Hospital · CCN 330078

Sisters Of Charity Hospital

2157 Main Street, Buffalo, NY 14214 · Erie County
Part of Catholic Health Systems · 343 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

21 admission types 40 outpatient services price file: ok
Billed per dollar paid, all admissions
2.05×
$15.1M billed against $7.3M paid across 441 Medicare discharges; the national figure is 5.03×.
—
of adults in Erie County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
4.3%
uninsured in the county · state 5.7%
$70K
median household income
2.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
32.8%
obesity in the countyⓘ
10.8%
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
69
$44,581
$20,548
2.2× st 4.8×
291
Heart failure and shock with mcc
58
$24,327
$13,673
1.8× st 5.1×
177
Respiratory infections and inflammations with mcc
27
$33,224
$19,386
1.7× st 4.9×
603
Cellulitis without mcc
22
$15,812
$9,416
1.7× st 4.7×
378
Gastrointestinal hemorrhage with cc
22
$17,065
$11,510
1.5× st 5.5×
193
Simple pneumonia and pleurisy with mcc
20
$30,170
$14,510
2.1× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$99,049
$47,452
2.1× st 4.7×
682
Renal failure with mcc
19
$43,971
$18,354
2.4× st 5.1×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
17
$61,416
$20,977
2.9× st 5.1×
300
Peripheral vascular disorders with cc
17
$24,837
$11,920
2.1× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
16
$25,748
$10,926
2.4× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
16
$25,435
$15,381
1.7× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$14,126
$8,557
1.7× st 5.2×
683
Renal failure with cc
15
$25,745
$12,770
2.0× st 5.0×
638
Diabetes with cc
14
$20,134
$11,367
1.8× st 4.9×
194
Simple pneumonia and pleurisy with cc
14
$16,600
$7,500
2.2× st 4.9×
377
Gastrointestinal hemorrhage with mcc
14
$30,951
$17,264
1.8× st 5.3×
189
Pulmonary edema and respiratory failure
13
$42,410
$13,424
3.2× st 5.0×
698
Other kidney and urinary tract diagnoses with mcc
12
$32,510
$17,089
1.9× st 4.9×
253
Other vascular procedures with cc
11
$58,102
$24,736
2.3× st 4.8×
299
Peripheral vascular disorders with mcc
11
$19,634
$14,264
1.4× st 5.6×
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
5115
Level 5 Musculoskeletal Procedures
241
$32,326
$13,472
2.4×
8011
Comprehensive Observation Services
184
$7,216
$2,861
2.5×
5361
Level 1 Laparoscopy and Related Services
47
$18,517
$6,014
3.1×
5116
Level 6 Musculoskeletal Procedures
34
$43,736
$18,116
2.4×
5373
Level 3 Urology and Related Services
34
$7,788
$2,109
3.7×
5165
Level 5 ENT Procedures
29
$16,813
$5,881
2.9×
5375
Level 5 Urology and Related Services
29
$12,836
$5,486
2.3×
5374
Level 4 Urology and Related Services
27
$11,205
$3,587
3.1×
5414
Level 4 Gynecologic Procedures
27
$10,030
$3,315
3.0×
5114
Level 4 Musculoskeletal Procedures
26
$18,898
$7,120
2.7×
5302
Level 2 Upper GI Procedures
24
$5,841
$2,017
2.9×
5183
Level 3 Vascular Procedures
23
$15,791
$3,379
4.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
21
$5,241
$1,719
3.0×
5362
Level 2 Laparoscopy and Related Services
17
$28,719
$10,357
2.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
17
$13,848
$4,041
3.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
15
$6,205
$3,013
2.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$10,047
$3,668
2.7×
5154
Level 4 Airway Endoscopy
14
$12,872
$3,970
3.2×
5113
Level 3 Musculoskeletal Procedures
12
$8,699
$3,432
2.5×
5431
Level 1 Nerve Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
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 2/25/2025, template 2.0.0, 11,057,400 rows scanned, 5,961 distinct code–setting items kept. 3,149 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Anesthesia Salivary Glands With Biopsy
$100
$100
—
0
clean
Anesthesia Cleft Lip Involving Plastic Repair
$100
$100
—
0
clean
Anesthesia Eyelid Reconstructive Procedure
$100
$100
—
0
clean
Anesthesia Electroconvulsive Therapy
$100
$100
—
0
clean
Anesthesia External Middle & Inner Ear W/Bx Nos
$100
$100
—
0
clean
Anes External Middle & Inner Ear W/Bx Otoscopy
$100
$100
—
0
clean
Anes Xtrnl Mid & Inner Ear W/Bx Tympanotomy
$100
$100
—
0
clean
Anesthesia Nose & Accessory Sinuses Nos
$100
$100
—
0
clean
Anes Nose & Accessory Sinuses Biopsy Soft Tissue
$100
$100
—
0
clean
Anesthesia Intraoral With Biopsy Nos
$100
$100
—
0
clean
Anes Integ Musc & Nrv Head Neck&Posterior Trunk
$100
$100
—
0
clean
Anes Esoph Thyrd Larynx Trach & Lymph Neck 1yr
$100
$100
—
0
clean
Anesthesia Major Vessels Neck Nos
$100
$100
—
0
clean
Anes Integ Extremities Ant Trunk & Perineum Nos
$100
$100
—
0
clean
Anesthesia Reconstruction Breast
$100
$100
—
0
clean
Anes Integ Sys Elec Conversion Arrhythmias
$100
$100
—
0
clean
HC CT Perfusion W/Contrast, Cbf W/Modifier Tc
$376
$376
$99
314
clean
Anesthesia Closed Chest W/Bronchoscopy Nos
$100
$100
—
0
clean
Anes Permanent Transvenous Pacemaker Insertion
$100
$100
—
0
clean
Anesthesia Access Central Venous Circulation
$100
$100
—
0
clean
Anes Thoracotomy & Thoracoscopy Nos
$100
$100
—
0
clean
Anes Thoracotomy & Thoracoscopy W/1 Lung Vntj
$100
$100
—
0
clean
Anes Thoracotomy & Thoracoscopy Decortication
$100
$100
—
0
clean
Anes Hrt Pericardial Sac& Grt Vesls W/O Pmp Oxt
$100
$100
—
0
clean
Anesthesia Upper Anterior Abdominal Wall Nos
$100
$100
—
0
clean
Anesthesia Upper GI Endoscopic Px Nos
$100
$100
—
0
clean
Anesthesia Upper GI Endoscopic Px Ercp
$100
$100
—
0
clean
Anesthesia Hernia Repair Upper Abdomen Nos
$100
$100
—
0
clean
Anes Hrna Rpr Upr Abd Lmbr&Vnt Hernia&/Dehsn
$100
$100
—
0
clean
Tcat Plmt Xtrc Vrt Crtd Stent Rs&I Prq 1st Vsl
$2,354
$2,354
$1,233
558
clean
Anes Intraperitoneal Upper Abdomen W/Laps Nos
$100
$100
—
0
clean
Anesthesia Lower Anterior Abdominal Wall Nos
$100
$100
—
0
clean
Anes Lower Ant Abdominal Wall Panniculectomy
$100
$100
—
0
clean
Anesthesia Lower Intst Endoscopic Px Nos
$100
$100
—
0
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$100
$100
—
0
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$100
$100
—
0
clean
Anesthesia Hernia Repair Lower Abdomen Nos
$100
$100
—
0
clean
Anesthesia Intraperitoneal Lower Abd W/Laps Nos
$100
$100
—
0
clean
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
$100
$100
—
0
clean
Anes Xtrprtl Lower Abd UR Tract Renal Don Nfrct
$100
$100
—
0
clean
Anes Xtrprtl Lwr Abd W/Urin Tract Cstolithotomy
$100
$100
—
0
clean
Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath
$100
$100
—
0
clean
Anesthesia Anorectal Procedure
$100
$100
—
0
clean
Anesthesia Radical Perineal Procedure
$100
$100
—
0
clean
Anes Transurethral W/Urethrocystoscopy Nos
$100
$100
—
0
clean
Anes Transurethral Resection of Bladder Tumor
$100
$100
—
0
clean
Anesthesia Transurethral Resection of Prostate
$100
$100
—
0
clean
Anes Trurl Post-Trurl Resection Bleeding
$100
$100
—
0
clean
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
$100
$100
—
0
clean
Anesthesia Male Genitalia Incl Open Urethral Px
$100
$100
—
0
clean
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
$100
$100
—
0
clean
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
$100
$100
—
0
clean
Anesthesia Vaginal Procedure W/Biopsy Nos
$100
$100
—
0
clean
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
$100
$100
—
0
clean
Anesthesia on Bony Pelvis
$100
$100
—
0
clean
HC Iadi 16s&18s Rrna Genes
$678
$678
$356
4
clean
Anesthesia Closed Hip Joint Procedure
$100
$100
—
0
clean
Anesthesia Open Hip Joint Procedure Nos
$100
$100
—
0
clean
Anesthesia Open Total Hip Arthroplasty
$100
$100
—
0
clean
Anesthesia Open Revision Total Hip Arthroplasty
$100
$100
—
0
clean
Anesthesia Closed Procedures Upper 2/3 Femur
$100
$100
—
0
clean
Anesthesia Open Procedures Upper 2/3 Femur Nos
$100
$100
—
0
clean
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
$100
$100
—
0
clean
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
$100
$100
—
0
clean
Anesthesia Closed Procedures Knee Joint
$100
$100
—
0
clean
Anesth Diagnostic Arthroscopic Proc Knee Joint
$100
$100
—
0
clean
Anes Open Proc Upper Ends Tibia Fibula&/Patella
$100
$100
—
0
clean
Anes Open/Surg Arthroscopic Proc Knee Joint Nos
$100
$100
—
0
clean
Anesth Open/Surg Arthrs Total Knee Arthroplasty
$100
$100
—
0
clean
Anesthesia Closed Proc Lower Leg Ankle & Foot
$100
$100
—
0
clean
Anesthesia Arthroscopic Procedure Ankle & Foot
$100
$100
—
0
clean
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
$100
$100
—
0
clean
Anes Rpr Ruptured Achilles Tendon W/WO Graft
$100
$100
—
0
clean
Anes Open Proc Bones Lower Leg/Ankle/Foot Nos
$100
$100
—
0
clean
Anes Radical Resecj Incl Below Knee Amputation
$100
$100
—
0
clean
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
$100
$100
—
0
clean
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
$100
$100
—
0
clean
Anes Diag Arthroscopic Shoulder Joint Proc Nos
$100
$100
—
0
clean
Anes Arthrs Humeral H/N Strnclav & Shoulder Nos
$100
$100
—
0
clean
Anes Arthroscopic Total Shoulder Replacement
$100
$100
—
0
clean
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
$100
$100
—
0
clean
Anesthesia Open Tenotomy Elbow to Shoulder
$100
$100
—
0
clean
Anes Open/Surg Arthroscopic Elbow Proc Nos
$100
$100
—
0
clean
Anes Open/Surg Arthrs Reprs Non/Malunion Humerus
$100
$100
—
0
clean
Anes Nerve Muscle Tdn Fascia&Bursa Forearm Wrist
$100
$100
—
0
clean
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
$100
$100
—
0
clean
Rectal Tumor Excision Transanal Endoscopic
$1,113
$1,113
$993
266
clean
Anes Non-Invasive Imaging/Radiation Therapy
$100
$100
—
0
clean
Njx Pltlt Plasma W/Img Harvest/Preparation
$575
$575
$131
204
clean
HC Trluml Peripheral Atherectomy Iliac Artery Ea
$32,886
$32,886
$10,211
216
clean
Nfct Ds Vir Resp Rna 3 Trgt
$225
$225
$143
4
clean
Nfct Ds Vir Resp Rna 4 Trgt
$225
$225
$143
4
clean
Beta Amyloid, a/40 and a/42 by Liquid Chromatography With Tandem Mass Spect
$900
$900
$93
157
clean
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$24,700
$24,700
$823
80
clean
Prgrmg Device Evaluation Cardiac Modulj System
$72
$72
$72
72
clean
Interro Device Evaluation Cardiac Modulj System
$72
$72
$48
72
clean
Cath Tmvi W/Prosthetic Valve Percutaneous Approach
$1,467
$1,467
—
0
clean
Ins/Repl Iims W/Electrode
$21,291
$21,291
$419
72
clean
Program Iims
$76
$76
$72
72
clean
Interrogation of Iims
$76
$76
$48
72
clean
Endovascular Venous Arterialization Tibl/Prnl Vn
$32,886
$32,886
$20,982
8
clean
Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$7,766
$7,766
$298
160
clean
Njx Bone Sub Matrl Into Subchondral Bone Defect
$308
$308
$341
72
clean
US Fna Bx US Gde 1st Les 10005
$1,274
$1,274
$70
367
clean
HC Fna Bx US Gde Ea Add Les 10006
$63
$63
$48
368
clean
HC Fna Bx Fl Gde 1st Les 10007
$1,274
$1,274
$85
366
clean
HC P 10009 Fna Bx CT Gde 1st Les
$1,274
$1,274
$103
356
clean
HC Fna Bx W/CT Gdn Ea Addl
$72
$72
$69
356
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$398
$398
$61
534
clean
HC Drain-Soft Tissue CT Gde 10030
$1,274
$1,274
$142
530
clean
Drain Skin Abscess Simple
$368
$368
$110
616
clean
HC Drain Skin Abscess Complic
$708
$708
$182
606
clean
Drainage of Pilonidal Cyst Simple
$1,274
$1,274
$101
414
clean
Drain Pilonidal Cyst Complicated
$1,274
$1,274
$168
414
clean
HC Remove Foreign Body Simple
$708
$708
$100
414
clean
Remove Foreign Body
$2,881
$2,881
$181
414
clean
HC Drainage of Hematoma/Fluid
$2,881
$2,881
$114
706
clean
HC Pbb Punct Asp - Absc Hemat Cyst
$708
$708
$93
763
clean
Incision & Drainage Complex Po Wound Infection
$345
$345
$168
690
clean
Debridement, Infected Skin, Up to 10% Bsa
$1,072
$1,072
$27
414
clean
Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10%
$51
$51
$15
406
clean
Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per
$725
$725
$562
406
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall|ASSISTANT SURGEON
$1,519
$1,519
$761
406
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Gent per&Abdl
$917
$917
$691
406
clean
Rmvl Prostc Matrl/Mesh Abdl Wall for Infection|ASSISTANT SURGEON
$372
$372
$268
406
clean
Debride Assoc Open Fx/Disloc Skin/Subq
$1,274
$1,274
$263
410
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$742
$742
$413
406
clean
Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm
$708
$708
$149
716
clean
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm
$1,072
$1,072
$235
611
clean
Debridement Bone 1st 20 Sq Cm/<
$2,881
$2,881
$298
511
clean
HC Pbb Tc Debride Skin/Subq Ea Add 20 Cm
$30
$30
$25
468
clean
HC Pbb Tc Debride Musc/Fascia Ea Add 20 Cm
$64
$64
$52
410
clean
Debridement Bone Each Additional 20 Sq Cm
$149
$149
$96
470
clean
Paring or Cutting One Benign Lesion
$368
$368
$61
601
clean
Trim 2-4 Benign Hyperkeratotic Skin Lesions
$193
$193
$45
415
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$171
$171
$29
406
clean
HC P 11102 Bx Skin Tang 1 Les/No Gde
$368
$368
$36
360
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$90
$90
$21
352
clean
HC Pbb Punch Bx Skin Single Lesion, Tc
$708
$708
$47
456
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$65
$65
$24
352
clean
HC P 11106 Bx Skin Incis 1 Les/No Gde
$1,072
$1,072
$57
456
clean
HC Pbb Removal of Skin Tags, Up to 15
$368
$368
$66
534
clean
HC Pbb Exc Skin Tags, Each
$46
$46
$18
410
clean
HC Pbb Shave Lesion .5cm or Less
$708
$708
$34
410
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm
$145
$145
$51
406
clean
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm
$169
$169
$60
406
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm
$287
$287
$71
406
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/<
$191
$191
$38
406
clean
HC Pbb Shave Les S/N/H/F/G 0.6-1.0cm
$368
$368
$49
470
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm
$155
$155
$63
406
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm
$165
$165
$70
406
clean
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm
$247
$247
$63
406
clean
HC Pbb Exc Lesions,Trunk,Arm,Leg to .5 Cm
$1,274
$1,274
$81
410
clean
HC Pbb Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg
$708
$708
$103
410
clean
HC Pbb Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg
$1,274
$1,274
$114
410
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$269
$269
$144
406
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$276
$276
$160
406
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm
$514
$514
$238
406
clean
HC Pbb Exc Lesion Scalp 0 - .5cm
$2,881
$2,881
$83
430
clean
HC Pbb Exc Lesion Genit .6 - 1.0
$1,274
$1,274
$111
468
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$336
$336
$137
406
clean
HC Pbb Exc Skin Benig 2.1-3 Cm Remaindr Body
$2,881
$2,881
$158
410
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$306
$306
$183
406
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$421
$421
$270
406
clean
Exc Face-Mm B9+Marg 0.5cm/<
$1,274
$1,274
$104
410
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$182
$182
$134
406
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$203
$203
$149
406
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$421
$421
$181
406
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0cm
$411
$411
$228
406
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$722
$722
$320
406
clean
Excision Hidradenitis Axillary Smpl/Intrm Rpr|BILATERAL PROCEDURE
$858
$858
$263
1,096
clean
Excision Hidradenitis Axillary Complex Repair
$649
$649
$380
812
clean
Excision Hidradenitis Inguinal Smpl/Intrm Rpr|ASSISTANT AT SURGERY SERVICE
$495
$495
$239
406
clean
Excision H/P/P/U Complex Repair
$970
$970
$345
406
clean
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<
$209
$209
$117
406
clean
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm
$411
$411
$147
406
clean
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm
$457
$457
$159
406
clean
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm
$550
$550
$188
406
clean
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm
$383
$383
$207
406
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$515
$515
$305
406
clean
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<
$210
$210
$118
406
clean
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm
$247
$247
$148
406
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$296
$296
$170
406
clean
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm
$364
$364
$209
406
clean
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm
$457
$457
$238
406
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$572
$572
$291
406
clean
Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm
$372
$372
$183
406
clean
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm
$567
$567
$228
406
clean
Trimming Nondystrophic Nails Any Number
$38
$38
$8
332
clean
Debridement of Nail(S), 1-5
$114
$114
$32
615
clean
Debridement of Nails, 6 or More
$114
$114
$43
615
clean
HC Pbb Avulsion Nail Plate
$368
$368
$110
696
clean
Avulsion Nail Plate Partial/Comp Simple Ea Addl
$80
$80
$17
414
clean
HC Drain Blood From Under Nail
$231
$231
$32
410
clean
HC Excision Nail Matrix Permanent Removal
$708
$708
$163
540
clean
Biopsy Nail Unit Separate Procedure
$221
$221
$61
406
clean
HC Reconstruc of Nail Bed
$1,072
$1,072
$111
410
clean
Excision of toe nail fold
$398
$398
$90
410
clean
Excision Pilonidal Cyst/Sinus Simple
$4,855
$4,855
$186
410
clean
Excision Pilonidal Cyst/Sinus Extensive
$4,855
$4,855
$430
410
clean

Showing the first 200 of 5,961 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
787 of 3,370 comparable items (23%) 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 $1,260 exceeds the gross charge $1,113
warn
mrf_stale
last updated 2025-02-25, 548 days ago; the rule requires an update at least once a year
CPT 86850/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $102
CPT 86901/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $69
CPT 21480/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 31603/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 42800/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 76700/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 83986/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 99000/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 J1756/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
MS-DRG 303/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 31605/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 42809/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 76705/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 91010/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 J1790/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
MS-DRG 304/i
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
MS-DRG 717/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 42960/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 76706/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 91035/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 99151/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 J1800/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 305/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 718/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 31615/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 76770/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 84112/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 99152/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 J1805/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
MS-DRG 307/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 722/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 31622/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 43200/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 76775/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 84133/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 92250/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 99153/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 J1806/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 308/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross 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 69000/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 76776/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 84156/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 92511/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 99156/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 J1815/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 309/i
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
MS-DRG 726/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 43239/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 69100/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 76800/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 99173/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 J1836/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 310/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 727/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 43247/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 69200/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 76801/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 99188/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 311/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 728/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 22514/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 32408/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 43255/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 69209/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 76802/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 99202/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 J1920/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 312/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 729/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 22515/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 69210/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 76805/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 99203/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 J1930/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 313/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 69220/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 76810/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 92551/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 99204/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 J1939/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
MS-DRG 314/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 737/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 69420/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 76811/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 92567/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 99205/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 J1940/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 315/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 739/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 43450/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 69433/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 76812/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 84484/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 92605/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 99211/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 J1950/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
MS-DRG 316/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 740/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23350/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 32550/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 76813/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 84520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 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/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
MS-DRG 319/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 741/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23500/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 32551/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 70030/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 76814/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 99213/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 J1955/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 321/i
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 742/i
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 32552/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 70100/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 76815/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 92920/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 99214/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 J1956/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
MS-DRG 322/i
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 743/i
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 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 43752/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 70110/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 76816/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 92921/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 99215/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 J2001/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 P9045/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
MS-DRG 323/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23570/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 32555/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 43753/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 70140/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 76817/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 92924/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 99281/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 J2002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT P9047/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
MS-DRG 324/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23600/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 32556/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 70150/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 76818/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 84703/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 92925/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 99282/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 J2003/o
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
MS-DRG 325/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 747/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23605/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 32557/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 43762/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 70160/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 76819/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 85018/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 92928/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 99283/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 J2004/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0091/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
MS-DRG 326/i
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
MS-DRG 748/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23620/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 32561/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 70200/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 76820/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 85025/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 92929/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 99284/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 J2020/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 Q0138/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 327/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 754/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 32562/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 70210/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 76821/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 85027/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 92933/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 99285/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 J2060/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 Q0144/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
MS-DRG 328/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 755/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23650/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 32604/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 70220/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 76825/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 92934/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 99291/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 J2150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT Q0161/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 329/i
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 758/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23655/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

Showing the first 200 of 3,149 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. · csv-tall · 5,121.8M bytes · fetched 2026-08-25 · sha256 cfbd7b46ed91…

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.