Hospital · CCN 340024

Sampson Regional Medical Center

607 Beaman St, Clinton, NC 28328 · Sampson County
Small town core: primary flow within an urban cluster of 2,500 to 9,999

9 admission types 25 outpatient services price file: ok 1 Medicare-file findings

Billed per dollar paid, all admissions

1.47×

$5.0M billed against $3.4M paid across 205 Medicare discharges; the national figure is 5.03×.

4.6%

of adults in Sampson County have medical debt in collections

16.6%

uninsured in the county · state 11.2%

$54K

median household income

2.1×

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ⓘ

15.6%

diagnosed diabetes (PLACES)

8.1%

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

291

Heart failure and shock with mcc

$21,367

$15,438

1.4× st 3.2×

871

Septicemia or severe sepsis without mv >96 hours with mcc

$31,592

$21,683

1.5× st 3.5×

193

Simple pneumonia and pleurisy with mcc

$21,798

$15,214

1.4× st 3.5×

682

Renal failure with mcc

$25,048

$16,765

1.5× st 3.3×

189

Pulmonary edema and respiratory failure

$21,042

$14,858

1.4× st 3.7×

683

Renal failure with cc

$18,289

$11,587

1.6× st 3.4×

177

Respiratory infections and inflammations with mcc

$27,911

$18,852

1.5× st 3.3×

378

Gastrointestinal hemorrhage with cc

$32,150

$11,715

2.7× st 3.9×

689

Kidney and urinary tract infections with mcc

$13,954

$14,269

1.0× st 3.3×

02 · Outpatient

Outpatient services

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

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

104

$13,266

$2,327

5.7×

5375

Level 5 Urology and Related Services

$15,939

$4,397

3.6×

5374

Level 4 Urology and Related Services

$11,346

$3,034

3.7×

5183

Level 3 Vascular Procedures

$16,038

$2,663

6.0×

5302

Level 2 Upper GI Procedures

$5,348

$1,656

3.2×

5113

Level 3 Musculoskeletal Procedures

$9,572

$2,817

3.4×

5361

Level 1 Laparoscopy and Related Services

—

5373

Level 3 Urology and Related Services

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5378

Level 8 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5431

Level 1 Nerve Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5331

Complex GI Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5115

Level 5 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5163

Level 3 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-05-07, template 3.0.0, 42,098 rows scanned, 1,583 distinct code–setting items kept. 180 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Anesthesia for labor during planned vaginal delivery

CPT 01967

$1,307

$915

$978

clean

Fine needle aspiration biopsy using ultrasound guidance, first growth

CPT 10005

$1,263

$884

$745

clean

Fine needle aspiration biopsy using ultrasound guidance, each additional growth

CPT 10006

$125

$88

$45

clean

Fine needle aspiration biopsy using fluoroscopic guidance, first growth

CPT 10007

$1,045

$732

$704

clean

Aspiration of cyst of breast, each additional cyst

CPT 19001

$341

$239

$68

clean

Biopsy of breast and placement of locating device using X-ray with needle, first growth

CPT 19081

$2,838

$1,987

$1,737

clean

Biopsy of breast and placement of locating device using X-ray with needle, each additional growth

CPT 19082

$274

$192

$73

clean

Placement of locating device in breast using imaging guidance, first growth

CPT 19281

$2,496

$1,747

$1,642

clean

Placement of locating device in breast using X-ray with needle guidance, first growth

CPT 19283

$1,409

$986

$745

clean

Placement of locating device in breast using X-ray with needle guidance, each additional growth

CPT 19284

$274

$192

$54

clean

Deep biopsy of bone using needle or trocar

CPT 20225

$3,612

$2,528

$1,737

clean

Aspiration and/or injection of fluid from large joint

CPT 20610

$1,788

$1,252

$355

clean

Injection for X-ray of hinged joint of upper and lower jaw bones

CPT 21116

$574

$402

$114

clean

Strapping, Unna boot

CPT 29580

$684

$479

$171

clean

Application of vein wound compression bandages on lower leg, ankle, and foot

CPT 29581

$498

$349

$162

clean

Application of vein wound compression bandages on upper arm, forearm, hand, and fingers

CPT 29584

$225

$158

$162

clean

Emergent insertion of breathing tube into windpipe using an endoscope

CPT 31500

$665

$466

$249

clean

Change of breathing tube in windpipe

CPT 31502

$419

$293

$249

clean

Aspiration of initial secretion of lung airway using an endoscope

CPT 31645

$2,374

$1,662

$1,769

clean

Insertion of tube into airway for aspiration of secretions

CPT 31720

$448

$314

$230

clean

Needle biopsy of lining of lung

CPT 32400

$1,921

$1,345

$1,610

clean

Insertion of indwelling tube for drainage of lung fluid

CPT 32550

$4,179

$2,925

$3,491

clean

Aspiration of fluid from chest cavity

CPT 32554

$1,221

$855

$660

clean

Aspiration of fluid from chest cavity using imaging guidance

CPT 32555

$2,133

$1,493

$660

clean

Insertion of tube into vena cava

CPT 36010

$314

$220

$99

clean

Insertion of needle into vein (3 years or older)

CPT 36410

$300

$210

$60

clean

Insertion of needle into vein for collection of blood sample

CPT 36415

$25

$18

$10

clean

Transfusion of blood or blood products

CPT 36430

$22

$15

$20

136

clean

Insertion of tube for infusion (5 years or older)

CPT 36569

$2,252

$1,576

$1,565

clean

Insertion of tube for infusion with imaging guidance and review by radiologist, patient younger than 5 years

CPT 36572

$1,195

$837

$660

clean

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older

CPT 36573

$2,987

$2,091

$1,655

102

clean

Collection of blood sample from implanted device

CPT 36591

$248

$174

$140

clean

Contrast injection for imaging to evaluate central venous access device

CPT 36598

$503

$352

$224

clean

Artery puncture collection of blood sample

CPT 36600

$326

$228

$140

clean

Injection of radioactive material for X-ray identification of lymph node

CPT 38792

$656

$459

$407

clean

Dilation of stomach and/or small bowel using long gastrointestinal tube

CPT 44500

$1,185

$830

$902

clean

Drainage of fluid from abdominal cavity

CPT 49082

$1,257

$880

$902

clean

Drainage of fluid from abdominal cavity using imaging guidance

CPT 49083

$1,328

$930

$902

clean

Insertion of stomach tube using fluoroscopic guidance with contrast

CPT 49440

$2,867

$2,007

$1,908

clean

Contrast injection for X-ray imaging through existing tube in stomach, small bowel or large bowel

CPT 49465

$388

$272

$241

clean

Aspiration and/or injection of cyst of kidney

CPT 50390

$1,921

$1,345

$745

clean

Injection of ureter for imaging

CPT 50684

$583

$408

$116

clean

Injection of bladder and ureter for imaging

CPT 50690

$510

$357

$101

clean

Injection procedure through bladder and urethra for X-ray imaging

CPT 51610

$268

$188

$61

clean

Insertion of temporary bladder tube

CPT 51701

$255

$179

$140

clean

Ultrasound measurement of bladder capacity after voiding

CPT 51798

$125

$88

$62

clean

Removal of foreskin using clamp or device

CPT 54150

$2,875

$2,013

$2,078

clean

Removal of foreskin (older than 28 days)

CPT 54161

$2,613

$1,829

$2,038

clean

Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes

CPT 58340

$645

$452

$128

clean

Removal of sample of amniotic fluid surrounding fetus for diagnosis

CPT 59000

$939

$657

$864

clean

Fetal test

CPT 59025

$601

$421

$213

clean

Aspiration of fluid from cyst of spinal cord or fluid-filled cavity

CPT 62268

$2,040

$1,428

$930

clean

Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test

CPT 62270

$894

$626

$690

clean

Injection of blood or blood clot into spinal canal

CPT 62273

$1,436

$1,005

$742

clean

Injection of contrast for imaging of lower spinal canal

CPT 62284

$1,646

$1,152

$327

clean

X-ray of eye for detection of foreign body

CPT 70030

$391

$274

$92

clean

X-ray of part of lower jaw, 1-4 views

CPT 70100

$339

$237

$92

clean

X-ray of lower jaw, minimum of 4 views

CPT 70110

$458

$321

$110

clean

X-ray of bone behind the ear, minimum of 3 views per side

CPT 70130

$290

$203

$110

clean

X-ray of face bones, 1-2 views

CPT 70140

$295

$207

$92

clean

X-ray of face bones, minimum of 3 views

CPT 70150

$485

$340

$110

clean

X-ray of nose bones, minimum of 3 views

CPT 70160

$354

$248

$92

clean

X-ray of eye canal

CPT 70190

$254

$178

$92

clean

X-ray of eye socket, minimum of 4 views

CPT 70200

$551

$386

$110

clean

X-ray of paranasal sinus, 1-2 views

CPT 70210

$367

$257

$92

clean

X-ray of paranasal sinus, minimum of 3 views

CPT 70220

$540

$378

$107

clean

X-ray of skull, 1-3 views

CPT 70250

$551

$386

$110

clean

X-ray of skull, minimum of 4 views

CPT 70260

$669

$468

$133

clean

X-ray of jaw joint on 1 side of mouth

CPT 70328

$149

$104

$92

clean

X-ray of jaw joints on both sides of mouth

CPT 70330

$347

$243

$92

clean

MRI scan of jaw joint

CPT 70336

$2,825

$1,978

$562

clean

X-ray of soft tissue of neck

CPT 70360

$338

$237

$92

clean

CT scan head or brain without contrast

CPT 70450

$2,470

$1,729

$491

clean

CT scan head or brain with contrast

CPT 70460

$2,222

$1,555

$442

clean

CT scan of head or brain before and after contrast

CPT 70470

$3,705

$2,594

$737

clean

CT scan of cranial cavity without contrast

CPT 70480

$2,362

$1,653

$470

clean

CT scan of cranial cavity with contrast

CPT 70481

$2,362

$1,653

$470

clean

CT scan of cranial cavity before and after contrast

CPT 70482

$3,446

$2,412

$685

clean

CT scan of face without contrast

CPT 70486

$3,031

$2,122

$603

clean

CT scan of face with contrast

CPT 70487

$2,094

$1,466

$416

clean

CT scan of face before and after contrast

CPT 70488

$3,970

$2,779

$789

clean

CT scan of soft tissue of neck without contrast

CPT 70490

$3,230

$2,261

$642

clean

CT scan of soft tissue of neck with contrast

CPT 70491

$3,035

$2,125

$603

clean

CT scan of soft tissue of neck before and after contrast

CPT 70492

$3,649

$2,554

$725

clean

CT scan of blood vessels of head with contrast

CPT 70496

$3,514

$2,460

$699

clean

CT scan of blood vessels of neck with contrast

CPT 70498

$3,381

$2,367

$672

clean

MRI scan of bone of eye socket, face, and/or neck without contrast

CPT 70540

$2,393

$1,675

$476

clean

MRI scan of bone of eye socket, face, and/or neck with contrast

CPT 70542

$3,179

$2,225

$632

clean

MRI scan of bone of eye socket, face, and/or neck before and after contrast

CPT 70543

$3,473

$2,431

$690

clean

MRI scan of blood vessels of head without contrast

CPT 70544

$2,556

$1,789

$508

clean

MRI scan of blood vessels of head with contrast

CPT 70545

$2,649

$1,854

$527

clean

MRI scan of blood vessels of head before and after contrast

CPT 70546

$4,161

$2,913

$827

clean

MRI scan of blood vessels of neck without contrast

CPT 70547

$2,557

$1,790

$508

clean

MRI scan of blood vessels of neck with contrast

CPT 70548

$2,649

$1,854

$527

clean

MRI scan of blood vessels of neck before and after contrast

CPT 70549

$3,814

$2,670

$758

clean

MRI scan of brain without contrast

CPT 70551

$3,735

$2,615

$743

clean

MRI scan of brain with contrast

CPT 70552

$4,593

$3,215

$913

clean

MRI scan of brain before and after contrast

CPT 70553

$5,260

$3,682

$1,046

clean

X-ray of chest, 1 view

CPT 71045

$304

$213

$92

clean

X-ray of chest, 2 views

CPT 71046

$349

$244

$92

clean

X-ray of chest, 3 views

CPT 71047

$376

$263

$92

clean

X-ray of chest, minimum of 4 views

CPT 71048

$382

$267

$110

clean

X-ray of ribs on side of body, 2 views

CPT 71100

$494

$346

$98

clean

X-ray of ribs on side of body, minimum of 3 views

CPT 71101

$393

$275

$110

clean

X-ray of ribs on both sides of body, 3 views

CPT 71110

$539

$377

$110

clean

X-ray of ribs on both sides of body, minimum of 4 views

CPT 71111

$576

$403

$115

clean

X-ray of chest bone, minimum of 2 views

CPT 71120

$289

$202

$92

clean

X-ray of joint between breast and collar bones, minimum of 2 views

CPT 71130

$296

$207

$92

clean

CT scan of chest without contrast

CPT 71250

$2,142

$1,499

$426

clean

CT scan of chest with contrast

CPT 71260

$2,142

$1,499

$426

clean

CT scan of chest before and after contrast

CPT 71270

$3,206

$2,244

$637

clean

Low dose CT scan of chest for lung cancer screening

CPT 71271

$258

$181

$110

clean

CT scan of blood vessels of chest with contrast

CPT 71275

$3,776

$2,643

$751

clean

MRI scan of chest without contrast

CPT 71550

$2,736

$1,915

$544

clean

MRI scan of chest with contrast

CPT 71551

$2,959

$2,071

$824

clean

MRI scan of chest before and after contrast

CPT 71552

$3,473

$2,431

$690

clean

X-ray of spine, 1 view

CPT 72020

$258

$181

$92

clean

X-ray of upper spine, 2-3 views

CPT 72040

$431

$302

$92

clean

X-ray of upper spine, 4-5 views

CPT 72050

$751

$526

$149

clean

X-ray of upper spine, 6 or more views

CPT 72052

$888

$622

$177

clean

X-ray of middle spine, 2 views

CPT 72070

$403

$282

$110

clean

X-ray of middle spine, 3 views

CPT 72072

$261

$183

$110

clean

X-ray of middle and lower spine, 2 views

CPT 72080

$354

$248

$92

clean

X-ray of lower and sacral spine, 2-3 views

CPT 72100

$404

$283

$110

clean

X-ray of lower and sacral spine, minimum of 4 views

CPT 72110

$772

$540

$153

clean

X-ray lower and sacral spine, minimum of 6 views

CPT 72114

$800

$560

$159

clean

X-ray lower and sacral spine, 2-3 views bending views

CPT 72120

$261

$183

$110

clean

CT scan of upper spine without contrast

CPT 72125

$4,543

$3,180

$903

clean

CT scan of upper spine with contrast

CPT 72126

$3,435

$2,405

$683

clean

CT scan of upper spine before and after contrast

CPT 72127

$5,133

$3,593

$1,020

clean

CT scan of middle spine without contrast

CPT 72128

$3,018

$2,113

$600

clean

CT scan of middle spine with contrast

CPT 72129

$2,630

$1,841

$523

clean

CT scan of middle spine before and after contrast

CPT 72130

$3,928

$2,750

$781

clean

CT scan of lower spine without contrast

CPT 72131

$3,946

$2,762

$784

clean

CT scan of lower spine with contrast

CPT 72132

$3,435

$2,405

$683

clean

CT scan of lower spine before and after contrast

CPT 72133

$4,689

$3,282

$932

clean

MRI scan of upper spinal canal without contrast

CPT 72141

$3,766

$2,636

$749

clean

MRI scan of upper spinal canal with contrast

CPT 72142

$3,309

$2,316

$658

clean

MRI scan of middle spinal canal without contrast

CPT 72146

$3,804

$2,663

$756

clean

MRI scan of middle spinal canal with contrast

CPT 72147

$2,935

$2,055

$583

clean

MRI scan of lower spinal canal without contrast

CPT 72148

$3,804

$2,663

$756

clean

MRI scan of lower spinal canal with contrast

CPT 72149

$3,607

$2,525

$717

clean

MRI scan of upper spinal canal before and after contrast

CPT 72156

$4,990

$3,493

$992

clean

MRI scan of middle spinal canal before and after contrast

CPT 72157

$4,990

$3,493

$992

clean

MRI scan of lower spinal canal before and after contrast

CPT 72158

$4,990

$3,493

$992

clean

X-ray of pelvis, 1-2 views

CPT 72170

$381

$267

$110

clean

X-ray of pelvis, minimum of 3 views

CPT 72190

$449

$314

$110

clean

CT scan of blood vessels of pelvis with contrast

CPT 72191

$3,977

$2,784

$791

clean

CT scan of pelvis without contrast

CPT 72192

$2,727

$1,909

$542

clean

CT scan of pelvis with contrast

CPT 72193

$3,031

$2,122

$603

clean

CT scan of pelvis before and after contrast

CPT 72194

$3,786

$2,650

$753

clean

MRI scan of pelvis without contrast

CPT 72195

$3,429

$2,400

$682

clean

MRI scan of pelvis with contrast

CPT 72196

$3,189

$2,232

$634

clean

MRI scan of pelvis before and after contrast

CPT 72197

$3,647

$2,553

$725

clean

X-ray of joint between lower spine and hip bone, 1-2 views

CPT 72200

$264

$185

$110

clean

X-ray of joint between lower spine and hip bone, 3 or more views

CPT 72202

$491

$344

$110

clean

X-ray of sacrum and tailbone, minimum of 2 views

CPT 72220

$326

$228

$92

clean

X-ray of collar bone

CPT 73000

$400

$280

$92

clean

X-ray of shoulder blade

CPT 73010

$349

$244

$110

clean

X-ray of shoulder, 1 view

CPT 73020

$254

$178

$92

clean

X-ray of shoulder, minimum of 2 views

CPT 73030

$458

$321

$92

clean

X-ray of both collar bones joints

CPT 73050

$394

$276

$92

clean

X-ray of upper arm, minimum of 2 views

CPT 73060

$328

$230

$92

clean

X-ray of elbow, 2 views

CPT 73070

$289

$202

$92

clean

X-ray of elbow, minimum of 3 views

CPT 73080

$399

$279

$92

clean

X-ray of forearm, 2 views

CPT 73090

$383

$268

$92

clean

X-ray of wrist, 2 views

CPT 73100

$334

$234

$92

clean

X-ray of wrist, minimum of 3 views

CPT 73110

$488

$342

$97

clean

X-ray of hand, 2 views

CPT 73120

$258

$181

$110

clean

X-ray of hand, minimum of 3 views

CPT 73130

$491

$344

$98

clean

X-ray of finger, minimum of 2 views

CPT 73140

$238

$167

$92

clean

CT scan of arm without contrast

CPT 73200

$1,892

$1,324

$376

clean

CT scan of arm with contrast

CPT 73201

$1,670

$1,169

$367

clean

CT scan of arm before and after contrast

CPT 73202

$2,491

$1,744

$495

clean

CT scan of blood vessels of arm with contrast

CPT 73206

$2,581

$1,807

$513

clean

MRI scan of arm without contrast

CPT 73218

$3,799

$2,659

$755

clean

MRI scan of arm with contrast

CPT 73219

$3,084

$2,159

$613

clean

MRI scan of arm before and after contrast

CPT 73220

$3,521

$2,465

$700

clean

MRI scan of arm joint without contrast

CPT 73221

$3,779

$2,645

$751

clean

MRI scan of arm joint with contrast

CPT 73222

$3,084

$2,159

$824

clean

MRI scan of arm joint before and after contrast

CPT 73223

$3,607

$2,525

$717

clean

X-ray of hip, 1 view

CPT 73501

$159

$111

$92

clean

X-ray of hip, 2-3 views

CPT 73502

$159

$111

$92

clean

X-ray of hip, minimum of 4 views

CPT 73503

$305

$214

$110

clean

X-ray of both hips, minimum of 5 views

CPT 73523

$379

$265

$110

clean

X-ray of thigh bone, minimum 2 views

CPT 73552

$213

$149

$92

clean

X-ray of knee, 1-2 views

CPT 73560

$338

$237

$92

clean

X-ray of knee, 3 views

CPT 73562

$420

$294

$92

clean

X-ray of knee, 4 or more views

CPT 73564

$489

$342

$110

clean

X-ray of both knees while standing

CPT 73565

$166

$116

$92

clean

X-ray of lower leg, 2 views

CPT 73590

$388

$272

$92

clean

X-ray of ankle, 2 views

CPT 73600

$290

$203

$92

clean

X-ray of ankle, minimum of 3 views

CPT 73610

$485

$340

$96

clean

X-ray of foot, 2 views

CPT 73620

$345

$242

$92

clean

X-ray of foot, minimum of 3 views

CPT 73630

$485

$340

$96

clean

X-ray of heel, minimum of 2 views

CPT 73650

$333

$233

$92

clean

X-ray of toe, minimum of 2 views

CPT 73660

$256

$179

$92

clean

CT scan of leg without contrast

CPT 73700

$2,720

$1,904

$541

clean

CT scan of leg with contrast material

CPT 73701

$2,895

$2,027

$576

clean

CT scan of leg before and after contrast

CPT 73702

$3,779

$2,645

$751

clean

Showing the first 200 of 1,583 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

MS-DRG 817/i

warn

mrf_negotiated_above_gross

highest negotiated rate $15,149 exceeds the gross charge $9,410

MS-DRG 831/i

warn

mrf_negotiated_above_gross

highest negotiated rate $10,792 exceeds the gross charge $9,654

MS-DRG 832/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $4,689

MS-DRG 833/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $3,912

MS-DRG 835/i

warn

mrf_negotiated_above_gross

highest negotiated rate $25,490 exceeds the gross charge $14,184

MS-DRG 840/i

warn

mrf_negotiated_above_gross

highest negotiated rate $29,032 exceeds the gross charge $21,334

MS-DRG 856/i

warn

mrf_negotiated_above_gross

highest negotiated rate $40,823 exceeds the gross charge $35,878

MS-DRG 870/i

warn

mrf_negotiated_above_gross

highest negotiated rate $62,031 exceeds the gross charge $56,720

MS-DRG 894/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $5,681

MS-DRG 902/i

warn

mrf_negotiated_above_gross

highest negotiated rate $17,182 exceeds the gross charge $14,081

MS-DRG 913/i

warn

mrf_negotiated_above_gross

highest negotiated rate $14,670 exceeds the gross charge $8,147

MS-DRG 914/i

warn

mrf_negotiated_above_gross

highest negotiated rate $19,176 exceeds the gross charge $17,051

MS-DRG 915/i

warn

mrf_negotiated_above_gross

highest negotiated rate $15,092 exceeds the gross charge $6,544

MS-DRG 919/i

warn

mrf_negotiated_above_gross

highest negotiated rate $16,431 exceeds the gross charge $5,973

MS-DRG 935/i

warn

mrf_negotiated_above_gross

highest negotiated rate $18,488 exceeds the gross charge $12,596

CPT 36430/o

warn

mrf_negotiated_above_gross

highest negotiated rate $464 exceeds the gross charge $22

CPT 59000/o

warn

mrf_negotiated_above_gross

highest negotiated rate $968 exceeds the gross charge $939

CPT 71271/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,418 exceeds the gross charge $258

CPT 76376/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,418 exceeds the gross charge $805

CPT 77012/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,418 exceeds the gross charge $927

CPT 77078/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,418 exceeds the gross charge $642

CPT 88309/o

warn

mrf_negotiated_above_gross

highest negotiated rate $847 exceeds the gross charge $719

CPT 88333/o

warn

mrf_negotiated_above_gross

highest negotiated rate $847 exceeds the gross charge $719

CPT 94668/o

warn

mrf_negotiated_above_gross

highest negotiated rate $140 exceeds the gross charge $133

CPT A0425/o

warn

mrf_negotiated_above_gross

highest negotiated rate $350 exceeds the gross charge $4

CPT A9563/o

warn

mrf_negotiated_above_gross

highest negotiated rate $306 exceeds the gross charge $146

CPT A9600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,561 exceeds the gross charge $3,077

CPT C8909/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,841 exceeds the gross charge $1,153

CPT C8910/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,841 exceeds the gross charge $776

CPT C8911/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,841 exceeds the gross charge $1,301

CPT C8933/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,841 exceeds the gross charge $1,301

MS-DRG 041/i

warn

mrf_negotiated_above_gross

highest negotiated rate $19,733 exceeds the gross charge $17,643

MS-DRG 054/i

warn

mrf_negotiated_above_gross

highest negotiated rate $13,704 exceeds the gross charge $12,585

MS-DRG 056/i

warn

mrf_negotiated_above_gross

highest negotiated rate $24,915 exceeds the gross charge $21,744

MS-DRG 096/i

warn

mrf_negotiated_above_gross

highest negotiated rate $23,148 exceeds the gross charge $13,701

MS-DRG 153/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $4,105

MS-DRG 185/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,059 exceeds the gross charge $6,672

MS-DRG 200/i

warn

mrf_negotiated_above_gross

highest negotiated rate $9,866 exceeds the gross charge $8,302

MS-DRG 239/i

warn

mrf_negotiated_above_gross

highest negotiated rate $44,171 exceeds the gross charge $33,519

MS-DRG 240/i

warn

mrf_negotiated_above_gross

highest negotiated rate $25,582 exceeds the gross charge $20,564

MS-DRG 264/i

warn

mrf_negotiated_above_gross

highest negotiated rate $29,981 exceeds the gross charge $28,240

MS-DRG 283/i

warn

mrf_negotiated_above_gross

highest negotiated rate $17,777 exceeds the gross charge $10,689

MS-DRG 316/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $5,560

MS-DRG 326/i

warn

mrf_negotiated_above_gross

highest negotiated rate $44,761 exceeds the gross charge $36,430

MS-DRG 329/i

warn

mrf_negotiated_above_gross

highest negotiated rate $41,252 exceeds the gross charge $37,453

MS-DRG 356/i

warn

mrf_negotiated_above_gross

highest negotiated rate $39,424 exceeds the gross charge $29,702

MS-DRG 466/i

warn

mrf_negotiated_above_gross

highest negotiated rate $46,717 exceeds the gross charge $21,441

MS-DRG 516/i

warn

mrf_negotiated_above_gross

highest negotiated rate $18,650 exceeds the gross charge $17,026

MS-DRG 546/i

warn

mrf_negotiated_above_gross

highest negotiated rate $10,351 exceeds the gross charge $9,828

MS-DRG 551/i

warn

mrf_negotiated_above_gross

highest negotiated rate $15,043 exceeds the gross charge $10,585

MS-DRG 553/i

warn

mrf_negotiated_above_gross

highest negotiated rate $11,634 exceeds the gross charge $9,777

MS-DRG 562/i

warn

mrf_negotiated_above_gross

highest negotiated rate $12,787 exceeds the gross charge $7,964

MS-DRG 581/i

warn

mrf_negotiated_above_gross

highest negotiated rate $12,951 exceeds the gross charge $8,287

MS-DRG 595/i

warn

mrf_negotiated_above_gross

highest negotiated rate $19,033 exceeds the gross charge $12,285

MS-DRG 596/i

warn

mrf_negotiated_above_gross

highest negotiated rate $9,715 exceeds the gross charge $9,301

MS-DRG 645/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $6,697

MS-DRG 709/i

warn

mrf_negotiated_above_gross

highest negotiated rate $20,885 exceeds the gross charge $8,684

MS-DRG 717/i

warn

mrf_negotiated_above_gross

highest negotiated rate $16,967 exceeds the gross charge $3,857

MS-DRG 727/i

warn

mrf_negotiated_above_gross

highest negotiated rate $13,309 exceeds the gross charge $11,174

MS-DRG 768/i

warn

mrf_negotiated_above_gross

highest negotiated rate $9,617 exceeds the gross charge $8,249

MS-DRG 776/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $6,690

MS-DRG 779/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $5,860

MS-DRG 783/i

warn

mrf_negotiated_above_gross

highest negotiated rate $22,034 exceeds the gross charge $17,383

MS-DRG 789/i

warn

mrf_negotiated_above_gross

highest negotiated rate $16,174 exceeds the gross charge $5,217

MS-DRG 791/i

warn

mrf_negotiated_above_gross

highest negotiated rate $36,428 exceeds the gross charge $5,446

MS-DRG 792/i

warn

mrf_negotiated_above_gross

highest negotiated rate $21,981 exceeds the gross charge $4,465

MS-DRG 793/i

warn

mrf_negotiated_above_gross

highest negotiated rate $37,421 exceeds the gross charge $6,382

MS-DRG 794/i

warn

mrf_negotiated_above_gross

highest negotiated rate $13,246 exceeds the gross charge $4,506

MS-DRG 795/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,023 exceeds the gross charge $3,539

CPT 29580/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29581/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 73000/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 73502/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 74246/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 74270/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 74300/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76380/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76642/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76815/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76819/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77067/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78709/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78800/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 80307/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 83986/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 85048/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 87077/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 87081/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 90472/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 93306/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 93922/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 94667/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 96360/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 96361/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 96372/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, min, max differ, so no cross-line comparison was made for this item

CPT 97150/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 97535/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 99202/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 99203/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 99212/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 99213/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 99214/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 99215/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT A9270/o

info

mrf_item_fields_vary

this code and setting cover at least 208 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT A9541/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, cash, min, max differ, so no cross-line comparison was made for this item

CPT B4189/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT C1726/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT G0009/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT G0283/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT G0378/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT G0463/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT G0480/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0133/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0165/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0169/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0283/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0290/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0295/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0461/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0561/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT J0571/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0604/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0665/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0690/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0694/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0696/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, cash, min, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0736/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1171/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1250/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1596/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1644/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1650/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1815/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1885/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT J1938/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1953/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1956/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2003/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2004/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2184/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2270/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2312/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2371/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2404/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2543/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2590/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2704/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2919/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2997/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT J3010/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3373/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3374/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3430/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3475/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3480/o

info

mrf_item_fields_vary

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

CPT J3486/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3489/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J3490/o

info

mrf_item_fields_vary

this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J7042/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J7050/o

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J8540/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9010/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9012/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9016/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9017/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9035/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9036/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9037/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9038/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9040/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9041/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT P9059/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT P9073/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT Q2009/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT Q5105/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT Q9967/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 689

info

inp_payment_exceeds_charge

total payment $14,269 exceeds the average charge $13,954

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)
Sampson Regional Medical Center — standard charges file · NC · updated 2026-05-07
· csv-tall · 13.9M bytes · fetched 2026-08-26 · sha256 603e54680f75…

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.