Hospital · CCN 320074

Lovelace Westside Hospital

10501 Golf Course Road Nw, Albuquerque, NM 87114 · Bernalillo County
Part of Ardent Health Services · 92 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

6 admission types 27 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.74×
$11.8M billed against $1.8M paid across 156 Medicare discharges; the national figure is 5.03×.
4.8%
of adults in Bernalillo County have medical debt in collections
9.9%
uninsured in the county · state 10.6%
$68K
median household income
4.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
33.0%
obesity in the countyⓘ
11.6%
diagnosed diabetes (PLACES)
6.5%
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
62
$81,124
$13,561
6.0× st 3.8×
291
Heart failure and shock with mcc
26
$70,291
$10,429
6.7× st 4.4×
193
Simple pneumonia and pleurisy with mcc
22
$60,739
$9,809
6.2× st 4.0×
177
Respiratory infections and inflammations with mcc
18
$81,614
$11,090
7.4× st 3.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
17
$77,494
$7,187
10.8× st 4.1×
682
Renal failure with mcc
11
$77,857
$9,803
7.9× st 4.3×
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
47
$35,367
$2,382
14.9×
5115
Level 5 Musculoskeletal Procedures
34
$91,955
$11,340
8.1×
5361
Level 1 Laparoscopy and Related Services
29
$53,131
$4,967
10.7×
5114
Level 4 Musculoskeletal Procedures
25
$71,482
$6,130
11.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
15
$46,445
$3,374
13.8×
5153
Level 3 Airway Endoscopy
15
$26,258
$1,502
17.5×
5113
Level 3 Musculoskeletal Procedures
15
$41,580
$2,865
14.5×
5302
Level 2 Upper GI Procedures
13
$17,513
$1,684
10.4×
5155
Level 5 Airway Endoscopy
13
$52,311
$5,686
9.2×
5154
Level 4 Airway Endoscopy
13
$38,266
$3,315
11.5×
5165
Level 5 ENT Procedures
12
$49,091
$5,183
9.5×
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal 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 3/31/2026, template 3.0.0, 542,046 rows scanned, 1,798 distinct code–setting items kept. 190 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Ultra-sensitive immunoassay of serum or cerebrospinal fluid for evaluation of neurofilament light chain
$675
$203
$608
58
clean
Fine needle aspiration biopsy, first growth
$2,961
$888
$1,481
10
clean
Simple or single drainage of skin abscess
$1,415
$425
$708
20
clean
Complicated or multiple drainage of skin abscess
$4,192
$1,258
$1,719
6
clean
Simple drainage of cyst of tailbone
$2,970
$891
$1,218
6
clean
Complicated drainage of cyst of tailbone
$3,268
$980
$1,340
6
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$9,781
$2,934
$4,010
6
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$9,781
$2,934
$4,010
6
clean
Drainage of blood or fluid accumulation
$11,311
$3,393
$5,656
10
clean
Aspiration of abscess, blood, or cyst
$1,232
$370
$616
10
clean
Complex drainage of wound infection after surgery
$8,984
$2,695
$3,683
6
clean
Removal of inflamed or infected skin, up to 10% of body surface
$964
$289
$395
6
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$11,833
$3,550
$4,852
6
clean
Removal of skin and tissue, 20.0 sq cm or less
$12,807
$3,842
$6,404
10
clean
Removal of bone, 20.0 sq cm or less
$10,360
$3,108
$4,248
6
clean
HC Tangential Biopsy Skin Single Lesion
$3,484
$1,045
$1,428
6
clean
HC Punch Biopsy Skin Single Lesion
$3,484
$1,045
$1,742
10
clean
HC Incisional Biopsy Skin Single Lesion
$3,484
$1,045
$1,428
6
clean
Removal of skin tag, 1-15 skin tags
$3,140
$942
$1,287
6
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$2,219
$666
$1,110
10
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$4,436
$1,331
$2,218
10
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$10,850
$3,255
$4,449
6
clean
Removal of fingernails or toenails, 1-5 nails
$371
$111
$152
6
clean
Removal of fingernails or toenails, 6 or more nails
$409
$123
$168
6
clean
Simple separation of fingernail or toenail from nail bed, first nail
$5,839
$1,752
$2,394
6
clean
Simple separation of fingernail or toenail from nail bed, each additional nail
$329
$99
$135
6
clean
Removal of blood accumulation under fingernail or toenail
$362
$109
$148
6
clean
Permanent removal fingernail or toenail
$1,526
$458
$626
6
clean
Repair of fingernail or toenail bed
$1,537
$461
$630
6
clean
Removal of skin of fingernail or toenail
$808
$242
$331
6
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
$1,331
$399
$546
6
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
$1,829
$549
$750
6
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm
$1,614
$484
$662
6
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm
$1,774
$532
$727
6
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm
$1,950
$585
$800
6
clean
Simple repair of surface wound to scalp, neck, underarms, trunk, arms, or legs, more than 30.0 cm
$2,147
$644
$880
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
$1,143
$343
$469
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
$1,258
$377
$516
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
$1,512
$454
$620
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
$2,126
$638
$872
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm
$2,340
$702
$959
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm
$2,574
$772
$1,055
6
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, more than 30.0 cm
$2,831
$849
$1,161
6
clean
Simple closure of surface wound reopening
$7,196
$2,159
$2,950
6
clean
Repair of separation of wound closure with insertion of packing
$1,081
$324
$443
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
$2,307
$692
$946
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
$3,502
$1,051
$1,436
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm
$6,907
$2,072
$2,832
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm
$6,907
$2,072
$2,832
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm
$7,737
$2,321
$3,172
6
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, more than 30.0 cm
$8,281
$2,484
$3,395
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less
$2,298
$689
$942
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
$2,526
$758
$1,036
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 7.6-12.5 cm
$2,780
$834
$1,140
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 12.6-20.0 cm
$3,058
$917
$1,254
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 20.1-30.0 cm
$3,364
$1,009
$1,379
6
clean
Intermediate repair of wound of neck, hands, feet, or genitals, more than 30.0 cm
$3,700
$1,110
$1,517
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
$2,755
$827
$1,130
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
$3,029
$909
$1,242
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
$3,334
$1,000
$1,367
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
$3,667
$1,100
$1,503
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm
$4,034
$1,210
$1,654
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm
$4,438
$1,331
$1,820
6
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, more than 30.0 cm
$4,882
$1,465
$2,002
6
clean
Complicated repair of wound of trunk, 1.1-2.5 cm
$8,281
$2,484
$4,141
10
clean
Complicated repair of wound of trunk, 2.6-7.5 cm
$8,850
$2,655
$3,629
6
clean
Complicated repair of wound of trunk, each additional 5.0 cm or less
$5,777
$1,733
$2,369
6
clean
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm
$7,737
$2,321
$3,172
6
clean
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
$9,142
$2,743
$3,748
6
clean
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less
$5,520
$1,656
$2,263
6
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
$11,373
$3,412
$4,663
6
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
$12,514
$3,754
$5,131
6
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less
$5,158
$1,547
$2,115
6
clean
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
$8,850
$2,655
$3,629
6
clean
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
$9,734
$2,920
$3,991
6
clean
Complicated repair of wound of eyelids, nose, ears, or lip, each additional 5.0 cm or less
$8,850
$2,655
$3,629
6
clean
Extensive or complicated repair of surface wound reopening
$19,072
$5,722
$7,820
6
clean
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
$6,842
$2,053
$2,805
6
clean
First degree burn treatment
$547
$164
$224
6
clean
Dressing change or removal of burn tissue, less than 5% of total body surface
$1,016
$305
$417
6
clean
Dressing change or removal of burn tissue, 5-10% of total body surface
$8,281
$2,484
$3,395
6
clean
Dressing change or removal of burn tissue, more than 10% of total body surface
$8,281
$2,484
$3,395
6
clean
Application of chemical to stop tissue regrowth in wound
$1,670
$501
$685
6
clean
Drainage of abscess of breast
$17,725
$5,318
$8,863
10
clean
Removal of growth and tissue of breast, duct, or nipple
$14,684
$4,405
$7,342
10
clean
Exploration of wound of neck
$3,034
$910
$1,244
6
clean
Exploration of wound of arm or leg
$19,070
$5,721
$7,819
6
clean
Removal of foreign body in muscle or tendon
$14,956
$4,487
$6,132
6
clean
Complicated removal of foreign body in deep muscle or tendon
$16,453
$4,936
$6,746
6
clean
Injection into tendon or ligament
$1,550
$465
$775
10
clean
Injection into tendon at attachment to bone or muscle
$1,217
$365
$609
10
clean
Injection of trigger points, 1-2 muscles
$1,983
$595
$992
10
clean
Injection of trigger points, 3 or more muscles
$1,983
$595
$992
10
clean
HC Arthrocentesis Asp/Inj Small Joint W/O US
$1,256
$377
$628
10
clean
Aspiration and/or injection of fluid from small joint using ultrasound guidance
$2,018
$605
$1,009
10
clean
HC Arthrocentesis Asp/Inj Interm Jnt W/O US
$1,166
$350
$583
10
clean
Aspiration and/or injection of fluid from medium joint using ultrasound guidance
$3,211
$963
$1,606
10
clean
HC Arthrocentesis Asp/Inj Major Joint W/O US
$1,947
$584
$974
10
clean
Aspiration and/or injection of fluid large joint using ultrasound guidance
$3,535
$1,061
$1,768
10
clean
Aspiration and/or injection of cyst of tendon
$913
$274
$457
10
clean
Placement of device in muscle to monitor fluid pressure
$2,282
$685
$936
6
clean
Closed treatment of broken nose bone with manipulation
$7,394
$2,218
$3,032
6
clean
Closed treatment of broken nose bone with placement of stabilizing device
$7,394
$2,218
$3,032
6
clean
Closed treatment of broken bone separating nose airways
$8,281
$2,484
$3,395
6
clean
Closed treatment of broken eye bone
$2,293
$688
$940
6
clean
Closed treatment of dislocated jaw joint
$5,777
$1,733
$2,925
12
clean
Drainage of deep abscess or blood accumulation of shoulder
$7,657
$2,297
$3,139
6
clean
Drainage of infected fluid-filled sac (bursa) of shoulder joint
$7,657
$2,297
$3,139
6
clean
HC Inj Arthrogram Shoulder
$4,212
$1,264
$2,106
10
clean
Closed treatment of broken collar bone
$5,777
$1,733
$2,369
6
clean
Closed treatment of broken collar bone with manipulation
$6,183
$1,855
$2,535
6
clean
Closed treatment of dislocated joint between collar bone and shoulder
$6,183
$1,855
$2,535
6
clean
Closed treatment of dislocated joint between collar bone and shoulder with manipulation
$6,803
$2,041
$2,789
6
clean
Closed treatment of broken shoulder blade with manipulation
$2,468
$740
$1,012
6
clean
Closed treatment of broken top of upper arm bone
$1,098
$329
$450
6
clean
Closed treatment of broken top of upper arm bone with manipulation
$13,242
$3,973
$5,429
6
clean
Closed treatment of upper arm bone broken at shoulder joint with manipulation
$7,609
$2,283
$3,120
6
clean
Closed treatment of dislocated shoulder with manipulation
$5,158
$1,547
$2,115
6
clean
Closed treatment of dislocated shoulder with manipulation under anesthesia
$9,879
$2,964
$4,050
6
clean
Closed treatment of dislocated shoulder and broken upper arm bone at shoulder joint with manipulation
$7,394
$2,218
$3,032
6
clean
Closed treatment of dislocated shoulder and broken neck of upper arm bone with manipulation
$5,107
$1,532
$2,094
6
clean
Drainage of deep abscess or blood accumulation of upper arm or elbow
$6,890
$2,067
$2,825
6
clean
Drainage of fluid filled sac in elbow joint
$5,851
$1,755
$2,399
6
clean
Removal of foreign body of upper arm or elbow area, accessed beneath the skin
$4,909
$1,473
$2,013
6
clean
Closed treatment of broken middle part of upper arm bone
$5,777
$1,733
$2,369
6
clean
Closed treatment of broken middle part of upper arm bone with manipulation
$6,183
$1,855
$2,535
6
clean
Closed treatment of upper arm bone broken at elbow
$6,183
$1,855
$2,535
6
clean
Closed treatment of upper arm bone broken at elbow with manipulation
$6,183
$1,855
$2,535
6
clean
Closed treatment of broken outer part of upper arm bone at elbow with manipulation
$6,706
$2,012
$2,749
6
clean
Closed treatment of broken elbow with manipulation
$6,183
$1,855
$2,535
6
clean
Repair of dislocated elbow
$5,777
$1,733
$2,369
6
clean
Repair of dislocated elbow under anesthesia
$6,907
$2,072
$2,832
6
clean
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child
$1,278
$383
$524
6
clean
Closed treatment of broken forearm bone on thumb side at elbow
$1,272
$382
$522
6
clean
Closed treatment of broken forearm bone on thumb side at elbow with manipulation
$5,777
$1,733
$2,369
6
clean
Closed treatment of broken forearm bone on small finger side at elbow
$5,777
$1,733
$2,369
6
clean
Closed treatment of broken forearm bone on small finger side at elbow with manipulation
$5,777
$1,733
$2,369
6
clean
Drainage of deep abscess or blood accumulation of forearm or wrist
$8,215
$2,465
$3,368
6
clean
Incision and exploration of wrist joint
$11,279
$3,384
$4,624
6
clean
Closed treatment of broken midpart of forearm bone on thumb side
$1,081
$324
$443
6
clean
Closed treatment of broken midpart of forearm bone on thumb side with manipulation
$6,183
$1,855
$2,535
6
clean
Closed treatment of broken midpart of forearm bone on thumb side and dislocated wrist joint
$5,306
$1,592
$2,175
6
clean
Closed treatment of broken midpart of forearm bone on small finger side
$1,158
$347
$475
6
clean
Closed treatment of broken midpart of forearm bone on small finger side with manipulation
$1,276
$383
$523
6
clean
Closed treatment of broken midpart of both forearm bones
$1,633
$490
$670
6
clean
Closed treatment of broken midpart of both forearm bones with manipulation
$8,281
$2,484
$3,395
6
clean
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation
$777
$233
$319
6
clean
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation
$9,872
$2,962
$4,048
6
clean
Closed treatment of broken wrist bone near base of thumb with manipulation
$1,907
$572
$782
6
clean
Closed treatment of other broken wrist bone
$1,356
$407
$556
6
clean
Closed treatment of other broken wrist bone with manipulation
$6,183
$1,855
$2,535
6
clean
Closed treatment of broken base of forearm bone on small finger side at wrist
$663
$199
$272
6
clean
Closed treatment of dislocated wrist bones with manipulation
$565
$170
$232
6
clean
Closed treatment of dislocated forearm bone at wrist with manipulation
$5,777
$1,733
$2,369
6
clean
Simple drainage of abscess of finger
$1,393
$418
$571
6
clean
Complicated drainage of abscess in finger
$5,025
$1,508
$2,060
6
clean
Repair of finger tendon of under side of hand other than upper most part of palm and fingers
$18,701
$5,610
$7,667
6
clean
Repair of tendon on top of hand
$24,002
$7,201
$9,841
6
clean
Repair of tendon on top side of finger
$11,642
$3,493
$4,773
6
clean
Closed treatment of broken hand bone
$968
$290
$397
6
clean
Closed treatment of broken hand bone with manipulation
$7,737
$2,321
$3,172
6
clean
Closed treatment of dislocated thumb at wrist with manipulation
$825
$248
$338
6
clean
Closed treatment of broken thumb at wrist with manipulation
$1,907
$572
$782
6
clean
Closed treatment of dislocated hand bone at wrist joint with manipulation
$959
$288
$393
6
clean
Closed treatment of dislocated hand joint at base of finger with manipulation
$928
$278
$380
6
clean
Closed treatment of dislocated hand joint at base of finger with manipulation under anesthesia
$5,444
$1,633
$2,232
6
clean
Closed treatment of broken finger or thumb at midportion or part near hand
$1,160
$348
$476
6
clean
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation
$1,519
$456
$623
6
clean
Closed treatment of broken finger or hand at base of finger with manipulation
$6,907
$2,072
$2,832
6
clean
Closed treatment of broken end of finger or thumb
$953
$286
$391
6
clean
Closed treatment of broken end of finger or thumb with manipulation
$1,636
$491
$671
6
clean
Treatment of broken end of finger or thumb
$13,049
$3,915
$5,350
6
clean
Closed treatment of dislocated finger joint with manipulation
$1,074
$322
$440
6
clean
Closed treatment of dislocated finger joint with manipulation under anesthesia
$3,001
$900
$1,230
6
clean
Amputation of finger or thumb with direct closure
$17,848
$5,354
$7,318
6
clean
Amputation of finger or thumb with tissue flap
$18,942
$5,683
$7,766
6
clean
HC Inj Arthrogram Hip W/O Anes
$1,082
$325
$541
10
clean
Closed treatment of broken tailbone
$1,037
$311
$425
6
clean
Closed treatment of dislocated hip
$5,158
$1,547
$2,115
6
clean
Closed treatment of dislocated hip under anesthesia
$8,124
$2,437
$3,331
6
clean
Closed Treatment of spontaneous dislocated hip
$1,543
$463
$633
6
clean
Treatment of spontaneous dislocated hip under anesthesia
$9,469
$2,841
$3,882
6
clean
Closed treatment of dislocated hip prosthesis
$3,888
$1,166
$1,594
6
clean
Closed treatment of dislocated hip prosthesis under anesthesia
$8,373
$2,512
$3,433
6
clean
Drainage of deep abscess or blood accumulation of thigh or knee
$5,003
$1,501
$2,051
6
clean
Closed treatment of broken thigh bone at midportion with manipulation
$6,742
$2,023
$2,764
6
clean
Closed treatment of broken thigh bone at knee area with manipulation
$2,266
$680
$929
6
clean
Closed treatment of broken shin bone
$6,775
$2,033
$2,778
6
clean
Closed treatment of broken shin bone with traction
$10,378
$3,113
$4,255
6
clean
Closed treatment of dislocated knee
$6,775
$2,033
$2,778
6
clean
Closed treatment of dislocated knee under anesthesia
$7,289
$2,187
$2,988
6
clean
Closed treatment of dislocated kneecap
$6,183
$1,855
$2,535
6
clean
Closed treatment of dislocated kneecap under anesthesia
$6,455
$1,937
$2,647
6
clean
Closed treatment of middle part of broken shin bone with manipulation
$4,661
$1,398
$1,911
6
clean
Closed treatment of inside portion of shin bone at ankle
$5,777
$1,733
$2,369
6
clean
Closed treatment of inside portion of shin bone at ankle with manipulation
$6,355
$1,907
$2,606
6
clean
Closed treatment of back portion of shin bone at ankle with manipulation
$5,107
$1,532
$2,094
6
clean
Closed treatment of broken middle or upper end of outside lower leg bone with manipulation
$6,668
$2,000
$2,734
6
clean
Closed treatment of broken outside lower leg bone at ankle
$5,777
$1,733
$2,369
6
clean
Closed treatment of broken outside lower leg bone at ankle with manipulation
$5,939
$1,782
$2,435
6
clean

Showing the first 200 of 1,798 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT J3010/b
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 J3230/b
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 J3246/b
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 J3260/b
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 J3360/b
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 J3373/b
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 J3374/b
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 J3375/b
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 J3430/b
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 J3475/b
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 J3480/b
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 J7510/b
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 J7515/b
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 J7999/b
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 J9260/b
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 L8607/b
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 L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8614/b
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 L8630/b
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 L8690/b
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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9047/b
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 Q0163/b
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 Q2009/b
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 Q2050/b
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 Q4100/b
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 Q4107/b
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 Q4116/b
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 Q4118/b
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 Q4122/b
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 Q4126/b
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 Q4130/b
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 Q4133/b
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 Q4150/b
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 Q4160/b
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 Q4166/b
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 Q4186/b
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 Q9966/b
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 Q9967/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9968/b
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 V2790/b
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 10060/b
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 21480/b
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 29125/b
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 32555/b
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 64450/b
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 69209/b
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 73000/b
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 73010/b
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 73030/b
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 73060/b
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 73070/b
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 73080/b
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 73090/b
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 73100/b
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 73110/b
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 73120/b
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 73130/b
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 73140/b
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 73221/b
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 73502/b
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 73552/b
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 73560/b
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 73562/b
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 73564/b
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 73590/b
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 73600/b
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 73610/b
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 73620/b
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 73630/b
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 73650/b
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 73700/b
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 73701/b
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 73706/b
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 73718/b
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 73721/b
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 73723/b
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 76882/b
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 90371/b
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 90471/b
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 95813/b
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 97110/b
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 97112/b
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 97129/b
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 97140/b
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 97535/b
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 97602/b
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 A4340/b
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 A4615/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A4618/b
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 A6197/b
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 A6210/b
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 A6212/b
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 A6213/b
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 A6238/b
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 A6240/b
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 A6250/b
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 A9541/b
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 A9577/b
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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 1030 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1721/b
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 C1722/b
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 C1725/b
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 C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1727/b
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 C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1734/b
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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1752/b
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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1763/b
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 C1765/b
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 C1767/b
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 C1768/b
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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 52 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1771/b
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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 267 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1778/b
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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 73 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1785/b
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 C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1813/b
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 C1815/b
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 C1876/b
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 C1889/b
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 C1894/b
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 C1898/b
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/b
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 C2622/b
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 C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9361/b
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 C9363/b
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 C9804/b
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 G0283/b
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 G0378/b
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 J0169/b
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 J0280/b
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 J0282/b
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 J0290/b
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 J0295/b
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 J0461/b
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 J0561/b
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 J0618/b
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 J0665/b
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 J0668/b
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 J0689/b
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 J0690/b
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 J0692/b
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 J0696/b
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 J0713/b
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 J0736/b
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 J1010/b
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 J1050/b
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 J1100/b
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 J1171/b
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 J1250/b
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 J1265/b
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 J1447/b
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 J1450/b
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 J1568/b
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 J1580/b
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 J1644/b
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 J1650/b
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 J1652/b
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 J1720/b
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 J1756/b
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 J1805/b
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 J1815/b
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 J1885/b
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 J1953/b
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 J1956/b
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 J2003/b
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 J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2060/b
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 J2185/b
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 J2251/b
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 J2270/b
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 J2300/b
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 J2305/b
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 J2354/b
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 J2404/b
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 J2430/b
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 J2540/b
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 J2543/b
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 J2598/b
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 J2704/b
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 J2795/b
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 J2865/b
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 J2919/b
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 J2997/b
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
04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 872
info
inp_charge_10x_payment
average charge $77,494 is 10.8× 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 · 229.7M bytes · fetched 2026-08-26 · sha256 b4be2e4aca27…

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.