Hospital · CCN 331315

GOUVERNEUR HOSPITAL

77 WEST BARNEY STREET, GOUVERNEUR, NY 13642 · St. Lawrence County
Part of Saint Lawrence Health System · 25 beds · 1

price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

—

of adults in St. Lawrence County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it

6.0%

uninsured in the county · state 5.7%

$58K

median household income

2.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

41.8%

obesity in the countyⓘ

11.9%

diagnosed diabetes (PLACES)

7.3%

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

Not in the Medicare inpatient file.

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, 36,695 rows scanned, 7,236 distinct code–setting items kept. 126 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Rbc dna hea 35 ag 11 bld grp

CPT 0001U

—

$720

clean

Liver dis 10 assays w/ash

CPT 0002M

—

$503

clean

Liver dis 10 assays w/nash

CPT 0003M

—

$503

clean

HC NASH FIBROSURE

CPT 0003M

$1,574

$1,023

—

clean

Onco prst8 3 gene ur alg

CPT 0005U

—

$760

clean

Onc mrna 5 gen rsk urthl ca

CPT 0012M

—

$760

clean

Onc mrna 5 gen recr urthl ca

CPT 0013M

—

$760

clean

Adrnl cortcl tum bchm asy 25

CPT 0015M

—

$1,305

clean

Onc bladder mrna 209 gen alg

CPT 0016M

—

$3,490

clean

Onc thyr 10 microrna seq alg

CPT 0018U

—

$3,002

clean

Onc aml dna detcj/nondetcj

CPT 0023U

—

$249

clean

Glyca nuc mr spectrsc quan

CPT 0024U

—

$34

clean

Onc thyr dna&mrna 112 genes

CPT 0026U

—

$3,600

clean

HC JAK2 GENE ANALYSIS_ TARGETED SEQUENCE ANALYSIS EXONS 12_15

CPT 0027U

$396

$258

—

clean

Jak2 gene trgt seq alys

CPT 0027U

—

$122

clean

Rx metab advrs trgt seq alys

CPT 0029U

—

$742

clean

Tpmt nudt15 genes

CPT 0034U

—

$466

clean

HC TPMT AND NUDT15 GENOTYPE

CPT 0034U

$1,591

$1,034

—

clean

Neuro csf prion prtn qual

CPT 0035U

—

$541

clean

Trgt gen seq dna 324 genes

CPT 0037U

—

$3,500

clean

B brgdrferi antb 5 prtn igm

CPT 0041U

—

$17

clean

B brgdrferi antb 12 prtn igg

CPT 0042U

—

$17

clean

Tbrf b grp antb 4 prtn igm

CPT 0043U

—

$15

clean

Tbrf b grp antb 4 prtn igg

CPT 0044U

—

$15

clean

Onc brst dux carc is 12 gene

CPT 0045U

—

$3,873

clean

Onc prst8 mrna 17 gene alg

CPT 0047U

—

$3,873

clean

Onc merkel cll carc srm quan

CPT 0058U

—

$323

clean

Onc merkel cll carc srm +/-

CPT 0059U

—

$323

clean

Tc meas 5 bmrk sfdi m-s alys

CPT 0061U

—

$25

clean

Antb tp total&rpr ia qual

CPT 0064U

—

$31

clean

Syfls tst nontreponemal antb

CPT 0065U

—

$18

clean

Candida species pnl amp prb

CPT 0068U

—

$143

clean

HC M_PROTEIN DETECTION AND ISOTYPING BY MALDI_TOF MASS SPECTROMETRY

CPT 0077U

$148

$96

—

clean

Ig paraprotein qual bld/ur

CPT 0077U

—

$43

clean

Onc lng 5 clin rsk factr alg

CPT 0080U

—

$3,520

clean

Onc mlnma prame & linc00518

CPT 0089U

—

$760

clean

Onc cutan mlnma mrna 23 gene

CPT 0090U

—

$1,950

clean

Hered colon ca do 15 genes

CPT 0101U

—

$1,744

clean

Neph ckd mult eclia tum nec

CPT 0105U

—

$950

clean

Gstr emptg 7 timed brth spec

CPT 0106U

—

$874

clean

Gi barrett esoph 9 prtn bmrk

CPT 0108U

—

$4,950

clean

Iadi 16s&18s rrna genes

CPT 0112U

—

$356

clean

Trnsplj don-drv cll-fr dna

CPT 0118U

—

$2,753

clean

Crd ceramides liq chrom plsm

CPT 0119U

—

$84

clean

Hered brst ca rltd do panel

CPT 0129U

—

$1,304

clean

Nfct bct fng prst dna >1000

CPT 0152U

—

$2,126

clean

Gi ibs ia anti-cdtb&vinculin

CPT 0164U

—

$112

clean

Liver ds 10 biochem asy srm

CPT 0166U

—

$503

clean

Onc sld tum alys brca1 brca2

CPT 0172U

—

$3,030

clean

Onc solid tumor 30 prtn trgt

CPT 0174U

—

$1,305

clean

Nfct ds 22 trgt sars-cov-2

CPT 0202U

—

$417

clean

HC NFCT DS 22 TRGT SARS_COV_2

CPT 0202U

$1,303

$847

—

clean

Neuro alzheimer cell aggregj

CPT 0206U

—

$2,215

clean

Neuro alzheimer quan imaging

CPT 0207U

—

$511

clean

Trgt gen seq alys pnl 311+

CPT 0239U

—

$3,500

clean

Trgt gen seq alys pnl 55-74

CPT 0242U

—

$5,000

clean

Onc thyr mut alys 10 gen&37

CPT 0245U

—

$1,266

clean

Onc sld org neo dna 505 gene

CPT 0250U

—

$2,920

clean

Onc lung mrna quan pcr 11&3

CPT 0288U

—

$3,873

clean

Onc brst dux carc 7 proteins

CPT 0295U

—

$5,435

clean

Crd cad alys 3 prtn plsm alg

CPT 0308U

—

$391

clean

Crd cv ds aly 4 prtn plm alg

CPT 0309U

—

$391

clean

Nfct ds bct quan antmcrb sc

CPT 0311U

—

clean

Ai ds sle alys 8 igg autoant

CPT 0312U

—

$841

clean

Onc cutan sq cll ca mrna 40

CPT 0315U

—

$8,500

clean

Neph rna psttrnspl perph bld

CPT 0320U

—

$2,650

clean

Trgt gen seq alys pnl 83+

CPT 0326U

—

$5,000

clean

Onc neo xome&trns seq alys

CPT 0329U

—

$3,438

clean

Onc sld orgn tgsa dna 84/+

CPT 0334U

—

$3,500

clean

Onc plsm cell do&myeloma id

CPT 0337U

—

$2,435

clean

Onc sld tum crcg tum cl slct

CPT 0338U

—

$2,435

clean

Onc prst8 mrna hoxc6 & dlx1

CPT 0339U

—

$760

clean

Onc pan ca alys mrd plasma

CPT 0340U

—

$3,590

clean

Hep nafld semiq evl 28 lipid

CPT 0344U

—

$792

clean

Psyc genom alys pnl 15 gen

CPT 0345U

—

$1,336

clean

Rx metab/pcx dna 16 gen alys

CPT 0347U

—

$1,336

clean

Rx metab/pcx dna 25 gen alys

CPT 0348U

—

$742

clean

Rx metab/pcx dna 27gen rx ia

CPT 0349U

—

$742

clean

Nfct ds bct/viral trail ip10

CPT 0351U

—

$261

clean

Apol1 risk variants

CPT 0355U

—

$137

clean

Onc orop 17 dna ddpcr alg

CPT 0356U

—

$1,800

clean

Neuro alys b-amyl 1-42&1-40

CPT 0358U

—

$261

clean

Onc prst8 ca alys all psa

CPT 0359U

—

$760

clean

Onc lung elisa 7 autoant alg

CPT 0360U

—

$841

clean

Onc urthl mrna 5 gen alg

CPT 0363U

—

$760

clean

Onc bldr 10 prb bldr ca

CPT 0365U

—

$897

clean

Onc bldr 10 prb recr bldr ca

CPT 0366U

—

$897

clean

Onc ovrn bchm asy 7 prtn alg

CPT 0375U

—

$897

clean

Onc prst8 ca img alys 128

CPT 0376U

—

$706

clean

Tgsap sl or neo dna523&rna55

CPT 0379U

—

$3,289

clean

Onc nonsm cll lng ca 37 gen

CPT 0388U

—

$3,500

clean

Neu prksn msfl ?-syncln prtn

CPT 0393U

—

$541

clean

Pfas 16 pfas compnd lc ms/ms

CPT 0394U

—

$199

clean

Gi baret esph dna mthyln aly

CPT 0398U

—

$1,755

clean

Onc prst8 mrna 18 gen dre ur

CPT 0403U

—

$760

clean

Onc brst semiq meas thym kn

CPT 0404U

—

$323

clean

Onc lung flow cytmtry 5 mrk

CPT 0406U

—

$760

clean

Neph dbtc ckd mult eclia alg

CPT 0407U

—

$950

clean

Onc sld tum dna 80 & rna 36

CPT 0409U

—

$2,920

clean

Psyc genom alys pnl 15 gen

CPT 0411U

—

$1,336

clean

Cv ds acs bld alg 5 yr score

CPT 0415U

—

$391

clean

Onc pan solid tum alys dna

CPT 0422U

—

$1,943

clean

Gi malabs aat calpro pncrtc

CPT 0430U

—

$62

clean

Gly rcptr alpha1 igg srm/csf

CPT 0431U

—

$37

clean

Klhl11 antb sr/csf asy qual

CPT 0432U

—

$37

clean

Onc prst8 5 dna reg mrk pcr

CPT 0433U

—

$760

clean

Rx metab advrs vrnt alys 25

CPT 0434U

—

$417

clean

Neurflmnt lt chn ultrsens ia

CPT 0443U

—

$116

clean

Onc sld tum bld/slv 648 gene

CPT 0473U

—

$4,500

clean

Hered prst8 ca gsap 23 genes

CPT 0475U

—

$1,304

clean

Onc sol tum cfdna&rna ngs gm

CPT 0485U

—

$3,649

clean

HC BDY SURF ACTIVATION MAPG PM_CVDFB LEADS TM F_UP

CPT 0696T

$125

$82

—

clean

HC FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASOUND GUIDANCE FIRST LESION

CPT 10005

$2,520

$1,638

—

clean

HC FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASOUND GUIDANCE EA ADDL LESION

CPT 10006

$1,302

$846

—

clean

HC ACNE SURGERY

CPT 10040

$664

$432

—

clean

HC I_D OF ABSCESS_ SIMPLE_ SINGLE

CPT 10060

$514

$334

—

clean

HC I_D ABSCESS_ COMPLICATED OR MULTIPLE

CPT 10061

$772

$502

—

clean

HC I_D PILONIDAL CYST_ SIMPLE

CPT 10080

$1,165

$757

—

clean

HC INCISION _ DRAINAGE PILONIDAL CYST COMPLICATED

CPT 10081

$1,885

$1,225

—

clean

HC INCISION REMOVE FB FROM SUBCUTANEOUS TISSUE_ SIMPLE

CPT 10120

$832

$541

—

clean

HC I_D HEMATOMA_SEROMA_FLUID COLLECTION

CPT 10140

$5,126

$3,332

—

clean

HC PUNCTURE ASPIRATION ABSCESS_HEMATOMA_BULLA_CYST

CPT 10160

$1,325

$862

—

clean

HC I_D COMPLEX POSTOPERTIVE WOUND INFECTION

CPT 10180

$8,995

$5,847

—

clean

HC 11012 DEBRIDE INC REM FB _ OPEN FX SITE AND_OR OPEN DISLOC_INC SKIN_SUBQ_MUSC FASCIA_MUSCLE_BONE

CPT 11012

$3,628

$2,358

—

clean

HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM__

CPT 11042

$1,174

$763

—

clean

HC DEBRIDEMENT SKIN SC TISSUE AND MUSCLE

CPT 11043

$2,193

$1,426

—

clean

HC DEBRIDEMENT SUBQ TISSUE EA ADDL 20 SQ CM OR PART THEREOF

CPT 11045

$1,121

$729

—

clean

HC PARING_CUTTING BENIGN HYPERKERATOTIC LESION_ SINGLE LESION

CPT 11055

$682

$443

—

clean

HC PARING_CUTTING BENIGN HYPERKERATOTIC LESION_ 2 TO 4 LESIONS

CPT 11056

$682

$443

—

clean

HC TANGENTIAL BIOPSY SKIN SINGLE LESION

CPT 11102

$682

$443

—

clean

HC PUNCH BIOPSY SKIN SINGLE LESION

CPT 11104

$1,408

$915

—

clean

HC PUNCH BIOPSY SKIN EA SEP_ADDITIONAL LESION

CPT 11105

$382

$249

—

clean

HC INCISIONAL BIOPSY SKIN SINGLE LESION

CPT 11106

$2,193

$1,426

—

clean

HC REMOVAL OF SKIN TAGS UP TO _ INCLUDE 15_LESS

CPT 11200

$806

$524

—

clean

HC REMOVAL SKIN TAGS_ EACH ADDITIONAL LESION

CPT 11201

$357

$232

—

clean

HC SHAVE LESION 0.6_1.0 CM

CPT 11301

$657

$427

—

clean

HC SHAVING EPIDERMAL_DERMAL LESION_SINGLE 1.1_2.0 CM

CPT 11302

$240

$156

—

clean

HC SHAVING SINGLE EPIDERMAL_DERMAL LESION_ 0.5CM_LESS_ FACE_EARS_EYELIDS_NOSE_LIPS_MUCOUS MEM

CPT 11310

$682

$443

—

clean

HC 11401 EXCISION BENIGN LESION INC MARGINS_EXCEPT SKIN TAG_TRUNK_ARMS OR LEGS_DIAMETER 0.6_ 1.0 CM

CPT 11401

$1,138

$739

—

clean

HC EXCISION_ BENIGN LESION INC MARGINS_ EXCEPT SKIN TAG_ EXCISED DIAMETER 3.0 _ 4.0 CM

CPT 11404

$5,661

$3,680

—

clean

HC EXCISION_ BENIGN LESION INCLUDING MARGINS_ EXCEPT SKIN TAG_ EXCISED DIAMETER OVER 4.0 CM

CPT 11406

$5,661

$3,680

—

clean

HC EXC BENIGN LESION_ 0.6_1.0 CM_FACE_EARS_EYELIDS_NOSE_LIPS_MUCOUS MEMBRANE_NOT SKIN TAG

CPT 11441

$2,138

$1,390

—

clean

HC EXCISION OTHER BENIGN LESION INC MARGINS_EXCEPT SKIN TAG_FACE_EARS_EYELIDS_NOSE_LIP_OVER 4.0 CM

CPT 11444

$7,314

$4,754

—

clean

HC EXCISION MALIGNANT LESION_ 1.1 TO 2.0 CM OR LESS_ TRUNK_ ARMS_ LEGS

CPT 11602

$1,408

$915

—

clean

HC EXCISION MALIGNANT LESION_ 2.1 TO 3.0 CM OR LESS_ TRUNK_ ARMS_ LEGS

CPT 11603

$2,450

$1,592

—

clean

HC EXCISION MALIGNANT LESION_ 0.5 CM OR LESS_ SCALP_ NECK_ HANDS_ FEET_ GENITALIA

CPT 11620

$7,960

$5,174

—

clean

HC EXCISION_ MALIGNANT LESION INC MARGINS_ SCALP NECK HANDS FEET GENITALIA_ OVER 4.0 CM

CPT 11626

$9,752

$6,339

—

clean

HC EXCISION_ MALIGNANT LESION_ INC MARGINS_FACE_EARS_EYELIDS_NOSE_LIPS_ EXCISED DIAMETER _ 4.0 CM

CPT 11646

$11,439

$7,436

—

clean

HC TRIMMING NONDYSTROPHIC NAILS_ ANY METHOD

CPT 11719

$217

$141

—

clean

HC DEBRIDEMENT OF NAIL_S_ BY ANY MEDHOD_S__ 1_5

CPT 11720

$217

$141

—

clean

HC DEBRIDEMENT OF NAIL_S_ BY ANY METHOD_S__ 6 OR MORE

CPT 11721

$217

$141

—

clean

HC 11730 AVULSION OF NAIL PLATE_ PARTIAL OR COMPLETE_ SIMPLE_ SINGLE

CPT 11730

$419

$273

—

clean

HC AVULSION NAIL PLATE_ PARTIAL_COMPLETE_ SIMPLE_ EA ADD_L NAIL PLATE

CPT 11732

$300

$195

—

clean

HC 11740 EVACUATION OF SUBUNGUAL HEMATOMA

CPT 11740

$231

$150

—

clean

HC 11750 EXCISION NAIL _ NAIL MATRIX_ PARTIAL OR COMPLETE_ PERMAMENT REMOVAL

CPT 11750

$1,103

$717

—

clean

HC 11760 REPAIR OF NAILBED

CPT 11760

$1,038

$675

—

clean

HC 11765 WEDGE EXCISION SKIN OF NAIL FOLD

CPT 11765

$735

$478

—

clean

HC INSERTION DRUG DELIVERY IMPLANT

CPT 11981

$438

$285

—

clean

HC 12001 SIMPLE REPAIR_ SUPERFICIAL_ 2.5 CM OR LESS_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12001

$420

$273

—

clean

HC 12002 SIMPLE REPAIR_ SUPERFICIAL_ 2.6 _ 7.5 CM_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12002

$472

$307

—

clean

HC 12004 SIMPLE REPAIR_ SUPERFICIAL_ 7.6 _ 12.5 CM_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12004

$492

$320

—

clean

HC 12005 SIMPLE REPAIR_ SUPERFICIAL_ 12.6 _ 20.0 CM_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12005

$677

$440

—

clean

HC 12006 SIMPLE REPAIR_ SUPERFICIAL_ 20.1 _ 30.0 CM_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12006

$1,138

$739

—

clean

HC 12007 SIMPLE REPAIR_ SUPERFICIAL_ OVER 30.0 CM_ SCALP_ NECK_ AXILLAE_ TRUNK_ HANDS_FEET

CPT 12007

$571

$371

—

clean

HC 12011 SIMPLE REPAIR_ SUPERFICIAL_ 2.5 CM OR LESS_FACE_EYELIDS_EARS_NOSE_LIPS_MUCOUS MEMB

CPT 12011

$466

$303

—

clean

HC 12013 SIMPLE REPAIR_ SUPERFICIAL_ 2.6 _ 5.0 CM_ FACE_ EYELIDS_ EARS_ NOSE_ LIPS_ MUCOUS MEMBRANES

CPT 12013

$478

$311

—

clean

HC 12014 SIMPLE REPAIR_ SUPERFICIAL_ 5.1 _ 7.5 CM_ FACE_ EYELIDS_ EARS_ NOSE_ LIPS_ MUCOUS MEMBRANES

CPT 12014

$479

$311

—

clean

HC 12015 SIMPLE REPAIR_ SUPERFICIAL_ 7.6 _ 12.5 CM_FACE_EYELIDS_EARS_NOSE_LIPS_MUCOUS MEMB

CPT 12015

$527

$342

—

clean

HC 12016 SIMPLE REPAIR_ SUPERFICIAL_ 12.6 _ 20.0 CM_FACE_EYELIDS_EARS_NOSE_LIPS_MUCOUS MEMB

CPT 12016

$743

$483

—

clean

HC 12020 TX SUPERFICIAL WOUND DEHISCENCE_ SIMPLE CLOSURE

CPT 12020

$1,320

$858

—

clean

HC 12031 LAYER CLOSURE OF WOUNDS_ 2.5 CM OR LESS_ SCALP_ AXILLAE_ TRUNK _EXC HANDS _ FEET_

CPT 12031

$763

$496

—

clean

HC 12032 LAYER CLOSURE OF WOUNDS_ 2.6 _ 7.5 CM_ SCALP_ AXILLAE_ TRUNK _EXC HANDS _ FEET_

CPT 12032

$1,380

$897

—

clean

HC 12034 LAYER CLOSURE OF WOUNDS_ 7.6 _ 12.5 CM_ SCALP_ AXILLAE_ TRUNK _EXC HANDS _ FEET_

CPT 12034

$888

$577

—

clean

HC 12036 LAYER CLOSURE OF WOUNDS_ 20.1 _ 30.0 CM_ SCALP_ AXILLAE_ TRUNK _EXC HANDS _ FEET_

CPT 12036

$2,380

$1,547

—

clean

HC 12041 LAYER CLOSURE OF WOUNDS_ 2.5 CM OR LESS_ NECK_ HANDS_ FEET_ EXT GENITALIA

CPT 12041

$1,596

$1,037

—

clean

HC REPAIR_ INTERMEDIATE WOUNDS_ 7.6 _ 12.5 CM_ NECK_ HANDS_ FEET_ __OR EXTERNAL GENITALIA

CPT 12044

$1,961

$1,274

—

clean

HC REPAIR_ INTERMEDIATE_ 2.5 CM OR LESS_FACE_EARS_EYELIDS_NOSE_LIPS __OR MUCOUS MEMBRANES

CPT 12051

$1,174

$763

—

clean

HC 12052 LAYER CLOSURE OF WOUNDS_ 2.6 _ 5.0 CM_ FACE_ EARS_ EYELIDS_ NOSE_ LIPS_ MUCOUS MEMBRANES

CPT 12052

$892

$580

—

clean

HC 12053 LAYER CLOSURE OF WOUNDS_ 5.1 _ 7.5 CM_ FACE_ EARS_ EYELIDS_ NOSE_ LIPS_ MUCOUS MEMBRANES

CPT 12053

$915

$595

—

clean

HC REPAIR COMPLEX SCALP_ARM_LEG 2.6_7.5 CM

CPT 13121

$2,578

$1,675

—

clean

HC REPAIR COMPLEX_ SCALP_ ARMS_ AND_OR LEGS_ EACH ADDITIONAL 5 CM OR LESS

CPT 13122

$440

$286

—

clean

HC COMPLEX REPAIR_ FOREHEAD_CHEEK_CHIN_MOUTH_NECK_AXILLAE_GENIT_HANDS_FEET 2.6CM_7.5CM

CPT 13132

$2,636

$1,713

—

clean

HC ADJACENT TISSUE TRANSFER_REARGMT TRUNK 10 SQCM__

CPT 14000

$7,342

$4,772

—

clean

HC ADJNT TIS TRANSFR_REARRANGE TRUNK 10.1_30.0 SQCM

CPT 14001

$7,342

$4,772

—

clean

HC ADJT_REARRGMT SCALP_ARM_LEG 10.1_30.0 SQ CM

CPT 14021

$3,151

$2,048

—

clean

HC ADJT TIS TRNS_REARGMT F_C_C_M_N_A_G_H_F 10SQM

CPT 14040

$7,342

$4,772

—

clean

HC APPL SKIN GRAFT FACE_SCALP_EYELIDS_MOUTH_EARS_GENITAL _100SCM__1ST 25 SCM

CPT 15275

$6,515

$4,235

—

clean

HC REMOVAL SUTURES_STAPLES NOT REQUIRING ANESTHESIA

CPT 15853

$40

$26

—

clean

HC REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA

CPT 15854

$39

$25

—

clean

HC 16000 INITIAL TREATMENT_ BURN_ 1ST DEGREE_ NO MORE THAN LOCAL TREATMENT REQUIRED

CPT 16000

$586

$381

—

clean

HC 16020 DRESSING_DEBRIDEMENT_ PARTIAL THICKNESS BURNS_ INIT_SUBSQU_ WO ANESTHESIA_ SMALL

CPT 16020

$465

$302

—

clean

HC 16025 DRESSING_DEBRIDEMENT_ PARTIAL THICKNESS BURNS_ INIT_SUBSQU_ WO ANESTHESIA_ MEDIUM

CPT 16025

$571

$371

—

clean

HC DESTRUCTION BENIGN_PREMALIGNANT LESIONS_ 2 _ 14 LESIONS

CPT 17003

$35

$23

—

clean

HC DESTROY FLAT WARTS_UP TO 14 LESIONS

CPT 17110

$211

$137

—

clean

HC DESTRUCTION_ BENIGN LESIONS_ 15 OR MORE

CPT 17111

$203

$132

—

clean

HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE

CPT 17250

$682

$443

—

clean

HC DESTRUCTION MALIGNANT LESION_ 0.6 _ 1.0 CM_ TRUNK_ ARMS_ LEGS

CPT 17261

$664

$432

—

clean

HC DESTRUCTION OF MALIGNANT LESION_ TRUNK_ ARMS OR LEGS_ LESION DIAMETER 3.1 TO 4.0 CM

CPT 17264

$1,682

$1,094

—

clean

HC DESTRUCTION OF MALIGNANT LESION_ TRUNK_ ARMS OR LEGS_ LESION DIAMETER OVER 4.0 CM

CPT 17266

$1,319

$857

—

clean

HC DESTRUCTION MALIGNANT LESION F_E_E_N_L_M 0.5CM__

CPT 17280

$664

$432

—

clean

Showing the first 200 of 7,236 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_rate_without_estimate

17,226 of 17,226 percentage/algorithm rates across 783 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 10060/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 10061/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 10120/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 10160/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 11042/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 11401/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 11730/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 11750/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 12004/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 12013/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 12031/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 12032/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 13121/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 15853/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 16020/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 20552/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 20600/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 20610/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 20670/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 23570/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 26010/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 26725/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 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 29125/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 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 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 29540/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 29580/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 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 36410/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 36589/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 36592/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 36600/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 42700/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 46040/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 49083/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 51102/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 51700/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 51702/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 51705/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 51798/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 56405/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 64400/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 64450/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 69000/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 69209/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 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 72020/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 80299/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80324/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 4 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 4 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 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82300/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 82962/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 83516/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 83519/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 83520/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 83921/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 84238/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 84311/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86255/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 86870/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 86886/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 87081/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 87506/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 3 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 87899/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 88313/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 88364/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 90686/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 90792/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 90834/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 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 90853/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 92511/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 92950/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 93041/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 93288/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 93308/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 93926/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 94640/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 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 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 96137/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 96372/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 96523/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 97129/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 97140/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 97535/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 97597/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 97598/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 97761/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 99202/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 99203/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 99204/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 99205/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 99211/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 99212/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 99213/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 99214/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 99215/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 99402/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 99408/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 99409/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 A4648/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 H0049/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 4 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J0565/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

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
GOUVERNEUR HOSPITAL — standard charges file · NY · updated 2026-04-01
· csv-tall · 9.8M bytes · fetched 2026-08-24 · sha256 f95507a9e479…

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.