Hospital · CCN 340071

Betsy Johnson Regional Hospital

800 Tilghman Dr, Dunn, NC 28334 · Sampson County
Part of Cape Fear Valley Health System · 74 beds · 3
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

20 admission types 32 outpatient services price file: ok
Billed per dollar paid, all admissions
2.32×
$17.2M billed against $7.4M paid across 524 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
871
Septicemia or severe sepsis without mv >96 hours with mcc
125
$42,589
$18,027
2.4× st 3.5×
291
Heart failure and shock with mcc
57
$20,849
$12,868
1.6× st 3.2×
177
Respiratory infections and inflammations with mcc
38
$30,418
$15,747
1.9× st 3.3×
193
Simple pneumonia and pleurisy with mcc
37
$27,523
$12,478
2.2× st 3.5×
189
Pulmonary edema and respiratory failure
32
$29,330
$12,793
2.3× st 3.7×
689
Kidney and urinary tract infections with mcc
28
$26,018
$11,010
2.4× st 3.3×
682
Renal failure with mcc
27
$33,050
$13,770
2.4× st 3.3×
690
Kidney and urinary tract infections without mcc
21
$28,516
$9,313
3.1× st 3.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$24,935
$9,585
2.6× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
17
$60,683
$20,826
2.9× st 3.7×
280
Acute myocardial infarction, discharged alive with mcc
17
$51,958
$15,854
3.3× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$36,138
$12,667
2.9× st 3.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
14
$23,385
$11,210
2.1× st 3.6×
481
Hip and femur procedures except major joint with cc
12
$52,451
$19,849
2.6× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
12
$21,892
$8,765
2.5× st 3.6×
309
Cardiac arrhythmia and conduction disorders with cc
11
$18,754
$8,300
2.3× st 3.4×
698
Other kidney and urinary tract diagnoses with mcc
11
$20,979
$13,763
1.5× st 3.0×
811
Red blood cell disorders with mcc
11
$26,526
$13,356
2.0× st 3.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
11
$35,401
$11,268
3.1× st 4.2×
603
Cellulitis without mcc
11
$15,250
$8,853
1.7× st 3.0×
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
5491
Level 1 Intraocular Procedures
274
$4,924
$2,005
2.5×
8011
Comprehensive Observation Services
187
$23,046
$2,352
9.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
39
$7,529
$1,411
5.3×
5361
Level 1 Laparoscopy and Related Services
15
$14,360
$5,021
2.9×
5493
Level 3 Intraocular Procedures
15
$20,252
$4,307
4.7×
5114
Level 4 Musculoskeletal Procedures
15
$27,831
$6,226
4.5×
5183
Level 3 Vascular Procedures
14
$23,453
$2,774
8.5×
5113
Level 3 Musculoskeletal Procedures
13
$15,439
$2,817
5.5×
5112
Level 2 Musculoskeletal Procedures
12
$8,540
$1,399
6.1×
5115
Level 5 Musculoskeletal Procedures
11
$49,269
$11,439
4.3×
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/7/2026, template 3.0.0, 27,290 rows scanned, 4,817 distinct code–setting items kept. 2,808 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
ONC THYR 10 MICRORNA SEQ ALG
$1,425
$855
$3,062
13
clean
MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION USING IMAGING GUIDANCE
$1
$1
—
0
clean
HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE
$1
$1
$451
12
clean
TRLUML PERIP ATHRC ILIAC ART
$37,384
$22,430
$18,525
12
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$399
$239
$68
5
clean
IADNA CHLMYD&GONORR AMP PRB
$175
$105
$68
1
clean
EV FEMPOP ARTL REVSC
$27,025
$16,215
$11,666
12
clean
INTERROG DEV EVAL ICDS SS IP
$106
$64
$38
12
clean
REM INTERROG DEV ICDS TECH
$106
$64
$38
12
clean
PRGRMG EVL LDLS PM 2CHMBR IP
$106
$64
$38
12
clean
PRGRMG EVL LDLS PM 1CHMBR IP
$106
$64
$38
12
clean
FNA BX W/O IMG GDN EA ADDL
$362
$217
$35
12
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$1,361
$817
$716
24
clean
FNA BX W/US GDN EA ADDL
$361
$217
$42
12
clean
FNA BX W/FLUOR GDN 1ST LES
$1,362
$817
$716
12
clean
FNA BX W/CT GDN 1ST LES
$1,361
$817
$716
12
clean
FNA BX W/CT GDN EA ADDL
$362
$217
$64
12
clean
FNA BX W/MR GDN 1ST LES
$1,362
$817
$716
12
clean
FNA BX W/MR GDN EA ADDL
$362
$217
—
0
clean
FNA BX W/O IMG GDN 1ST LES
$662
$397
$411
12
clean
IMG GID FLU COLL DRG SFT TIS
$1,442
$865
$716
12
clean
PLMT SFT TISS LOCLZJ DEV 1ST
$1,725
$1,035
$716
12
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$524
$314
$203
36
clean
I&D ABSCESS COMP/MULTIPLE
$569
$341
$411
24
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$1,361
$817
$716
12
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$1,361
$817
$716
12
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$891
$535
$411
24
clean
INC&RMVL FB SUBQ TISS COMP
$4,220
$2,532
$1,669
36
clean
I&D HMTMA SEROMA/FLUID COLLJ
$4,228
$2,537
$1,669
24
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$871
$523
$411
24
clean
I&D COMPLEX PO WOUND INFCTJ
$6,510
$3,906
$2,935
12
clean
DBRDMT ECZ/INFECTED SKIN<10%
$1,367
$820
$411
12
clean
DBRDMT ECZ/INFCT SKN EA ADDL
$149
$89
$12
12
clean
DBRDMT SKIN XTRNL GENT&PER
$550
$330
$483
12
clean
DBRDMT SKIN XTRNL GENT PER
$742
$445
$595
12
clean
DEB SKIN BONE AT FX SITE
$3,290
$1,974
$2,935
24
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$974
$584
$411
96
clean
REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS
$1,367
$820
$747
84
clean
REMOVAL OF BONE; 20.0 SQ CM OR LESS
$2,421
$1,453
$1,669
84
clean
DBRDMT SUBQ TISS EACH ADDL
$617
$370
$21
60
clean
REMOVAL OF MUSCLE AND/OR TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$617
$370
$46
48
clean
REMOVAL OF BONE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$1,554
$932
$82
12
clean
PARING/CUTG B9 HYPRKER LES 1
$261
$157
$203
12
clean
PARNG/CUTG B9 HYPRKR LES 2-4
$286
$172
$203
12
clean
PARNG/CUTG B9 HYPRKR LES >4
$369
$221
$203
12
clean
BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH
$415
$249
$411
12
clean
TANGNTL BX SKIN EA SEP/ADDL
$208
$125
$17
12
clean
PUNCH BX SKIN SINGLE LESION
$415
$249
$411
24
clean
PUNCH BX SKIN EA SEP/ADDL
$208
$125
$21
24
clean
INCISION BIOPSY; FIRST SKIN GROWTH
$738
$443
$747
24
clean
INCAL BX SKN EA SEP/ADDL
$369
$221
$24
12
clean
RMVL SKIN TAGS UP TO&INC 15
$473
$284
$203
12
clean
SHAVE SKIN LESION 0.5 CM/<
$331
$199
$203
12
clean
SHAVE SKIN LESION 1.1-2.0 CM
$429
$257
$203
12
clean
EXC TR-EXT B9+MARG 0.5 CM<
$113
$68
$716
24
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$815
$489
$411
36
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$1,442
$865
$716
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$1
$1
$716
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$3,722
$2,233
$1,669
12
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$3,232
$1,939
$1,669
36
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$1,466
$880
$716
36
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$1
$1
$1,669
36
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$1
$1
$1,669
12
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$3,218
$1,931
$1,669
12
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$10,209
$6,125
$2,935
12
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$1,443
$866
$716
12
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$2,498
$1,499
$716
12
clean
EXC FACE-MM B9+MARG 1.1-2 CM
$194
$116
$716
24
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$5,547
$3,328
$1,669
12
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$4,290
$2,574
$1,669
12
clean
REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$4,593
$2,756
$2,935
12
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$4,479
$2,687
$411
12
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$3,534
$2,120
$716
12
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$4,542
$2,725
$716
12
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$3,282
$1,969
$2,935
12
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$10,275
$6,165
$716
12
clean
TRIM NAIL(S) ANY NUMBER
$130
$78
$60
12
clean
DEBRIDE NAIL 1-5
$215
$129
$60
12
clean
DEBRIDE NAIL 6 OR MORE
$144
$86
$60
12
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$473
$284
$203
48
clean
REMOVE NAIL PLATE ADD-ON
$97
$58
$15
12
clean
DRAIN BLOOD FROM UNDER NAIL
$295
$177
$134
48
clean
REMOVAL OF NAIL BED
$975
$585
$411
96
clean
REPAIR OF FINGERNAIL OR TOENAIL BED
$1,367
$820
$747
36
clean
EXCISION OF NAIL FOLD TOE
$871
$523
$411
12
clean
REMOVE PILONIDAL CYST SIMPLE
$6,132
$3,679
$2,935
24
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$4,459
$2,675
$2,935
12
clean
IMPLANT HORMONE PELLET(S)
$100
$60
$451
12
clean
INSERTION DRUG DLVR IMPLANT
$127
$76
$134
24
clean
REMOVE DRUG IMPLANT DEVICE
$143
$86
$451
24
clean
REMOVE/INSERT DRUG IMPLANT
$205
$123
$451
12
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$482
$289
$203
24
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$530
$318
$203
36
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$530
$318
$203
12
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
$871
$523
$411
12
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$871
$523
$411
12
clean
SIMPLE REPAIR OF SURFACE WOUND TO SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$474
$284
$203
12
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$530
$318
$203
12
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$530
$318
$203
24
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$530
$318
$203
24
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
$530
$318
$203
12
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$871
$523
$411
12
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
$738
$443
$411
12
clean
RPR F/E/E/N/L/M >30.0 CM
$415
$249
$203
12
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,368
$821
$747
12
clean
TX SUPFC WND DEHSN W/PACKING
$738
$443
$411
12
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$871
$523
$411
24
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$871
$523
$411
24
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$871
$523
$411
12
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$871
$523
$411
12
clean
INTMD RPR S/A/T/EXT 20.1-30
$1,367
$820
$747
12
clean
INTMD RPR S/TR/EXT >30.0 CM
$3,639
$2,183
$2,085
12
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$871
$523
$411
24
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$871
$523
$411
24
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 7.6-12.5 CM
$1,367
$820
$747
12
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 12.6-20.0 CM
$1,135
$681
$747
24
clean
INTMD RPR N-HF/GENIT20.1-30
$738
$443
$747
12
clean
INTMD RPR N-HF/GENIT >30.0CM
$3,640
$2,184
$2,085
12
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$883
$530
$411
36
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$883
$530
$411
24
clean
INTMD RPR FACE/MM 5.1-7.5 CM
$871
$523
$411
12
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$871
$523
$411
12
clean
INTMD RPR FACE/MM 12.6-20 CM
$871
$523
$411
12
clean
INTMD RPR FACE/MM 20.1-30.0
$738
$443
$411
12
clean
INTMD RPR FACE/MM >30.0 CM
$738
$443
$411
12
clean
CMPLX RPR TRUNK 2.6-7.5 CM
$1,176
$706
$747
12
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$1,367
$820
$411
24
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$230
$138
$66
24
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM
$871
$523
$411
24
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$1,453
$872
$411
24
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$681
$409
$99
12
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$1,367
$820
$747
12
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$1,367
$820
$747
12
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$600
$360
$110
12
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$4,238
$2,543
$3,581
12
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$3,554
$2,132
$2,085
12
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$1
$1
$2,085
12
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$1
$1
$2,085
12
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
$3,587
$2,152
$2,085
12
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$1
$1
$3,581
12
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$1
$1
$176
12
clean
PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$3,073
$1,844
$747
12
clean
PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$1
$1
$411
24
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$6,469
$3,881
$2,085
12
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$3,322
$1,993
$747
60
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 25.0 SQ CM OF WOUND 100.0 SQ CM OR LESS
$1,175
$705
$14
12
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$3,463
$2,078
$747
36
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$1,175
$705
$21
12
clean
MUSC MYOQ/FSCQ FLP H&N PEDCL
$7,040
$4,224
$3,581
12
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$1
$1
$3,581
12
clean
SELF SOFT TISSUE GRAFT
$1
$1
$3,581
24
clean
REMOVAL SUTR/STAPLE REQ ANES
$91
$55
$2,085
12
clean
INITIAL TREATMENT OF BURN(S)
$473
$284
$203
12
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$515
$309
$203
12
clean
DRESS/DEBRID P-THICK BURN M
$460
$276
$203
12
clean
DRESS/DEBRID P-THICK BURN L
$891
$535
$411
12
clean
DESTRUCT PREMALG LESION
$413
$248
$203
12
clean
DESTRUCT B9 LESION 1-14
$103
$62
$203
24
clean
DESTRUCTION OF SKIN GROWTH; 15 OR MORE GROWTHS
$1
$1
$203
12
clean
CHEM CAUT OF GRANLTJ TISSUE
$372
$223
$203
36
clean
UNLISTD PX SKN MUC MEMB SUBQ
$498
$299
$203
24
clean
PUNCTURE ASPIR CYST BREAST
$1,605
$963
$716
12
clean
DRAINAGE OF ABSCESS OF BREAST
$5,550
$3,330
$1,669
24
clean
BX BREAST 1ST LESION STRTCTC
$1,888
$1,133
$1,669
12
clean
BX BREAST ADD LESION STRTCTC
$1,105
$663
$68
12
clean
BX BREAST 1ST LESION US IMAG
$2,208
$1,325
$1,694
72
clean
BX BREAST ADD LESION US IMAG
$1,105
$663
$64
12
clean
BX BREAST 1ST LESION MR IMAG
$3,622
$2,173
$1,669
12
clean
BX BREAST ADD LESION MR IMAG
$1,617
$970
$74
12
clean
BIOPSY OF BREAST THROUGH INCISION
$4,036
$2,422
$3,957
24
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$3,975
$2,385
$3,957
24
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$7,314
$4,388
$3,957
12
clean
PERQ DEVICE BREAST 1ST IMAG
$1,638
$983
$1,669
48
clean
PERQ DEVICE BREAST EA IMAG
$118
$71
$41
36
clean
PERQ DEV BREAST 1ST STRTCTC
$1,443
$866
$716
24
clean
PERQ DEV BREAST ADD STRTCTC
$1,443
$866
$42
24
clean
PERQ DEV BREAST 1ST US IMAG
$2,885
$1,731
$716
72
clean
PERQ DEV BREAST ADD US IMAG
$722
$433
$35
24
clean
PERQ DEV BREAST 1ST MR GUIDE
$1,443
$866
$716
24
clean
PERQ DEV BREAST ADD MR GUIDE
$1,443
$866
$53
24
clean
PARTIAL REMOVAL OF BREAST
$1
$1
$3,957
24
clean
SIMPLE COMPLETE REMOVAL OF BREAST
$20,582
$12,349
$6,710
24
clean
EXPL PENTRG WOUND EXTREMITY
$3,643
$2,186
$1,669
12
clean
DEEP BIOPSY OF MUSCLE
$9,897
$5,938
$2,935
12
clean
BIOPSY MUSCLE PERQ NEEDLE
$3,440
$2,064
$1,669
12
clean
BONE BIOPSY TROCAR/NDL SUPFC
$1,834
$1,100
$1,669
12
clean
BONE BIOPSY TROCAR/NDL DEEP
$3,775
$2,265
$1,669
12
clean
BONE BIOPSY OPEN SUPERFICIAL
$4,465
$2,679
$2,935
36
clean
INJECTION OF SINUS TRACT
$2,405
$1,443
$1,568
12
clean
INJECT SINUS TRACT FOR X-RAY
$577
$346
$31
12
clean
REMOVAL OF FOREIGN BODY
$3,775
$2,265
$1,669
12
clean
REMOVAL OF FOREIGN BODY
$5,588
$3,353
$2,935
36
clean
INJ TENDON SHEATH/LIGAMENT
$619
$371
$310
36
clean
INJECTION OF TRIGGER POINTS; 1-2 MUSCLES
$767
$460
$310
12
clean
INJECT TRIGGER POINTS 3/>
$582
$349
$310
12
clean
DRAIN/INJ JOINT/BURSA W/O US
$685
$411
$310
48
clean
DRAIN/INJ JOINT/BURSA W/US
$582
$349
$310
12
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT
$685
$411
$310
60
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE
$1,522
$913
$713
24
clean
ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT
$698
$419
$310
84
clean

Showing the first 200 of 4,817 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,162 of 2,236 comparable items (52%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $7,505 exceeds the gross charge $1,425
warn
mrf_rate_without_estimate
283,974 of 283,974 percentage/algorithm rates across 4,817 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 31525/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82810/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86277/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87798/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31530/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45390/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82930/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1944/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82941/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86301/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87800/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 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1950/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82943/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86304/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87801/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96375/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 82945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86308/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87802/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96376/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1953/o
info
mrf_item_fields_vary
this code and setting cover at least 38 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45399/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 66989/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86316/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87804/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1955/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31545/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82948/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87806/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96415/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1956/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 differ, so no cross-line comparison was made for this item
CPT 25605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31575/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80372/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82950/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86320/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87807/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25606/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31622/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82951/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86331/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87880/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2002/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80374/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82952/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86332/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2003/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 differ, so no cross-line comparison was made for this item
CPT 25608/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31624/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82955/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86334/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87900/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2004/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 differ, so no cross-line comparison was made for this item
CPT 25609/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31625/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80376/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82962/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86335/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87901/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 0572T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80377/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82977/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86336/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87902/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2060/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31628/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82978/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87903/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82985/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86340/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87904/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2151/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46221/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83001/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87905/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97113/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2175/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83002/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86352/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87906/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 97116/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2185/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83003/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86356/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87912/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2210/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46255/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 81000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83010/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86357/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88112/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT J2248/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81001/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83013/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86359/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 53 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2251/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31652/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86361/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88142/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97533/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 J2260/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31653/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83021/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88147/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26055/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31654/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69209/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81025/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88148/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97602/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 J2272/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 69210/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83036/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97605/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 J2274/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83051/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86403/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88155/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2300/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69424/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81161/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86406/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2310/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83088/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86430/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2312/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10120/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 69436/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83090/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86431/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88172/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10121/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26160/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88174/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2323/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 10140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26236/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 69610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83491/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88175/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99153/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2329/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 10160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81201/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83497/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2353/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, max differ, so no cross-line comparison was made for this item
CPT 69631/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83498/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86592/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99211/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26410/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,808 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 148.0M bytes · fetched 2026-08-23 · sha256 a7ff94aad5cc…

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.