Hospital · CCN 330226

Unity Hospital Of Rochester

1555 Long Pond Road, Rochester, NY 14626 · Monroe County
Part of Rochester Regional Health System · 283 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

57 admission types 47 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
2.07×
$45.6M billed against $22.0M paid across 1,598 Medicare discharges; the national figure is 5.03×.
—
of adults in Monroe County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
4.2%
uninsured in the county · state 5.7%
$73K
median household income
2.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
31.4%
obesity in the countyⓘ
11.2%
diagnosed diabetes (PLACES)
6.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
184
$38,620
$18,349
2.1× st 4.8×
291
Heart failure and shock with mcc
123
$25,793
$12,367
2.1× st 5.1×
177
Respiratory infections and inflammations with mcc
83
$37,336
$16,029
2.3× st 4.9×
690
Kidney and urinary tract infections without mcc
65
$13,545
$8,357
1.6× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
58
$36,464
$18,194
2.0× st 4.7×
193
Simple pneumonia and pleurisy with mcc
57
$26,315
$13,678
1.9× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
51
$20,492
$10,224
2.0× st 4.9×
189
Pulmonary edema and respiratory failure
49
$24,015
$11,795
2.0× st 5.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
47
$13,600
$8,053
1.7× st 5.2×
378
Gastrointestinal hemorrhage with cc
39
$19,189
$10,010
1.9× st 5.5×
603
Cellulitis without mcc
39
$14,211
$9,552
1.5× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
36
$13,226
$8,078
1.6× st 4.6×
312
Syncope and collapse
34
$17,541
$8,671
2.0× st 5.2×
683
Renal failure with cc
33
$16,818
$8,556
2.0× st 5.0×
698
Other kidney and urinary tract diagnoses with mcc
29
$42,631
$16,197
2.6× st 4.9×
638
Diabetes with cc
29
$17,464
$8,887
2.0× st 4.9×
178
Respiratory infections and inflammations with cc
28
$26,187
$10,123
2.6× st 5.6×
071
Other cerebrovascular disorders with cc
26
$16,006
$9,996
1.6× st 5.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$150,934
$57,735
2.6× st 4.7×
682
Renal failure with mcc
24
$22,057
$13,733
1.6× st 5.1×
481
Hip and femur procedures except major joint with cc
21
$43,177
$19,491
2.2× st 4.8×
194
Simple pneumonia and pleurisy with cc
20
$14,236
$8,707
1.6× st 4.9×
699
Other kidney and urinary tract diagnoses with cc
20
$15,610
$10,076
1.5× st 5.4×
330
Major small and large bowel procedures with cc
20
$46,266
$22,375
2.1× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$31,728
$13,835
2.3× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
19
$11,848
$7,504
1.6× st 5.1×
689
Kidney and urinary tract infections with mcc
18
$16,367
$11,599
1.4× st 5.3×
057
Degenerative nervous system disorders without mcc
18
$17,060
$13,070
1.3× st 4.7×
190
Chronic obstructive pulmonary disease with mcc
18
$34,144
$11,062
3.1× st 4.7×
092
Other disorders of nervous system with cc
18
$16,453
$10,074
1.6× st 5.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$17,869
$10,694
1.7× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
17
$37,713
$18,150
2.1× st 5.4×
191
Chronic obstructive pulmonary disease with cc
16
$16,396
$8,625
1.9× st 4.8×
552
Medical back problems without mcc
14
$15,617
$9,992
1.6× st 5.3×
314
Other circulatory system diagnoses with mcc
14
$38,200
$20,023
1.9× st 5.1×
070
Other cerebrovascular disorders with mcc
14
$35,954
$15,813
2.3× st 5.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$16,887
$9,206
1.8× st 5.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$44,853
$20,930
2.1× st 5.7×
377
Gastrointestinal hemorrhage with mcc
14
$43,047
$17,195
2.5× st 5.3×
389
Gastrointestinal obstruction with cc
14
$12,365
$7,912
1.6× st 5.7×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
14
$57,594
$14,327
4.0× st 5.1×
884
Organic disturbances and intellectual disability
13
$13,720
$14,305
1.0× st 4.3×
483
Major joint or limb reattachment procedures of upper extremities
13
$43,711
$22,927
1.9× st 4.5×
894
Alcohol, drug abuse or dependence, left ama
12
$23,449
$6,434
3.6× st 2.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$27,620
$12,529
2.2× st 5.4×
948
Signs and symptoms without mcc
12
$14,954
$7,366
2.0× st 5.7×
472
Cervical spinal fusion with cc
12
$45,040
$30,070
1.5× st 4.4×
637
Diabetes with mcc
12
$32,715
$14,018
2.3× st 4.8×
602
Cellulitis with mcc
12
$43,304
$12,188
3.6× st 5.6×
304
Hypertension with mcc
11
$20,434
$11,257
1.8× st 5.6×
467
Revision of hip or knee replacement with cc
11
$69,158
$28,679
2.4× st 4.3×
536
Fractures of hip and pelvis without mcc
11
$17,422
$8,196
2.1× st 6.0×
394
Other digestive system diagnoses with cc
11
$10,531
$9,541
1.1× st 5.4×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
11
$14,025
$9,398
1.5× st 5.8×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$22,605
$11,906
1.9× st 5.4×
179
Respiratory infections and inflammations without cc/mcc
11
$18,766
$7,245
2.6× st 5.3×
305
Hypertension without mcc
11
$14,097
$8,016
1.8× st 5.3×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
273
$7,766
$2,826
2.7×
5115
Level 5 Musculoskeletal Procedures
175
$29,003
$13,578
2.1×
5302
Level 2 Upper GI Procedures
88
$4,306
$1,998
2.2×
5183
Level 3 Vascular Procedures
78
$11,042
$3,241
3.4×
5431
Level 1 Nerve Procedures
58
$7,573
$1,935
3.9×
5191
Level 1 Endovascular Procedures
54
$12,012
$3,414
3.5×
5192
Level 2 Endovascular Procedures
47
$19,572
$6,060
3.2×
5361
Level 1 Laparoscopy and Related Services
46
$18,302
$5,696
3.2×
5113
Level 3 Musculoskeletal Procedures
40
$10,108
$3,295
3.1×
5116
Level 6 Musculoskeletal Procedures
34
$39,546
$19,711
2.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
33
$9,848
$1,719
5.7×
5182
Level 2 Vascular Procedures
29
$3,034
$1,698
1.8×
5114
Level 4 Musculoskeletal Procedures
25
$16,932
$7,585
2.2×
5414
Level 4 Gynecologic Procedures
22
$10,948
$3,016
3.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
22
$11,349
$3,535
3.2×
5375
Level 5 Urology and Related Services
20
$13,367
$5,486
2.4×
5193
Level 3 Endovascular Procedures
19
$40,756
$11,649
3.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$10,030
$3,013
3.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
16
$21,197
$6,914
3.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
15
$13,507
$4,041
3.3×
5223
Level 3 Pacemaker and Similar Procedures
14
$27,358
$11,309
2.4×
5154
Level 4 Airway Endoscopy
13
$20,659
$3,970
5.2×
5184
Level 4 Vascular Procedures
12
$15,449
$5,826
2.7×
5374
Level 4 Urology and Related Services
11
$11,343
$3,696
3.1×
5112
Level 2 Musculoskeletal Procedures
11
$8,011
$1,704
4.7×
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-01, template 3.0.0, 77,190 rows scanned, 11,839 distinct code–setting items kept. 318 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
13
clean
HC RED BLLOD CELL ANTIGEN TYPING DNA_KELL
$2,609
$2,087
—
0
clean
Liver dis 10 assays w/ash
—
—
$503
13
clean
Liver dis 10 assays w/nash
—
—
$503
13
clean
HC NASH FIBROSURE
$1,612
$1,290
—
0
clean
Onco prst8 3 gene ur alg
—
—
$760
13
clean
Onc mrna 5 gen rsk urthl ca
—
—
$760
13
clean
Onc mrna 5 gen recr urthl ca
—
—
$760
13
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,305
13
clean
Onc bladder mrna 209 gen alg
—
—
$3,490
13
clean
Onc thyr 10 microrna seq alg
—
—
$3,002
13
clean
Onc aml dna detcj/nondetcj
—
—
$249
13
clean
Glyca nuc mr spectrsc quan
—
—
$34
13
clean
Onc thyr dna&mrna 112 genes
—
—
$3,600
13
clean
Jak2 gene trgt seq alys
—
—
$122
13
clean
Rx metab advrs trgt seq alys
—
—
$742
13
clean
HC TPMT AND NUDT15 GENOTYPE
$1,907
$1,525
—
0
clean
Tpmt nudt15 genes
—
—
$466
13
clean
Neuro csf prion prtn qual
—
—
$541
13
clean
HC NEUROLOGY_PRION DISEASE_CSF_ QUAL
$950
$760
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,500
13
clean
B brgdrferi antb 5 prtn igm
—
—
$17
13
clean
B brgdrferi antb 12 prtn igg
—
—
$17
13
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
13
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
13
clean
Onc brst dux carc is 12 gene
—
—
$3,873
13
clean
Onc prst8 mrna 17 gene alg
—
—
$3,873
13
clean
HC ONC MERKEL CELL CARC SRM QUAN
$1,170
$936
—
0
clean
Onc merkel cll carc srm quan
—
—
$323
13
clean
Onc merkel cll carc srm +/-
—
—
$323
13
clean
HC ONC MERKEL CELL CARC SRM POS_NEG
$1,170
$936
—
0
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$25
13
clean
Antb tp total&rpr ia qual
—
—
$31
13
clean
Syfls tst nontreponemal antb
—
—
$18
13
clean
Candida species pnl amp prb
—
—
$143
13
clean
HC PERQ STENT_CHEST VERT ART
$753
$602
—
0
clean
Ig paraprotein qual bld/ur
—
—
$43
13
clean
HC M_PROTEIN DETECTION AND ISOTYPING BY MALDI_TOF MASS SPECTROMETRY
$178
$142
—
0
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
13
clean
Onc mlnma prame & linc00518
—
—
$760
13
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,950
13
clean
Hered colon ca do 15 genes
—
—
$1,744
13
clean
Neph ckd mult eclia tum nec
—
—
$950
13
clean
Gstr emptg 7 timed brth spec
—
—
$874
13
clean
Gi barrett esoph 9 prtn bmrk
—
—
$4,950
13
clean
Iadi 16s&18s rrna genes
—
—
$356
13
clean
Trnsplj don-drv cll-fr dna
—
—
$2,753
13
clean
HC CARDIOLOGY CERAMIDES LIQ CHROM PLSM
$286
$229
—
0
clean
Crd ceramides liq chrom plsm
—
—
$84
13
clean
Hered brst ca rltd do panel
—
—
$1,304
13
clean
Nfct bct fng prst dna >1000
—
—
$2,126
13
clean
HC CELL_FREE DNA SEQUENCING OF DISEASE_CAUSING ORGANISMS
$6,809
$5,447
—
0
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$112
13
clean
Liver ds 10 biochem asy srm
—
—
$503
13
clean
Onc sld tum alys brca1 brca2
—
—
$3,030
13
clean
Onc solid tumor 30 prtn trgt
—
—
$1,305
13
clean
HC PERQ SACRAL AUGMT UNILAT INJ
$19,580
$15,664
—
0
clean
HC PERQ SACRAL AUGMT BILAT INJ
$19,580
$15,664
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$417
13
clean
HC NFCT DS 22 TRGT SARS_COV_2
$1,510
$1,208
—
0
clean
Neuro alzheimer cell aggregj
—
—
$2,215
13
clean
Neuro alzheimer quan imaging
—
—
$511
13
clean
HC INJECT PLATELET RICH PLASMA W_IMG HARVEST_PREPARATOIN
$1,115
$892
—
0
clean
HC TRLUML PERIPHERAL ATHERECTOMY ILIAC
$31,639
$25,311
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,500
13
clean
HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$486
$389
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$5,000
13
clean
Onc thyr mut alys 10 gen&37
—
—
$1,266
13
clean
Onc sld org neo dna 505 gene
—
—
$2,920
13
clean
Onc lung mrna quan pcr 11&3
—
—
$3,931
10
clean
Onc brst dux carc 7 proteins
—
—
$5,517
10
clean
Crd cad alys 3 prtn plsm alg
—
—
$397
10
clean
Crd cv ds aly 4 prtn plm alg
—
—
$397
10
clean
Nfct ds bct quan antmcrb sc
—
—
$8
10
clean
Ai ds sle alys 8 igg autoant
—
—
$841
13
clean
Onc cutan sq cll ca mrna 40
—
—
$8,628
10
clean
Neph rna psttrnspl perph bld
—
—
$2,690
10
clean
Trgt gen seq alys pnl 83+
—
—
$5,000
13
clean
Onc neo xome&trns seq alys
—
—
$3,490
10
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,553
10
clean
Onc plsm cell do&myeloma id
—
—
$2,472
10
clean
Onc sld tum crcg tum cl slct
—
—
$2,472
10
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$760
13
clean
Onc pan ca alys mrd plasma
—
—
$3,590
13
clean
Hep nafld semiq evl 28 lipid
—
—
$804
10
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
13
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,356
10
clean
Rx metab/pcx dna 25 gen alys
—
—
$753
10
clean
Rx metab/pcx dna 27gen rx ia
—
—
$753
10
clean
Nfct ds bct/viral trail ip10
—
—
$264
10
clean
Apol1 risk variants
—
—
$139
10
clean
Onc orop 17 dna ddpcr alg
—
—
$1,827
10
clean
Neuro alys b-amyl 1-42&1-40
—
—
$264
10
clean
HC BETA AMYLOID RATIO 1_42 AND 1_40_CSF
$834
$667
—
0
clean
Onc prst8 ca alys all psa
—
—
$771
10
clean
Onc lung elisa 7 autoant alg
—
—
$853
10
clean
Onc urthl mrna 5 gen alg
—
—
$771
10
clean
Onc bldr 10 prb bldr ca
—
—
$910
10
clean
Onc bldr 10 prb recr bldr ca
—
—
$910
10
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$910
10
clean
Onc prst8 ca img alys 128
—
—
$717
10
clean
Tgsap sl or neo dna523&rna55
—
—
$3,338
10
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,553
10
clean
Neu prksn msfl ?-syncln prtn
—
—
$549
10
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$202
10
clean
Gi baret esph dna mthyln aly
—
—
$1,781
10
clean
Onc prst8 mrna 18 gen dre ur
—
—
$771
10
clean
Onc brst semiq meas thym kn
—
—
$328
10
clean
Onc lung flow cytmtry 5 mrk
—
—
$771
10
clean
Neph dbtc ckd mult eclia alg
—
—
$964
10
clean
HC INSERT_REPLACEMENT CARDIAC MODULATION SYSTEM _CCM__ PULSE GENERATOR WITH TRANSVENOUS ELECTRODES
$24,211
$19,369
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$2,963
10
clean
Psyc genom alys pnl 15 gen
—
—
$1,356
10
clean
Cv ds acs bld alg 5 yr score
—
—
$397
10
clean
HC PROGRAMMING DEVICE EVALUATION _IN PERSON_ W_ ITERATIVE ADJUSTMENT_ CARDIAC MODULATION _CCM_
$152
$121
—
0
clean
HC INTERROGATION DEVICE EVALUATION _IN PERSON__ CARDIAC MODULATION _CCM_
$152
$121
—
0
clean
Onc pan solid tum alys dna
—
—
$1,972
10
clean
Gi malabs aat calpro pncrtc
—
—
$62
10
clean
HC GLYCINE RECEPTOR ALPHA1 IGG
$1,705
$1,364
—
0
clean
Gly rcptr alpha1 igg srm/csf
—
—
$37
13
clean
Klhl11 antb sr/csf asy qual
—
—
$37
10
clean
HC KLHL11 ANTB SR OR CSF ASY QUAL
$117
$94
—
0
clean
Onc prst8 5 dna reg mrk pcr
—
—
$771
10
clean
Rx metab advrs vrnt alys 25
—
—
$423
10
clean
Neurflmnt lt chn ultrsens ia
—
—
$118
10
clean
Onc sld tum bld/slv 648 gene
—
—
$4,568
10
clean
Hered prst8 ca gsap 23 genes
—
—
$1,324
10
clean
HC TMVI W_PROSTHETIC VALVE PERCUTANEOUS APPROACH
$33,139
$26,511
—
0
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,704
10
clean
HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$30,600
$24,480
—
0
clean
HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$22,950
$18,360
—
0
clean
HC INSJ_RPLCMT ICDS W_SUBSTERNAL ELECTRODE
$30,287
$24,230
—
0
clean
HC ELEC ALYS CPLX PRGRMG IINS PTN 4_ PARAMETERS
$486
$388
—
0
clean
HC TCAT RMVL_DBLK ICAR MAS PERQ
$13,312
$10,650
—
0
clean
HC TTVI_RPLCMT PROSTC VLV PERQ W_R HRT CATH_ANGRPH
$33,139
$26,511
—
0
clean
HC BDY SURF ACTIVATION MAPG PM_CVDFB LEADS TM F_UP
$123
$98
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_O IMG GDN EA ADDL
$1,255
$1,004
—
0
clean
HC FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASOUND GUIDANCE FIRST LESION
$2,463
$1,971
—
0
clean
HC FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASOUND GUIDANCE EA ADDL LESION
$1,255
$1,004
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_FLUOR GDN 1ST LESION
$2,510
$2,008
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_CT GDN 1ST LESION
$2,510
$2,008
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_CT GDN EA ADDL
$1,255
$1,004
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_MR GDN 1ST LESION
$2,510
$2,008
—
0
clean
HC FINE NEEDLE ASPIRATION BX W_MR GDN EA ADDL
$1,255
$1,004
—
0
clean
HC FINE NEEDLE ASPIRATION_ WITHOUT IMAGING GUIDANCE
$1,486
$1,189
—
0
clean
HC IMAGE GUIDED FLUID COLLECT DRAINAGE BY CATH_ SOFT TISSUE_ PC
$2,676
$2,141
—
0
clean
HC PERQ DEV SOFT TISS 1ST IMAG
$2,510
$2,008
—
0
clean
HC ACNE SURGERY
$784
$627
—
0
clean
HC I_D OF ABSCESS_ SIMPLE_ SINGLE
$784
$627
—
0
clean
HC I_D ABSCESS_ COMPLICATED OR MULTIPLE
$1,486
$1,189
—
0
clean
HC I_D PILONIDAL CYST_ SIMPLE
$2,676
$2,141
—
0
clean
HC INCISION _ DRAINAGE PILONIDAL CYST COMPLICATED
$2,676
$2,141
—
0
clean
HC REMOVE FOREIGN BODY
$1,486
$1,189
—
0
clean
HC INCISION _ REMOVAL FOREIGN BODY SUBQ TISS COMPL
$5,866
$4,692
—
0
clean
HC INCISION_DRAINAGE HEMATOMA_SEROMA_FLUID COLLECTION
$6,149
$4,919
—
0
clean
HC PUNCTURE ASPIRATION ABSCESS_HEMATOMA_BULLA_CYST
$1,486
$1,189
—
0
clean
HC 10180 I_D COMPLEX POST OPERATIVE WOUND INFECTION
$10,395
$8,316
—
0
clean
HC DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN_ UP TO 10_ OF BODY SURFACE
$2,216
$1,773
—
0
clean
HC DEBRIDEMENT OF EXTENSIVE ECZEMATOUS_INFECTED SKIN_ EA ADD_L 10_ BODY SURFACE
$600
$480
—
0
clean
HC 11011 DEBRIDE_INC REM FB AT OPEN FX SITE __OR OPEN DISLOC_INC SKIN_SUBQ_MUSCLE FASCIA_MUSCLE
$2,012
$1,610
—
0
clean
HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM__
$1,402
$1,122
—
0
clean
HC DEBRIDEMENT MUSCLE _ FASCIA 20 SQ CM__
$2,079
$1,663
—
0
clean
HC DEBRIDEMENT BONE MUSCLE __FASCIA 20 SQ CM__
$5,431
$4,344
—
0
clean
HC DEBRIDEMENT SUBQ TISSUE EA ADDL 20 SQ CM OR PART THEREOF
$1,080
$864
—
0
clean
HC DEBRIDEMENT MUSCLE __FASCIA EA ADDL 20 SQ CM
$1,012
$810
—
0
clean
HC DEBRIDEMENT_BONE INCL SUBQ TISS_MUSCLE__OR FASCIA_EA ADDL 20SQ CM_OR PART THEREOF
$835
$668
—
0
clean
HC PARING_CUTTING_DCLIPPING BENIGN HYPERKERATOTIC LESION_ SINGLE _EG_ CORN OR CALLUS_
$784
$627
—
0
clean
HC PARING_CUTTING BENIGN HYPERKERATOTIC LESION 2_4
$784
$627
—
0
clean
HC PARING_CUTTING BENIGN HYPERKERATOTIC LESION_ MORE THAN 4 LESIONS
$784
$627
—
0
clean
HC TANGENTIAL BIOPSY SKIN SINGLE LESION
$765
$612
—
0
clean
HC TANGENTIAL BIOPSY SKIN EA SEP_ADDITIONAL LESION
$382
$306
—
0
clean
HC PUNCH BIOPSY SKIN SINGLE LESION
$765
$612
—
0
clean
HC PUNCH BIOPSY SKIN EA SEP_ADDITIONAL LESION
$382
$306
—
0
clean
HC INCISIONAL BIOPSY SKIN SINGLE LESION
$1,404
$1,123
—
0
clean
HC INCISIONAL BIOPSY SKIN EA SEP_ADDITIONAL LESION
$702
$562
—
0
clean
HC 11200 REMOVAL OF SKIN TAGS_ ANY AREA_ 15 LESIONS_LESS
$784
$627
—
0
clean
HC REMOVAL SKIN TAGS_ EACH ADDITIONAL LESION
$2
$1
—
0
clean
HC SHAVING EPIDERMAL_DERMAL SINGLE LESION_ 0.5 CM_LESS
$784
$627
—
0
clean
HC SHAVE LESION 0.6_1.0 CM
$784
$627
—
0
clean
HC SHAVING EPIDERMAL_DERMAL LESION_SINGLE 1.1_2.0 CM
$784
$627
—
0
clean
HC SHAVING EPIDERMAL_DERMAL SINGLE LESION_ OVER 2.0 CM
$1,486
$1,189
—
0
clean
HC SHAVING EPIDERMAL_DERMAL LESION_SINGLE LESION_ 0.5 CM OR LESS
$719
$575
—
0
clean
HC SHAVING EPIDERMAL_DERMAL SINGLE LESION_ 0.6_1.0CM_11306
$784
$627
—
0
clean
HC SHAVING EPIDERMAL_DERMAL SINGLE LESION_ 1.1_2.0CM_11307
$784
$627
—
0
clean
HC SHAVING OF EPIDERMAL_DERMAL LESION_ SINGLE_SCALP_NECK_HANDS_FEET_GENITALIA_ OVER 2.0 CM
$1,486
$1,189
—
0
clean
HC SHAVING SINGLE EPIDERMAL_DERMAL LESION_ 0.5CM_LESS_ FACE_EARS_EYELIDS_NOSE_LIPS_MUCOUS MEM
$784
$627
—
0
clean
HC SHAVE EPIDERMAL_DERMAL LESION_ SINGLE LESION_ LESION DIAMETER 0.6_1.0 CM
$784
$627
—
0
clean
HC SHAVING OF SINGLE EPIDERMAL_DERMAL LESION_FACE_EARS_EYELIDS_NOSE_LIPS_MUCOUS_ 1.1 CM _ 2.0 CM
$1,486
$1,189
—
0
clean
HC SHAVING OF SINGLE EPIDERMAL_DERMAL LESION_FACE_EARS_EYELIDS_NOSE_LIPS_MUCOUS_ OVER 2.0 CM
$1,486
$1,189
—
0
clean
HC EXCISE BENIGN LESION W MARGINS_ 0.5CM_LESS_ NOT SKIN TAG
$2,676
$2,141
—
0
clean
HC EXCISE BENIGN LESION 0.6_1.0 CM W MARGIN
$1,486
$1,189
—
0
clean
HC EXCISION BENIGN LESION_ 1.1_2.0 CM_ TRUNK_ARMS_LEGS_ NOT SKIN TAG
$2,676
$2,141
—
0
clean
HC EXCISION BENIGN LESION_ 2.1_3.0 CM_ TRUNK_ARMS_LEGS_ NOT SKIN TAG
$2,676
$2,141
—
0
clean
HC EXCISION_ BENIGN LESION INC MARGINS_ EXCEPT SKIN TAG_ EXCISED DIAMETER 3.0 _ 4.0 CM
$6,149
$4,919
—
0
clean
HC EXCISION_ BENIGN LESION INCLUDING MARGINS_ EXCEPT SKIN TAG_ EXCISED DIAMETER OVER 4.0 CM
$6,149
$4,919
—
0
clean
HC 11420 EXCISION_ BENIGN LESION_ 0.5 CM OR LESS_ NOT SKIN TAG_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA
$6,149
$4,919
—
0
clean
HC EXCISION BENIGN LESION_ 0.6_1.0 CM_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA_ NOT SKIN TAG
$2,676
$2,141
—
0
clean
HC EXCISION BENIGN LESION_ 1.1_2.0 CM_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA_ NOT SKIN TAG
$6,149
$4,919
—
0
clean
HC EXCISION BENIGN LESION_ 2.1_3.0 CM_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA_ NOT SKIN TAG
$6,149
$4,919
—
0
clean
HC EXCISION BENIGN LESION_ 3.1_4.0 CM_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA_ NOT SKIN TAG
$6,149
$4,919
—
0
clean

Showing the first 200 of 11,839 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 17250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0004/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 17999/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0014/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0023/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0036/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20501/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0038/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0049/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20550/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H0050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H2011/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23929/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT H2019/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0490/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0491/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 24670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25630/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2358/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26989/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27299/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27508/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3760/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27786/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27808/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4110/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27816/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4113/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4132/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4133/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4159/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29345/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4160/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4196/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29515/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4199/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30901/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S9484/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT S9485/b
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 31500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT T2022/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31623/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT T2024/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33952/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33968/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33999/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36140/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36215/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36216/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36558/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36569/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36573/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36620/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37187/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37195/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37248/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37799/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 39599/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 41899/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43762/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43763/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46608/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 47531/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49451/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50431/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 53899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 56420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57180/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57510/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 59200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 59409/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 59820/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62272/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62273/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62304/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62328/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62329/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64415/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64417/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64430/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64447/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64681/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64999/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74328/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74329/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74330/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 75716/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76813/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76821/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 79005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80339/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80375/b
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 81400/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81401/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81402/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81404/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81406/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81407/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81408/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81455/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81479/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86343/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86381/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87254/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87449/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90791/b
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 90832/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90833/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90834/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90836/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90837/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90847/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90853/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90882/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90999/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92523/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92950/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93786/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93788/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93799/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94664/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95860/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95992/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96113/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96136/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96137/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 318 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 884
info
inp_payment_exceeds_charge
total payment $14,305 exceeds the average charge $13,720

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 · 16.0M bytes · fetched 2026-08-23 · sha256 8fb7b87a6e2c…

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.