Hospital · CCN 340171
Novant Health Matthews Medical Center
1500 Matthews Twnshp Prkwy Box 3310, Matthews, NC 28106
Part of Novant Health · 157 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
52 admission types 44 outpatient services price file: ok
Billed per dollar paid, all admissions
4.58×
$71.6M billed against $15.6M paid across 1,498 Medicare discharges; the national figure is 5.03×.
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
179
$65,002
$13,759
4.7× st 3.5×
291
Heart failure and shock with mcc
151
$32,280
$9,351
3.5× st 3.2×
177
Respiratory infections and inflammations with mcc
58
$46,251
$12,089
3.8× st 3.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
58
$27,715
$6,150
4.5× st 3.6×
308
Cardiac arrhythmia and conduction disorders with mcc
48
$41,261
$9,017
4.6× st 3.6×
690
Kidney and urinary tract infections without mcc
39
$27,578
$6,436
4.3× st 3.5×
193
Simple pneumonia and pleurisy with mcc
37
$36,557
$9,538
3.8× st 3.5×
309
Cardiac arrhythmia and conduction disorders with cc
36
$29,918
$5,949
5.0× st 3.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
36
$90,650
$13,399
6.8× st 4.5×
378
Gastrointestinal hemorrhage with cc
35
$34,564
$8,011
4.3× st 3.9×
330
Major small and large bowel procedures with cc
33
$88,271
$17,381
5.1× st 4.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
33
$49,896
$8,363
6.0× st 4.6×
189
Pulmonary edema and respiratory failure
31
$45,090
$9,235
4.9× st 3.7×
689
Kidney and urinary tract infections with mcc
30
$39,729
$8,418
4.7× st 3.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
29
$72,968
$13,260
5.5× st 5.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
28
$39,298
$7,611
5.2× st 3.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$23,134
$6,005
3.9× st 3.6×
190
Chronic obstructive pulmonary disease with mcc
26
$31,672
$8,136
3.9× st 3.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
25
$45,000
$10,891
4.1× st 3.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$123,663
$33,036
3.7× st 3.6×
603
Cellulitis without mcc
24
$26,251
$6,707
3.9× st 3.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
24
$35,859
$8,083
4.4× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
24
$50,088
$12,195
4.1× st 3.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
23
$49,113
$10,673
4.6× st 3.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
23
$70,812
$14,200
5.0× st 3.7×
812
Red blood cell disorders without mcc
23
$37,350
$6,896
5.4× st 3.5×
194
Simple pneumonia and pleurisy with cc
22
$32,566
$6,349
5.1× st 3.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
22
$49,263
$10,053
4.9× st 3.4×
280
Acute myocardial infarction, discharged alive with mcc
21
$58,350
$11,138
5.2× st 3.6×
389
Gastrointestinal obstruction with cc
20
$21,177
$6,162
3.4× st 3.4×
481
Hip and femur procedures except major joint with cc
19
$79,170
$14,643
5.4× st 4.4×
312
Syncope and collapse
19
$35,370
$6,622
5.3× st 3.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
19
$114,290
$22,295
5.1× st 4.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
18
$72,339
$15,130
4.8× st 4.8×
331
Major small and large bowel procedures without cc/mcc
15
$68,942
$11,962
5.8× st 4.4×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$50,656
$10,353
4.9× st 4.0×
202
Bronchitis and asthma with cc/mcc
14
$30,305
$7,254
4.2× st 3.3×
178
Respiratory infections and inflammations with cc
14
$37,492
$8,148
4.6× st 3.6×
281
Acute myocardial infarction, discharged alive with cc
14
$49,357
$6,869
7.2× st 4.2×
683
Renal failure with cc
14
$28,395
$7,282
3.9× st 3.4×
682
Renal failure with mcc
14
$30,903
$10,339
3.0× st 3.3×
377
Gastrointestinal hemorrhage with mcc
14
$58,377
$11,868
4.9× st 3.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$54,274
$13,672
4.0× st 3.7×
069
Transient ischemia without thrombolytic
13
$32,073
$6,206
5.2× st 4.7×
811
Red blood cell disorders with mcc
13
$54,507
$9,906
5.5× st 3.4×
305
Hypertension without mcc
12
$28,042
$5,860
4.8× st 3.9×
637
Diabetes with mcc
12
$39,581
$9,678
4.1× st 3.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
12
$27,276
$7,650
3.6× st 3.5×
536
Fractures of hip and pelvis without mcc
11
$25,043
$6,011
4.2× st 3.6×
552
Medical back problems without mcc
11
$31,991
$7,278
4.4× st 3.7×
191
Chronic obstructive pulmonary disease with cc
11
$31,918
$6,549
4.9× st 3.5×
092
Other disorders of nervous system with cc
11
$32,347
$6,863
4.7× st 3.5×
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
234
$19,883
$2,418
8.2×
5191
Level 1 Endovascular Procedures
160
$28,902
$2,907
9.9×
5361
Level 1 Laparoscopy and Related Services
128
$35,425
$5,120
6.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
127
$9,929
$1,440
6.9×
5375
Level 5 Urology and Related Services
83
$28,347
$4,650
6.1×
5115
Level 5 Musculoskeletal Procedures
69
$79,001
$11,516
6.9×
5302
Level 2 Upper GI Procedures
62
$9,685
$1,688
5.7×
5374
Level 4 Urology and Related Services
61
$20,136
$3,025
6.7×
5183
Level 3 Vascular Procedures
53
$17,855
$2,864
6.2×
5193
Level 3 Endovascular Procedures
50
$55,938
$9,779
5.7×
5192
Level 2 Endovascular Procedures
40
$39,792
$5,136
7.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
37
$14,768
$2,553
5.8×
5182
Level 2 Vascular Procedures
33
$7,172
$1,370
5.2×
5462
Level 2 Neurostimulator and Related Procedures
32
$36,246
$6,145
5.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
27
$27,551
$3,109
8.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
26
$20,551
$3,425
6.0×
5222
Level 2 Pacemaker and Similar Procedures
26
$29,091
$7,634
3.8×
5414
Level 4 Gynecologic Procedures
21
$18,037
$2,703
6.7×
5116
Level 6 Musculoskeletal Procedures
19
$110,267
$15,917
6.9×
5154
Level 4 Airway Endoscopy
18
$23,493
$3,365
7.0×
5362
Level 2 Laparoscopy and Related Services
15
$66,872
$8,230
8.1×
5464
Level 4 Neurostimulator and Related Procedures
15
$76,262
$19,609
3.9×
5112
Level 2 Musculoskeletal Procedures
15
$10,032
$1,444
6.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
14
$42,429
$5,860
7.2×
5373
Level 3 Urology and Related Services
14
$19,673
$1,830
10.7×
5113
Level 3 Musculoskeletal Procedures
14
$17,638
$2,909
6.1×
5313
Level 3 Lower GI Procedures
12
$16,577
$2,355
7.0×
5194
Level 4 Endovascular Procedures
12
$83,535
$15,725
5.3×
5114
Level 4 Musculoskeletal Procedures
11
$46,887
$6,428
7.3×
5153
Level 3 Airway Endoscopy
11
$13,819
$1,525
9.1×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-30, template 3.0.0, 103,623 rows scanned, 18,743 distinct code–setting items kept. 377 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 18,743 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 29580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $193
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $256
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $142
CPT 59000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,790 exceeds the gross charge $1,195
CPT 59412/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,291 exceeds the gross charge $6,196
CPT 86860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $241
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $430
CPT 64479/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,719 exceeds the gross charge $1,545
CPT 86886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $180
CPT 70134/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,062 exceeds the gross charge $683
CPT 70380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $115
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $468
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $249
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $182
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $269
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $319
CPT 86927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $217
CPT 86965/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $186
CPT 86972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $314
CPT 86975/o
warn
mrf_negotiated_above_gross
highest negotiated rate $868 exceeds the gross charge $511
CPT 74190/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,062 exceeds the gross charge $630
CPT 74425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $678 exceeds the gross charge $614
CPT 74430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $678 exceeds the gross charge $560
CPT 74485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,063 exceeds the gross charge $2,573
CPT 75625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,864
CPT 75630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,090
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,815 exceeds the gross charge $5,622
CPT 75710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,622
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,815 exceeds the gross charge $6,187
CPT 75731/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,353
CPT 75733/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,367
CPT 75736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,815 exceeds the gross charge $5,622
CPT 75741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,834
CPT 75743/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,133
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,274
CPT 75801/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,219 exceeds the gross charge $1,206
CPT 75803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $1,616
CPT 75805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,274
CPT 75807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,344
CPT 75810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,133
CPT 75820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $1,883
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,048
CPT 75825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,233
CPT 75827/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,728
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $592
CPT 75831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,377
CPT 75840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $5,132
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $3,344
CPT 75870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,091
CPT 75885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,354
CPT 75887/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,091
CPT 75889/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,786
CPT 75893/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,815 exceeds the gross charge $6,570
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,137 exceeds the gross charge $4,091
CPT 76080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,062 exceeds the gross charge $732
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,566 exceeds the gross charge $1,062
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,062 exceeds the gross charge $903
CPT 88329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $83
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,566 exceeds the gross charge $943
CPT 77750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $750 exceeds the gross charge $533
CPT 90471/o
warn
mrf_negotiated_above_gross
highest negotiated rate $140 exceeds the gross charge $95
CPT 78660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $777 exceeds the gross charge $756
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,285 exceeds the gross charge $792
CPT 93229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $324
CPT 78830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,516 exceeds the gross charge $2,462
CPT 78831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,516 exceeds the gross charge $2,462
CPT 78832/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,779 exceeds the gross charge $2,713
CPT 94060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $503
CPT 94150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $209
CPT 94375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $420 exceeds the gross charge $372
CPT 94610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $241
CPT 94642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $330
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $236
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,650 exceeds the gross charge $1,968
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $168
CPT 81177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 94726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $372
CPT 81178/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 94727/o
warn
mrf_negotiated_above_gross
highest negotiated rate $420 exceeds the gross charge $254
CPT 81179/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81180/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81181/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81183/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $92
CPT 81207/o
warn
mrf_negotiated_above_gross
highest negotiated rate $290 exceeds the gross charge $92
CPT 81225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $583 exceeds the gross charge $223
CPT 97597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $390 exceeds the gross charge $374
CPT 81227/o
warn
mrf_negotiated_above_gross
highest negotiated rate $350 exceeds the gross charge $288
CPT 98975/o
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $193
CPT 81232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $350 exceeds the gross charge $255
CPT 99465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,285 exceeds the gross charge $783
CPT 81235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $649 exceeds the gross charge $400
CPT 81240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $44
CPT 81256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $61
CPT 81261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $396 exceeds the gross charge $340
CPT 81263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $566
CPT 81264/o
warn
mrf_negotiated_above_gross
highest negotiated rate $345 exceeds the gross charge $340
CPT 81265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $466 exceeds the gross charge $175
CPT 81267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $125
CPT 81272/o
warn
mrf_negotiated_above_gross
highest negotiated rate $659 exceeds the gross charge $504
CPT 81277/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,320 exceeds the gross charge $1,847
CPT 81279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $370 exceeds the gross charge $110
CPT 81291/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $65
CPT 81315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $415 exceeds the gross charge $330
CPT 81340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $418 exceeds the gross charge $189
CPT 81342/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $189
CPT 81343/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $274 exceeds the gross charge $88
CPT 81350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $468 exceeds the gross charge $250
CPT 81372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $807 exceeds the gross charge $132
CPT 81374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $149 exceeds the gross charge $18
CPT 81375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $441 exceeds the gross charge $180
CPT 81383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $75
CPT 81405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $603 exceeds the gross charge $350
CPT 81406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $566 exceeds the gross charge $289
CPT 81442/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,287 exceeds the gross charge $1,161
CPT 81490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,681 exceeds the gross charge $989
CPT 85097/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,566 exceeds the gross charge $1,022
CPT 20560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $43
warn
mrf_rate_without_estimate
842,195 of 842,195 percentage/algorithm rates across 18,597 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 86702/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 86753/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 36415/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 86757/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 36416/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 86762/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36430/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 86765/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 86769/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 86780/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 59025/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 86790/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86794/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 64415/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 86803/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 64416/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 86832/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 64417/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 86833/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 64447/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 86849/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 64448/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 86850/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 64449/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 64450/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 64454/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 86880/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 64999/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 86900/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 86901/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 70332/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 86902/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 70486/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 71250/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 72192/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 72194/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 72265/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 73060/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 73070/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 86970/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 73090/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 86971/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 73100/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 73120/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 73140/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 86978/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 73560/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 87046/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 73590/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 87070/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, max differ, so no cross-line comparison was made for this item
CPT 73600/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 87081/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, max differ, so no cross-line comparison was made for this item
CPT 73620/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 87109/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 73660/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 87116/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 74170/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 87147/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 87184/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 87186/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 87188/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 87190/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 87206/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 87210/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 87254/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 87255/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 87279/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 87340/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 87428/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 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87493/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 87530/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 87535/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 75756/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87556/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 87798/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, max differ, so no cross-line comparison was made for this item
CPT 87799/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87801/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
Showing the first 200 of 377 findings, errors first — every finding as JSON →
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Novant Health Matthews Medical Center — standard charges file · NC · updated 2026-03-30· json · 284.6M bytes · fetched 2026-08-23 · sha256 49020dcff575…
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.