Hospital · CCN 360020

Summa Health System

525 East Market Street, Akron, OH 44309
Part of Summa Health System · 560 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

113 admission types 60 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.17×
$324.2M billed against $52.5M paid across 3,474 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
315
$117,878
$16,766
7.0× st 4.1×
291
Heart failure and shock with mcc
210
$77,573
$11,617
6.7× st 4.0×
177
Respiratory infections and inflammations with mcc
88
$87,850
$14,018
6.3× st 3.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
84
$87,032
$13,402
6.5× st 4.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
74
$49,781
$7,300
6.8× st 4.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
63
$37,635
$7,576
5.0× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
62
$218,406
$41,940
5.2× st 4.2×
690
Kidney and urinary tract infections without mcc
61
$47,589
$8,019
5.9× st 3.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
61
$64,457
$9,516
6.8× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
54
$70,504
$9,246
7.6× st 4.8×
683
Renal failure with cc
53
$43,852
$8,191
5.4× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
50
$102,566
$15,799
6.5× st 3.8×
603
Cellulitis without mcc
49
$39,827
$8,386
4.7× st 3.5×
312
Syncope and collapse
49
$53,195
$8,138
6.5× st 4.3×
481
Hip and femur procedures except major joint with cc
47
$87,982
$16,889
5.2× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
46
$44,369
$7,031
6.3× st 4.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
46
$154,278
$15,847
9.7× st 5.9×
378
Gastrointestinal hemorrhage with cc
44
$56,776
$9,136
6.2× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
43
$151,742
$19,127
7.9× st 4.3×
638
Diabetes with cc
43
$52,167
$8,289
6.3× st 4.0×
682
Renal failure with mcc
42
$93,662
$13,444
7.0× st 3.9×
178
Respiratory infections and inflammations with cc
42
$56,752
$8,993
6.3× st 4.3×
189
Pulmonary edema and respiratory failure
42
$105,170
$11,429
9.2× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
41
$65,846
$10,227
6.4× st 4.4×
389
Gastrointestinal obstruction with cc
38
$40,116
$8,047
5.0× st 3.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
37
$37,115
$8,459
4.4× st 3.4×
101
Seizures without mcc
37
$58,302
$8,456
6.9× st 4.2×
689
Kidney and urinary tract infections with mcc
36
$68,645
$12,668
5.4× st 3.7×
057
Degenerative nervous system disorders without mcc
35
$49,432
$11,994
4.1× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
35
$89,281
$17,617
5.1× st 4.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
34
$339,462
$42,715
7.9× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
34
$204,417
$23,257
8.8× st 5.2×
194
Simple pneumonia and pleurisy with cc
32
$46,604
$7,811
6.0× st 4.2×
193
Simple pneumonia and pleurisy with mcc
32
$86,933
$11,768
7.4× st 3.9×
191
Chronic obstructive pulmonary disease with cc
32
$46,426
$8,312
5.6× st 4.5×
552
Medical back problems without mcc
32
$39,069
$8,914
4.4× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
31
$115,539
$13,553
8.5× st 4.4×
812
Red blood cell disorders without mcc
31
$57,495
$8,875
6.5× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
29
$74,125
$11,415
6.5× st 4.2×
329
Major small and large bowel procedures with mcc
27
$179,109
$41,763
4.3× st 4.2×
092
Other disorders of nervous system with cc
27
$50,721
$9,328
5.4× st 4.5×
948
Signs and symptoms without mcc
26
$38,806
$7,212
5.4× st 4.0×
280
Acute myocardial infarction, discharged alive with mcc
26
$90,039
$18,123
5.0× st 4.5×
460
Spinal fusion except cervical without mcc
25
$135,022
$35,657
3.8× st 4.1×
637
Diabetes with mcc
25
$96,499
$12,312
7.8× st 4.4×
377
Gastrointestinal hemorrhage with mcc
24
$111,620
$15,891
7.0× st 4.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
24
$87,786
$12,700
6.9× st 4.4×
454
Combined anterior and posterior spinal fusion with cc
24
$200,736
$59,332
3.4× st 3.4×
330
Major small and large bowel procedures with cc
23
$91,861
$21,675
4.2× st 4.5×
394
Other digestive system diagnoses with cc
23
$50,174
$8,609
5.8× st 4.2×
472
Cervical spinal fusion with cc
23
$92,396
$28,660
3.2× st 4.4×
621
O.r. procedures for obesity without cc/mcc
23
$47,816
$13,065
3.7× st 3.6×
149
Dysequilibrium
22
$47,242
$6,897
6.9× st 4.8×
086
Traumatic stupor and coma <1 hour with cc
21
$55,961
$10,838
5.2× st 3.9×
331
Major small and large bowel procedures without cc/mcc
21
$54,735
$14,294
3.8× st 4.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
21
$43,402
$9,474
4.6× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$35,837
$8,091
4.4× st 4.3×
393
Other digestive system diagnoses with mcc
20
$66,005
$14,416
4.6× st 4.1×
884
Organic disturbances and intellectual disability
20
$68,788
$15,022
4.6× st 3.1×
917
Poisoning and toxic effects of drugs with mcc
20
$126,264
$18,828
6.7× st 5.1×
811
Red blood cell disorders with mcc
20
$75,172
$11,998
6.3× st 4.4×
313
Chest pain
20
$40,497
$6,634
6.1× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
20
$141,850
$19,187
7.4× st 4.4×
305
Hypertension without mcc
20
$59,576
$7,419
8.0× st 4.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
20
$195,546
$22,421
8.7× st 4.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
20
$415,054
$66,689
6.2× st 3.8×
292
Heart failure and shock with cc
19
$53,410
$8,034
6.6× st 5.2×
274
Percutaneous and other intracardiac procedures without mcc
19
$219,318
$26,424
8.3× st 4.2×
176
Pulmonary embolism without mcc
18
$69,527
$7,655
9.1× st 4.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
18
$118,089
$16,365
7.2× st 5.0×
480
Hip and femur procedures except major joint with mcc
18
$168,167
$26,763
6.3× st 5.1×
074
Cranial and peripheral nerve disorders without mcc
18
$55,396
$9,178
6.0× st 4.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
18
$32,798
$5,613
5.8× st 4.0×
947
Signs and symptoms with mcc
17
$59,901
$11,452
5.2× st 3.9×
056
Degenerative nervous system disorders with mcc
16
$130,970
$20,380
6.4× st 4.0×
660
Kidney and ureter procedures for non-neoplasm with cc
16
$54,942
$11,682
4.7× st 5.0×
202
Bronchitis and asthma with cc/mcc
16
$61,786
$8,903
6.9× st 4.7×
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
16
$55,292
$10,368
5.3× st 7.8×
300
Peripheral vascular disorders with cc
15
$57,101
$9,584
6.0× st 4.2×
554
Bone diseases and arthropathies without mcc
15
$46,130
$7,732
6.0× st 3.8×
870
Septicemia or severe sepsis with mv >96 hours
15
$455,815
$55,363
8.2× st 4.5×
699
Other kidney and urinary tract diagnoses with cc
14
$43,818
$9,034
4.9× st 3.7×
243
Permanent cardiac pacemaker implant with cc
14
$122,897
$18,529
6.6× st 4.6×
252
Other vascular procedures with mcc
14
$160,746
$28,424
5.7× st 5.0×
253
Other vascular procedures with cc
14
$116,886
$23,898
4.9× st 4.9×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
14
$89,862
$21,212
4.2× st 4.5×
644
Endocrine disorders with cc
14
$58,696
$9,739
6.0× st 5.0×
315
Other circulatory system diagnoses with cc
14
$45,372
$8,928
5.1× st 4.4×
455
Combined anterior and posterior spinal fusion without cc/mcc
14
$188,847
$39,015
4.8× st 3.9×
327
Stomach, esophageal and duodenal procedures with cc
14
$66,252
$20,087
3.3× st 4.5×
314
Other circulatory system diagnoses with mcc
13
$153,336
$15,693
9.8× st 4.1×
388
Gastrointestinal obstruction with mcc
13
$89,849
$13,072
6.9× st 3.9×
236
Coronary bypass without cardiac catheterization without mcc
13
$188,337
$39,367
4.8× st 5.5×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
13
$147,125
$22,912
6.4× st 5.3×
281
Acute myocardial infarction, discharged alive with cc
13
$75,060
$9,323
8.1× st 5.2×
919
Complications of treatment with mcc
13
$60,896
$15,467
3.9× st 3.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$51,141
$5,952
8.6× st 5.5×
643
Endocrine disorders with mcc
12
$97,261
$14,397
6.8× st 4.7×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
12
$75,169
$14,069
5.3× st 3.8×
390
Gastrointestinal obstruction without cc/mcc
12
$30,322
$5,539
5.5× st 3.9×
580
Other skin, subcutaneous tissue and breast procedures with cc
12
$64,362
$14,665
4.4× st 4.2×
602
Cellulitis with mcc
12
$52,428
$12,928
4.1× st 3.5×
025
Craniotomy and endovascular intracranial procedures with mcc
12
$182,780
$40,636
4.5× st 4.6×
620
O.r. procedures for obesity with cc
12
$62,661
$18,433
3.4× st 3.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$105,718
$10,308
10.3× st 5.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$45,543
$9,897
4.6× st 3.4×
659
Kidney and ureter procedures for non-neoplasm with mcc
11
$177,556
$23,308
7.6× st 5.1×
069
Transient ischemia without thrombolytic
11
$61,034
$7,280
8.4× st 4.9×
880
Acute adjustment reaction and psychosocial dysfunction
11
$56,097
$8,588
6.5× st 3.5×
299
Peripheral vascular disorders with mcc
11
$114,116
$13,630
8.4× st 4.6×
862
Postoperative and post-traumatic infections with mcc
11
$104,243
$15,093
6.9× st 4.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$444,192
$68,598
6.5× st 3.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$85,563
$17,213
5.0× st 4.3×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
222
$28,425
$2,180
13.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
205
$10,392
$1,342
7.7×
5115
Level 5 Musculoskeletal Procedures
155
$58,431
$10,631
5.5×
5361
Level 1 Laparoscopy and Related Services
138
$27,743
$4,853
5.7×
5191
Level 1 Endovascular Procedures
136
$35,655
$2,719
13.1×
5372
Level 2 Urology and Related Services
118
$4,022
$572
7.0×
5375
Level 5 Urology and Related Services
118
$24,949
$4,286
5.8×
5374
Level 4 Urology and Related Services
107
$18,670
$2,880
6.5×
5112
Level 2 Musculoskeletal Procedures
89
$11,464
$1,368
8.4×
5183
Level 3 Vascular Procedures
88
$23,473
$2,712
8.7×
5302
Level 2 Upper GI Procedures
85
$10,449
$1,619
6.5×
5362
Level 2 Laparoscopy and Related Services
84
$42,865
$8,756
4.9×
5213
Level 3 Electrophysiologic Procedures
70
$188,623
$18,693
10.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
70
$19,277
$2,390
8.1×
5414
Level 4 Gynecologic Procedures
57
$16,086
$2,586
6.2×
5155
Level 5 Airway Endoscopy
52
$75,005
$5,646
13.3×
5193
Level 3 Endovascular Procedures
50
$85,813
$9,201
9.3×
5182
Level 2 Vascular Procedures
48
$7,469
$1,340
5.6×
5114
Level 4 Musculoskeletal Procedures
47
$40,104
$5,576
7.2×
5113
Level 3 Musculoskeletal Procedures
42
$21,014
$2,650
7.9×
5192
Level 2 Endovascular Procedures
40
$51,924
$4,573
11.4×
5373
Level 3 Urology and Related Services
38
$14,380
$1,733
8.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
38
$20,719
$3,175
6.5×
5223
Level 3 Pacemaker and Similar Procedures
38
$67,024
$9,082
7.4×
5116
Level 6 Musculoskeletal Procedures
36
$118,389
$14,249
8.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
31
$40,856
$5,264
7.8×
5431
Level 1 Nerve Procedures
28
$17,501
$1,643
10.7×
5184
Level 4 Vascular Procedures
27
$34,809
$4,538
7.7×
5415
Level 5 Gynecologic Procedures
24
$24,460
$4,232
5.8×
5222
Level 2 Pacemaker and Similar Procedures
24
$55,517
$6,989
7.9×
5313
Level 3 Lower GI Procedures
24
$17,019
$2,389
7.1×
5154
Level 4 Airway Endoscopy
24
$27,888
$3,187
8.8×
5491
Level 1 Intraocular Procedures
23
$16,426
$1,708
9.6×
5232
Level 2 ICD and Similar Procedures
22
$270,192
$27,913
9.7×
5376
Level 6 Urology and Related Services
21
$66,852
$7,542
8.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$22,349
$2,832
7.9×
5153
Level 3 Airway Endoscopy
20
$13,445
$1,387
9.7×
5194
Level 4 Endovascular Procedures
19
$112,778
$14,109
8.0×
5165
Level 5 ENT Procedures
15
$28,299
$4,983
5.7×
5416
Level 6 Gynecologic Procedures
13
$37,944
$6,430
5.9×
5465
Level 5 Neurostimulator and Related Procedures
13
$183,778
$26,348
7.0×
5492
Level 2 Intraocular Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5164
Level 4 ENT 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 2026-04-01, template 3.0.0, 29,333 rows scanned, 17,562 distinct code–setting items kept. 6,279 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,101
22
clean
Hc Rbc Dna Hea 35 Ag 11 Bld Grp
$2,333
$2,333
—
0
clean
Liver dis 10 assays w/ash
—
—
$770
22
clean
Liver dis 10 assays w/nash
—
—
$770
22
clean
Onco prst8 3 gene ur alg
—
—
$1,163
22
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,163
22
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,163
22
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,997
22
clean
Onc bladder mrna 209 gen alg
—
—
$5,338
22
clean
Onc thyr 10 microrna seq alg
—
—
$4,592
22
clean
Onc aml dna detcj/nondetcj
—
—
$380
22
clean
Glyca nuc mr spectrsc quan
—
—
$52
22
clean
Onc thyr dna&mrna 112 genes
—
—
$5,507
22
clean
Jak2 gene trgt seq alys
—
—
$186
22
clean
Rx metab advrs trgt seq alys
—
—
$1,135
22
clean
Noncdm Charge Record
$2,226
$2,226
—
0
clean
Tpmt nudt15 genes
—
—
$713
22
clean
Neuro csf prion prtn qual
—
—
$828
22
clean
Hc Neuro Csf Prion Prtn Qual
$1,753
$1,753
—
0
clean
Trgt gen seq dna 324 genes
—
—
$5,354
22
clean
Noncdm Charge Record
$8,750
$8,750
—
0
clean
B brgdrferi antb 5 prtn igm
—
—
$26
22
clean
Hc Ct Cerebral Perfusion
$2,937
$2,937
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$26
22
clean
Tbrf b grp antb 4 prtn igm
—
—
$23
22
clean
Tbrf b grp antb 4 prtn igg
—
—
$23
22
clean
Onc brst dux carc is 12 gene
—
—
$5,924
22
clean
Onc prst8 mrna 17 gene alg
—
—
$5,924
22
clean
Bone srgry cmptr fluor image
—
—
$1,137
5
clean
Bone srgry cmptr ct/mri imag
—
—
$1,137
5
clean
Noncdm Charge Record
$1,434
$1,434
—
0
clean
Onc merkel cll carc srm quan
—
—
$494
22
clean
Onc merkel cll carc srm +/-
—
—
$494
22
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$38
22
clean
Antb tp total&rpr ia qual
—
—
$48
22
clean
Syfls tst nontreponemal antb
—
—
$28
22
clean
Candida species pnl amp prb
—
—
$218
22
clean
Perq Stent/Chest Vert Art
—
—
$3,891
5
clean
Hc Cc Carotid Stent Initial S/I
$26,437
$26,437
—
0
clean
Ig paraprotein qual bld/ur
—
—
$66
22
clean
Onc lng 5 clin rsk factr alg
—
—
$5,384
22
clean
Onc mlnma prame & linc00518
—
—
$1,163
22
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,983
22
clean
Extracorp shockwv tx hi enrg
—
—
$497
26
clean
Hered colon ca do 15 genes
—
—
$2,668
22
clean
Neph ckd mult eclia tum nec
—
—
$1,453
22
clean
Touch Quant Sensory Test
—
—
$60
21
clean
Gstr emptg 7 timed brth spec
—
—
$1,338
22
clean
Vibrate Quant Sensory Test
—
—
$60
21
clean
Cool Quant Sensory Test
—
—
$95
21
clean
Gi barrett esoph 9 prtn bmrk
—
—
$7,572
22
clean
Heat Quant Sensory Test
—
—
$60
21
clean
Iadi 16s&18s rrna genes
—
—
$545
22
clean
Trnsplj don-drv cll-fr dna
—
—
$4,211
22
clean
Crd ceramides liq chrom plsm
—
—
$128
22
clean
Hered brst ca rltd do panel
—
—
$1,995
22
clean
Nfct bct fng prst dna >1000
—
—
$3,252
22
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$171
22
clean
Liver ds 10 biochem asy srm
—
—
$770
22
clean
Onc sld tum alys brca1 brca2
—
—
$4,635
22
clean
Onc solid tumor 30 prtn trgt
—
—
$1,997
22
clean
Exc rectal tumor endoscopic
—
—
$8,615
27
clean
Hc Anes Non-Invasive Imaging/Radiation Therapy
$509
$509
—
0
clean
Perq sacral augmt unilat inj
—
—
$10,501
26
clean
Hc Sacroplasty Perc Unilat Inj
$5,039
$5,039
—
0
clean
Perq sacral augmt bilat inj
—
—
$10,501
26
clean
Hc Sacroplasty Perc Bilat Inj
$10,076
$10,076
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$18,220
27
clean
Hc Nfct Ds 22 Trgt Sars Cov 2
$1,351
$1,351
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$638
22
clean
Neuro alzheimer cell aggregj
—
—
$3,389
22
clean
Clear eyelid gland w/heat
—
—
$268
26
clean
Njx platelet plasma
—
—
$855
27
clean
Hc Cc Trluml Perip Athrc Brchiocph
$30,851
$30,851
—
0
clean
Trluml perip athrc brchiocph
—
—
$16,383
27
clean
Hc Cc Trluml Perip Athrc Iliac Art
$27,591
$27,591
—
0
clean
Trluml perip athrc iliac art
—
—
$26,015
27
clean
Trgt gen seq alys pnl 311+
—
—
$5,354
22
clean
Trgt gen seq alys pnl 55-74
—
—
$7,648
22
clean
Onc thyr mut alys 10 gen&37
—
—
$1,937
22
clean
Onc sld org neo dna 505 gene
—
—
$4,466
22
clean
Implt/rpl crtd sns dev total
—
—
$6,473
4
clean
Implt/rpl crtd sns dev gen
—
—
$6,200
5
clean
Interrogate crtd sns dev
—
—
$1,245
1
clean
Interrogate crtd sns w/pgrmg
—
—
$1,245
1
clean
Perq lamot/lam lumbar
—
—
$2,538
5
clean
Tempr
—
—
$225
23
clean
Onc lung mrna quan pcr 11&3
—
—
$5,924
22
clean
Onc brst dux carc 7 proteins
—
—
$8,314
22
clean
Crd cad alys 3 prtn plsm alg
—
—
$598
22
clean
Crd cv ds aly 4 prtn plm alg
—
—
$598
22
clean
Nfct ds bct quan antmcrb sc
—
—
$12
22
clean
Ai ds sle alys 8 igg autoant
—
—
$1,286
22
clean
Onc cutan sq cll ca mrna 40
—
—
$13,002
22
clean
Neph rna psttrnspl perph bld
—
—
$4,054
22
clean
Trgt gen seq alys pnl 83+
—
—
$7,648
22
clean
Onc neo xome&trns seq alys
—
—
$5,259
22
clean
Tear film img uni/bi w/i&r
—
—
$60
21
clean
Onc sld orgn tgsa dna 84/+
—
—
$5,354
22
clean
Onc plsm cell do&myeloma id
—
—
$3,725
22
clean
Onc sld tum crcg tum cl slct
—
—
$3,725
22
clean
Trnscth renal symp denrv bil
—
—
$8,396
27
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,163
22
clean
Onc pan ca alys mrd plasma
—
—
$5,491
22
clean
Hep nafld semiq evl 28 lipid
—
—
$1,212
22
clean
Psyc genom alys pnl 15 gen
—
—
$2,044
22
clean
Noncdm Charge Record
$709
$709
—
0
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,044
22
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,135
22
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,135
22
clean
RSA lower extr exam
—
—
$140
21
clean
Nfct ds bct/viral trail ip10
—
—
$398
22
clean
Apol1 risk variants
—
—
$210
22
clean
Onc orop 17 dna ddpcr alg
—
—
$2,753
22
clean
Hc Research Bia Whole Body Comp Assess W/I&R
$389
$389
—
0
clean
BIA whole body
—
—
$47
21
clean
Neuro alys b-amyl 1-42&1-40
—
—
$398
22
clean
Noncdm Charge Record
$1,050
$1,050
—
0
clean
Onc prst8 ca alys all psa
—
—
$1,163
22
clean
Onc lung elisa 7 autoant alg
—
—
$1,286
22
clean
Onc urthl mrna 5 gen alg
—
—
$1,163
22
clean
Onc bldr 10 prb bldr ca
—
—
$1,372
22
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,372
22
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,372
22
clean
Onc prst8 ca img alys 128
—
—
$1,080
22
clean
Vis field assmnt tech suppt
—
—
$60
21
clean
Tgsap sl or neo dna523&rna55
—
—
$5,030
22
clean
Onc nonsm cll lng ca 37 gen
—
—
$5,354
22
clean
Neu prksn msfl ?-syncln prtn
—
—
$828
22
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$304
22
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,120
21
clean
Mrgfus strtctc les abltj
—
—
$3,623
1
clean
Gi baret esph dna mthyln aly
—
—
$2,685
22
clean
Collagen crosslinking cornea
—
—
$3,824
27
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,163
22
clean
Onc brst semiq meas thym kn
—
—
$494
22
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,163
22
clean
Neph dbtc ckd mult eclia alg
—
—
$1,453
22
clean
Insj/rplc cardiac modulj sys
—
—
$44,544
27
clean
Onc sld tum dna 80 & rna 36
—
—
$4,466
22
clean
Psyc genom alys pnl 15 gen
—
—
$2,044
22
clean
Cv ds acs bld alg 5 yr score
—
—
$598
22
clean
Prgrmg eval cardiac modulj
—
—
$60
21
clean
Interro eval cardiac modulj
—
—
$60
21
clean
Waterjet prostate abltj cmpl
—
—
$5,200
6
clean
Onc pan solid tum alys dna
—
—
$2,972
22
clean
Gi malabs aat calpro pncrtc
—
—
$94
22
clean
Noncdm Charge Record
$154
$154
—
0
clean
Gly rcptr alpha1 igg srm/csf
—
—
$56
22
clean
Klhl11 antb sr/csf asy qual
—
—
$56
22
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,163
22
clean
Rx metab advrs vrnt alys 25
—
—
$638
22
clean
Impltj synth rnfcmt abdl wal
—
—
$1,137
5
clean
Abltj perc lxtr/perph nrv
—
—
$3,227
27
clean
Abltj perc plex/trncl nrv
—
—
$12,454
27
clean
Neurflmnt lt chn ultrsens ia
—
—
$178
22
clean
Noncdm Charge Record
$1,940
$1,940
—
0
clean
Insj impltbl glucose sensor
—
—
$5,904
27
clean
Rmvl impltbl glucose sensor
—
—
$400
27
clean
Remvl insj impltbl gluc sens
—
—
$5,904
27
clean
Insj aqueous drain dev 1st
—
—
$7,552
27
clean
Visual ep test for glaucoma
—
—
$207
21
clean
Onc sld tum bld/slv 648 gene
—
—
$6,883
22
clean
Hered prst8 ca gsap 23 genes
—
—
$1,995
22
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,137
26
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$1,137
5
clean
Tmvi percutaneous approach
—
—
$990
1
clean
Tmvi transthoracic exposure
—
—
$990
1
clean
Oct mid ear i&r unilateral
—
—
$60
21
clean
Onc sol tum cfdna&rna ngs gm
—
—
$5,582
22
clean
Oct mid ear i&r bilateral
—
—
$60
21
clean
Prep & cannulj cdvr don lung
—
—
$990
1
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$990
1
clean
Ev fempop artl revsc
—
—
$16,706
26
clean
Near ifr 2img mibmn glnd i&r
—
—
$95
21
clean
Pattern erg w/i&r
—
—
$347
21
clean
Esw integ wnd hlg 1st wnd
—
—
$384
25
clean
Esw integ wnd hlg ea addl
—
—
$1,052
4
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,052
4
clean
Hc Cc Inpro Cor Ffr W/3D Funcjl Map
$3,483
$3,483
—
0
clean
Insj/rplcmt compl iims
—
—
$27,875
26
clean
Prgrmg dev eval iims ip
—
—
$60
21
clean
Interrog dev eval iims ip
—
—
$60
21
clean
Antmc guide 3d print 1st gd
—
—
$214
21
clean
Evac meibomian glnd heat bi
—
—
$119
26
clean
Ttvr perq appr 1st prosth
—
—
$990
1
clean
Ttvr perq ea addl prosth
—
—
$990
1
clean
Insj/rplcmt icds ss eltrd
—
—
$45,425
26
clean
Hc Cc Insj/Rplcmt Icds W/Substernal Electrode
$89,417
$89,417
—
0
clean
Prgrmg dev eval icds ss ip
—
—
$60
21
clean
Interrog dev eval icds ss ip
—
—
$60
21
clean
Rem interrog dev icds tech
—
—
$60
21
clean
Abltj mal brst tum perq crtx
—
—
$5,798
26
clean
Ncntc r-t fluor wnd img 1st
—
—
$347
21
clean
Ire abltj 1+tum organ perq
—
—
$15,383
26
clean
Ire abltj 1+tumors open
—
—
$15,383
26
clean
Cysto w/prst8 commissurotomy
—
—
$4,578
5
clean
Evasc ven artlz tibl/prnl vn
—
—
$63,742
26
clean
Perq njx algc fluor lmbr 1st
—
—
$18,580
26
clean
Perq njx algc fluor lmbr ea
—
—
$1,782
2
clean

Showing the first 200 of 17,562 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
37,338 of 37,338 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 25675/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 54150/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 82668/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 differ, so no cross-line comparison was made for this item
CPT 86654/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87210/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0166/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1790/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9044/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 differ, so no cross-line comparison was made for this item
CPT 36590/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 45305/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 64633/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 differ, so no cross-line comparison was made for this item
CPT 80162/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81382/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 differ, so no cross-line comparison was made for this item
CPT 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1605/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 J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 17003/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 25680/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 82670/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87220/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 differ, so no cross-line comparison was made for this item
CPT 88155/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 differ, so no cross-line comparison was made for this item
CPT J0168/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1800/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 P9045/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30140/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 36591/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 64634/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 80164/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81383/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 differ, so no cross-line comparison was made for this item
CPT 84134/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 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7168/b
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 17110/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 differ, so no cross-line comparison was made for this item
CPT 25690/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 82671/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 differ, so no cross-line comparison was made for this item
CPT 86663/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87230/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 differ, so no cross-line comparison was made for this item
CPT 88160/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 differ, so no cross-line comparison was made for this item
CPT J0169/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1805/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 differ, so no cross-line comparison was made for this item
CPT P9047/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36592/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 differ, so no cross-line comparison was made for this item
CPT 45330/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 64635/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 differ, so no cross-line comparison was made for this item
CPT 80165/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 differ, so no cross-line comparison was made for this item
CPT 81400/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 differ, so no cross-line comparison was made for this item
CPT 85441/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 differ, so no cross-line comparison was made for this item
CPT C1714/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 J7169/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 differ, so no cross-line comparison was made for this item
CPT 30300/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 differ, so no cross-line comparison was made for this item
CPT 82672/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 differ, so no cross-line comparison was made for this item
CPT 84140/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 differ, so no cross-line comparison was made for this item
CPT 86664/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87252/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88164/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 differ, so no cross-line comparison was made for this item
CPT J0171/b
info
mrf_item_fields_vary
this code and setting cover at least 57 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9073/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 differ, so no cross-line comparison was made for this item
CPT 36593/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 45331/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 64636/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 80168/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 differ, so no cross-line comparison was made for this item
CPT 81401/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 differ, so no cross-line comparison was made for this item
CPT J1808/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 differ, so no cross-line comparison was made for this item
CPT J7186/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82677/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 differ, so no cross-line comparison was made for this item
CPT 85460/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 differ, so no cross-line comparison was made for this item
CPT 86665/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 differ, so no cross-line comparison was made for this item
CPT 87253/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 differ, so no cross-line comparison was made for this item
CPT C1721/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 J0173/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9612/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 differ, so no cross-line comparison was made for this item
CPT 26055/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 80169/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 differ, so no cross-line comparison was made for this item
CPT 81402/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 differ, so no cross-line comparison was made for this item
CPT 84144/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 differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 171 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7189/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 17999/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 82679/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 differ, so no cross-line comparison was made for this item
CPT 85461/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 differ, so no cross-line comparison was made for this item
CPT 86666/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 differ, so no cross-line comparison was made for this item
CPT 87254/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 differ, so no cross-line comparison was made for this item
CPT C1722/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 J0174/b
info
mrf_item_fields_vary
this code and setting cover at least 53 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0091/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 differ, so no cross-line comparison was made for this item
CPT 54700/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 80170/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81403/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 differ, so no cross-line comparison was made for this item
CPT 84145/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 differ, so no cross-line comparison was made for this item
CPT 88172/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 differ, so no cross-line comparison was made for this item
CPT J1833/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 19000/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 30901/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 82693/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 differ, so no cross-line comparison was made for this item
CPT 86668/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 differ, so no cross-line comparison was made for this item
CPT 87255/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1724/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 J0209/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 J7195/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 differ, so no cross-line comparison was made for this item
CPT Q0114/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 differ, so no cross-line comparison was made for this item
CPT 36600/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 80171/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 differ, so no cross-line comparison was made for this item
CPT 84146/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 differ, so no cross-line comparison was made for this item
CPT 85520/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 differ, so no cross-line comparison was made for this item
CPT 88173/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 differ, so no cross-line comparison was made for this item
CPT J1836/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 differ, so no cross-line comparison was made for this item
CPT 30903/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 45338/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 86671/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 differ, so no cross-line comparison was made for this item
CPT 87260/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80173/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 differ, so no cross-line comparison was made for this item
CPT 81406/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 82705/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 differ, so no cross-line comparison was made for this item
CPT 84150/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 85525/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 differ, so no cross-line comparison was made for this item
CPT J0248/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 differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19030/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 26410/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 55000/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7298/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 80175/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 differ, so no cross-line comparison was made for this item
CPT 82710/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86677/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88177/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 differ, so no cross-line comparison was made for this item
CPT J0256/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 J1920/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19081/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 65205/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 differ, so no cross-line comparison was made for this item
CPT 81420/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 differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7300/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 80176/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82725/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 differ, so no cross-line comparison was made for this item
CPT 85549/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 differ, so no cross-line comparison was made for this item
CPT 86682/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 differ, so no cross-line comparison was made for this item
CPT 87270/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 differ, so no cross-line comparison was made for this item
CPT 88182/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 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0278/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 differ, so no cross-line comparison was made for this item
CPT J1921/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 65210/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 81422/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 differ, so no cross-line comparison was made for this item
CPT 84154/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 differ, so no cross-line comparison was made for this item
CPT J7307/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 19083/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 80177/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 differ, so no cross-line comparison was made for this item
CPT 87272/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 differ, so no cross-line comparison was made for this item
CPT 88184/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 differ, so no cross-line comparison was made for this item
CPT J0280/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 differ, so no cross-line comparison was made for this item
CPT J1930/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 Q0508/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 differ, so no cross-line comparison was made for this item
CPT 45378/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 65220/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 81434/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 differ, so no cross-line comparison was made for this item
CPT 82728/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85557/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 differ, so no cross-line comparison was made for this item
CPT J7500/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10021/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 80178/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 differ, so no cross-line comparison was made for this item
CPT 87273/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 differ, so no cross-line comparison was made for this item
CPT 88185/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 differ, so no cross-line comparison was made for this item
CPT J0281/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 Q2050/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 65222/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 76511/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 81442/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 differ, so no cross-line comparison was made for this item
CPT 82731/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 differ, so no cross-line comparison was made for this item
CPT 84156/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 differ, so no cross-line comparison was made for this item
CPT 85576/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 differ, so no cross-line comparison was made for this item
CPT 86689/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1938/b
info
mrf_item_fields_vary
this code and setting cover at least 44 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7502/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 differ, so no cross-line comparison was made for this item
CPT 45380/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 80180/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 differ, so no cross-line comparison was made for this item
CPT 87274/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 differ, so no cross-line comparison was made for this item
CPT 88188/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 differ, so no cross-line comparison was made for this item
CPT J0282/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 55700/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 65235/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 76512/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 82735/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 differ, so no cross-line comparison was made for this item
CPT 84157/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85597/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 differ, so no cross-line comparison was made for this item
CPT 86692/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 differ, so no cross-line comparison was made for this item
CPT J1939/b
info
mrf_item_fields_vary
this code and setting cover at least 38 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7507/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10060/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 differ, so no cross-line comparison was made for this item
CPT 26641/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 45381/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 80181/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 differ, so no cross-line comparison was made for this item
CPT 87275/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 differ, so no cross-line comparison was made for this item
CPT 88189/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 6,279 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 287
info
inp_charge_10x_payment
average charge $105,718 is 10.3× 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. · json · 74.9M bytes · fetched 2026-08-23 · sha256 e6bce1fbe2f4…

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.