Hospital · CCN 330193

Flushing Hospital Medical Center

45th Avenue And Parsons Boulevard, Flushing, NY 11355 · Queens County
Part of Medisys Health Network · 247 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

36 admission types 33 outpatient services price file: ok 3 Medicare-file findings
Billed per dollar paid, all admissions
1.49×
$51.1M billed against $34.2M paid across 1,226 Medicare discharges; the national figure is 5.03×.
—
of adults in Queens County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
8.7%
uninsured in the county · state 5.7%
$81K
median household income
3.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
24.0%
obesity in the countyⓘ
14.3%
diagnosed diabetes (PLACES)
6.0%
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
356
$38,900
$25,734
1.5× st 4.8×
291
Heart failure and shock with mcc
79
$29,088
$17,776
1.6× st 5.1×
870
Septicemia or severe sepsis with mv >96 hours
59
$114,324
$83,260
1.4× st 4.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
49
$116,738
$79,551
1.5× st 4.7×
689
Kidney and urinary tract infections with mcc
39
$29,670
$16,114
1.8× st 5.3×
682
Renal failure with mcc
37
$19,951
$17,236
1.2× st 5.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
36
$11,934
$12,118
1.0× st 3.7×
690
Kidney and urinary tract infections without mcc
35
$18,390
$11,332
1.6× st 5.2×
177
Respiratory infections and inflammations with mcc
35
$31,035
$20,531
1.5× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
35
$28,067
$14,965
1.9× st 4.9×
894
Alcohol, drug abuse or dependence, left ama
33
$7,039
$8,483
0.8× st 2.2×
280
Acute myocardial infarction, discharged alive with mcc
29
$28,054
$18,961
1.5× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$17,179
$11,574
1.5× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
26
$24,064
$17,317
1.4× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
26
$20,661
$12,794
1.6× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
24
$34,885
$21,817
1.6× st 4.9×
812
Red blood cell disorders without mcc
23
$16,684
$12,053
1.4× st 5.2×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
23
$228,962
$154,624
1.5× st 4.6×
193
Simple pneumonia and pleurisy with mcc
20
$25,735
$17,980
1.4× st 4.9×
312
Syncope and collapse
19
$19,670
$11,357
1.7× st 5.2×
377
Gastrointestinal hemorrhage with mcc
18
$49,633
$26,545
1.9× st 5.3×
637
Diabetes with mcc
16
$31,715
$18,064
1.8× st 4.8×
190
Chronic obstructive pulmonary disease with mcc
15
$25,735
$15,739
1.6× st 4.7×
811
Red blood cell disorders with mcc
14
$20,740
$18,211
1.1× st 5.4×
057
Degenerative nervous system disorders without mcc
14
$17,871
$18,411
1.0× st 4.7×
178
Respiratory infections and inflammations with cc
13
$42,613
$20,222
2.1× st 5.6×
813
Coagulation disorders
13
$59,589
$21,734
2.7× st 5.4×
393
Other digestive system diagnoses with mcc
13
$23,564
$19,203
1.2× st 5.4×
194
Simple pneumonia and pleurisy with cc
13
$17,430
$11,649
1.5× st 4.9×
207
Respiratory system diagnosis with ventilator support >96 hours
13
$87,115
$69,218
1.3× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$63,013
$35,935
1.8× st 4.8×
638
Diabetes with cc
13
$18,952
$12,472
1.5× st 4.9×
603
Cellulitis without mcc
13
$26,723
$13,786
1.9× st 4.7×
378
Gastrointestinal hemorrhage with cc
12
$20,960
$13,010
1.6× st 5.5×
101
Seizures without mcc
12
$13,856
$11,983
1.2× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$23,925
$13,708
1.7× st 5.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
175
$13,180
$3,101
4.3×
5491
Level 1 Intraocular Procedures
46
$6,322
$2,652
2.4×
5375
Level 5 Urology and Related Services
22
$8,954
$5,888
1.5×
5361
Level 1 Laparoscopy and Related Services
16
$8,325
$6,291
1.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$6,274
$3,937
1.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
12
$3,908
$3,233
1.2×
5374
Level 4 Urology and Related Services
11
$6,811
$3,967
1.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
11
$5,151
$1,845
2.8×
5192
Level 2 Endovascular Procedures
11
$7,550
$6,504
1.2×
5182
Level 2 Vascular Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5331
Complex GI 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-wide, last updated 3/25/2026, template 3.0.0, 16,138 rows scanned, 4,032 distinct code–setting items kept. 3,354 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
NEURO CSF PRION PRTN QUAL
$1,623
$1,623
$546
37
clean
COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST
$2,168
$2,168
$1,254
20
clean
TEST FOR DETECTION OF RESPIRATORY DISEASE-CAUSING ORGANISMS FROM BACK OF NOSE AND THROAT (NASOPHARYNX) SPECIMEN; 22 TARGET ORGANISMS INCLUDING SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2
$1,250
$1,250
$423
72
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$160
$160
$143
6
clean
INSERTION OF INITIAL AQUEOUS FLUID DRAINAGE DEVICE INTO EYE
$1,872
$1,872
$6,610
82
clean
PATTERN ERG W/I&R
$641
$641
$274
30
clean
FNA BX W/O IMG GDN EA ADDL
$5
$5
$46
42
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$1,627
$1,627
$915
45
clean
FNA BX W/US GDN EA ADDL
$78
$78
$53
45
clean
FNA BX W/FLUOR GDN 1ST LES
$1,627
$1,627
$915
45
clean
FNA BX W/CT GDN 1ST LES
$1,627
$1,627
$915
45
clean
FNA BX W/CT GDN EA ADDL
$78
$78
$81
45
clean
FNA BX W/MR GDN EA ADDL
$1,159
$1,159
$2,854
16
clean
FINE NEEDLE ASPIRATION BIOPSY; FIRST GROWTH
$922
$922
$525
45
clean
IMG GID FLU COLL DRG SFT TIS
$1,627
$1,627
$915
45
clean
PLMT SFT TISS LOCLZJ DEV 1ST
$1,627
$1,627
$915
45
clean
EXTRACTION
$463
$463
$264
42
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$463
$463
$287
265
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$922
$922
$535
130
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$1,627
$1,627
$924
90
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$1,627
$1,627
$924
90
clean
INC&RMVL FB SUBQ TISS SMPL
$922
$922
$535
133
clean
INC&RMVL FB SUBQ TISS COMP
$3,750
$3,750
$2,062
130
clean
I&D HMTMA SEROMA/FLUID COLLJ
$3,598
$3,598
$2,052
135
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$922
$922
$525
45
clean
I&D COMPLEX PO WOUND INFCTJ
$5,839
$5,839
$3,608
90
clean
DBRDMT ECZ/INFECTED SKIN<10%
$1,394
$1,394
$525
45
clean
DEBRIDE SKIN AT FX SITE
$1,627
$1,627
$915
45
clean
DEBRIDE SKIN MUSC AT FX SITE
$1,627
$1,627
$924
45
clean
DEB SKIN BONE AT FX SITE
$6,572
$6,572
$3,608
42
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$922
$922
$505
245
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$1,453
$1,453
$918
42
clean
DBRDMT BONE 1ST 20 SQ CM/<
$3,750
$3,750
$2,052
87
clean
DBRDMT SUBQ TISS EACH ADDL
$45
$45
$27
42
clean
REMOVAL OF BONE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$664
$664
$106
42
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH
$463
$463
$264
242
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 2-4 GROWTHS
$463
$463
$264
202
clean
PARNG/CUTG B9 HYPRKR LES >4
$463
$463
$264
42
clean
TANGNTL BX SKIN SINGLE LES
$435
$435
$510
87
clean
TANGNTL BX SKIN EA SEP/ADDL
$45
$45
$22
42
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$922
$922
$505
42
clean
PUNCH BX SKIN EA SEP/ADDL
$57
$57
$27
42
clean
INCAL BX SKN SINGLE LES
$1,394
$1,394
$918
87
clean
INCAL BX SKN EA SEP/ADDL
$70
$70
$31
42
clean
RMVL SKIN TAGS UP TO&INC 15
$463
$463
$274
87
clean
SHAVE SKIN LESION 0.5 CM/<
$922
$922
$505
42
clean
SHAVE SKIN LESION 0.6-1.0 CM
$442
$442
$264
42
clean
SHAVE SKIN LESION 1.1-2.0 CM
$442
$442
$264
42
clean
SHAVE SKIN LESION >2.0 CM
$851
$851
$505
42
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,627
$1,627
$880
42
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$922
$922
$515
85
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$1,627
$1,627
$897
85
clean
EXC TR-EXT B9+MARG 2.1-3CM
$1,627
$1,627
$897
85
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$2,052
$2,052
$2,154
43
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$1,627
$1,627
$880
42
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$3,750
$3,750
$2,052
85
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$2,862
$2,862
$2,154
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$2,532
$2,532
$2,175
85
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$1,627
$1,627
$915
172
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$2,142
$2,142
$932
85
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$2,652
$2,652
$932
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$1,011
$1,011
$2,175
42
clean
REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$1,962
$1,962
$3,753
42
clean
REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$1,941
$1,941
$3,753
42
clean
REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$1,941
$1,941
$3,753
42
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$2,082
$2,082
$950
42
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$2,091
$2,091
$932
43
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$1,014
$1,014
$932
43
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$1,014
$1,014
$2,154
43
clean
TRIM NAIL(S) ANY NUMBER
$141
$141
$79
42
clean
REMOVAL OF FINGERNAILS OR TOENAILS; 1-5 NAILS
$141
$141
$81
162
clean
REMOVAL OF FINGERNAILS OR TOENAILS; 6 OR MORE NAILS
$141
$141
$81
122
clean
REMOVAL OF NAIL PLATE
$463
$463
$274
331
clean
REMOVE NAIL PLATE ADD-ON
$22
$22
$19
127
clean
DRAIN BLOOD FROM UNDER NAIL
$295
$295
$190
45
clean
REMOVAL OF NAIL BED
$922
$922
$515
124
clean
BIOPSY NAIL UNIT
$1,627
$1,627
$880
42
clean
REPAIR OF NAIL BED
$1,290
$1,290
$918
87
clean
EXCISION OF NAIL FOLD TOE
$922
$922
$525
45
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$2,292
$2,292
$3,680
43
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$2,592
$2,592
$3,680
43
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$1,842
$1,842
$3,680
43
clean
INJECT SKIN LESIONS </W 7
$463
$463
$264
42
clean
INJECT SKIN LESIONS >7
$463
$463
$264
42
clean
INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE
$295
$295
$182
84
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$922
$922
$566
167
clean
REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE
$922
$922
$555
42
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$463
$463
$300
540
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$463
$463
$300
360
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
$463
$463
$299
135
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$922
$922
$525
45
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$922
$922
$525
45
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
$463
$463
$287
45
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$463
$463
$299
180
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$463
$463
$300
270
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$463
$463
$287
45
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
$463
$463
$293
90
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$922
$922
$525
45
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,271
$1,271
$955
45
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$922
$922
$525
45
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$922
$922
$525
45
clean
INTMD RPR S/TR/EXT 7.6-12.5
$922
$922
$525
45
clean
INTMD RPR S/A/T/EXT 12.6-20
$922
$922
$525
45
clean
INTMD RPR S/A/T/EXT 20.1-30
$1,453
$1,453
$955
45
clean
INTMD RPR S/TR/EXT >30.0 CM
$4,218
$4,218
$2,563
42
clean
INTMD RPR N-HF/GENIT 2.5CM/<
$922
$922
$533
90
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$922
$922
$525
45
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 7.6-12.5 CM
$1,453
$1,453
$955
45
clean
INTMD RPR N-HF/GENIT20.1-30
$1,453
$1,453
$955
45
clean
INTMD RPR N-HF/GENIT >30.0CM
$4,218
$4,218
$2,179
45
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$922
$922
$535
87
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$922
$922
$525
45
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$922
$922
$525
45
clean
INTMD RPR FACE/MM 7.6-12.5CM
$922
$922
$525
45
clean
INTMD RPR FACE/MM 12.6-20 CM
$922
$922
$525
45
clean
INTMD RPR FACE/MM 20.1-30.0
$922
$922
$533
40
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$1,453
$1,453
$955
45
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$1,453
$1,453
$525
45
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS
$70
$70
$88
45
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$922
$922
$525
45
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$1,453
$1,453
$533
90
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$70
$70
$132
45
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$1,453
$1,453
$955
45
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$1,453
$1,453
$955
45
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$70
$70
$147
45
clean
SEC CLSR SURG WND/DEHSN XTN
$4,218
$4,218
$3,742
45
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$1,566
$1,566
$2,665
43
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$1,086
$1,086
$2,691
85
clean
TIS TRNFR S/A/L 10.1-30 SQCM
$4,218
$4,218
$2,563
88
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$1,664
$1,664
$2,691
85
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$1,154
$1,154
$4,402
43
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$1,154
$1,154
$220
43
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
$8,297
$8,297
$3,742
45
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$2,232
$2,232
$1,010
127
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$1,881
$1,881
$4,402
43
clean
CREATION OF SKIN; FAT AND MUSCLE GRAFT
$2,526
$2,526
$4,402
43
clean
REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID
$2,675
$2,675
$2,717
42
clean
REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID
$1,393
$1,393
$3,844
126
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$3,008
$3,008
$3,753
42
clean
REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE)
$100
$100
$1,329
22
clean
REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE)
$150
$150
$1,329
22
clean
EXC SACRAL PR ULC PRIM SUTR
$5,839
$5,839
$3,608
42
clean
INITIAL TREATMENT OF BURN(S)
$463
$463
$287
45
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$463
$463
$287
45
clean
DRESS/DEBRID P-THICK BURN M
$463
$463
$287
45
clean
DESTRUCT PREMALG LESION
$463
$463
$264
42
clean
DESTRUCT PREMALG LES 2-14
$22
$22
$2
42
clean
DESTROY PREMAL LESIONS 15/>
$851
$851
$505
42
clean
DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS
$463
$463
$264
42
clean
DESTRUCT LESION 15 OR MORE
$463
$463
$264
42
clean
CHEM CAUT OF GRANLTJ TISSUE
$463
$463
$264
42
clean
ASPIRATION OF CYST OF BREAST; FIRST CYST
$1,627
$1,627
$915
126
clean
ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST
$78
$78
$22
87
clean
MASTOTOMY EXPL DRG ABSC DP
$3,750
$3,750
$1,912
45
clean
BX BREAST 1ST LESION STRTCTC
$3,750
$3,750
$2,093
423
clean
BX BREAST ADD LESION STRTCTC
$171
$171
$85
172
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH
$3,750
$3,750
$2,154
213
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH
$180
$180
$80
172
clean
BX BREAST 1ST LESION MR IMAG
$3,835
$3,835
$2,093
45
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$2,052
$2,052
$4,864
168
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$4,092
$4,092
$4,864
168
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH
$2,076
$2,076
$182
85
clean
PERQ DEVICE BREAST 1ST IMAG
$3,750
$3,750
$2,134
591
clean
PERQ DEVICE BREAST EA IMAG
$180
$180
$50
129
clean
PERQ DEV BREAST 1ST US IMAG
$1,627
$1,627
$932
255
clean
PERQ DEV BREAST ADD US IMAG
$568
$568
$44
130
clean
PARTIAL REMOVAL OF BREAST
$1,434
$1,434
$4,864
84
clean
SIMPLE COMPLETE REMOVAL OF BREAST
$2,359
$2,359
$8,248
126
clean
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$5,117
$5,117
$8,248
84
clean
EXPL PENTRG WOUND EXTREMITY
$3,750
$3,750
$2,052
87
clean
BIOPSY MUSCLE PERQ NEEDLE
$3,750
$3,750
$2,093
45
clean
BONE BIOPSY TROCAR/NDL SUPFC
$3,750
$3,750
$2,093
45
clean
BONE BIOPSY TROCAR/NDL DEEP
$3,750
$3,750
$2,093
45
clean
BIOPSY OF SURFACE BONE
$964
$964
$3,753
42
clean
BIOPSY OF DEEP BONE
$4,636
$4,636
$3,753
42
clean
INJECT SINUS TRACT FOR X-RAY
$6,380
$6,380
$38
45
clean
REMOVAL OF FOREIGN BODY
$3,750
$3,750
$2,052
87
clean
THER INJECTION CARP TUNNEL
$685
$685
$404
90
clean
INJECTION INTO TENDON OR LIGAMENT
$685
$685
$389
127
clean
INJ TENDON ORIGIN/INSERTION
$685
$685
$383
42
clean
INJ TRIGGER POINT 1/2 MUSCL
$685
$685
$404
45
clean
NDL INSJ W/O NJX 1 OR 2 MUSC
$69
$69
$39
44
clean
NDL INSJ W/O NJX 3+ MUSC
$69
$69
$37
36
clean
DRAIN/INJ JOINT/BURSA W/O US
$685
$685
$389
167
clean
DRAIN/INJ JOINT/BURSA W/US
$685
$685
$397
45
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT
$685
$685
$385
122
clean
DRAIN/INJ JOINT/BURSA W/US
$1,546
$1,546
$912
45
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$685
$685
$400
132
clean
DRAIN/INJ JOINT/BURSA W/US
$685
$685
$404
90
clean
ASPIRATE/INJ GANGLION CYST
$685
$685
$385
82
clean
REMOVAL IMPLANT SUPERFICIAL
$3,465
$3,465
$2,052
85
clean
REMOVAL OF DEEP IMPLANT FROM BONE
$1,812
$1,812
$3,752
127
clean
PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG
$1,116
$1,116
$9,013
127
clean
REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA
$2,231
$2,231
$2,117
127
clean
ABLATE BONE TUMOR(S) PERQ
$16,546
$16,546
$9,013
44
clean
REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; LESS THAN 2.0 CM
$1,812
$1,812
$2,154
43
clean
REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP; 2.0 CM OR MORE
$3,582
$3,582
$2,154
43
clean
REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP; 2.0 CM OR MORE
$2,232
$2,232
$3,680
127
clean
TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID
$1,251
$1,251
$4,118
42
clean
CLSD TX NSL FX MNPJ WO STBLJ
$3,527
$3,527
$1,927
42
clean

Showing the first 200 of 4,032 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,990 of 2,244 comparable items (89%) 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 $1,912 exceeds the gross charge $1,623
warn
mrf_rate_without_estimate
610,136 of 610,136 percentage/algorithm rates across 4,032 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 31500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 73721/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86710/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9041/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73722/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90662/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1757/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 P9047/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
CPT 22902/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84075/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 90670/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 J2290/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 22903/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73723/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86735/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 2 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, cash differ, so no cross-line comparison was made for this item
CPT 73725/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 86738/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 90673/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2305/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 Q0162/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86753/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 J2310/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 23073/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80184/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 84100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90675/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1769/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
CPT J2312/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, min 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 min differ, so no cross-line comparison was made for this item
CPT 31624/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90677/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q0167/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 65220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86765/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90678/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 J2358/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 Q0173/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23333/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80197/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90680/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2359/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 Q0175/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 84112/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90681/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 95812/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1876/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2371/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0177/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 min differ, so no cross-line comparison was made for this item
CPT 74150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90682/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1880/o
info
mrf_item_fields_vary
this code and setting cover at least 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84132/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86777/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90684/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1884/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 J2401/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 74160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86778/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 95816/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1887/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2404/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
CPT 0042T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 47562/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 65426/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86780/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 90686/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 C1889/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 J2405/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4074/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 65730/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1892/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2426/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 0202U/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 49083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 65756/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74174/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80299/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86787/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 C1894/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
CPT J2427/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 Q5101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86788/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2430/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 Q5106/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 0241U/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min 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 min differ, so no cross-line comparison was made for this item
CPT 65820/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80320/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86789/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90696/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2440/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q5110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 0449T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80321/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86790/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, min differ, so no cross-line comparison was made for this item
CPT 90697/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C2618/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 74176/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84153/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86800/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90698/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2501/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 Q5117/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80323/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84154/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86803/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90700/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5118/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 74177/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84155/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84156/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 90710/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2540/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24071/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74178/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90713/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9254/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q9966/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 24073/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 66982/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84165/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86850/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90714/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 66984/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74181/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80329/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84166/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 90715/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96127/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2560/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 Q9968/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 66989/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86870/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90716/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2590/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT S0190/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 24200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 66991/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84182/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90723/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2597/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, min differ, so no cross-line comparison was made for this item
CPT S0191/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 67005/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 74183/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80335/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86886/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 90732/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2598/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S4993/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
CPT 86900/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90734/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 67036/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90739/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86901/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2680/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 T1013/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 67312/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86902/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90744/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 10061/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80342/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86905/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90746/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2700/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 49452/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 67412/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 74230/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86920/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT V2787/o
info
mrf_item_fields_vary
this code and setting cover at 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 3,354 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 057
info
inp_payment_exceeds_charge
total payment $18,411 exceeds the average charge $17,871
MS-DRG 894
info
inp_payment_exceeds_charge
total payment $8,483 exceeds the average charge $7,039
MS-DRG 897
info
inp_payment_exceeds_charge
total payment $12,118 exceeds the average charge $11,934

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-wide · 4.7M bytes · fetched 2026-08-25 · sha256 6c1e8d0d980d…

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.