Hospital · CCN 340129

Lake Norman Regional Medical Center

171 Fairview Road, Mooresville, NC 28117 · Iredell County
Part of Community Health Systems · 123 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

19 admission types 40 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
5.88×
$23.6M billed against $4.0M paid across 357 Medicare discharges; the national figure is 5.03×.
2.2%
of adults in Iredell County have medical debt in collections
9.9%
uninsured in the county · state 11.2%
$84K
median household income
5.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
32.8%
obesity in the countyⓘ
10.7%
diagnosed diabetes (PLACES)
6.2%
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
69
$68,782
$13,053
5.3× st 3.5×
291
Heart failure and shock with mcc
41
$40,148
$8,769
4.6× st 3.2×
193
Simple pneumonia and pleurisy with mcc
32
$57,740
$9,347
6.2× st 3.5×
280
Acute myocardial infarction, discharged alive with mcc
22
$61,743
$11,091
5.6× st 3.6×
460
Spinal fusion except cervical without mcc
21
$184,273
$26,191
7.0× st 4.8×
177
Respiratory infections and inflammations with mcc
16
$53,674
$10,894
4.9× st 3.3×
378
Gastrointestinal hemorrhage with cc
14
$40,407
$7,192
5.6× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$142,374
$14,674
9.7× st 4.6×
689
Kidney and urinary tract infections with mcc
13
$32,238
$8,075
4.0× st 3.3×
690
Kidney and urinary tract infections without mcc
13
$35,883
$6,029
6.0× st 3.5×
481
Hip and femur procedures except major joint with cc
12
$83,968
$14,431
5.8× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
12
$39,878
$7,422
5.4× st 3.6×
189
Pulmonary edema and respiratory failure
12
$44,191
$9,003
4.9× st 3.7×
682
Renal failure with mcc
12
$36,136
$10,225
3.5× st 3.3×
683
Renal failure with cc
11
$38,820
$6,733
5.8× st 3.4×
603
Cellulitis without mcc
11
$25,696
$6,420
4.0× st 3.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$134,693
$13,299
10.1× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
11
$51,836
$7,695
6.7× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$69,255
$12,715
5.4× st 3.7×
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
5491
Level 1 Intraocular Procedures
364
$5,279
$2,070
2.6×
8011
Comprehensive Observation Services
225
$21,971
$2,433
9.0×
5115
Level 5 Musculoskeletal Procedures
160
$117,096
$11,683
10.0×
5374
Level 4 Urology and Related Services
77
$32,662
$3,100
10.5×
5375
Level 5 Urology and Related Services
70
$38,555
$4,597
8.4×
5114
Level 4 Musculoskeletal Procedures
67
$66,026
$6,276
10.5×
5373
Level 3 Urology and Related Services
66
$22,330
$1,809
12.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
65
$17,112
$1,421
12.0×
5113
Level 3 Musculoskeletal Procedures
64
$36,540
$2,800
13.1×
5192
Level 2 Endovascular Procedures
37
$46,264
$5,136
9.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$47,255
$3,031
15.6×
5361
Level 1 Laparoscopy and Related Services
31
$54,790
$5,051
10.8×
5302
Level 2 Upper GI Procedures
30
$16,178
$1,664
9.7×
5191
Level 1 Endovascular Procedures
30
$31,592
$2,933
10.8×
5431
Level 1 Nerve Procedures
29
$13,848
$1,640
8.4×
5116
Level 6 Musculoskeletal Procedures
24
$118,127
$15,454
7.6×
5112
Level 2 Musculoskeletal Procedures
21
$17,028
$1,410
12.1×
5184
Level 4 Vascular Procedures
19
$45,584
$4,938
9.2×
5183
Level 3 Vascular Procedures
17
$29,185
$2,730
10.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
16
$24,156
$2,426
10.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar 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 04/01/2026, template 3.0.0, 28,012 rows scanned, 4,593 distinct code–setting items kept. 3,134 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Tlpa Iliac Arty Ea Vssl S&I
$31,224
$8,430
$9,929
2
clean
HC TLPA ILIAC ARTY EA VSSL S&I
$31,224
$8,430
$17,080
13
clean
Quan MRI Alys Brn W/Dx MRI
$3,504
$946
$1,010
1
clean
Quan MRI Alys Brn W/Dx MRI
$3,504
$946
$1,015
2
clean
HC FNA BX W/US GDN 1ST LES
$4,963
$1,340
$1,176
15
clean
Fna Bx W/US Gdn 1st Les
$4,963
$1,340
$1,712
1
clean
Fna Bx W/US Gdn Ea Addl
$4,963
$1,340
$1,712
1
clean
HC FNA BX W/US GDN EA ADDL
$4,963
$1,340
$755
11
clean
HC FNA BX W/FLUOR GDN 1ST LES
$1,317
$356
$454
15
clean
Fna Bx W/Fluor Gdn 1st Les
$1,317
$356
$454
1
clean
Fna Bx W/CT Gdn Ea Addl
$4,963
$1,340
$1,712
1
clean
HC FNA BX W/CT GDN EA ADDL
$4,963
$1,340
$755
11
clean
HC FNA BX W/MR GDN 1ST LES
$4,963
$1,340
$1,176
15
clean
Fna Bx W/MR Gdn 1st Les
$4,963
$1,340
$1,712
1
clean
HC DRAIN ABS/HEMA/LYMPH/CYST W/GUIDE
$4,742
$1,280
$1,181
16
clean
Drain Abs/Hema/Lymph/Cyst W/Guide
$4,742
$1,280
$1,508
2
clean
Perq Sft Tiss Loc Device Plmt 1st Les W/Gdnce
$11,282
$3,046
$3,588
2
clean
Perq Sft Tiss Loc Device Plmt 1st Les W/Gdnce
$11,282
$3,046
$3,588
2
clean
HC I&D ABSC SMPL/SNGL
$837
$226
$198
15
clean
I&D Absc Smpl/Sngl
$837
$226
$289
1
clean
I&D Absc Cmplx/Mult
$1,403
$379
$484
1
clean
I&D Absc Cmplx/Mult
$1,403
$379
$484
1
clean
I&D Pilonidal Cyst Smpl
$1,103
$298
$381
1
clean
HC I&D PILONIDAL CYST SMPL
$1,103
$298
$381
15
clean
HC INCISN/RMVL FB SUBQ SMPL
$920
$248
$317
15
clean
Incisn/Rmvl FB Subq Smpl
$920
$248
$317
1
clean
HC I&D HEMA/SEROMA/FLUID COLL
$1,226
$331
$610
16
clean
I&D Hema/Seroma/Fluid Coll
$1,226
$331
$423
1
clean
HC NDL ASP ABSC/HEMA/BULLA/CYST
$1,226
$331
$380
15
clean
Ndl Asp Absc/Hema/Bulla/Cyst
$1,226
$331
$423
1
clean
I&D Wnd Post-OP Cmplx
$8,009
$2,162
$2,763
1
clean
HC I&D WND POST-OP CMPLX
$8,009
$2,162
$2,722
15
clean
HC DBRD SKIN & SQ TISS<=20SCM
$4,129
$1,115
$682
15
clean
Dbrd Skin & Sq Tiss<=20scm
$4,129
$1,115
$1,425
1
clean
HC DBRD MUS/FASCIA<=20SCM
$4,129
$1,115
$755
17
clean
Dbrd Mus/Fascia<=20scm
$4,129
$1,115
$1,313
2
clean
Dbrd Bn<=20scm
$5,712
$1,542
$1,816
2
clean
HC DBRD BN<=20SCM
$5,712
$1,542
$1,662
17
clean
HC DBRD SKIN & SUBQ TISS ADD 20SCM
$1,490
$402
$434
11
clean
Dbrd Skin & Subq Tiss Add 20scm
$1,490
$402
$514
1
clean
HC DBRD MUS/FASCIA ADD 20SCM
$1,718
$464
$454
12
clean
Dbrd Mus/Fascia Add 20scm
$1,718
$464
$593
1
clean
Rmvl Benign Skin Lesn Sngl
$697
$188
$240
1
clean
Rmvl Benign Skin Lesn Sngl
$697
$188
$240
1
clean
Rmvl Benign Skin Lesn 2-4
$697
$188
$240
1
clean
Rmvl Benign Skin Lesn 2-4
$697
$188
$240
1
clean
HC PUNCH BX SKIN SINGLE LESION
$1,269
$343
$380
15
clean
Punch Bx Skin Single Lesion
$1,269
$343
$438
1
clean
Dbrd Nail(S) 1-5
$427
$115
$147
1
clean
Dbrd Nail(S) 1-5
$427
$115
$147
1
clean
HC DBRD NAILS >5
$353
$95
$84
15
clean
Dbrd Nails >5
$353
$95
$122
1
clean
HC AVUL NAIL PLATE SMPL SNGL
$920
$248
$218
15
clean
Avul Nail Plate Smpl Sngl
$920
$248
$317
1
clean
Evac Subungual Hema
$920
$248
$293
2
clean
HC EVAC SUBUNGUAL HEMA
$920
$248
$218
17
clean
HC EXCISN NAIL BED PARTIAL/COMPLT
$1,226
$331
$380
15
clean
Excisn Nail Bed Partial/Complt
$1,226
$331
$423
1
clean
HC RPR NAIL BED
$1,226
$331
$423
16
clean
Rpr Nail Bed
$1,226
$331
$390
2
clean
HC SMPL RPR SCLP/NK/TR/EXT <=2.5CM
$1,030
$278
$244
15
clean
Smpl Rpr Sclp/Nk/Tr/Ext <=2.5cm
$1,030
$278
$355
1
clean
Smpl Rpr Sclp/Nk/Tr/Ext 2.6-7.5cm
$1,030
$278
$328
2
clean
HC SMPL RPR SCLP/NK/TR/EXT 2.6-7.5CM
$1,030
$278
$272
16
clean
HC SMPL RPR SCLP/NK/TR/EXT 7.6-12.5CM
$1,030
$278
$272
16
clean
Smpl Rpr Sclp/Nk/Tr/Ext 7.6-12.5cm
$1,030
$278
$328
2
clean
HC SMPL RPR SCLP/NK/TR/EXT 12.6-20CM
$1,149
$310
$380
17
clean
Smpl Rpr Sclp/Nk/Tr/Ext 12.6-20cm
$1,149
$310
$365
2
clean
Smpl Rpr Feeynolm<=2.5cm
$1,030
$278
$355
1
clean
HC SMPL RPR FEEYNOLM<=2.5CM
$1,030
$278
$244
15
clean
HC SMPL RPR FEEYNOLM 2.6-5.0CM
$1,030
$278
$272
16
clean
Smpl Rpr Feeynolm 2.6-5.0cm
$1,030
$278
$328
2
clean
HC SMPL RPR FEEYNOLM 5.1-7.5CM
$1,030
$278
$272
16
clean
Smpl Rpr Feeynolm 5.1-7.5cm
$1,030
$278
$328
2
clean
Smpl Rpr Feeynolm 7.6-12.5cm
$1,030
$278
$328
2
clean
HC SMPL RPR FEEYNOLM 7.6-12.5CM
$1,030
$278
$272
16
clean
HC TX WND DEHIS SMPL
$1,226
$331
$423
17
clean
Tx Wnd Dehis Smpl
$1,226
$331
$390
2
clean
HC RPR SCLP/AX/TR/EXG/EXT 2.6-7.5CM INT
$1,149
$310
$380
15
clean
Rpr Sclp/Ax/Tr/Exg/Ext 2.6-7.5cm Int
$1,149
$310
$396
1
clean
Rpr Sclp/Ax/Tr/Ext 7.6-12.5cm Int
$1,149
$310
$396
1
clean
HC RPR SCLP/AX/TR/EXG/EXT 7.6-12.5CM INT
$1,149
$310
$380
15
clean
HC RPR NK/HND/FT/EXG 2.6-7.5CM INT
$1,149
$310
$380
16
clean
Rpr Nk/Hnd/Ft/Exg 2.6-7.5cm Int
$1,149
$310
$365
2
clean
HC HIGH COST SKIN GRAFT TRNK 25SQCM WND<100
$5,786
$1,562
$1,740
17
clean
High Cost Skin Graft Trnk 25sqcm Wnd<100
$5,786
$1,562
$1,840
2
clean
High Cost Skin Graft Trnk Addtl 25 Sqcm
$949
$256
$302
2
clean
HC HIGH COST SKIN GRAFT TRNK ADDTL 25 SQCM
$949
$256
$276
13
clean
HC HC SKN GR NO TR/LIMBS<100SCM/<1ST 25
$5,786
$1,562
$1,740
17
clean
HC Skn Gr No Tr/Limbs<100scm/<1st 25
$5,786
$1,562
$1,840
2
clean
HC HC SKN GR NO TR/LIMB ADD 25SQCM
$949
$256
$276
13
clean
HC Skn Gr No Tr/Limb Add 25sqcm
$949
$256
$302
2
clean
HC Skn Gr No Tr/Limb 100sqcm Wnd>100
$3,183
$859
$1,012
2
clean
HC Skn Gr No Tr/Limb 100sqcm Wnd>100
$3,183
$859
$1,012
2
clean
Removal Sutures/Staples Not Requiring Anesthesia
$42
$11
$13
2
clean
HC REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA
$42
$11
$12
17
clean
HC INITIAL TX 1ST DEGREE BURN LOCAL TX
$1,256
$339
$324
16
clean
Initial Tx 1st Degree Burn Local Tx
$1,256
$339
$399
2
clean
HC DBRD BURN 2ND DEGREE <5%
$920
$248
$268
17
clean
Dbrd Burn 2nd Degree <5%
$920
$248
$293
2
clean
Cauterize Chem Granulation Tis
$607
$164
$209
1
clean
HC CAUTERIZE CHEM GRANULATION TIS
$607
$164
$189
15
clean
HC PUNCTURE ASP BREAST CYST
$1,323
$357
$456
15
clean
Puncture Asp Breast Cyst
$1,323
$357
$456
1
clean
HC PUNCTURE ASP BREAST CYST ADD
$450
$122
$119
12
clean
Puncture Asp Breast Cyst Add
$450
$122
$155
1
clean
Mm Injection Ductogram
$214
$58
$68
2
clean
HC MM INJECTION DUCTOGRAM
$214
$58
$69
17
clean
HC BREAST BX LOC DEV W/STEREO GUIDE 1ST
$11,052
$2,984
$2,851
17
clean
Breast Bx Loc Dev W/Stereo Guide 1st
$11,052
$2,984
$3,515
2
clean
HC BREAST BX LOC DEV W/US GUIDE 1ST
$11,644
$3,144
$2,851
17
clean
Breast Bx Loc Dev W/US Guide 1st
$11,644
$3,144
$3,703
2
clean
Breast Bx Loc Dev W/US Guide Addl
$11,644
$3,144
$3,703
2
clean
HC BREAST BX LOC DEV W/US GUIDE ADDL
$11,644
$3,144
$2,760
13
clean
HC BREAST BX LOC DEV W/MAMMO GUIDE 1ST
$5,829
$1,574
$1,696
17
clean
Breast Bx Loc Dev W/Mammo Guide 1st
$5,829
$1,574
$1,854
2
clean
HC PLCMT BREAST LOC W/STEREO GUIDE 1ST
$6,635
$1,791
$1,572
17
clean
Plcmt Breast Loc W/Stereo Guide 1st
$6,635
$1,791
$2,110
2
clean
Plcmt Breast Loc W/US Guide 1st
$7,442
$2,009
$2,367
2
clean
HC PLCMT BREAST LOC W/US GUIDE 1ST
$7,442
$2,009
$1,764
17
clean
HC PLCMT BREAST LOC W/US GUIDE ADDL
$4,535
$1,224
$1,075
13
clean
Plcmt Breast Loc W/US Guide Addl
$4,535
$1,224
$1,442
2
clean
HC BX MUS PERC NDL
$4,314
$1,165
$1,488
17
clean
Bx Mus Perc Ndl
$4,314
$1,165
$1,372
2
clean
HC BX BN TROCAR/NDL SUPFCL
$2,258
$610
$779
17
clean
Bx Bn Trocar/Ndl Supfcl
$2,258
$610
$718
2
clean
Bx Bn Trocar/Ndl Deep
$5,990
$1,617
$1,905
2
clean
HC BX BN TROCAR/NDL DEEP
$5,990
$1,617
$1,743
17
clean
HC INJ SINUS TRACT DX
$688
$186
$200
14
clean
Inj Sinus Tract Dx
$688
$186
$219
2
clean
Ndl Insj W/O Njx 1 or 2 Musc
$392
$106
$135
1
clean
Ndl Insj W/O Njx 1 or 2 Musc
$392
$106
$135
1
clean
Ndl Insj W/O Njx 3+ Musc
$392
$106
$135
1
clean
Ndl Insj W/O Njx 3+ Musc
$392
$106
$135
1
clean
HC ARTHCS ASP/INJ INT JT WO US
$1,022
$276
$286
15
clean
Arthcs Asp/Inj Int Jt WO US
$1,022
$276
$353
1
clean
HC ARTHCS ASP/INJ MJR JT WO US
$1,226
$331
$291
15
clean
Arthcs Asp/Inj Mjr Jt WO US
$1,226
$331
$423
1
clean
Tx Cdisloc Tmj
$1,839
$497
$585
2
clean
HC TX CDISLOC TMJ
$1,839
$497
$436
17
clean
HC BX SOFT TISS NK/THORAX
$6,377
$1,722
$1,572
15
clean
Bx Soft Tiss Nk/Thorax
$6,377
$1,722
$2,200
1
clean
HC INJ SHLDR ARTHGM
$769
$208
$182
17
clean
Inj Shldr Arthgm
$769
$208
$245
2
clean
Tx Cdisloc Shldr W Manip WO Anes
$1,635
$441
$520
2
clean
HC TX CDISLOC SHLDR W MANIP WO ANES
$1,635
$441
$422
17
clean
HC INJ ELBOW ARTHGM
$1,256
$339
$366
14
clean
Inj Elbow Arthgm
$1,256
$339
$399
2
clean
HC TX CDISLOC ELBOW WO ANES
$1,226
$331
$357
17
clean
Tx Cdisloc Elbow WO Anes
$1,226
$331
$390
2
clean
Tx Cfx Elbow Nursemaid W Manip
$1,226
$331
$423
1
clean
HC TX CFX ELBOW NURSEMAID W MANIP
$1,226
$331
$291
15
clean
HC INJ WRIST ARTHGM
$1,026
$277
$243
17
clean
Inj Wrist Arthgm
$1,026
$277
$326
2
clean
HC TX CFX RADIAL SHAFT W MANIP
$1,430
$386
$493
17
clean
Tx Cfx Radial Shaft W Manip
$1,430
$386
$455
2
clean
Tx Cfx Dist Rdl WO Manip
$2,365
$639
$752
2
clean
Tx Cfx Dist Rdl WO Manip
$2,365
$639
$752
2
clean
Tx Cfx Dist Rdl W Ulstyl W Manip
$1,430
$386
$455
2
clean
HC TX CFX DIST RDL W ULSTYL W MANIP
$1,430
$386
$493
17
clean
HC I&D ABSC FGR SMPL
$1,226
$331
$320
16
clean
I&D Absc Fgr Smpl
$1,226
$331
$390
2
clean
HC TX CDISLOC I-P W MANIP WO ANES
$1,226
$331
$324
16
clean
Tx Cdisloc I-P W Manip WO Anes
$1,226
$331
$390
2
clean
Inj Proc Hip Arthrography WO Anes
$1,208
$326
$384
2
clean
HC INJ PROC HIP ARTHROGRAPHY WO ANES
$1,208
$326
$286
17
clean
Tx Cdisloc Hip Traumatic WO Anes
$1,002
$271
$319
2
clean
Tx Cdisloc Hip Arthro WO Anes
$1,226
$331
$390
2
clean
HC TX CDISLOC HIP ARTHRO WO ANES
$1,226
$331
$357
17
clean
Closed Rx Post Hip Fix Disloc Anesth
$4,223
$1,140
$1,343
2
clean
Njx Cntrst Kne Arthg/CT/MRI
$700
$189
$223
2
clean
HC NJX CNTRST KNE ARTHG/CT/MRI
$700
$189
$166
17
clean
HC TX CDISLOC PATLLR WO ANES
$1,226
$331
$357
17
clean
Tx Cdisloc Patllr WO Anes
$1,226
$331
$390
2
clean
HC INJ ANKLE ARTHGM
$728
$197
$173
17
clean
Inj Ankle Arthgm
$728
$197
$232
2
clean
Tx Cfx Ankle Bimall W Manip
$1,226
$331
$390
2
clean
HC TX CFX ANKLE BIMALL W MANIP
$1,226
$331
$423
17
clean
HC TX CDISLOC ANKLE WO ANES
$1,226
$331
$357
17
clean
Tx Cdisloc Ankle WO Anes
$1,226
$331
$390
2
clean
HC TX CFX GT TOE/PHAL W MANIP
$1,226
$331
$324
16
clean
Tx Cfx Gt Toe/Phal W Manip
$1,226
$331
$390
2
clean
Tx Cdisloc I-P WO Anes
$1,226
$331
$390
2
clean
HC TX CDISLOC I-P WO ANES
$1,226
$331
$324
16
clean
HC APP SPLINT LONG ARM STATIC
$1,073
$290
$266
16
clean
App Splint Long Arm Static
$1,073
$290
$341
2
clean
HC APP SPLINT SHORT ARM STATIC
$1,060
$286
$239
16
clean
App Splint Short Arm Static
$1,060
$286
$337
2
clean
App Cast Leg Rigid Total Contact
$1,678
$453
$534
2
clean
HC APP SPLINT LONG LEG
$1,073
$290
$266
16
clean
App Splint Long Leg
$1,073
$290
$341
2
clean
HC APP SPLINT SHORT LEG
$1,073
$290
$266
16
clean
App Splint Short Leg
$1,073
$290
$341
2
clean
Strapping Unna Boot
$718
$194
$248
1
clean
HC STRAPPING UNNA BOOT
$718
$194
$170
15
clean
HC APP MULTI-LAYER COMP BELOW KNEE
$557
$150
$153
15
clean
App Multi-Layer Comp Below Knee
$557
$150
$192
1
clean
HC RMVL FB INTRANASAL
$1,060
$286
$239
16
clean
Rmvl FB Intranasal
$1,060
$286
$337
2
clean
Ctrl Nosebleed Antr Smpl
$1,060
$286
$337
2
clean

Showing the first 200 of 4,593 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,147 of 4,010 comparable items (29%) 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 $31,597 exceeds the gross charge $31,224
MS-DRG 064/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $13,286; the same hospital's average submitted charge to Medicare for this DRG is $69,255 (0.2×)
MS-DRG 177/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $10,324; the same hospital's average submitted charge to Medicare for this DRG is $53,674 (0.2×)
MS-DRG 189/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $8,162; the same hospital's average submitted charge to Medicare for this DRG is $44,191 (0.2×)
MS-DRG 190/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $7,318; the same hospital's average submitted charge to Medicare for this DRG is $51,836 (0.1×)
MS-DRG 193/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $8,684; the same hospital's average submitted charge to Medicare for this DRG is $57,740 (0.2×)
MS-DRG 280/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $10,598; the same hospital's average submitted charge to Medicare for this DRG is $61,743 (0.2×)
MS-DRG 291/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $8,481; the same hospital's average submitted charge to Medicare for this DRG is $40,148 (0.2×)
MS-DRG 378/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $6,479; the same hospital's average submitted charge to Medicare for this DRG is $40,406 (0.2×)
MS-DRG 470/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $12,743; the same hospital's average submitted charge to Medicare for this DRG is $134,693 (0.1×)
MS-DRG 481/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $13,837; the same hospital's average submitted charge to Medicare for this DRG is $83,968 (0.2×)
MS-DRG 522/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $13,991; the same hospital's average submitted charge to Medicare for this DRG is $142,374 (0.1×)
MS-DRG 603/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $5,754; the same hospital's average submitted charge to Medicare for this DRG is $25,696 (0.2×)
MS-DRG 682/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $9,784; the same hospital's average submitted charge to Medicare for this DRG is $36,136 (0.3×)
MS-DRG 683/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $5,786; the same hospital's average submitted charge to Medicare for this DRG is $38,820 (0.1×)
MS-DRG 689/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $7,666; the same hospital's average submitted charge to Medicare for this DRG is $32,238 (0.2×)
MS-DRG 690/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $5,348; the same hospital's average submitted charge to Medicare for this DRG is $35,883 (0.1×)
MS-DRG 871/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $12,833; the same hospital's average submitted charge to Medicare for this DRG is $68,782 (0.2×)
MS-DRG 872/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $6,760; the same hospital's average submitted charge to Medicare for this DRG is $39,878 (0.2×)
CPT 70540/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 76506/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 83010/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 86707/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 93567/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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 343 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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V2787/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12005/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 37214/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 70542/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 76536/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 83015/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 86708/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 93571/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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 336 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 J1450/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 V2787/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 12011/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 70543/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 76604/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 83018/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 86709/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 C1715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT V2788/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12013/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 70544/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 76641/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 83021/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 86711/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 93572/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 C1715/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 J1561/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 V2788/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 12014/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 37236/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 70545/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 76642/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 83036/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 86713/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 93660/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 C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 13 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 J1569/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 12015/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 37237/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 70546/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 76700/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 86727/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 93668/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37238/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 70547/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 76705/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 83050/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 86735/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 93797/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 C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 17 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 J1580/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 12020/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 37239/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 70549/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 76706/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 83090/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 86738/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 93798/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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1596/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12032/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 37241/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 70551/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 76770/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 83491/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 86747/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 93799/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1727/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12034/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 37242/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 70552/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 76775/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 86757/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 93799/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 C1727/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 J1611/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12042/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 37243/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 70553/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 83497/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 86759/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 93880/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 C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 17 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 J1630/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37244/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 71045/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 76800/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 83498/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 86762/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 93922/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 C1729/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, 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 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 15271/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 37246/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 76801/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 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86765/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 93923/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 C1734/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 11 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 15272/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 37248/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 71046/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 76802/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 83516/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 86769/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 93925/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 C1734/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 J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 16 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 37249/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 71048/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 76805/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 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86777/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 93926/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 C1747/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 13 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 15275/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 37252/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 71100/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 83519/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 86778/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 93930/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 C1747/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1650/o
info
mrf_item_fields_vary
this code and setting cover at least 19 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 15276/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 37253/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 83520/b
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 86780/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 93931/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 C1750/b
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 J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38220/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 71101/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 76810/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 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 12 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 86787/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 93970/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 C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1652/o
info
mrf_item_fields_vary
this code and setting cover at least 15 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 15853/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 38221/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 76815/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 83521/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 86788/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 93971/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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 14 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 J1670/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 16000/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 71120/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 76819/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 83525/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 86789/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 93975/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 C1751/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, min, max differ, so no cross-line comparison was made for this item
CPT J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 38222/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 76830/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 83528/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 86790/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93976/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 C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1720/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 16020/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 71130/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 76856/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 83540/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 86790/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 94002/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 C1752/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 J1750/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,134 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 470
info
inp_charge_10x_payment
average charge $134,693 is 10.1× the total payment

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 · 38.1M bytes · fetched 2026-08-23 · sha256 149e2216224c…

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.