Hospital · CCN 330246

St Charles Hospital

200 Belle Terre Road, Port Jefferson, NY 11777 · Suffolk County
Part of Catholic Health · 167 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

45 admission types 43 outpatient services price file: ok
Billed per dollar paid, all admissions
5.02×
$97.3M billed against $19.4M paid across 1,409 Medicare discharges; the national figure is 5.03×.
—
of adults in Suffolk County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.7%
uninsured in the county · state 5.7%
$123K
median household income
5.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
29.7%
obesity in the countyⓘ
10.0%
diagnosed diabetes (PLACES)
5.7%
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
195
$84,142
$19,584
4.3× st 4.8×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
136
$90,867
$14,452
6.3× st 5.1×
690
Kidney and urinary tract infections without mcc
76
$40,195
$7,854
5.1× st 5.2×
291
Heart failure and shock with mcc
58
$65,124
$11,993
5.4× st 5.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
51
$79,881
$17,430
4.6× st 4.7×
689
Kidney and urinary tract infections with mcc
51
$47,821
$10,728
4.5× st 5.3×
177
Respiratory infections and inflammations with mcc
49
$76,978
$15,212
5.1× st 4.9×
698
Other kidney and urinary tract diagnoses with mcc
43
$62,449
$14,647
4.3× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$52,762
$10,891
4.8× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$33,577
$8,435
4.0× st 5.2×
193
Simple pneumonia and pleurisy with mcc
38
$67,628
$13,271
5.1× st 4.9×
603
Cellulitis without mcc
33
$35,282
$8,742
4.0× st 4.7×
101
Seizures without mcc
33
$55,112
$9,300
5.9× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$59,115
$12,555
4.7× st 4.8×
552
Medical back problems without mcc
30
$45,824
$9,141
5.0× st 5.3×
189
Pulmonary edema and respiratory failure
27
$56,329
$11,573
4.9× st 5.0×
682
Renal failure with mcc
26
$54,482
$12,471
4.4× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
24
$299,679
$56,109
5.3× st 4.7×
683
Renal failure with cc
24
$50,714
$8,523
6.0× st 5.0×
194
Simple pneumonia and pleurisy with cc
24
$38,239
$8,081
4.7× st 4.9×
699
Other kidney and urinary tract diagnoses with cc
21
$47,089
$10,265
4.6× st 5.4×
884
Organic disturbances and intellectual disability
20
$37,237
$14,366
2.6× st 4.3×
894
Alcohol, drug abuse or dependence, left ama
20
$51,280
$7,688
6.7× st 2.2×
305
Hypertension without mcc
19
$46,117
$7,192
6.4× st 5.3×
378
Gastrointestinal hemorrhage with cc
18
$58,947
$10,238
5.8× st 5.5×
481
Hip and femur procedures except major joint with cc
17
$86,268
$18,682
4.6× st 4.8×
300
Peripheral vascular disorders with cc
17
$53,487
$10,053
5.3× st 5.3×
638
Diabetes with cc
17
$41,473
$9,263
4.5× st 4.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$39,022
$7,354
5.3× st 4.6×
190
Chronic obstructive pulmonary disease with mcc
16
$50,321
$10,360
4.9× st 4.7×
191
Chronic obstructive pulmonary disease with cc
16
$48,306
$7,867
6.1× st 4.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$61,097
$13,253
4.6× st 5.4×
377
Gastrointestinal hemorrhage with mcc
16
$90,099
$15,004
6.0× st 5.3×
312
Syncope and collapse
15
$52,189
$8,220
6.3× st 5.2×
092
Other disorders of nervous system with cc
14
$43,749
$9,783
4.5× st 5.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$97,992
$17,048
5.7× st 5.4×
057
Degenerative nervous system disorders without mcc
13
$51,669
$12,209
4.2× st 4.7×
330
Major small and large bowel procedures with cc
13
$137,938
$24,049
5.7× st 4.9×
178
Respiratory infections and inflammations with cc
13
$47,211
$9,359
5.0× st 5.6×
100
Seizures with mcc
13
$123,151
$18,088
6.8× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$57,248
$9,369
6.1× st 5.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
12
$39,391
$8,670
4.5× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$38,809
$8,293
4.7× st 5.2×
811
Red blood cell disorders with mcc
11
$95,307
$13,194
7.2× st 5.4×
467
Revision of hip or knee replacement with cc
11
$161,579
$29,627
5.5× st 4.3×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
284
$65,199
$14,443
4.5×
8011
Comprehensive Observation Services
218
$25,641
$3,046
8.4×
5431
Level 1 Nerve Procedures
133
$13,389
$2,156
6.2×
5361
Level 1 Laparoscopy and Related Services
98
$41,911
$6,444
6.5×
5114
Level 4 Musculoskeletal Procedures
89
$33,083
$7,990
4.1×
5375
Level 5 Urology and Related Services
88
$26,602
$5,727
4.6×
5374
Level 4 Urology and Related Services
79
$17,125
$3,854
4.4×
5112
Level 2 Musculoskeletal Procedures
79
$11,123
$1,795
6.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
75
$11,644
$1,792
6.5×
5373
Level 3 Urology and Related Services
58
$15,007
$2,275
6.6×
5113
Level 3 Musculoskeletal Procedures
40
$20,423
$3,525
5.8×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
35
$12,465
$2,610
4.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$33,304
$3,864
8.6×
5414
Level 4 Gynecologic Procedures
24
$17,072
$3,492
4.9×
5116
Level 6 Musculoskeletal Procedures
18
$80,256
$20,762
3.9×
5376
Level 6 Urology and Related Services
16
$47,141
$10,280
4.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
15
$15,878
$3,174
5.0×
5465
Level 5 Neurostimulator and Related Procedures
13
$187,813
$32,052
5.9×
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-02-19, template 3.0.0, 41,200 rows scanned, 18,932 distinct code–setting items kept. 2,767 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC ER FNA W/O IMGNG GUID EA ADDL LES
$1,133
—
$736
252
clean
HC ER FNA W US IMAGE GUID 1ST LES
$3,333
—
$849
501
clean
HC ER FNA W US GUIDE EA ADDL LES
$2,233
—
$1,200
378
clean
HC ER FNA W FLURO GUIDE 1ST LESION
$3,333
—
$849
501
clean
HC CT FINE NEEDLE ASP 1ST LES
$4,433
—
$849
167
clean
HC CT FINE NEEDLE ASP EA AD LES
$3,333
—
$1,569
126
clean
HC MRI FINE NEEDLE ASP 1ST LES
$5,533
—
$849
167
clean
HC MRI FINE NEEDLE ASP EA AD LES
$4,433
—
$2,217
125
clean
HC ER ASP FINE NDL W/O IMGNG GUID
$1,168
—
$697
334
clean
HC GUIDE CATH FLUID DRAIN
$3,803
—
$916
167
clean
HC PERC DEV SOFT TISS 1ST
$3,300
—
$916
167
clean
HC PERC DEV SOFT TISS ADD
$1,100
—
$815
126
clean
ACNE SURGERY
—
—
$485
135
clean
HC ER I&D ABSCESS SIMPLE SINGLE
$691
—
$485
501
clean
HC ER I&D ABCESS COMPLEX
$1,168
—
$558
334
clean
HC ER I&D PILONIDAL CYST SMPL
$1,772
—
$833
167
clean
HC ER I&D PILONIDAL CYST COMPLEX
$2,616
—
$937
167
clean
HC ER REM FB SUBCUTA SIMPLE
$1,168
—
$558
501
clean
HC ER REM FB SUBCUTA COMPLEX
$6,183
—
$1,984
167
clean
HC ER I&D OF HEMATOMA FLUID
$5,500
—
$1,917
501
clean
HC ER PUNCTURE ASP ABSCESS/CYST
$1,210
—
$558
501
clean
HC ER I&D POSTOP WOUND INFECTION
$7,802
—
$3,387
167
clean
HC ER DEBRIDE INFECTED SKIN
$1,810
—
$916
167
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$1,100
85
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$2,764
86
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$2,779
86
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$2,779
86
clean
RMV PRSTC MTRL/MESH ABD WALL
—
—
$2,052
87
clean
HC ER DEB FX SISLOC SKIN SUBQ TISSUE
$2,153
—
$1,008
167
clean
HC ER DEB FX DISLOC SKIN AND MUSCLE
$2,153
—
$1,008
167
clean
HC BS 11012 - DEB FX DISLOC SKIN MUSCLE BONE
$6,507
—
$3,387
334
clean
HC DEB SKIN SUBQ 1ST 20 SQCM OR LS
$1,621
—
$916
334
clean
HC DEB SUBQ MS 1ST 20 SQCM OR LS
$1,859
—
$923
334
clean
HC DEB SKIN SUBQ MS BN 1ST 20 SQCM
$6,668
—
$1,937
334
clean
HC DEB SKIN EACH ADDTL 20 CM
$855
—
$1,710
252
clean
HC DEB SUBQ&MUSCLE EA ADD 20 CM
$1,143
—
$1,710
252
clean
HC DEB SKIN SUBQ MUSC BNE ADD 20 CM
$3,539
—
$2,052
252
clean
HC ER REM SKIN LESION
$504
—
$485
334
clean
HC PAR/CUT BNG HYPRKRTOTC 2-4LES
$605
—
$485
167
clean
HC PAR/CUT BNG HYPRKRTOTC 4+LES
$770
—
$485
167
clean
HC BX SKIN, TANGNTL 1ST LESION
$1,168
—
$839
167
clean
HC BX SKIN, TANGNTL EA ADDL LES
$349
—
$839
126
clean
HC BX SKIN, PUNCH 1ST LESION
$1,828
—
$839
334
clean
HC BX SKIN, PUNCH EA ADDL LESION
$349
—
$839
126
clean
HC BX SKIN, INCISIONAL 1ST LESION
$2,378
—
$922
334
clean
HC BX SKIN, INCISIONAL EA ADDL LES
$349
—
$839
126
clean
HC ER REM SKIN TAGS UP TO 15 LESIONS
$612
—
$485
334
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$582
79
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$485
135
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION >2.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$485
135
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION >2.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$485
135
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$485
135
clean
SHAVE SKIN LESION >2.0 CM
—
—
$485
135
clean
HC ER EXCIS BENIGN LESION .5CM OR LESS
$2,492
—
$964
334
clean
HC ER EXCIS LESION .6 TO 1.0 TRUNK
$1,168
—
$839
167
clean
HC ER EXCIS LESION 1.1 TO 2.0
$1,772
—
$922
334
clean
HC ER EXCIS LESION 2.1 TO 3.0 TRUNK
$2,153
—
$922
167
clean
HC ER EXCIS LESION 3.1 TO 4.0 TRUNK
$4,939
—
$1,984
167
clean
HC EXCISION, BENIGN LES, INC MARGINS, OVER 4 CMS
$5,573
—
$2,496
167
clean
HC ER EXCIS LESION .5 OR LESS
$4,939
—
$1,956
334
clean
HC ER EXCIS LESION .6 TO 1.0 NON TRUNK
$2,475
—
$964
334
clean
HC ER EXCIS 1.1-2.0 SCALP NECK HAND
$4,939
—
$1,984
334
clean
HC ER EXCIS LESION 2.1 TO 3.0 NON TRUNK
$4,939
—
$1,984
167
clean
HC EXC B9 LESN MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
$5,630
—
$1,984
167
clean
HC EXCIS H-F-NK-SP B9+MARG >4 CM
$9,515
—
$3,421
167
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$839
142
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$839
142
clean
HC ER LESION EXCIS 1.1 TO 2.0 FACE
$2,153
—
$922
167
clean
HC ER LESION EXCIS 2.1 TO 3.0 FACE
$4,939
—
$1,956
167
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$1,917
142
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$3,387
142
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
—
$3,387
142
clean
EXC SKN HDRDNT AX COMPLEX
—
—
$3,387
142
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
$3,387
142
clean
EXC SKN HDRDNT ING COMPLEX
—
—
$3,387
142
clean
EXC SKN H/P/P/U SMPL/NTRM
—
—
$3,387
142
clean
EXC SKN H/P/P/U COMPLEX
—
—
$3,387
142
clean
HC ER EXC MALIG LESION <0.5CM
$2,487
—
$922
167
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$839
142
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$839
141
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$839
142
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$1,535
142
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,496
142
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$1,917
142
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$839
142
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$839
142
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$1,917
142
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$1,917
142
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$3,387
142
clean
HC EXC MALIG LESION F/E/E/N/L
$2,729
—
$922
167
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$839
142
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$839
142
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$1,917
142
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$1,917
142
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$3,387
142
clean
HC ER TRIM NAILS
$218
—
$105
334
clean
HC DEBRIDE NAIL 1-5
$259
—
$106
334
clean
HC BS DEBRIDE NAIL 6 OR MORE
$285
—
$116
501
clean
HC ER REM OF NAIL PLATE
$850
—
$237
334
clean
HC AVULSION NAIL EA ADDITIONAL
$191
—
$124
252
clean
HC ER SUBUNGUAL HEMATOMA EVACUA
$449
—
$160
334
clean
HC ER REM OF NAIL BED
$1,730
—
$839
334
clean
BIOPSY NAIL UNIT
—
—
$839
142
clean
HC ER REP OF NAIL BED
$1,810
—
$724
167
clean
HC ER RECON NAIL BED W GRFT
$5,702
—
$2,240
167
clean
HC ER EXCIS INGROWN TOENAIL
$1,004
—
$473
334
clean
HC ER EXCIS PILONIDAL CYST SIMPLE
$8,582
—
$3,387
167
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$3,387
142
clean
REMOVE PILONIDAL CYST COMPL
—
—
$3,387
142
clean
HC INJ, INTRALESIONAL; UP TO AND INC 7 LESIONS
$770
—
$485
167
clean
HC INJ, INTRALESIONAL; MORE THAN 7 LESIONS
$1,540
—
$485
167
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$839
141
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$839
141
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$1,006
85
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$839
135
clean
INSERT TISSUE EXPANDER(S)
—
—
$4,332
142
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$4,860
142
clean
HC ER REM TISSUE EXP
$8,582
—
$3,387
167
clean
HC ER IMP SUBQ HORMONE PELLET(S)
$1,430
—
$839
167
clean
INSERTION DRUG DLVR IMPLANT
—
—
$485
141
clean
HC ER REM NON-BIODEGRADABLE DRUG IMPLANT
$1,730
—
$582
334
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$485
141
clean
HC ER WOUND CLOSE 2.5 OR LESS SIMP1
$612
—
$642
334
clean
HC ER WOUND CLOSE 2.6 TO 7.5 SIMP1
$612
—
$642
334
clean
HC ER WOUND CLOSE 7.6 TO 12.5 SIMP1
$612
—
$642
167
clean
HC ER WOUND CLOSE 12.6 TO 20 SIMP1
$1,004
—
$653
167
clean
HC ER WOUND CLOSE 20.1 TO 30 SIMP1
$1,004
—
$653
167
clean
HC ER WOUND CLOSE OVER 30CM SIMP1
$612
—
$642
167
clean
HC ER WOUND CLOSE 2.5 OR LESS SIMP2
$612
—
$642
167
clean
HC ER WOUND CLOSE 2.6 TO 5.0 SIMP2
$612
—
$642
167
clean
HC ER WOUND CLOSE 5.1 TO 7.5 SIMP2
$612
—
$642
167
clean
HC ER WOUND CLOSE 7.6 TO 12.5 SIMP2
$612
—
$642
167
clean
HC ER WOUND CLOSE 12.6 TO 20 SIMP2
$1,004
—
$653
167
clean
HC ER WOUND CLOSE 20.1 TO 30 SIMP2
$1,168
—
$662
167
clean
HC ER WOUND CLOSE OVER 30CM SIM
$941
—
$642
167
clean
HC ER WOUND CLOSE SIMPLE
$1,810
—
$929
334
clean
HC ER WOUND CLOSE SPLIT W PACKING
$1,168
—
$916
167
clean
HC ER WOUND CLOSE 2.5 OR LESS INTM1
$1,386
—
$916
167
clean
HC ER WOUND CLOSE 2.6 TO 7.5 INTM1
$1,386
—
$916
334
clean
HC ER WOUND CLOSE 7.6 TO 12.5 INTM1
$1,400
—
$916
167
clean
HC ER WOUND CLOSE 12.6 TO 20 INTM1
$1,766
—
$916
167
clean
HC ER WOUND CLOSE 20.1 TO 30 INTM1
$1,810
—
$916
167
clean
HC ER WOUND CLOSE OVER 30 CM
$6,669
—
$2,165
167
clean
HC ER WOUND CLOSE 2.5 OR LESS INTM3
$1,210
—
$916
334
clean
HC ER WOUND CLOSE 2.6 TO 7.5 INTM3
$1,386
—
$916
167
clean
HC ER WOUND CLOSE 7.6 TO 12.5 INTM3
$1,582
—
$916
167
clean
HC ER WOUND CLOSE 12.6 TO 20 INTM3
$1,810
—
$916
167
clean
HC ER WOUND CLOSE 20.1 TO 30 INTM3
$1,582
—
$942
167
clean
HC ER WOUND CLOSE OVER 30CM INTM3
$5,702
—
$2,165
167
clean
HC ER WOUND CLOSE 2.5 OR LESS INTM2
$1,386
—
$916
167
clean
HC ER WOUND CLOSE 2.6 TO 5.0 INTM2
$1,400
—
$916
167
clean
HC ER WOUND CLOSE 5.1 TO 7.5 INTM2
$1,400
—
$916
167
clean
HC ER WOUND CLOSE 7.6 TO 12.5 INTM2
$1,400
—
$916
167
clean
HC ER WOUND CLOSE 12.6 TO 20 INTM2
$1,168
—
$916
167
clean
HC ER WOUND CLOSE 20.1 TO 30 INTM2
$1,168
—
$916
167
clean
HC ER WOUND CLOSE OVER 30CM INTM
$1,004
—
$916
167
clean
HC ER REP COMPLEX 1.1 TO 2.5 TRUNK
$1,810
—
$905
167
clean
HC ER REP COMPLEX 2.6 TO 7.5 TRUNK
$1,810
—
$905
167
clean
HC ER REP COMPLEX 5 CM TRUNK
$855
—
$839
126
clean
HC ER WOUND CLOSE 1.1 TO 2.5 COMP 3
$1,810
—
$905
167
clean
HC ER WOUND CLOSE 2.6 TO 7.5 COMP
$1,810
—
$905
167
clean
HC ER WOUND CLOSE ADD ON TO 5CM
$477
—
$839
126
clean
HC ER WOUND CLOSE 1.1 TO 2.5 COMP1
$1,386
—
$839
167
clean
HC ER WOUND CLOSE 2.6 TO 7.5 COMP1
$2,168
—
$922
167
clean
HC ER WOUND CLOSE 1.1TO2.5 COM1 ADD ON
$495
—
$839
126
clean
HC ER WOUND CLOSE COMP2 1.1 TO 2.5
$2,168
—
$922
167
clean
HC ER WOUND CLOSE COMP2 2.6 TO 7.5
$2,168
—
$922
167
clean
HC ER WOUND CLOSE COM2 EA ADD 5CM
$495
—
$1,535
126
clean
HC ER WOUND CLOSE COMP EXT
$5,702
—
$2,240
167
clean
HC ER REP SKIN DEF TO 10 SQ CM TRUNK
$5,702
—
$2,240
167
clean
HC ER REP SKIN TISSUE 10.1 - 30 CM
$5,702
—
$2,240
167
clean
HC ER REP SKIN DEFECT SCALP ARM LEGS
$6,126
—
$2,240
167
clean
HC ER REP SKIN DEFECT 10.1 TO 30 SQ CM
$6,126
—
$2,240
167
clean
HC BS 14040 - REP SKIN DEFECT NECK/CHEEK/FT
$5,895
—
$2,240
334
clean
HC ER REP SKIN DEFECT 10.1 - 30 CM
$6,126
—
$2,240
167
clean
HC ER REP SKIN DEFECT NOSE EAR LIP
$6,126
—
$2,240
167
clean
HC ER REP SKIN TISSUE FACE 10.1 - 30 CM
$5,702
—
$2,240
167
clean
HC ER REP SKIN DEFECT 30-60 SQCM
$10,003
—
$4,332
167
clean
HC ER REP SKIN DEFECT EA ADD 30 SQCM
$5,697
—
$2,849
126
clean
HC ER FILLETED FLAP FINGER TOE
$10,003
—
$2,240
167
clean
HC ER PREP SITE TRUNK/EXT 1ST 100SQ CM
$5,702
—
$2,208
334
clean
WOUND PREP ADDL 100 CM
—
—
$1,100
85
clean
HC ER WOUND PREP F/N/HF/G
$1,810
—
$1,710
334
clean
WND PREP F/N/HF/G ADDL CM
—
—
$1,100
85
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,165
142
clean
HC ER REP SKIN DEFECT UP TO 2CM
$3,154
—
$964
167
clean
HC ER REP AGRAFT SPL THICK TO 100SQCM
$5,702
—
$2,240
167
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$1,780
85
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$2,165
142
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$1,780
85
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
—
$2,165
142
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$1,780
85
clean
HC ER REP SPLIT GRAFT TO 100 SQ CM
$10,003
—
$4,332
167
clean

Showing the first 200 of 18,932 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,787 of 3,745 comparable items (48%) 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 $5,269 exceeds the gross charge $2,233
warn
mrf_rate_without_estimate
802,377 of 802,377 percentage/algorithm rates across 14,232 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 36248/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A4216/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J7050/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0475/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7060/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 36410/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT A4218/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J7070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36415/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A4244/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J0490/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A4306/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0500/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7121/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0515/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7131/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 80346/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0525/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J7168/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7187/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7189/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A4649/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J0583/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 62270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0585/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7195/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36511/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 62272/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0588/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7197/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 36512/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 62273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0606/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36513/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 25600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 36514/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0613/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7500/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7502/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 90945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9503/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0618/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J7503/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36569/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9512/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J7507/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9516/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0630/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J7508/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9537/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J0640/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7509/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36580/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0650/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7510/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0651/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7512/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7515/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9556/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0668/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J7517/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 62328/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT A9557/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7518/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0670/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J7519/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 36600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0675/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J7520/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 36620/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J7528/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 26370/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9572/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0688/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 26418/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81015/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9575/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8498/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT A9579/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0692/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8501/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 26540/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9581/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8522/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 26600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81206/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT A9585/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0697/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8530/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81207/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT A9606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0702/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8540/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 10004/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81219/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0703/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8610/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 10005/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 37188/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81220/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT J0706/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J8700/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT A9697/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0712/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9000/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 37214/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81225/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J0713/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9017/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0735/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J9022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1052/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0737/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 2167 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0743/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J9025/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1714/o
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0744/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9026/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0759/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J9033/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J9035/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J9040/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0780/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9041/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 171 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0834/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9043/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 62 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0870/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9045/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 64615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 183 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0875/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9047/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 64616/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81401/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 54 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0877/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1731/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0878/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9055/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81479/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1732/o
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J9060/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1733/o
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0882/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9071/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11012/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81513/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 52 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0883/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9073/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82043/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 108 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0894/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9075/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11043/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1752/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0895/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J9100/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11045/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82088/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 35 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0896/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11046/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1755/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0897/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9145/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11047/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82172/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max 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 123 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J1010/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,767 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 725.2M bytes · fetched 2026-08-24 · sha256 ebdabb24211c…

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.