG EVL LDLS PM 2CHMBR IP
—
—
$41
2
clean
SUBRTA NJX RX AGT W/VTRC
—
—
$4,715
2
clean
REM MLT DAY UROFLOW SETUP
—
—
$143
2
clean
REM MLT DAY UROFLOW DEV SPLY
—
—
$174
2
clean
OPN INSJ/RPLCMT INS PTN SUBQ
—
—
$23,788
2
clean
OPN INSJ/RPLCMT INS PTN SUBF
—
—
$23,788
2
clean
REVJ/RMVL INS PTN SUBQ
—
—
$3,815
2
clean
TCAT INS 1CHMBR LDLS PM RA
—
—
$21,155
2
clean
PRGRMG EVL LDLS PM 1CHMBR IP
—
—
$41
2
clean
LOW NTSTY ESWT CORPUS CVRNSM
—
—
$270
2
clean

Showing the first 200 of 11,378 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
375 of 2,005 comparable items (19%) 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 $6,482 exceeds the gross charge $5,255
warn
mrf_rate_without_estimate
55,929 of 55,929 percentage/algorithm rates across 1,798 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 19001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 55920/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80197/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84432/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87904/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97802/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9040/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 56405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80198/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84436/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87906/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9130/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 56420/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80200/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84439/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87999/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9171/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19084/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80201/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84442/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9173/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84443/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99195/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9176/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19285/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80203/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84450/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99202/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9190/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 57100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/o
info
mrf_item_fields_vary
this code and setting cover at least 38 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84460/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99203/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84466/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88142/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99204/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9201/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80320/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84478/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99205/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9206/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84479/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99211/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9208/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20501/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 80332/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88172/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9217/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84484/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88173/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99213/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9228/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20550/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 80338/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88175/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99214/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9263/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20551/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80339/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84540/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88182/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99215/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9280/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80342/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84560/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88184/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99242/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9289/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80346/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88185/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99291/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9293/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20600/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 80348/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84586/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88187/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9299/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20604/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80353/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84588/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88230/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A0425/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20605/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80354/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84591/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88233/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9354/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20606/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80356/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84620/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88235/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80358/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84630/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88237/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A2007/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9390/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20611/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80361/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84702/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88262/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9999/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20612/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80365/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84999/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88264/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A4657/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1906/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85004/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88269/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80377/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85014/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88271/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8612/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85018/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88273/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A9577/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 60100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81005/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85025/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88275/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9579/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8699/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81015/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85027/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88280/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT B4155/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT P9012/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 61624/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81025/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88289/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9017/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81050/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88291/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 1448 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9031/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 62270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85230/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88305/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1714/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 62272/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88307/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1715/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9041/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 62273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81210/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85245/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9051/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81219/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85246/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q2009/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 62323/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81220/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85247/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88313/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q2050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81223/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 95 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4081/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 62329/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 81229/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85280/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88319/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4101/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81235/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85300/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 54 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81240/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85302/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4104/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,670 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 280
info
inp_charge_10x_payment
average charge $448,234 is 24.9× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $437,712 is 27.5× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $304,371 is 21.7× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $280,726 is 27.1× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $248,471 is 18.9× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $821,153 is 28.6× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $366,688 is 28.9× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $826,128 is 22.7× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $514,378 is 23.2× the total payment
MS-DRG 493
info
inp_charge_10x_payment
average charge $705,736 is 11.6× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $268,182 is 23.5× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $296,961 is 27.3× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $367,270 is 24.3× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $247,534 is 20.8× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $360,911 is 24.0× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $256,485 is 24.2× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $422,531 is 23.5× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $282,993 is 26.3× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $323,357 is 22.5× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $241,509 is 24.0× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $457,648 is 24.4× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $1,076,278 is 21.8× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $1,781,977 is 25.1× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $591,962 is 26.0× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $395,405 is 29.0× the total payment
MS-DRG 884
info
inp_charge_10x_payment
average charge $232,260 is 12.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $1,394,860 is 22.7× the total payment
MS-DRG 023
info
inp_charge_10x_payment
average charge $798,472 is 13.5× the total payment
MS-DRG 024
info
inp_charge_10x_payment
average charge $554,876 is 14.3× the total payment
MS-DRG 025
info
inp_charge_10x_payment
average charge $799,186 is 18.3× the total payment
MS-DRG 057
info
inp_charge_10x_payment
average charge $349,880 is 17.2× the total payment
MS-DRG 062
info
inp_charge_10x_payment
average charge $369,798 is 18.2× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $519,927 is 22.9× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $363,815 is 27.8× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $409,391 is 23.1× the total payment
MS-DRG 086
info
inp_charge_10x_payment
average charge $438,264 is 28.5× the total payment
MS-DRG 087
info
inp_charge_10x_payment
average charge $253,411 is 21.9× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $308,353 is 21.4× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $487,216 is 26.6× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $275,618 is 22.1× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $561,008 is 34.1× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $306,039 is 22.2× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $375,925 is 24.4× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $231,751 is 24.5× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $852,364 is 26.5× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 239.4M bytes · fetched 2026-08-23 · sha256 7efbdbf83304…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.