Hospital · CCN 320005

San Juan Regional Medical Center Inc

801 West Maple Street, Farmington, NM 87401 · San Juan County
Part of San Juan Regional Medical Center · 191 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

46 admission types 47 outpatient services price file: ok
Billed per dollar paid, all admissions
3.37×
$85.0M billed against $25.2M paid across 1,543 Medicare discharges; the national figure is 5.03×.
2.2%
of adults in San Juan County have medical debt in collections
12.8%
uninsured in the county · state 10.6%
$57K
median household income
3.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
35.1%
obesity in the countyⓘ
14.5%
diagnosed diabetes (PLACES)
8.3%
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
297
$60,478
$18,514
3.3× st 3.8×
193
Simple pneumonia and pleurisy with mcc
126
$42,785
$12,643
3.4× st 4.0×
291
Heart failure and shock with mcc
123
$51,067
$12,277
4.2× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
79
$40,383
$12,492
3.2× st 3.6×
177
Respiratory infections and inflammations with mcc
51
$55,052
$15,633
3.5× st 3.8×
190
Chronic obstructive pulmonary disease with mcc
50
$44,528
$10,351
4.3× st 5.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
42
$125,761
$47,884
2.6× st 3.8×
481
Hip and femur procedures except major joint with cc
42
$60,727
$19,860
3.1× st 4.9×
189
Pulmonary edema and respiratory failure
39
$37,286
$12,297
3.0× st 3.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
37
$98,003
$23,804
4.1× st 7.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
34
$40,723
$9,866
4.1× st 4.1×
377
Gastrointestinal hemorrhage with mcc
30
$61,700
$16,682
3.7× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
29
$27,888
$7,226
3.9× st 4.1×
683
Renal failure with cc
27
$38,520
$8,407
4.6× st 4.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
27
$57,997
$19,646
3.0× st 5.6×
280
Acute myocardial infarction, discharged alive with mcc
27
$51,017
$15,561
3.3× st 4.9×
885
Psychoses
26
$16,215
$12,874
1.3× st 3.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$40,215
$9,579
4.2× st 4.6×
378
Gastrointestinal hemorrhage with cc
23
$33,736
$9,444
3.6× st 5.1×
698
Other kidney and urinary tract diagnoses with mcc
21
$68,790
$15,504
4.4× st 3.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$118,398
$26,786
4.4× st 6.6×
389
Gastrointestinal obstruction with cc
20
$29,163
$7,707
3.8× st 4.6×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
19
$38,925
$17,009
2.3× st 2.6×
482
Hip and femur procedures except major joint without cc/mcc
17
$48,721
$14,849
3.3× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$75,336
$20,234
3.7× st 4.6×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$46,440
$11,263
4.1× st 4.6×
682
Renal failure with mcc
17
$42,890
$13,965
3.1× st 4.3×
637
Diabetes with mcc
17
$53,340
$13,565
3.9× st 4.6×
480
Hip and femur procedures except major joint with mcc
16
$73,110
$27,368
2.7× st 4.3×
270
Other major cardiovascular procedures with mcc
16
$142,162
$47,558
3.0× st 3.9×
330
Major small and large bowel procedures with cc
16
$66,766
$25,041
2.7× st 3.9×
689
Kidney and urinary tract infections with mcc
16
$38,426
$10,958
3.5× st 4.3×
673
Other kidney and urinary tract procedures with mcc
15
$62,331
$34,270
1.8× st 2.3×
638
Diabetes with cc
15
$42,141
$8,484
5.0× st 3.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$36,211
$13,032
2.8× st 3.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$56,735
$18,738
3.0× st 3.2×
309
Cardiac arrhythmia and conduction disorders with cc
14
$33,139
$6,925
4.8× st 5.6×
314
Other circulatory system diagnoses with mcc
14
$71,851
$20,065
3.6× st 3.1×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$91,281
$23,971
3.8× st 3.6×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$51,776
$18,374
2.8× st 2.8×
917
Poisoning and toxic effects of drugs with mcc
12
$62,172
$15,201
4.1× st 2.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$26,574
$6,851
3.9× st 4.2×
070
Other cerebrovascular disorders with mcc
11
$56,891
$16,519
3.4× st 2.8×
603
Cellulitis without mcc
11
$38,667
$8,266
4.7× st 2.7×
536
Fractures of hip and pelvis without mcc
11
$28,365
$7,492
3.8× st 3.8×
312
Syncope and collapse
11
$45,204
$8,118
5.6× st 5.1×
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
509
$23,573
$2,606
9.0×
5115
Level 5 Musculoskeletal Procedures
179
$38,524
$12,597
3.1×
5183
Level 3 Vascular Procedures
152
$14,834
$3,062
4.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
126
$8,965
$1,544
5.8×
5361
Level 1 Laparoscopy and Related Services
104
$29,413
$5,559
5.3×
5193
Level 3 Endovascular Procedures
95
$58,020
$10,478
5.5×
5182
Level 2 Vascular Procedures
87
$7,545
$1,512
5.0×
5191
Level 1 Endovascular Procedures
86
$27,948
$3,142
8.9×
5194
Level 4 Endovascular Procedures
73
$73,411
$16,752
4.4×
5302
Level 2 Upper GI Procedures
66
$12,218
$1,847
6.6×
5375
Level 5 Urology and Related Services
62
$21,037
$5,023
4.2×
5374
Level 4 Urology and Related Services
55
$19,071
$3,384
5.6×
5114
Level 4 Musculoskeletal Procedures
54
$31,326
$6,739
4.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
52
$15,476
$2,758
5.6×
5116
Level 6 Musculoskeletal Procedures
52
$48,811
$18,049
2.7×
5192
Level 2 Endovascular Procedures
51
$35,778
$5,548
6.4×
5373
Level 3 Urology and Related Services
36
$13,142
$1,977
6.6×
5113
Level 3 Musculoskeletal Procedures
27
$14,084
$3,049
4.6×
5362
Level 2 Laparoscopy and Related Services
23
$35,722
$9,258
3.9×
5223
Level 3 Pacemaker and Similar Procedures
22
$45,717
$10,356
4.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
20
$30,564
$6,078
5.0×
5213
Level 3 Electrophysiologic Procedures
18
$67,841
$22,993
3.0×
5222
Level 2 Pacemaker and Similar Procedures
16
$23,295
$8,246
2.8×
5414
Level 4 Gynecologic Procedures
16
$19,726
$2,884
6.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$19,298
$3,358
5.7×
5112
Level 2 Musculoskeletal Procedures
12
$10,638
$1,560
6.8×
5465
Level 5 Neurostimulator and Related Procedures
11
$69,363
$30,052
2.3×
5153
Level 3 Airway Endoscopy
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2025-10-20, template 3.0.0, 15,683 rows scanned, 2,516 distinct code–setting items kept. 1,832 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Fine Needle Aspira W/o Img Add
$150
$150
—
0
clean
Fine Needle Aspiration Us 1st
$150
$150
$500
3
clean
Fine Needle Aspiration Us Add
$150
$150
$450
2
clean
Fine Needle Aspiration Fluoros
$150
$150
$551
4
clean
Fine Needle Aspiration Ct 1st
$150
$150
$551
4
clean
Fine Needle Aspiration Ct Add
$150
$150
—
0
clean
Fine Needle Aspiration W/o Img
$100
$100
$450
8
clean
Drainage By Catheter Soft Tiss
$150
$150
$650
10
clean
Wire Localization Soft Tissue
$300
$300
$652
2
clean
Wire Localizat Soft Tissue Add
$300
$300
—
0
clean
Acne Surgery Eg Marsupializati
$75
$75
$186
1
clean
Incision And Drainage Of Absce
$75
$75
$186
2
clean
Complicated
$75
$75
$370
1
clean
Incision And Drainage Of Pilon
$75
$75
$652
1
clean
Complicated
$75
$75
$652
1
clean
Incision And Removal Of Foreig
$75
$75
$370
1
clean
Complicated
$150
$150
$1,503
1
clean
Incision And Drainage Of Hemat
$75
$75
$1,503
1
clean
Puncture Aspiration Abs Hemato
$200
$200
$370
3
clean
Incision And Drainage Complex
$75
$75
$2,634
1
clean
Debrid Of Exten Eczematous
$75
$75
$582
1
clean
Each Additional 10 Of Body Sur
$75
$75
—
0
clean
Skin And Subcutaneous Tissue
$75
$75
$370
2
clean
Skin Subcutaneous Tissue Muscl
$75
$75
$582
1
clean
Skin Subcutaneous Tis Mus Bone
$150
$150
$1,503
1
clean
Excision Skin Tags Multiple Fi
$75
$75
$186
1
clean
Each Additional Ten Lesions
$75
$75
—
0
clean
Excision Benign Lesion Except
$75
$75
$652
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$370
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 3 1 To 4 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$1,503
1
clean
Excision Benign Lesion Except
$75
$75
$1,503
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$1,503
1
clean
Lesi0n Diameter 3 1 To 4 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$2,634
1
clean
Excision Other Benign Lesion
$75
$75
$652
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter 3 1 To 4 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$2,634
1
clean
Exci Of Skin And Subc Tissue
$75
$75
$2,634
1
clean
With Other Closure
$75
$75
$2,634
1
clean
Exci Of Skin And Sub Tissue
$75
$75
$2,634
1
clean
Excision Of Skin And Subcutane
$75
$75
$2,634
1
clean
With Other Closure
$75
$75
$2,634
1
clean
Excision Malignant Lesion Trun
$75
$75
$652
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$370
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 3 1 To 4 0 Cm
$75
$75
$652
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$1,503
1
clean
Excision Malignant Lesion Scal
$75
$75
$1,503
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter 3 1 To 4 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$2,634
1
clean
Excision Malignant Lesion Face
$75
$75
$652
1
clean
Lesion Diameter 0 6 To 1 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 1 1 To 2 0 Cm
$75
$75
$652
1
clean
Lesion Diameter 2 1 To 3 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter 3 1 To 4 0 Cm
$75
$75
$1,503
1
clean
Lesion Diameter Over 4 0 Cm
$75
$75
$2,634
1
clean
Avulsion Of Nail Plate Partial
$75
$75
$186
1
clean
Each Additional Nail Plate
$75
$75
—
0
clean
Evacuation Of Subungual Hemato
$75
$75
$118
1
clean
Excision Of Nail And Matrix Pa
$75
$75
$370
2
clean
Reconstruction Of Nail Bed Sim
$75
$75
$582
1
clean
Complicated
$75
$75
$1,690
1
clean
Excision Of Pilonidal Cyst Or
$75
$75
$2,634
1
clean
Exc Pilo Cyst Or Sinus Extensi
$75
$75
$2,634
1
clean
Complicated
$75
$75
$2,634
1
clean
Injection Intralesional Up To
$75
$75
$186
1
clean
More Than Seven Lesions
$75
$75
$186
1
clean
Tattooing Intradermal Introduc
$75
$75
$582
1
clean
6 1 To 20 0 Sq Cm
$75
$75
$582
1
clean
Each Additional 20 0 Sq Cm
$75
$75
—
0
clean
1 1 To 5 Cc
$75
$75
$582
1
clean
Insertion Of Tissue Expander S
$75
$75
$3,325
1
clean
Replacement Of Tissue Expander
$75
$75
$6,631
1
clean
Removal Of Tissue Expander Ins
$75
$75
$2,634
1
clean
Simple Repair Superficial Woun
$50
$50
$186
2
clean
2 6 Cm 7 5 Cm
$75
$75
$186
1
clean
7 6 Cm To 12 5 Cm
$75
$75
$186
1
clean
12 6 Cm To 20 0 Cm
$75
$75
$370
1
clean
20 1 Cm To 30 0 Cm
$75
$75
$370
1
clean
Over 30 0 Cm
$75
$75
$186
1
clean
Simple Repair Of Super Wounds
$50
$50
$186
2
clean
2 6 Cm To 5 0 Cm
$75
$75
$186
1
clean
5 1 Cm To 7 5 Cm
$75
$75
$186
1
clean
7 6 Cm To 12 5 Cm
$75
$75
$186
1
clean
12 6 Cm To 20 0 Cm
$75
$75
$370
1
clean
20 1 Cm To 30 0 Cm
$75
$75
$370
1
clean
Over 30 0 Cm
$75
$75
$186
1
clean
Treatment Of Super Wound Dehis
$75
$75
$582
2
clean
With Packing
$75
$75
$370
1
clean
Layer Clos Of Wounds Of Scalp
$75
$75
$370
1
clean
2 6 Cm To 7 5 Cm
$75
$75
$370
1
clean
7 6 Cm To 12 5 Cm
$75
$75
$370
1
clean
12 6 Cm To 20 0 Cm
$75
$75
$370
1
clean
20 1 Cm To 30 0 Cm
$75
$75
$582
1
clean
Over 30 0 Cm
$75
$75
$1,690
1
clean
Layer Clos Of Wounds Of Neck
$75
$75
$370
1
clean
2.6 Cm To 7.5 Cm
$150
$150
$370
1
clean
7 6 Cm To 12 5 Cm
$75
$75
$582
1
clean
12 6 Cm To 20 0 Cm
$75
$75
$582
1
clean
20 1 Cm To 30 0 Cm
$75
$75
$582
1
clean
Over 30 0 Cm
$75
$75
$1,690
1
clean
Layer Clos Of Woun Of Face Ear
$75
$75
$370
1
clean
2 6 Cm To 5 0 Cm
$75
$75
$370
1
clean
5 1 Cm To 7 5 Cm
$75
$75
$370
1
clean
7 6 Cm To 12 5 Cm
$75
$75
$370
1
clean
12 6 Cm To 20 0 Cm
$75
$75
$370
1
clean
20 1 Cm To 30 0 Cm
$75
$75
$370
1
clean
Over 30 0 Cm
$75
$75
$370
1
clean
Repair Complex Trunk 1 1 Cm
$75
$75
$582
1
clean
2 6 Cm To 7 5 Cm
$75
$75
$582
1
clean
Repair Complex Sclp Arms A 1 1
$75
$75
$582
1
clean
2 6 Cm To 7 5 Cm
$75
$75
$582
1
clean
Or Other
$75
$75
$370
1
clean
O R Other
$75
$75
$582
1
clean
1 1 Cm To 2 5 Cm
$75
$75
$582
1
clean
2 6 Cm To 7 5 Cm
$75
$75
$582
1
clean
Secondary Closure Of Surgical
$75
$75
$1,690
1
clean
Adjacent Tissue Tran Or Rearra
$75
$75
$1,690
1
clean
Defect 10 1 Sq Cm To 30 0sq Cm
$75
$75
$1,690
1
clean
Adjacent Tissue Tran Or Rearr
$75
$75
$1,690
1
clean
Defect 10 1 Sq Cm To 30 0sq Cm
$75
$75
$1,690
1
clean
Adjacent Tissue Or Rearr Foreh
$75
$75
$1,690
2
clean
Defect 10 1 Sq Cm To 30 0sq Cm
$75
$75
$1,690
1
clean
Adjacent Tissue Tran Rear Eyel
$75
$75
$1,690
1
clean
Defect 10 1 Sq Cm To 30 0sq Cm
$75
$75
$1,690
1
clean
Filleted Finger Or Toe Flap In
$75
$75
$1,690
1
clean
Excision Excessive Skin
$150
$150
$2,634
1
clean
Without Anesthesia Office Or H
$50
$50
$186
2
clean
Exission Of Mass
$150
$150
$186
1
clean
Bx 1st Lesion Stereotac Guidan
$1,000
$1,000
$1,503
2
clean
Bx Add Lesion Stereotac Guid
$1,000
$1,000
—
0
clean
Bx 1st Lesion Ultrasound Guid
$1,000
$1,000
$1,503
2
clean
Bx Add Lesion Ultrasound Guid
$1,000
$1,000
—
0
clean
Bx 1st Lesion Magnectic Resona
$1,000
$1,000
$1,503
2
clean
Bx Add Lesion Magnetic Resonan
$1,000
$1,000
—
0
clean
O R Serv
$125
$125
$1,503
1
clean
Spl Gra Trunk Incional
$150
$150
$3,533
1
clean
Removal of one or more breast growth, open procedure
$700
$700
$3,533
1
clean
Perc Device Breast 1st Imag
$225
$225
$1,503
1
clean
Perc Device Breast Add Imag
$225
$225
—
0
clean
Perc Device Breast 1st Stereot
$225
$225
$652
1
clean
Perc Device Breast Add Stereot
$225
$225
—
0
clean
Perc Device Breast 1st Ultraso
$225
$225
$652
1
clean
Perc Device Breast Add Ultraso
$225
$225
—
0
clean
Perc Device Breast 1st Mr Guid
$225
$225
$652
1
clean
Perc Device Breast Add Mr Guid
$225
$225
—
0
clean
Mibb Device
$500
$500
$3,533
1
clean
Biopsy Muscle,percutneous
$50
$50
$560
8
clean
Biopsy Bone Superficial
$125
$125
$546
12
clean
Biopsy Bone Deep,percutan
$100
$100
$552
12
clean
Sinogram Therapeutic
$38
$38
$1,413
2
clean
Fistula Or Sinus Tract Study
$38
$38
$24
2
clean
Trig Pt Inj Sing/multi1-2 Musc
$300
$300
$275
2
clean
Trig Pt Inj Sing/multi3or Musc
$300
$300
$275
2
clean
Small Joint Or Bursa W/e Us
$300
$300
$450
6
clean
Small Joint Or Bursa W/ Us
$300
$300
$450
6
clean
Inter Joint Or Bursa W/o Us
$300
$300
$450
6
clean
Inter Joint Or Bursa W/ Us
$300
$300
$641
2
clean
Major Joint Or Bursa W/o Us
$300
$300
$275
2
clean
Major Joint Or Bursa W/ Us
$300
$300
$450
6
clean
Ganglion Cyst Any Location
$300
$300
$450
6
clean
Aspiration/inj Bone Cyst
$300
$300
$475
6
clean
Abla Bone Tumor Radiofrequency
$300
$300
$12,198
2
clean
Abla Bone Tumor Cryoablation
$300
$300
$6,631
2
clean
Musculoskeletal System General
$300
$300
$219
2
clean
Temporomandibular Joing Inj
$300
$300
—
0
clean
Excision Tumor, Soft Tissue Of
$50
$50
$1,503
2
clean
Excision Back Cyst
$150
$150
$1,503
1
clean
Vertebroplasty(cervicothiracic
$300
$300
$3,250
4
clean
Vertebroplasty(lumbosacral)
$300
$300
$3,250
4
clean
Vertebroplasty Each Add
$300
$300
$3,500
2
clean
Kypho Thoracic One Vert Body
$300
$300
$5,066
4
clean
Kypho Lumbar One Vert Body
$300
$300
$5,066
4
clean
Kypho Eac Add T Or L Vert Body
$300
$300
$3,500
2
clean
Kyphoplasty Cervical Procedure
$300
$300
$219
2
clean
O R Serv
$125
$125
$2,634
1
clean
Incision And Drainage Shoulder
$50
$50
$2,634
1
clean
Right Rotator Cuff Repair And
$150
$150
$3,000
1
clean
Arthrogram,shoulder
$63
$63
$567
8
clean
Righ Rotator Cuff
$150
$150
$6,631
1
clean
Closed Treat Humeral With Mani
$50
$50
$1,490
1
clean
Closed Treatment Of Shoulder D
$50
$50
$219
1
clean
Closed Treatment Shoulder
$50
$50
$1,490
1
clean
Shoulder Dislocation With Frac
$50
$50
$1,490
2
clean
Exploration And Evacuation Of
$150
$150
$2,634
1
clean
Excision Of Mass
$150
$150
$1,503
1
clean
Excision Elbow
$150
$150
$3,000
1
clean
Rem Of Fore Body,upper Elbow
$150
$150
$1,503
1
clean

Showing the first 200 of 2,516 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,191 of 1,942 comparable items (61%) 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 $652 exceeds the gross charge $150
CPT C1768/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 differ, so no cross-line comparison was made for this item
CPT C1769/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 differ, so no cross-line comparison was made for this item
CPT 36569/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 72265/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 C1778/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 C1779/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 differ, so no cross-line comparison was made for this item
CPT C1780/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 differ, so no cross-line comparison was made for this item
CPT C1781/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 differ, so no cross-line comparison was made for this item
CPT C1785/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 differ, so no cross-line comparison was made for this item
CPT C1786/o
info
mrf_item_fields_vary
this code and setting cover at least 62 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1789/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 C1880/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 differ, so no cross-line comparison was made for this item
CPT C1897/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 C1898/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 87591/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 C1899/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 87798/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 differ, so no cross-line comparison was made for this item
CPT C2617/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 differ, so no cross-line comparison was made for this item
CPT 78803/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 differ, so no cross-line comparison was made for this item
CPT 87799/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 73501/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 C2625/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 87899/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 58340/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 J0153/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 89050/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 78830/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 89051/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 78831/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 78832/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 90714/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 37191/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 37197/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80305/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 J1245/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 90782/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 80306/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 37206/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 90784/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 J1440/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 62270/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 80323/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 J1441/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 10003/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 37211/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 80327/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 90785/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 80329/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 80335/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62281/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 80346/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 10008/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 37217/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 37220/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92960/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 92978/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 80375/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 92979/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 37225/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 93005/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 J2805/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 37227/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 37228/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 J3240/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 10060/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 80434/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 93351/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 J7040/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 differ, so no cross-line comparison was made for this item
CPT 93451/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 93452/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 93453/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 10160/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 L9900/o
info
mrf_item_fields_vary
this code and setting cover at least 203 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93503/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 93505/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 93510/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 11041/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 37246/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 93511/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 82127/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 11042/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 37248/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 93524/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 74261/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 93526/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 64420/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 64421/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 93527/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 64425/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 93528/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 74300/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 82306/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 93530/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 93531/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 93532/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 93533/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 82397/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 74425/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 74430/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 82542/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 74485/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 43234/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 43235/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 74740/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 43256/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 43260/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 64505/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 75625/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 43262/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 64510/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 43264/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 75635/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 43265/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 82784/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 43267/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 75710/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 32554/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 43268/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 75716/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 82930/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 43269/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 43271/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 82952/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 43750/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 83060/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 43760/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 83070/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 43761/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 94010/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 83520/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 94640/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 differ, so no cross-line comparison was made for this item
CPT 94664/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 75820/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 83864/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 47001/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 83970/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 84146/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 84157/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 84165/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 84182/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 47531/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 47532/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 47534/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 76000/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 A0320/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 differ, so no cross-line comparison was made for this item
CPT 76376/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 85210/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 76377/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 76380/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 A4642/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 12020/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 36000/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 36005/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 A9517/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 36010/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 36011/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 A9528/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 36013/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 A9531/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 36014/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 36015/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 85730/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 36100/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 36120/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 86003/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 A9538/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 36140/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 86038/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 36160/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 86146/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 36200/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 71046/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 86148/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 36215/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 77001/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 36216/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 77002/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 36217/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 77012/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 A9556/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 36218/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 86255/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 36221/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 86316/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 36222/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 86317/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 A9560/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 36223/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 86318/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 36224/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 36225/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 36227/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 86593/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 A9570/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 49465/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 77065/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

Showing the first 200 of 1,832 findings, errors first — every finding as JSON →

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. · json · 5.5M bytes · fetched 2026-08-23 · sha256 49055e76e67d…

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.