Project Crossfoot
Hospital · CCN 340075

Unc Health Blue Ridge

2201 S Sterling St, Morganton, NC 28655 · Burke County
Part of UNC Health Care System · 156 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

33 admission types 48 outpatient services price file: ok
Billed per dollar paid, all admissions
3.99×
$44.8M billed against $11.2M paid across 922 Medicare discharges; the national figure is 5.03×.
7.2%
of adults in Burke County have medical debt in collections
13.5%
uninsured in the county · state 11.2%
$56K
median household income
4.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
36.8%
obesity in the countyⓘ
13.8%
diagnosed diabetes (PLACES)
8.6%
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
194
$63,196
$15,394
4.1× st 3.5×
291
Heart failure and shock with mcc
81
$42,725
$10,831
3.9× st 3.2×
177
Respiratory infections and inflammations with mcc
58
$51,022
$13,781
3.7× st 3.3×
885
Psychoses
45
$35,793
$12,833
2.8× st 2.8×
193
Simple pneumonia and pleurisy with mcc
42
$43,873
$11,374
3.9× st 3.5×
189
Pulmonary edema and respiratory failure
30
$42,713
$10,905
3.9× st 3.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
29
$31,482
$8,286
3.8× st 3.6×
378
Gastrointestinal hemorrhage with cc
28
$40,772
$8,909
4.6× st 3.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
24
$28,258
$7,593
3.7× st 3.6×
481
Hip and femur procedures except major joint with cc
23
$71,357
$16,949
4.2× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
23
$30,713
$7,383
4.2× st 3.4×
690
Kidney and urinary tract infections without mcc
22
$31,703
$7,949
4.0× st 3.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
21
$35,957
$8,846
4.1× st 3.6×
683
Renal failure with cc
21
$29,879
$8,151
3.7× st 3.4×
190
Chronic obstructive pulmonary disease with mcc
21
$39,617
$9,811
4.0× st 3.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$43,789
$8,692
5.0× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
17
$45,305
$11,663
3.9× st 3.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$81,438
$17,297
4.7× st 4.6×
536
Fractures of hip and pelvis without mcc
16
$24,642
$7,645
3.2× st 3.6×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$42,292
$10,810
3.9× st 3.6×
689
Kidney and urinary tract infections with mcc
16
$40,806
$10,361
3.9× st 3.3×
280
Acute myocardial infarction, discharged alive with mcc
16
$45,752
$12,427
3.7× st 3.6×
194
Simple pneumonia and pleurisy with cc
15
$38,418
$8,123
4.7× st 3.7×
682
Renal failure with mcc
15
$49,665
$12,746
3.9× st 3.3×
812
Red blood cell disorders without mcc
13
$38,710
$8,565
4.5× st 3.5×
603
Cellulitis without mcc
13
$25,835
$8,257
3.1× st 3.0×
389
Gastrointestinal obstruction with cc
13
$38,136
$8,217
4.6× st 3.4×
312
Syncope and collapse
13
$38,318
$8,199
4.7× st 3.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$47,300
$13,421
3.5× st 3.7×
330
Major small and large bowel procedures with cc
12
$77,628
$19,796
3.9× st 4.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
12
$130,620
$33,141
3.9× st 3.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$108,080
$22,240
4.9× st 3.6×
069
Transient ischemia without thrombolytic
11
$34,226
$7,483
4.6× st 4.7×
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
189
$22,506
$2,319
9.7×
5302
Level 2 Upper GI Procedures
111
$17,038
$1,632
10.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
94
$13,008
$1,411
9.2×
5114
Level 4 Musculoskeletal Procedures
93
$58,775
$5,959
9.9×
5431
Level 1 Nerve Procedures
84
$23,619
$1,654
14.3×
5115
Level 5 Musculoskeletal Procedures
76
$75,996
$11,052
6.9×
5113
Level 3 Musculoskeletal Procedures
66
$28,338
$2,740
10.3×
5112
Level 2 Musculoskeletal Procedures
50
$17,821
$1,376
12.9×
5492
Level 2 Intraocular Procedures
49
$36,057
$3,538
10.2×
5361
Level 1 Laparoscopy and Related Services
46
$33,338
$4,934
6.8×
5372
Level 2 Urology and Related Services
42
$3,630
$594
6.1×
5374
Level 4 Urology and Related Services
35
$22,399
$2,965
7.6×
5183
Level 3 Vascular Procedures
34
$15,149
$2,692
5.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
28
$26,930
$2,925
9.2×
5373
Level 3 Urology and Related Services
26
$15,475
$1,772
8.7×
5191
Level 1 Endovascular Procedures
24
$27,826
$2,840
9.8×
5375
Level 5 Urology and Related Services
22
$32,902
$4,340
7.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$20,352
$2,211
9.2×
5182
Level 2 Vascular Procedures
16
$14,419
$1,394
10.3×
5414
Level 4 Gynecologic Procedures
15
$23,017
$2,721
8.5×
5462
Level 2 Neurostimulator and Related Procedures
14
$24,512
$4,251
5.8×
5193
Level 3 Endovascular Procedures
14
$66,669
$9,567
7.0×
5222
Level 2 Pacemaker and Similar Procedures
12
$28,189
$7,393
3.8×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
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 04/01/2026, template 3.0.0, 60,888 rows scanned, 2,960 distinct code–setting items kept. 836 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Nash Fibro Test Mayo
CPT 0003M
$1,888
$1,133
$1,029
34
clean
HC Tpmt Nudt15 Genotyping
CPT 0034U
$1,748
$1,049
$1,488
34
clean
HC Rt Quic
CPT 0035U
$2,029
$1,217
$1,160
34
clean
HC CT Cerebral Perfusion Study
CPT 0042T
$2,354
$1,412
$1,031
23
clean
HC Perc Augment Sacral Inj Unil 1 or More Needles W Biopsy W Image Guidance
CPT 0200T
$5,000
$3,000
$3,153
34
clean
HC Perc Augment Sacral Inj Bil 2 or More Needles W Biopsy W Image Guidance
CPT 0201T
$8,668
$5,201
$5,465
34
clean
HC Biofire Respiratory Panel 2.1 Rp2.1 Test
CPT 0202U
$1,027
$616
$555
34
clean
HC Atherectomy Brachcphlc Brch W S and I
CPT 0237T
$6,000
$3,600
$3,783
34
clean
HC Revasc Atherectomy Iliac Artery Incld S and I Each Vessel
CPT 0238T
$8,000
$4,800
$5,044
34
clean
HC Rapid Rsflu Covid Flurvid Cepheid - Inactive
CPT 0241U
$275
$165
$209
34
clean
HC Beta Amyloid Ratio Mayo
CPT 0358U
$977
$586
$558
34
clean
HC Neurofilament Light Chain Mayo
CPT 0361U
$1,720
$1,032
$937
34
clean
HC Alpha Synuclein CSF Mayo
CPT 0393U
$2,029
$1,217
$1,160
34
clean
HC Klhl11 Antibody Cba Mayo
CPT 0432U
$137
$82
$75
34
clean
HC Percutaneous Injection of Allogeneic Cellular Product Unilat Bilat Fluor Lumbar 1st Level
CPT 0627T
$32,182
$19,309
$12,039
34
clean
HC Percutaneous Injection of Allogeneic Cellular Product Unilat Bilat Fluor Lumbar Ea Addl Lvl
CPT 0628T
$16,092
$9,655
$8,653
23
clean
HC Fna Biopsy Incl US Guidance 1st Lesion
CPT 10005
$1,619
$971
$658
34
clean
HC Fna Biopsy Incl US Guidance Ea Addl Lesion
CPT 10006
$1,619
$971
$747
23
clean
HC Fna Bx Incl Fluoro Guidance 1st Lesion
CPT 10007
$1,328
$797
$658
34
clean
HC Fna Bx Incl CT Guidance 1st Lesion
CPT 10009
$1,328
$797
$658
34
clean
HC Drain Cath Plmt Other
CPT 10030
$488
$293
$308
34
clean
HC Incision and Drainage Abscess Simple Single
CPT 10060
$680
$408
$186
68
clean
HC Incision and Drainage Abscess Compl Mult
CPT 10061
$883
$530
$374
68
clean
HC Incision and Drainage Hematoma Seroma or Fluid
CPT 10140
$2,386
$1,432
$1,471
34
clean
HC Aspir Hematoma Abces Bul Cyst
CPT 10160
$665
$399
$374
34
clean
HC Debridement Sq Tissue Skin 1st 20sqcm
CPT 11042
$2,166
$1,300
$374
68
clean
HC Debridement Muscle Skin Tissue 1st 20sqcm
CPT 11043
$2,166
$1,300
$573
68
clean
HC Debridement Bone Skin Tissue Muscle 1st 20sqcm
CPT 11044
$5,567
$3,340
$1,516
68
clean
HC Debridement Tissue Skin Add 20sqcm
CPT 11045
$2,166
$1,300
$1,082
46
clean
HC Debridement Muscle Skin Tissue Add 20sqcm
CPT 11046
$2,166
$1,300
$1,095
46
clean
HC Debridement Bone Skin Tissue Muscle Add 20sqcm
CPT 11047
$5,567
$3,340
$2,568
23
clean
HC Tangential Biopsy of Skin Single Lesion
CPT 11102
$457
$274
$186
34
clean
HC Punch Biopsy of Skin Single Lesion
CPT 11104
$351
$211
$221
68
clean
HC Punch Biopsy of Skin Ea Separate Addl Lesion
CPT 11105
$351
$211
$189
46
clean
HC Incisional Biopsy of Skin W Simple Closure Single Lesion
CPT 11106
$373
$224
$235
68
clean
HC Trim Nondystrophic Nails
CPT 11719
$140
$84
$56
34
clean
HC Debrid Nails Any Method 1-5
CPT 11720
$140
$84
$56
34
clean
HC Debrid Nails Any Method 6 and Greater
CPT 11721
$140
$84
$56
34
clean
HC Avulsion Nail Plate P C S Sngl
CPT 11730
$440
$264
$186
34
clean
HC Excision Nail and Matrix Partial or Complete
CPT 11750
$750
$450
$374
34
clean
HC Adjacent Tissue Transfer F C C M N a G H F 10 Sq Cm or Less
CPT 14040
$4,274
$2,564
$1,712
34
clean
HC Application Skin Graft T a L Total Area Up to 100 Sq Cm 1st 25 Sq Cm
CPT 15271
$2,073
$1,244
$1,307
34
clean
HC Wound Cautery Chemical
CPT 17250
$670
$402
$186
34
clean
HC Aspirat Punct Breast Cyst
CPT 19000
$838
$503
$528
34
clean
HC Bx Brst Plc Loc Dev 1les W Stg
CPT 19081
$8,725
$5,235
$1,516
34
clean
HC Bx Brst Plc Loc Dev +Les W Stg
CPT 19082
$8,725
$5,235
$4,024
23
clean
HC Biopsy Breast Place Localization Device 1 Lesion W US Guidance
CPT 19083
$8,092
$4,855
$1,516
34
clean
HC Bx Brst Plc Loc Dev +Les W Usg
CPT 19084
$8,092
$4,855
$3,732
23
clean
HC Biopsy Breast Place Localization Device 1 Lesion W MRI Guidance
CPT 19085
$8,705
$5,223
$1,516
34
clean
HC Biopsy Breast Place Localization Device Each Additional Lesion W MRI Guidance
CPT 19086
$8,705
$5,223
$4,015
23
clean
HC Place Breast Localization Device 1 Lesion W Mammo Guidance
CPT 19281
$2,286
$1,372
$1,441
34
clean
HC Place Breast Localization Device Addl Lesion W Mammo Guidance
CPT 19282
$1,646
$988
$759
23
clean
HC Plc Brst Loc Dev 1les W Stg
CPT 19283
$3,266
$1,960
$658
34
clean
HC Placement Breast Loc Dev Each Addl Les W Stg
CPT 19284
$2,032
$1,219
$937
23
clean
HC Place Breast Localization Device 1 Lesion W US Guidance
CPT 19285
$2,633
$1,580
$658
34
clean
HC Placement Breast Loc Dev Each Addl Les W Usg
CPT 19286
$2,101
$1,261
$969
23
clean
HC Place Breast Localization Device 1 Lesion W MRI Guidance
CPT 19287
$2,195
$1,317
$658
34
clean
HC Biopsy Needle Muscle Perc
CPT 20206
$2,252
$1,351
$1,420
34
clean
HC Bx Ndl Bone Trocar Superficial
CPT 20220
$1,759
$1,055
$1,109
34
clean
HC Bx Ndl Bone Trocar Deep
CPT 20225
$2,484
$1,490
$1,501
34
clean
HC Inj Sinus Tract Diagnostic
CPT 20501
$390
$234
$180
23
clean
HC Inj Carpal Tunnel Therptc
CPT 20526
$790
$474
$276
34
clean
HC Injection Single Tendon Sheath or Ligament
CPT 20550
$2,405
$1,443
$303
34
clean
HC Injection Single Tendon Sheath Origin Insertion
CPT 20551
$457
$274
$275
34
clean
HC Injection Trigger Point 1 or 2 Muscles
CPT 20552
$1,848
$1,109
$276
34
clean
HC Injection Trigger Point 3 or More Muscles
CPT 20553
$1,905
$1,143
$276
34
clean
HC Arthrocentesis a IR Inj Small Jnt or Bursa WO US Guide
CPT 20600
$1,788
$1,073
$276
34
clean
HC Arthrocentesis Aspiration Injection Small Joint or Bursa W US Guidance
CPT 20604
$1,788
$1,073
$276
34
clean
HC Arthrocentesis Aspir Inj Intermediate Jnt or Bursa WO US Guide
CPT 20605
$1,825
$1,095
$276
34
clean
HC Arthrocentesis Aspiration Injection Intermediate Joint or Bursa W US Guidance
CPT 20606
$1,825
$1,095
$648
34
clean
HC Arthrocentesis Aspir Inj Major Jnt or Bursa WO/ US Guide
CPT 20610
$1,844
$1,106
$276
34
clean
HC Arthrocentesis Aspiration Injection Major Joint or Bursa W US Guidance
CPT 20611
$1,844
$1,106
$276
34
clean
HC Aspiration and or Injection Ganglion Cyst
CPT 20612
$363
$218
$229
34
clean
HC Aspiration and Injection for Treatment of Bone Cyst
CPT 20615
$1,452
$871
$658
34
clean
HC Rfa Ablat Bone Tum W Cont
CPT 20982
$8,645
$5,187
$5,451
34
clean
HC Bx Soft Tissue Neck or Thorax
CPT 21550
$3,282
$1,969
$1,516
34
clean
HC CT Biopsy Back Flank Soft Tissue Superficial
CPT 21920
$1,966
$1,180
$1,240
34
clean
HC CT Biopsy Back Flank Soft Tissue Deep
CPT 21925
$3,282
$1,969
$1,516
34
clean
HC Perc Vert 1 Vert Body Cervicothoracic Unil or Bil W Biopsy W Image Guidance
CPT 22510
$6,606
$3,964
$3,036
34
clean
HC Perc Vert 1 Vert Body Lumbosacral Unil or Bil W Biopsy W Image Guidance
CPT 22511
$6,606
$3,964
$3,036
34
clean
HC Perc Vert Augment 1 Vert Body Thoracic Unil or Bil W Image Guidance
CPT 22513
$9,685
$5,811
$6,106
34
clean
HC Perc Vert Augment 1 Vert Body Lumbar Unil or Bil W Image Guidance
CPT 22514
$9,685
$5,811
$6,106
34
clean
HC Perc Vert Augment Each Additional Thor Lum Unil or Bil W Image Guidance
CPT 22515
$11,075
$6,645
$5,108
23
clean
HC Inj Shoulder Arthrography
CPT 23350
$951
$571
$439
23
clean
HC Inj Elbow Arthrography
CPT 24220
$687
$412
$317
23
clean
HC Inj Wrist Arthrography
CPT 25246
$1,999
$1,199
$922
23
clean
HC Inj Hip Arthrography WO Anesthesia
CPT 27093
$1,036
$622
$478
23
clean
HC Inj Sacroiliac Joint Including Image Guidance
CPT 27096
$1,534
$920
$648
34
clean
HC Inj Proc for Contrast Knee Arthro or Contrast Enhanced CT MRI Knee Arthr
CPT 27369
$634
$380
$292
23
clean
HC Inj Ankle Arthrography
CPT 27648
$1,244
$746
$574
23
clean
HC Tenotomy Percutaneous Toe Single Tendon
CPT 28010
$3,740
$2,244
$1,497
34
clean
HC Ot Application of Splint Shoulder to Hand Long Arm
CPT 29105
$445
$267
$148
68
clean
HC Ot Application of Splint Forearm to Hand Short Arm Static
CPT 29125
$376
$226
$121
68
clean
HC Ot Apply Forearm Splint Dynamic
CPT 29126
$453
$272
$121
68
clean
HC Application of Splint Finger Static
CPT 29130
$376
$226
$121
34
clean
HC Ot Appl of Finger Splint Dynamic
CPT 29131
$220
$132
$56
34
clean
HC Applic Cast Rig Total Cont Leg
CPT 29445
$1,257
$754
$249
34
clean
HC Strapping Unna Boot
CPT 29580
$652
$391
$148
68
clean
HC Application Multilayer Compression System Below Kneed Including Ankle and Foot
CPT 29581
$460
$276
$148
68
clean
HC Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing
CPT 29584
$281
$169
$148
34
clean
HC Nasal Endo Diag Unilateral or Bilateral Sep Procedure
CPT 31231
$454
$272
$182
34
clean
HC Nasal Sinus Endoscopy Dx Maxillary Sinusoscopy
CPT 31233
$907
$544
$363
34
clean
HC Nasal Sinus Endoscopy W Control Hemorrhage
CPT 31238
$4,030
$2,418
$1,614
34
clean
HC Nasal Sinus Ndsc Surg W Dacryocystorhinostomy
CPT 31239
$8,615
$5,169
$3,450
34
clean
HC Nasal Sinus Endoscopy W Ethmoidectomy Partial
CPT 31254
$16,176
$9,706
$6,477
34
clean
HC Nasal Sinus Endoscopy Surg W Frontal Explor W WO Removal
CPT 31276
$16,176
$9,706
$6,477
34
clean
HC Nasal Sinus Endoscopy Sphenoidotomy
CPT 31287
$16,176
$9,706
$6,477
34
clean
HC Nasal Endoscopy W Sphenoidotomy W Removal of Tissue Sphenoid
CPT 31288
$16,176
$9,706
$6,477
34
clean
HC Intubation
CPT 31500
$932
$559
$217
34
clean
HC Rt Trach Tube Exchange
CPT 31502
$802
$481
$217
68
clean
HC Laryngoscopy Flexible Therapeutic Injection Unilateral
CPT 31573
$4,030
$2,418
$1,614
34
clean
HC Laryngoscopy Flexible W Injection Augmentation Unilateral
CPT 31574
$4,030
$2,418
$1,614
34
clean
HC Direct Laryngoscopy
CPT 31575
$454
$272
$182
34
clean
HC Laryngoscopy With Biopsy
CPT 31576
$4,030
$2,418
$1,614
34
clean
HC Nasotracheal Aspiration
CPT 31720
$67
$40
$42
34
clean
HC Biopsy Pleura Perc Needle
CPT 32400
$1,414
$848
$892
34
clean
HC Core Needle Biopsy Lung Mediastinum Perq W Img
CPT 32408
$4,811
$2,887
$1,516
34
clean
HC Insert Indwelling Tunnel Pleural Cath W Cuff
CPT 32550
$8,027
$4,816
$3,302
34
clean
HC Removal Tunneled Pleural Cath
CPT 32552
$1,813
$1,088
$578
34
clean
HC Thoracentesis Nld Cath W Image
CPT 32555
$3,308
$1,985
$578
34
clean
HC Pleural Drain W Cath W Image Guidance
CPT 32557
$2,718
$1,631
$1,454
34
clean
HC Instillation via Chest Tube Cath Fibrinolytic Agent
CPT 32561
$1,266
$760
$578
34
clean
HC Cryoabl Pulm Tum Incld Guid
CPT 32994
$11,464
$6,878
$6,552
34
clean
HC Ablat Lung Tumor Rfa Perc Unil Incl Image Guid
CPT 32998
$8,644
$5,186
$5,314
34
clean
HC Exchange Pleural Drainage Catheter
CPT 32999
$1,839
$1,103
$578
34
clean
HC Pericardiocentesis Incld Img Guidance
CPT 33016
$2,848
$1,709
$1,454
34
clean
HC Insert Replace Permanent Pacemaker W Atrial Lead
CPT 33206
$8,662
$5,197
$5,461
34
clean
HC Insert Replace Permanent Pacemarker W Ventricular Lead
CPT 33207
$11,550
$6,930
$7,282
34
clean
HC Insert Replace Permanent Pacemaker W Atrial and Ventricular Lead
CPT 33208
$10,694
$6,416
$6,743
34
clean
HC Temporary Pacemaker Insertion
CPT 33210
$10,359
$6,215
$6,531
34
clean
HC Insert Pm Gen Only Exist Sngl Lead
CPT 33212
$5,500
$3,300
$3,468
34
clean
HC Insert Pm Gen Only Exist Dual Lead
CPT 33213
$6,500
$3,900
$4,098
34
clean
HC Upgrade Single Ppm to Dual Ppm
CPT 33214
$14,396
$8,638
$9,077
34
clean
HC Repositioning Rt Atrial or Rt Ventrical Lead Permanent Pacemaker Icd
CPT 33215
$4,920
$2,952
$2,944
34
clean
HC Insert Single Chamber Lead Permanent Pacemaker Icd
CPT 33216
$5,500
$3,300
$3,468
34
clean
HC Insert 2 Leads for Pmkr/Icd
CPT 33217
$9,370
$5,622
$5,908
34
clean
HC Repair Lead Single Chamber Pacemaker Icd
CPT 33218
$2,500
$1,500
$1,576
34
clean
HC Repair Leads Dual Pacemaker Defib
CPT 33220
$2,500
$1,500
$1,576
34
clean
HC Insert Pm Gen Only Exist Multi
CPT 33221
$9,000
$5,400
$5,675
34
clean
HC Relocation Pocket Pacemaker
CPT 33222
$7,349
$4,409
$1,712
34
clean
HC Relocate Pocket for Defib
CPT 33223
$3,995
$2,397
$1,712
34
clean
HC Add Lv Lead to Existing Device
CPT 33224
$6,500
$3,900
$4,098
34
clean
HC Lv Lead Insert New Device or Upgrade
CPT 33225
$5,712
$3,427
$2,634
23
clean
HC Reposition of Lv Lead
CPT 33226
$2,841
$1,705
$1,791
34
clean
HC Remove and Replace Pacemaker Single System
CPT 33227
$19,571
$11,743
$7,744
34
clean
HC Remove and Replace Pacemaker Dual System
CPT 33228
$21,507
$12,904
$9,792
34
clean
HC Remove and Replace Pacemaker Biv System
CPT 33229
$12,904
$7,742
$8,136
34
clean
HC Remove Old Pacemkr Generator
CPT 33233
$3,755
$2,253
$2,368
34
clean
HC Removal Pacemaker Leads Dual Chamber
CPT 33235
$2,500
$1,500
$1,576
34
clean
HC Insert Icd Generator W Exist Single Lead
CPT 33240
$10,000
$6,000
$6,305
34
clean
HC Remove Old Icd Generator Only
CPT 33241
$4,415
$2,649
$2,784
34
clean
HC Insert or Replace Icd System
CPT 33249
$34,636
$20,782
$21,838
34
clean
HC Remove and Replace Implt Defib Pls Gen Single Lead System
CPT 33262
$31,918
$19,151
$20,045
34
clean
HC Remove and Replace Implt Defib Pls Gen Dual Lead System
CPT 33263
$31,918
$19,151
$20,045
34
clean
HC Remove and Replace Implt Defib Pls Gen Mult Lead System
CPT 33264
$31,918
$19,151
$20,124
34
clean
HC Transcath Insert Replace of Perm Leadless Pacemkr Rt Vent Incl Img Guidance and Device Eval
CPT 33274
$4,270
$2,562
$2,692
34
clean
HC Insert Loop Recorder
CPT 33285
$7,426
$4,456
$4,682
34
clean
HC Remove Loop Recorder
CPT 33286
$3,746
$2,248
$658
34
clean
HC Insert Ia Balloon Device
CPT 33967
$3,802
$2,281
$487
34
clean
HC Inj Treatment of Pseudoaneurysm Ext
CPT 36002
$1,128
$677
$578
34
clean
HC Inj Extremity Venography
CPT 36005
$2,703
$1,622
$1,247
23
clean
HC Catheter Into Ivc or Svc Vein Atypical
CPT 36010
$1,025
$615
$473
23
clean
HC Selective Venous 1st Ord
CPT 36011
$1,385
$831
$718
23
clean
HC Cath 2nd or More Order Venous
CPT 36012
$1,650
$990
$761
23
clean
HC Cath Rt Hrt or Main Pulm Art
CPT 36013
$1,793
$1,076
$902
24
clean
HC Catheter Selective Pulm Art Rt Lt
CPT 36014
$1,614
$968
$837
23
clean
HC Intro Needle Cath Ext Art
CPT 36140
$736
$442
$382
23
clean
HC Intro Catheter Aorta
CPT 36200
$3,116
$1,870
$1,616
23
clean
HC Selective Cath Placement Each 1st Order
CPT 36215
$2,752
$1,651
$1,427
23
clean
HC Selective Cath Placement Initial 2nd Order
CPT 36216
$1,960
$1,176
$1,017
23
clean
HC Selective Cath Placement Initial 3rd Order
CPT 36217
$3,662
$2,197
$1,899
23
clean
HC Selective Cath Placement Additional 2nd 3rd or More Order
CPT 36218
$830
$498
$431
23
clean
HC Thoracic Artery Non Sel Cath Placement W Angiography Incl Carotid Vert Cereb Arch
CPT 36221
$7,576
$4,546
$2,945
34
clean
HC Common Carotid Extracranial Unilat
CPT 36222
$6,678
$4,007
$2,945
34
clean
HC Subclavian or Innominate Artery Sel Cath Placement Unilateral W Angiography
CPT 36225
$5,628
$3,377
$2,945
34
clean
HC Abd Pelvic or Le Sel 1st Ord Art
CPT 36245
$2,306
$1,384
$1,196
23
clean
HC Abd Pelvic or Le Sel 2nd Ord Art
CPT 36246
$2,593
$1,556
$1,196
23
clean
HC Abd Pelvic or Le Sel 3rd Ord Art
CPT 36247
$2,819
$1,691
$1,462
23
clean
HC Abd Pelvic or Le Sel Addl Ord Art
CPT 36248
$1,099
$659
$507
23
clean
HC Renal Angio Unil Sel 1st Order Incl S and I
CPT 36251
$7,205
$4,323
$2,945
34
clean
HC Renal Angio Bil Sel 1st Order Incl S and I
CPT 36252
$8,389
$5,033
$2,945
34
clean
HC Renal Angio Unil Sel 2nd or More Order Incl S and I
CPT 36253
$7,013
$4,208
$4,422
34
clean
HC Vat Midline Insert Over 3yrs
CPT 36410
$88
$53
$41
23
clean
HC Collection Blood Venipuncture
CPT 36415
$35
$21
$9
68
clean
HC Transfusion Bld Bld Components
CPT 36430
$1,254
$752
$409
34
clean
HC Portal Vein Access
CPT 36481
$1,841
$1,105
$849
23
clean
HC Insert Non Tunneled Cvc 5yrs or Older
CPT 36556
$2,203
$1,322
$1,876
34
clean
HC Insert Tunnel Cvc WO Subq Port Pump Under 5yrs
CPT 36557
$3,524
$2,114
$2,222
34
clean
HC Insert Tunnel Cvc WO Subq Port Pump 5yrs and Older
CPT 36558
$3,872
$2,323
$2,441
34
clean
HC Insert Tunnel Cvc W Subq Port Under 5 Yrs
CPT 36560
$7,822
$4,693
$2,945
34
clean
HC Insert Tunnel Cvc W Subq Port 5yrs and Older
CPT 36561
$5,412
$3,247
$2,945
68
clean
HC Picc Line Placement WO Imaging Guidance 5yrs and Older
CPT 36569
$3,004
$1,802
$1,454
68
clean
HC Insert Picc WO Port or Pump Incl Guidance and Supervision Interp Younger Than 5 Years Old
CPT 36572
$2,223
$1,334
$578
34
clean
HC Insert Picc WO Port or Pump Incl Guidance and Supervision Interp 5 Years and Older
CPT 36573
$4,656
$2,794
$1,454
68
clean
HC Replace Tunnel Cath Cvad W Subq Port Pump
CPT 36578
$5,348
$3,209
$2,945
34
clean
HC Replace Complete Nontunnel Cvc WO Subq Port Pump
CPT 36580
$2,618
$1,571
$1,454
34
clean
HC Replace Complete Tunnel Cvc WO Subq Port Pump
CPT 36581
$3,553
$2,132
$2,240
34
clean
HC Replace Complete Tunnel Cvad W Subq Port
CPT 36582
$4,809
$2,885
$2,910
34
clean
HC Replace Complete Picc WO Subq Port Pump
CPT 36584
$2,617
$1,570
$1,454
34
clean
HC Removal Tunnel Cvc WO Subq Port Pump
CPT 36589
$2,883
$1,730
$578
34
clean

Showing the first 200 of 2,960 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,058 exceeds the gross charge $2,754
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,058 exceeds the gross charge $3,940
CPT 75736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,058 exceeds the gross charge $4,034
CPT 88305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $522 exceeds the gross charge $446
CPT 75741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $2,578
CPT 75743/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $1,188
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $2,127
CPT 75756/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $1,049
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $2,175
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $513 exceeds the gross charge $332
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $181
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $404
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $148
CPT 90380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $883 exceeds the gross charge $0
CPT 80335/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $114
CPT 80346/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $114
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $20
CPT 80371/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $49
CPT 80372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $114
CPT 80373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $114
CPT 81112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $199
CPT 81225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $309 exceeds the gross charge $129
CPT 81375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $136
CPT 94150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $67
CPT 94610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $158
CPT 94644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $76
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $27
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $109
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $96
CPT 94669/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $188
CPT J9029/o
warn
mrf_negotiated_above_gross
highest negotiated rate $103,504 exceeds the gross charge $66,312
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $348
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $696
CPT 84238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $69 exceeds the gross charge $26
CPT 0200T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,684 exceeds the gross charge $5,000
CPT 0237T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,611 exceeds the gross charge $6,000
CPT 0238T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $8,000
CPT 10030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $658 exceeds the gross charge $488
CPT 11104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $374 exceeds the gross charge $351
CPT 11106/o
warn
mrf_negotiated_above_gross
highest negotiated rate $573 exceeds the gross charge $373
CPT L1906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $163 exceeds the gross charge $155
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,039 exceeds the gross charge $8,645
CPT L4387/o
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $117
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $67
CPT 32400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,516 exceeds the gross charge $1,414
CPT 33206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,792 exceeds the gross charge $8,662
CPT 33212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,744 exceeds the gross charge $5,500
CPT 33213/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,792 exceeds the gross charge $6,500
CPT 33216/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,744 exceeds the gross charge $5,500
CPT 33218/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,405 exceeds the gross charge $2,500
CPT 33220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,405 exceeds the gross charge $2,500
CPT 86361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $42
CPT 33221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,844 exceeds the gross charge $9,000
CPT 33224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,792 exceeds the gross charge $6,500
CPT 33226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $2,841
CPT 33229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,844 exceeds the gross charge $12,904
CPT 33233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,744 exceeds the gross charge $3,755
CPT 33235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,405 exceeds the gross charge $2,500
CPT 33240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21,002 exceeds the gross charge $10,000
CPT 33274/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,844 exceeds the gross charge $4,270
CPT 33285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,744 exceeds the gross charge $7,426
CPT 86708/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $17
MS-DRG 040/i
warn
mrf_negotiated_above_gross
highest negotiated rate $45,745 exceeds the gross charge $31,579
MS-DRG 070/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,270 exceeds the gross charge $25,465
MS-DRG 432/i
warn
mrf_negotiated_above_gross
highest negotiated rate $64,321 exceeds the gross charge $59,572
MS-DRG 558/i
warn
mrf_negotiated_above_gross
highest negotiated rate $38,717 exceeds the gross charge $35,654
CPT 86860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $133
MS-DRG 683/i
warn
mrf_negotiated_above_gross
highest negotiated rate $106,506 exceeds the gross charge $29,837
CPT 36556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,945 exceeds the gross charge $2,203
MS-DRG 768/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,173 exceeds the gross charge $29,670
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,058 exceeds the gross charge $3,524
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $91
MS-DRG 769/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,310 exceeds the gross charge $12,805
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $337 exceeds the gross charge $56
MS-DRG 789/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,365 exceeds the gross charge $16,434
CPT 36568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,454 exceeds the gross charge $571
CPT 86927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $68
MS-DRG 790/i
warn
mrf_negotiated_above_gross
highest negotiated rate $100,462 exceeds the gross charge $53,477
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,454 exceeds the gross charge $1,290
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $63
MS-DRG 792/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,149 exceeds the gross charge $4,172
MS-DRG 794/i
warn
mrf_negotiated_above_gross
highest negotiated rate $9,129 exceeds the gross charge $3,631
CPT C9766/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $9,118
MS-DRG 840/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,612 exceeds the gross charge $16,548
CPT 36901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,454 exceeds the gross charge $1,045
CPT C9767/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $9,118
MS-DRG 856/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,376 exceeds the gross charge $37,634
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $9,151
CPT C9772/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,611 exceeds the gross charge $6,000
MS-DRG 897/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,529 exceeds the gross charge $27,611
CPT C9773/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $8,000
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $8,196 exceeds the gross charge $6,115
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,611 exceeds the gross charge $8,330
CPT C9774/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $8,000
MS-DRG 963/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,903 exceeds the gross charge $24,684
CPT C9775/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $8,000
CPT 37200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,058 exceeds the gross charge $2,150
CPT 87149/o
warn
mrf_negotiated_above_gross
highest negotiated rate $231 exceeds the gross charge $188
CPT J0202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $113,737 exceeds the gross charge $0
CPT 37231/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $9,867
CPT 87255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $38
CPT 37242/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,802 exceeds the gross charge $11,294
CPT 43752/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $293
CPT 44500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $877 exceeds the gross charge $277
CPT 47383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,742 exceeds the gross charge $8,697
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,302 exceeds the gross charge $1,747
CPT 47532/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,302 exceeds the gross charge $2,234
CPT 47535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,302 exceeds the gross charge $2,000
CPT 47538/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,459 exceeds the gross charge $3,900
CPT 47539/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,459 exceeds the gross charge $3,900
CPT 47541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,838 exceeds the gross charge $2,000
CPT 49402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,302 exceeds the gross charge $2,000
CPT 49423/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,775 exceeds the gross charge $1,738
CPT 49450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $877 exceeds the gross charge $704
CPT 49451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $877 exceeds the gross charge $727
CPT 50385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,917 exceeds the gross charge $900
CPT 88172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $125
CPT 50387/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,917 exceeds the gross charge $1,848
CPT 50434/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,917 exceeds the gross charge $900
CPT 50593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,742 exceeds the gross charge $8,697
CPT 50688/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,917 exceeds the gross charge $1,581
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,917 exceeds the gross charge $554
CPT 88264/o
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $227
warn
mrf_rate_without_estimate
298,095 of 298,095 percentage/algorithm rates across 495 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 64999/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 88267/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1570/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 70496/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 88271/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1580/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 71555/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 88273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1630/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 72159/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 88274/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 72198/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 88275/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 J1650/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 73225/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 88280/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1652/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 73725/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 88285/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1720/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 74185/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 88300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1756/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 88302/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1805/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 88304/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 20 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 J1836/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 88305/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 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 88307/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1930/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 88309/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, 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 differ, so no cross-line comparison was made for this item
CPT 88311/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1939/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 88313/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 88314/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 76937/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 J1953/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 80150/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 88319/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 80156/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 88323/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 80177/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 88331/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 80184/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 88332/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 80185/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 J2060/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 80186/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 88333/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 80187/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 88334/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 80189/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 88344/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 J2185/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 80280/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 88348/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 J2250/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 80285/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 88360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 80299/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 88361/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 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 80307/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

Showing the first 200 of 836 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. 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)
  2. 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)
  3. 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
  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. Unc Health Blue Ridge — standard charges file · NC · updated 04/01/2026
    · csv-wide · 196.8M bytes · fetched 2026-08-23 · sha256 75fef93a632c…

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.