Hospital · CCN 330102

Kenmore Mercy Hospital

2950 Elmwood Avenue, Kenmore, NY 14217 · Erie County
Part of Catholic Health Systems · 159 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

29 admission types 23 outpatient services price file: ok
Billed per dollar paid, all admissions
2.20×
$17.6M billed against $8.0M paid across 570 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
100
$44,460
$18,755
2.4× st 4.8×
291
Heart failure and shock with mcc
58
$25,733
$10,840
2.4× st 5.1×
193
Simple pneumonia and pleurisy with mcc
33
$22,197
$12,134
1.8× st 4.9×
177
Respiratory infections and inflammations with mcc
30
$27,972
$14,591
1.9× st 4.9×
683
Renal failure with cc
28
$12,902
$8,122
1.6× st 5.0×
698
Other kidney and urinary tract diagnoses with mcc
18
$29,683
$13,829
2.1× st 4.9×
481
Hip and femur procedures except major joint with cc
18
$40,888
$17,461
2.3× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
16
$29,748
$12,198
2.4× st 4.9×
460
Spinal fusion except cervical without mcc
16
$64,787
$35,705
1.8× st 4.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
15
$18,957
$7,820
2.4× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$13,429
$7,427
1.8× st 5.2×
689
Kidney and urinary tract infections with mcc
15
$18,607
$9,567
1.9× st 5.3×
189
Pulmonary edema and respiratory failure
15
$26,098
$10,833
2.4× st 5.0×
378
Gastrointestinal hemorrhage with cc
14
$14,847
$9,008
1.6× st 5.5×
682
Renal failure with mcc
13
$33,444
$13,387
2.5× st 5.1×
690
Kidney and urinary tract infections without mcc
13
$16,751
$7,086
2.4× st 5.2×
638
Diabetes with cc
12
$17,769
$7,302
2.4× st 4.9×
603
Cellulitis without mcc
12
$18,117
$7,596
2.4× st 4.7×
552
Medical back problems without mcc
12
$17,278
$7,820
2.2× st 5.3×
917
Poisoning and toxic effects of drugs with mcc
12
$56,826
$18,626
3.1× st 4.9×
178
Respiratory infections and inflammations with cc
12
$18,650
$10,477
1.8× st 5.6×
194
Simple pneumonia and pleurisy with cc
12
$21,473
$7,046
3.0× st 4.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$36,974
$18,077
2.0× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
12
$17,284
$6,365
2.7× st 5.1×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$79,545
$37,096
2.1× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$20,833
$12,509
1.7× st 5.7×
389
Gastrointestinal obstruction with cc
11
$13,215
$6,908
1.9× st 5.7×
468
Revision of hip or knee replacement without cc/mcc
11
$62,918
$27,021
2.3× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$37,630
$18,342
2.1× st 4.8×
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
283
$31,207
$13,503
2.3×
8011
Comprehensive Observation Services
168
$7,925
$2,888
2.7×
5116
Level 6 Musculoskeletal Procedures
68
$41,472
$18,917
2.2×
5361
Level 1 Laparoscopy and Related Services
49
$18,823
$5,919
3.2×
5114
Level 4 Musculoskeletal Procedures
43
$18,782
$7,166
2.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$16,696
$3,668
4.6×
5113
Level 3 Musculoskeletal Procedures
14
$11,158
$3,432
3.3×
5182
Level 2 Vascular Procedures
11
$6,026
$1,698
3.5×
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 2/25/2025, template 2.0.0, 5,206,140 rows scanned, 5,826 distinct code–setting items kept. 2,865 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
$95
137
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|TECHNICAL COMPONENT
$3,972
$3,972
$1,194
259
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
2
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
$979
123
clean
Anes Non-Invasive Imaging/Radiation Therapy
$100
$100
—
0
clean
Njx Pltlt Plasma W/Img Harvest/Preparation
$575
$575
$131
92
clean
Trluml Peripheral Atherectomy Iliac Artery Ea
$12,677
$12,677
$11,423
98
clean
Nfct Ds Vir Resp Rna 3 Trgt
$225
$225
$143
2
clean
Nfct Ds Vir Resp Rna 4 Trgt
$225
$225
$143
2
clean
Beta Amyloid, a/40 and a/42 by Liquid Chromatography With Tandem Mass Spect
$900
$900
$93
79
clean
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$24,700
$24,700
$823
40
clean
Prgrmg Device Evaluation Cardiac Modulj System
$73
$73
$72
36
clean
Interro Device Evaluation Cardiac Modulj System
$60
$60
$48
36
clean
Cath Tmvi W/Prosthetic Valve Percutaneous Approach
$1,467
$1,467
—
0
clean
Insertion/Replacement Complete Iims
$1,793
$1,793
$419
36
clean
Prgrmg Device Eval Iims in Person
$117
$117
$72
36
clean
Interrogation of Iims
$76
$76
$48
36
clean
Endovascular Venous Arterialization Tibl/Prnl Vn
$32,886
$32,886
$20,982
4
clean
Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$7,766
$7,766
$298
80
clean
Njx Bone Sub Matrl Into Subchondral Bone Defect
$308
$308
$341
36
clean
US Fna Bx US Gde 1st Les 10005
$1,274
$1,274
$70
183
clean
HC Fna Bx US Gde Ea Add Les 10006
$63
$63
$48
183
clean
Fine Needle Aspiration Bx W/Fluor Gdn 1st Lesion
$306
$306
$85
183
clean
Fine Needle Aspiration Bx W/CT Gdn 1st Lesion
$501
$501
$103
178
clean
HC Fna Bx W/CT Gdn Ea Addl
$72
$72
$69
178
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$560
$560
$61
237
clean
HC Image-Guided Catheter Fluid Collection Drainage
$1,274
$1,274
$134
239
clean
Incision & Drainage Abscess Simple/Single
$492
$492
$103
277
clean
HC Pbb I&D Absc; Compl or Multi
$708
$708
$182
277
clean
HC Drain Pilonidal Cyst Simpl
$1,274
$1,274
$101
197
clean
Drain Pilonidal Cyst Complicated
$1,274
$1,274
$164
197
clean
HC Remove Foreign Body Simple
$708
$708
$102
197
clean
Incision & Removal Foreign Body Subq Tiss Comp
$496
$496
$176
197
clean
I&D Hematoma Seroma/Fluid Collection
$2,979
$2,979
$114
319
clean
Puncture Aspiration Abscess Hematoma Bulla/Cyst
$795
$795
$98
370
clean
Incision & Drainage Complex Po Wound Infection|ASSISTANT AT SURGERY SERVICE
$345
$345
$153
335
clean
Dbrdmt Extensv Eczmt/Infct Skin Up 10% Bdy Surf
$988
$988
$27
197
clean
Dbrdmt Extnsve Eczmt/Infct Skn Ea Addl 10%
$51
$51
$14
193
clean
Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per
$725
$725
$535
193
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall|ASSISTANT SURGEON
$1,519
$1,519
$724
193
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Gent per&Abdl
$917
$917
$658
193
clean
Rmvl Prostc Matrl/Mesh Abdl Wall for Infection
$372
$372
$255
193
clean
Debride Assoc Open Fx/Disloc Skin/Subq
$1,274
$1,274
$263
195
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$742
$742
$394
193
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$995
$995
$58
199
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$1,403
$1,403
$163
277
clean
Debridement Bone 1st 20 Sq Cm/<
$3,158
$3,158
$226
233
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$463
$463
$24
216
clean
HC Pbb Tc Debride Musc/Fascia Ea Add 20 Cm
$64
$64
$52
195
clean
Debridement Bone Each Additional 20 Sq Cm
$191
$191
$92
215
clean
Paring or Cutting One Benign Lesion
$368
$368
$17
275
clean
Trim 2-4 Benign Hyperkeratotic Skin Lesions
$193
$193
$21
195
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$171
$171
$28
193
clean
HC P 11102 Bx Skin Tang 1 Les/No Gde
$368
$368
$36
180
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$90
$90
$21
176
clean
Punch Bx Skin Single Lesion
$452
$452
$47
232
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$65
$65
$24
176
clean
Incisional Biopsy Skin Single Lesion
$161
$161
$57
228
clean
HC Removal of Skin Tags, Up to 15
$368
$368
$71
237
clean
Rmvl Skin Tags Mlt Fibrq Tags Any Ea Addl 10
$97
$97
$18
195
clean
Shaving Skin Lesion 1 Trunk/Arm/Leg Diam 0.5cm/<
$363
$363
$32
195
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm
$145
$145
$49
193
clean
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm
$169
$169
$57
193
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm
$287
$287
$68
193
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/<
$191
$191
$36
193
clean
HC Pbb Shave Les S/N/H/F/G 0.6-1.0cm
$368
$368
$49
215
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm
$155
$155
$60
193
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm
$165
$165
$67
193
clean
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm
$247
$247
$60
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$1,353
$1,353
$81
195
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$1,603
$1,603
$102
195
clean
HC Pbb Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg
$1,274
$1,274
$111
195
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$269
$269
$144
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$276
$276
$158
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm
$514
$514
$238
193
clean
HC Pbb Exc Lesion Scalp 0 - .5cm
$2,881
$2,881
$83
215
clean
HC Pbb Exc Lesion Genit .6 - 1.0
$1,274
$1,274
$110
216
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$336
$336
$131
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$947
$947
$151
195
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$306
$306
$174
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$421
$421
$257
193
clean
Exc Face-Mm B9+Marg 0.5cm/<
$1,274
$1,274
$103
195
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$182
$182
$128
193
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$203
$203
$142
193
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$421
$421
$172
193
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0cm
$411
$411
$217
193
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$722
$722
$304
193
clean
Excision Hidradenitis Axillary Smpl/Intrm Rpr|ASSISTANT AT SURGERY SERVICE
$572
$572
$262
528
clean
Excision Hidradenitis Axillary Complex Repair
$649
$649
$354
386
clean
Excision Hidradenitis Inguinal Smpl/Intrm Rpr
$495
$495
$239
193
clean
Excision H/P/P/U Complex Repair
$970
$970
$337
193
clean
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<
$209
$209
$117
193
clean
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm
$411
$411
$142
193
clean
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm
$457
$457
$155
193
clean
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm
$550
$550
$185
193
clean
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm
$383
$383
$203
193
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$515
$515
$301
193
clean
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<
$210
$210
$118
193
clean
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm
$247
$247
$143
193
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$296
$296
$162
193
clean
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm
$364
$364
$200
193
clean
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm
$457
$457
$227
193
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$572
$572
$277
193
clean
Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm
$372
$372
$174
193
clean
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm
$567
$567
$217
193
clean
Trimming Nondystrophic Nails Any Number
$38
$38
$8
156
clean
HC Pbb Debride Nails, 1-5
$114
$114
$16
275
clean
Debridement of 6 or more nails
$116
$116
$25
275
clean
HC Pbb Avulsion Nail Plate
$368
$368
$58
277
clean
HC Pbb Removal of Nail Plate, Add On
$80
$80
$16
197
clean
Evacuation Subungual Hematoma
$103
$103
$31
195
clean
Excision Nail Matrix Permanent Removal
$1,103
$1,103
$103
239
clean
Biopsy Nail Unit Separate Procedure
$221
$221
$58
193
clean
HC Reconstruc of Nail Bed
$1,072
$1,072
$105
195
clean
Wedge Excision Skin Nail Fold
$182
$182
$90
195
clean
Excision Pilonidal Cyst/Sinus Simple
$4,855
$4,855
$177
195
clean
Excision Pilonidal Cyst/Sinus Extensive
$725
$725
$430
195
clean

Showing the first 200 of 5,826 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
790 of 3,500 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 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 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 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
MS-DRG 356/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 795/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
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 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 Q0091/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 357/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 797/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 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 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 Q0144/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 358/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 798/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 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 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 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 Q0161/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 368/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 802/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 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 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 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 Q0163/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 369/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 805/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 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 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 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 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 Q2009/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 370/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 806/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
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 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 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 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 Q3014/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 371/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 807/i
info
mrf_item_fields_vary
this code and setting cover at least 7 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 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 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 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
MS-DRG 372/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 808/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
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 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 2 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 99292/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 373/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 809/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 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 2 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
MS-DRG 374/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 810/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 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 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
MS-DRG 375/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 811/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 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 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 92937/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 377/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 812/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
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 70250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76826/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 92938/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 378/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 813/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 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
CPT 70260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76827/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 85097/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92941/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 379/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 814/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 23665/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70328/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76828/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 92943/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 380/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 816/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 23930/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70330/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76830/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 92950/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5106/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 381/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 817/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 23931/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76831/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 92953/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9957/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 820/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 24075/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32999/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76856/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 92960/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 821/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 33016/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76857/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 92973/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99401/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 822/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 33017/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70470/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76870/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92978/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99406/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S5130/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 385/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 823/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 33019/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76872/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92979/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99407/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 386/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 824/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 70481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76873/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92986/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99408/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S5161/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 387/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 825/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 33206/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70482/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76881/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93005/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99409/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S9110/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 388/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 826/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 24500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33207/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70486/o
info
mrf_item_fields_vary
this code and setting cover at least 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/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85421/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93017/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S9122/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 389/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
CPT 24530/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 33208/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70487/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76885/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99441/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S9123/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 390/i
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
MS-DRG 830/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 33210/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70488/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76936/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93041/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99442/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 S9124/o
info
mrf_item_fields_vary
this code and setting cover at 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 2,865 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 · 2,414.4M bytes · fetched 2026-08-25 · sha256 10dc85cdab03…

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.