Hospital · CCN 360234

Mercy Health - West Hospital

3300 Mercy Health Blvd, Cincinnati, OH 45211 · Hamilton County
Part of Bon Secours Mercy Health · 205 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

59 admission types 54 outpatient services price file: ok
Billed per dollar paid, all admissions
4.89×
$85.5M billed against $17.5M paid across 1,725 Medicare discharges; the national figure is 5.03×.
4.0%
of adults in Hamilton County have medical debt in collections
6.2%
uninsured in the county · state 7.1%
$69K
median household income
3.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
35.6%
obesity in the countyⓘ
13.2%
diagnosed diabetes (PLACES)
6.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
259
$65,327
$13,874
4.7× st 4.1×
291
Heart failure and shock with mcc
106
$41,228
$9,060
4.6× st 4.0×
177
Respiratory infections and inflammations with mcc
67
$55,942
$10,997
5.1× st 3.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
65
$37,273
$7,546
4.9× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
55
$27,455
$5,905
4.6× st 3.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
49
$29,495
$5,686
5.2× st 4.2×
690
Kidney and urinary tract infections without mcc
44
$29,654
$5,854
5.1× st 3.8×
193
Simple pneumonia and pleurisy with mcc
41
$35,340
$9,146
3.9× st 3.9×
683
Renal failure with cc
40
$33,561
$6,414
5.2× st 3.8×
378
Gastrointestinal hemorrhage with cc
39
$46,492
$7,095
6.6× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
38
$29,744
$5,489
5.4× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
37
$42,353
$10,727
3.9× st 3.8×
689
Kidney and urinary tract infections with mcc
36
$35,419
$8,139
4.4× st 3.7×
682
Renal failure with mcc
35
$42,161
$9,962
4.2× st 3.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$43,377
$8,634
5.0× st 4.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
32
$193,262
$32,074
6.0× st 4.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$34,349
$6,931
5.0× st 4.8×
603
Cellulitis without mcc
32
$26,917
$6,747
4.0× st 3.5×
190
Chronic obstructive pulmonary disease with mcc
30
$36,092
$8,165
4.4× st 4.4×
312
Syncope and collapse
28
$30,350
$6,315
4.8× st 4.3×
481
Hip and femur procedures except major joint with cc
27
$82,554
$14,853
5.6× st 5.1×
884
Organic disturbances and intellectual disability
27
$29,541
$9,426
3.1× st 3.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
26
$105,162
$16,352
6.4× st 4.4×
189
Pulmonary edema and respiratory failure
24
$50,781
$9,071
5.6× st 4.2×
178
Respiratory infections and inflammations with cc
23
$27,390
$6,992
3.9× st 4.3×
194
Simple pneumonia and pleurisy with cc
22
$36,113
$6,381
5.7× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
22
$53,142
$10,474
5.1× st 4.5×
552
Medical back problems without mcc
21
$32,425
$6,680
4.9× st 3.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$82,388
$14,205
5.8× st 5.9×
638
Diabetes with cc
21
$37,514
$7,677
4.9× st 4.0×
057
Degenerative nervous system disorders without mcc
18
$27,834
$9,726
2.9× st 3.5×
281
Acute myocardial infarction, discharged alive with cc
18
$39,525
$6,330
6.2× st 5.2×
812
Red blood cell disorders without mcc
18
$31,731
$6,666
4.8× st 4.6×
480
Hip and femur procedures except major joint with mcc
17
$97,877
$18,353
5.3× st 5.1×
377
Gastrointestinal hemorrhage with mcc
16
$79,304
$12,113
6.5× st 4.8×
699
Other kidney and urinary tract diagnoses with cc
15
$25,444
$7,160
3.6× st 3.7×
305
Hypertension without mcc
15
$32,550
$5,537
5.9× st 4.6×
202
Bronchitis and asthma with cc/mcc
15
$33,879
$7,459
4.5× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$40,546
$8,572
4.7× st 4.4×
191
Chronic obstructive pulmonary disease with cc
14
$27,581
$6,135
4.5× st 4.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$72,436
$14,228
5.1× st 4.9×
637
Diabetes with mcc
13
$52,464
$9,767
5.4× st 4.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$45,267
$12,471
3.6× st 4.3×
393
Other digestive system diagnoses with mcc
13
$65,898
$12,949
5.1× st 4.1×
069
Transient ischemia without thrombolytic
13
$27,452
$5,974
4.6× st 4.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
13
$109,167
$19,426
5.6× st 5.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$27,261
$6,767
4.0× st 4.2×
811
Red blood cell disorders with mcc
13
$53,074
$9,762
5.4× st 4.4×
101
Seizures without mcc
12
$32,767
$6,705
4.9× st 4.2×
394
Other digestive system diagnoses with cc
12
$30,113
$6,820
4.4× st 4.2×
056
Degenerative nervous system disorders with mcc
12
$48,499
$16,085
3.0× st 4.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$102,271
$18,200
5.6× st 4.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$44,397
$7,582
5.9× st 5.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$24,366
$6,043
4.0× st 4.3×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$29,964
$9,453
3.2× st 5.0×
149
Dysequilibrium
11
$28,630
$5,502
5.2× st 4.8×
329
Major small and large bowel procedures with mcc
11
$121,382
$30,559
4.0× st 4.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$42,371
$9,792
4.3× st 4.2×
917
Poisoning and toxic effects of drugs with mcc
11
$51,958
$10,606
4.9× st 5.1×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5491
Level 1 Intraocular Procedures
574
$13,261
$2,007
6.6×
8011
Comprehensive Observation Services
180
$15,826
$2,331
6.8×
5302
Level 2 Upper GI Procedures
113
$17,199
$1,631
10.5×
5115
Level 5 Musculoskeletal Procedures
98
$67,409
$11,132
6.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
80
$12,890
$1,398
9.2×
5183
Level 3 Vascular Procedures
66
$20,645
$2,772
7.4×
5114
Level 4 Musculoskeletal Procedures
62
$42,746
$6,222
6.9×
5191
Level 1 Endovascular Procedures
51
$22,474
$2,798
8.0×
5492
Level 2 Intraocular Procedures
46
$16,617
$3,536
4.7×
5361
Level 1 Laparoscopy and Related Services
44
$38,582
$5,018
7.7×
5193
Level 3 Endovascular Procedures
40
$62,843
$9,561
6.6×
5374
Level 4 Urology and Related Services
37
$21,159
$2,966
7.1×
5373
Level 3 Urology and Related Services
36
$14,382
$1,771
8.1×
5113
Level 3 Musculoskeletal Procedures
30
$26,089
$2,815
9.3×
5431
Level 1 Nerve Procedures
29
$15,006
$1,633
9.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
28
$22,377
$2,471
9.1×
5375
Level 5 Urology and Related Services
26
$31,953
$4,500
7.1×
5213
Level 3 Electrophysiologic Procedures
24
$132,653
$20,603
6.4×
5182
Level 2 Vascular Procedures
22
$8,958
$1,393
6.4×
5112
Level 2 Musculoskeletal Procedures
18
$13,375
$1,398
9.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
18
$24,543
$3,315
7.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
17
$29,551
$3,009
9.8×
5192
Level 2 Endovascular Procedures
16
$37,292
$4,971
7.5×
5415
Level 5 Gynecologic Procedures
15
$33,792
$4,326
7.8×
5155
Level 5 Airway Endoscopy
15
$51,846
$5,952
8.7×
5414
Level 4 Gynecologic Procedures
13
$24,022
$2,719
8.8×
5154
Level 4 Airway Endoscopy
12
$33,165
$3,257
10.2×
5362
Level 2 Laparoscopy and Related Services
12
$63,189
$8,948
7.1×
5116
Level 6 Musculoskeletal Procedures
12
$74,585
$16,174
4.6×
5184
Level 4 Vascular Procedures
11
$44,742
$4,779
9.4×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
11
$8,476
$2,032
4.2×
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5465
Level 5 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 csv-tall, last updated 4/1/2026, template 3.0.0, 89,077 rows scanned, 4,302 distinct code–setting items kept. 1,029 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
PR Anesthesia Salivary Glands With Biopsy
$54,672
$32,803
—
0
clean
PR Anesthesia for Ear Surgery
$50,618
$30,371
$5,869
4
clean
Anesth,Tympanotomy
$14,839
$8,904
$1,538
4
clean
Anesth,Nose,Sinus Surgery
$37,201
$22,321
$3,287
2
clean
Anesth,Procedure on Mouth
$20,986
$12,591
$3,287
3
clean
Anesth,Facial Bone Surgery
$36,714
$22,028
$5,869
4
clean
Anesth,Skull Surg Burr Hole
$81,080
$48,648
$12,983
1
clean
HC So Onc Aml Dna Detcj/Nondetcj
$1,075
$645
—
0
clean
Anesth,Skin Surg Head/Neck
$24,979
$14,987
$2,880
3
clean
Anesth,Neck Org Proc; Nos, Age 1 Yr/Old
$27,038
$16,223
$3,696
4
clean
HC So Neuro CSF Prion Prtn Qual
$799
$479
—
0
clean
Anesth,Skin Surg Thorax/Extr
$23,368
$14,021
$403
5
clean
Anesth,Surg Clavicle/Scapula
$51,667
$31,000
$7,194
6
clean
Anesth,Chest Proc Closed,Nos
$47,546
$28,528
$6,997
3
clean
Anesth,Pacemaker Insertion
$119,513
$71,708
$19,097
5
clean
Anesth,Centrl Vascular Access
$24,675
$14,805
$3,130
5
clean
Anesth,Card Electrophys Proc
$109,841
$65,905
$25,914
3
clean
Bone Surgery Using Computer
$66,921
$40,153
$12,729
3
clean
Bone Surgery Using Computer
$69,439
$41,663
$12,729
4
clean
Anesth,Lumbar Spine,Cord Surgery
$59,303
$35,582
$7,194
3
clean
HC Antibody Treponema Pallidum Total & Rpr Ia Qual
$345
$207
—
0
clean
HC Syphilis Tst Non-Treponemal Antibody Ia Qual Rpr
$117
$70
—
0
clean
Anesth,Extensive Spine,Cord Proced
$80,483
$48,290
$12,983
1
clean
Anesthesia Upper GI Endoscopic Px Nos
$13,344
$8,006
$899
3
clean
Anesthesia Upper GI Endoscopic Px Ercp
$37,702
$22,621
$6,019
5
clean
Anesth,Repair Upper Abd Hernia Nos
$19,597
$11,758
$3,550
3
clean
Anesth,Repair Up Hernia Lumbar/Ventr
$27,638
$16,583
$5,994
4
clean
Anesth,Surg Upper Abdomen
$32,786
$19,672
$5,994
4
clean
Anesth,Abd Wall,Lower Ant,Surg
$24,591
$14,754
$2,072
4
clean
Anesthesia Lower Intst Endoscopic Px Nos
$11,087
$6,652
$1,186
6
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$10,878
$6,527
$1,186
7
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$17,361
$10,416
$1,902
7
clean
Anesth,Abd Wall,Lower Post,Surg
$21,875
$13,125
$1,637
5
clean
Anesth,Repair Lo Abd Hernia Nos
$26,604
$15,963
$3,550
7
clean
Anesth,Repair Lo Hernia Ventr/Incis
$29,413
$17,648
$5,994
5
clean
Anesth,Surg Lower Abdomen
$49,470
$29,682
$5,994
6
clean
Anesth,Surg Low Abd,Extraperintoneal
$30,985
$18,591
$4,960
7
clean
Anesth,Kidney,Prox Ureter Surg
$79,412
$47,647
$10,539
4
clean
Anesth,Removal of Prostate
$101,681
$61,009
$10,539
4
clean
Anesth,Anorectal Surgery
$26,176
$15,706
$922
1
clean
Anesth,Transurethral Surg,Nos
$18,729
$11,238
$2,072
3
clean
Anesth,Xurethral Bladder Tumor Surg
$24,589
$14,753
$3,495
4
clean
Anesth,Xurethral Removal of Prostate
$37,327
$22,396
$5,316
3
clean
Anesth,Stone Rmvoval
$39,001
$23,400
$5,316
4
clean
Anesth,Male Genitalia Surgery
$18,621
$11,173
$1,654
2
clean
Anesth,Vaginal Procedures
$20,732
$12,439
$3,242
2
clean
Anesth,Colpot,Vaginect,Colporr,Ureth Pro
$33,398
$20,039
$4,960
5
clean
Anesth,Vaginal Hysterectomy
$44,085
$26,451
$4,960
4
clean
Anesth,Hysteroscopy/Vag Bx
$27,162
$16,297
$4,960
4
clean
Anesth,Total Hip Arthroplasty
$67,688
$40,613
$12,729
6
clean
Anesth,Upper Leg Surgery
$35,917
$21,550
$7,194
4
clean
Anesth,Knee Area Surgery
$20,332
$12,199
$2,880
4
clean
Anesth,Knee Joint,Closed Procedure
$12,156
$7,293
$1,594
3
clean
Anesth,Upper Leg,Open Procedure
$37,218
$22,331
$7,194
6
clean
Anesth,Knee Joint; Nos
$26,134
$15,680
$3,244
3
clean
Anesth,Total Knee Arthroplasty
$70,681
$42,408
$12,729
4
clean
Anesth,Lower Leg,Closed Procedure
$26,476
$15,886
$245
6
clean
Anesth,Arthroscop Proc,Ankle &/or Foot
$31,902
$19,141
$3,244
5
clean
Anesth,Lower Leg,Open Surgery
$23,907
$14,344
$3,244
5
clean
Anesth,Achilles Tendon Surg
$52,284
$31,371
$7,194
4
clean
Anesth,Lower Leg Bone Surg
$34,973
$20,984
$7,194
4
clean
Anesth,Radical Leg Resection
$31,502
$18,901
$3,244
4
clean
Anesth,Lower Leg Vein Surg,Nos
$82,200
$49,320
$5,517
3
clean
HC So Nfct Ds Dna Untrgt Ngnrj Seq
$8,500
$5,100
—
0
clean
Anesth,Surgery of Shoulder
$33,906
$20,343
$3,882
4
clean
Anesth,Shoulder,Closed Procedure
$12,530
$7,518
$1,594
6
clean
Anesth,Shoulder Joint,Nos
$43,755
$26,253
$7,266
2
clean
Anesth,Shoulder Replacement
$84,571
$50,743
$17,384
3
clean
Anesth,Elbow Area Surgery
$18,981
$11,389
$1,936
4
clean
Anesth,Upperarm Tendon Revisn Surg
$36,808
$22,085
$7,194
3
clean
Anesth,Biceps Tendon Repair
$38,316
$22,989
$7,194
3
clean
Anesth,Elbow,Nos
$56,798
$34,079
$12,729
5
clean
Anesth,Lower Arm Surgery
$15,859
$9,515
$1,936
5
clean
Anesth,Distal Radius/Ulna Wrist/Hand,Nos
$42,272
$25,363
$7,194
5
clean
Anesth,Lower Arm,Vasc Shunt Surg
$36,038
$21,623
$3,130
5
clean
Anesth,Lower Arm Casting
$37,784
$22,671
$161
7
clean
Anesth,Cat/MRI Scan,Radiatn Therapy
$11,633
$6,980
$346
2
clean
Anesth,Inter Rad,Venous/Lymph Sys,Nos
$41,870
$25,122
$5,517
3
clean
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
$50,721
$30,433
$7,194
4
clean
Anes Dx/Ther Nrv Blk/Njx Oth/Thn Prone POS
$20,652
$12,391
$702
3
clean
HC Sacroplasty
$13,309
$7,985
—
0
clean
HC Sacroplasty Bilat
$17,903
$10,742
—
0
clean
HC So Jfct Ds Dna/Rna 22 Trgt Sars-Cov 2|ADJ
$916
$550
—
0
clean
HC Jfct Ds Dna/Rna 22 Trgt Sars-Cov 2|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST
$1,059
$635
—
0
clean
HC Transluminal Peripheral Atherectomy, Brachiocephal and Branches, Ea
$43,768
$26,261
—
0
clean
HC Iliac Atherectomy
$38,884
$23,330
—
0
clean
HC Neuro Prknsn CSF Detcj Msfld a-Syncln Prtn Qual
$1,000
$600
—
0
clean
HC Fna Bx W/US Gdn 1st Les
$2,692
$1,615
—
0
clean
HC Fna Bx W/US Gdn Ea Addl
$2,692
$1,615
—
0
clean
HC Fna Bx W/Fluor Gdn 1st Les
$2,692
$1,615
—
0
clean
HC Fna Bx W/CT Gdn 1st Les
$4,927
$2,956
—
0
clean
HC Fna Bx W/CT Gdn Ea Addl
$3,440
$2,064
—
0
clean
HC Fna Without Imaging Guidance
$1,529
$917
—
0
clean
HC Guide Cathet Fluid Drainage
$8,436
$5,062
—
0
clean
HC Perq Dev Soft Tiss 1st Imag
$1,757
$1,054
—
0
clean
HC Acne Surgery ED
$660
$396
—
0
clean
HC Incision & Drainage-Simple
$660
$396
—
0
clean
HC I & D Simple
$660
$396
$199
6
clean
HC I&D Abcess Complic Multiple
$1,385
$831
$403
4
clean
HC I&D Pilonidal Cyst Simple
$2,577
$1,546
—
0
clean
HC Drain Pilonidal Cyst
$2,588
$1,553
—
0
clean
HC Removal FB Skin
$2,329
$1,397
—
0
clean
HC Remove FB
$5,298
$3,179
—
0
clean
HC Remove FB
$8,718
$5,231
$1,637
4
clean
HC Evacuation of Hematoma
$8,702
$5,221
$1,637
4
clean
HC I&D Hematoma Seroma Fluid
$9,137
$5,482
—
0
clean
HC Puncture/Aspiration Hematoma
$1,403
$842
—
0
clean
HC Puncture Drainage of Lesion
$1,473
$884
—
0
clean
HC Comlex Drainage Wound
$22,711
$13,627
$2,880
3
clean
HC I&D Complex,Post OP Wound
$7,519
$4,511
—
0
clean
HC Debrd Eczema/Infect Skin,>10%
$1,379
$827
—
0
clean
HC Debride Infected Skin +
$1,199
$719
—
0
clean
HC Debride Skin at Fx Site
$2,461
$1,477
—
0
clean
HC Debride Skin Musc Fx Site
$2,229
$1,337
—
0
clean
HC Deb Skin Bone at Fx Site
$25,002
$15,001
$2,880
3
clean
HC Deb Skin Bone at Fx Site
$9,159
$5,495
—
0
clean
HC Debride Subq First 20 Sq Cm
$3,420
$2,052
—
0
clean
HC Debride Subq First 20 Sq Cm|SEPARATE STRUCTURE
$6,763
$4,058
$403
18
clean
HC Debride/Musc/Fasc First 20 Sq Cm|UNUSUAL NON-OVERLAPPING SERVICE
$11,685
$7,011
$733
17
clean
HC Deb Mus/Fas 20sq Cm/<
$2,632
$1,579
—
0
clean
HC Debrid,Bone,1st 20sqcm or Less
$8,342
$5,005
$1,637
7
clean
HC Debride Skin Sub Musc Bone
$8,342
$5,005
—
0
clean
HC Debridement, Skin, Sub-Q Tissue,Each Add 20 Sq Cm
$3,432
$2,059
—
0
clean
HC Debrid,Subq Ea Addt'l 20sqcm
$12,174
$7,304
$403
15
clean
HC Debrid,Musc/Fasc,Ea Add 20sqcm
$13,871
$8,323
$733
7
clean
HC Debrid,Musc/Fasc,Ea Add 20sqcm
$2,632
$1,579
—
0
clean
HC Debrid,Bone Ea Addl 20sqcm
$8,342
$5,005
—
0
clean
HC Trim Skin Lesion
$476
$286
—
0
clean
HC Paring of Callus 2-4 Lesions
$587
$352
—
0
clean
HC Paring of Callus > 4 Lesions
$717
$430
—
0
clean
HC Tangential Biopsy Skin Single Lesion
$1,011
$607
—
0
clean
HC Tangential Biopsy Skin Ea Sep/Additional Lesion
$543
$326
—
0
clean
HC Punch Biopsy Skin Single Lesion
$1,011
$607
—
0
clean
HC Punch Biopsy Skin Ea Sep/Additional Lesion
$543
$326
—
0
clean
HC Incisional Biopsy Skin Single Lesion
$1,011
$607
—
0
clean
HC Incisional Biopsy Skin Single Lesion|UNUSUAL NON-OVERLAPPING SERVICE
$30,725
$18,435
$747
11
clean
HC Incisional Biopsy Skin Ea Sep/Additional Lesion
$543
$326
—
0
clean
HC Excision Up to 15 Skin Tags
$790
$474
—
0
clean
HC Excision Up to 15 Skin Tags
$39,505
$23,703
$5,009
2
clean
HC Shaving Les Tr/AR/Le .5 Cm-<
$680
$408
—
0
clean
HC Shave Skin Lesion 0.5 Cm/<
$733
$440
—
0
clean
HC Exc Tr-Ext B9+Marg 0.5 Cm<
$4,628
$2,777
—
0
clean
HC Exc Tr-Ext B9+Marg 0.6-1 Cm
$4,675
$2,805
—
0
clean
HC Exc Tr-Ext B9+Marg 0.6-1 Cm
$29,413
$17,648
$5,994
4
clean
HC Excis Benign Les 1.1-2.0
$22,659
$13,596
$2,880
7
clean
HC Excis Benign Les 2.1-3.0
$23,811
$14,287
$1,637
3
clean
HC Exc Lesion 3.1 - 4.0 Cm Trunk, Arms, or Legs
$22,897
$13,738
$1,637
4
clean
HC Excis Benign Les > 4.0cm
$20,846
$12,507
$1,637
3
clean
HC Excis Benign Lesion 0.5 Cm
$6,642
$3,985
—
0
clean
HC Exc Ben Les Sc Hnd Ft .6-1.0cm
$22,897
$13,738
$1,637
4
clean
HC Excis Benign Lesion 1.1-2.0 Cm; Scalp/Neck/Hands/Feet/Genit
$18,621
$11,173
$1,654
2
clean
HC Exc Benign Lesion 2.1-3.0cm; Scalp/Neck/Hands/Feet/Genit
$14,345
$8,607
$1,637
4
clean
HC Exc Lesn Bgn Scalp/Hnd 3.1-4.0-Pbb|SEPARATE STRUCTURE
$25,846
$15,508
$1,637
6
clean
HC Exc H-F-Nk-Sp B9+Marg >4 Cm
$17,533
$10,520
$2,880
4
clean
HC Exc Face-Mm B9+Marg 0.5 Cm/<
$2,565
$1,539
—
0
clean
HC Dest Botox-Ea Add Ext 1-4 Musc
$58,698
$35,219
—
0
clean
HC Exc Lesion 1.1 - 2.0 Cm - Face Ears Eyelids Nose Lips Mucous Membr
$32,899
$19,739
$1,637
6
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$30,725
$18,435
$1,637
4
clean
HC Removal Sweat Gland Lesion
$49,982
$29,989
$2,880
3
clean
Excision Hidradenitis Axillary Complex Repair
$49,505
$29,703
$2,880
3
clean
HC Excision Hidradenitis Inguinal Smpl/Intrm Rpr
$18,253
$10,952
$2,880
2
clean
HC Exc Sweat Gland Lesion With Repair
$18,223
$10,934
$2,880
5
clean
HC Exc Mal Les Tk Am Lg 2.1-3.0cm
$25,757
$15,454
$702
4
clean
HC Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm
$20,772
$12,463
$702
6
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$18,844
$11,306
$1,637
6
clean
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm
$19,498
$11,699
$1,637
4
clean
Excision Malignant Lesion F/E/E/N/L 0.5 Cm/<
$35,856
$21,513
$702
3
clean
HC Pbb Exc Malignant Lesion F/E/E/N/L 1.1-2.0 Cm
$42,649
$25,589
$702
4
clean
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm
$32,748
$19,649
$1,637
4
clean
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm
$32,439
$19,463
$1,637
4
clean
HC Trim Nondystrophic Nails
$444
$266
—
0
clean
HC Debridement of Nails 1-5
$443
$266
—
0
clean
HC Debridement of Nails 6+
$674
$404
—
0
clean
HC ED Avulsion Nail Plate Single|RIGHT FOOT, GREAT TOE
$19,258
$11,555
$199
6
clean
HC Avulsion of Nail Plate
$895
$537
—
0
clean
HC Avulsion Nail Plate Add On|LEFT FOOT, GREAT TOE
$19,258
$11,555
$199
5
clean
HC Remove Nail Plate +
$895
$537
—
0
clean
HC Evacuation--Subungual Hematoma
$473
$284
—
0
clean
HC Excis Nail Matrix Perm Rmvl
$4,666
$2,800
—
0
clean
HC Repair Nail Bed
$2,162
$1,297
—
0
clean
HC Reconstruct Nail Bed
$5,966
$3,580
—
0
clean
HC Wedge Excision Skin Nail Fold
$1,395
$837
—
0
clean
HC Excision Pilonidal Cyst/Sinus Simple
$18,643
$11,186
$2,880
7
clean
HC Remove Pilonidal Lesion
$10,386
$6,232
—
0
clean
Excision Pilonidal Cyst/Sinus Complicated
$24,979
$14,987
$2,880
5
clean
HC Inject Skin Lesions
$680
$408
—
0
clean
HC Rep Lac Smp Not Face <2.5cm|RIGHT HAND, THIRD DIGIT
$1,569
$941
—
0
clean
HC Rep Lac Smp Not Face <2.5cm
$1,569
$941
$199
4
clean
HC Repr Smp Not Face 2.6-7.5cm
$1,569
$941
—
0
clean
HC Rpr Lac Smp Scalp 2.6-7.5
$1,569
$941
—
0
clean
HC Repr Smp Nt Face 7.6-12.5cm
$768
$461
—
0
clean
HC Repr Smp Not Face 12.6-20cm
$1,395
$837
—
0
clean
HC Repr Smp Not Face 20.1-30cm
$1,395
$837
—
0
clean
HC Repr Smp Not Face >30cm
$680
$408
—
0
clean
HC Simple Rep Wnd Face <2.5 Cm
$771
$463
—
0
clean
HC Rep Lac Smp Face 2.6-5.0 Cm|UNUSUAL NON-OVERLAPPING SERVICE
$773
$464
—
0
clean
HC Rep Lac Smp Face 5.1-7.5 Cm
$775
$465
—
0
clean
HC Rep Lac Smp Face 7.6-12.5cm
$771
$463
—
0
clean
HC Rep Lac Smp Face 12.6-20cm
$1,209
$725
—
0
clean
HC Rep Lac Simple Face 20.1-30.0c
$1,209
$725
—
0
clean

Showing the first 200 of 4,302 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 81351/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 99152/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 J9033/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
MS-DRG 346/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81376/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 A2004/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 J9045/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
MS-DRG 349/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81383/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 A2007/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 J9177/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
MS-DRG 351/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81400/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 A2008/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9201/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
MS-DRG 364/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81404/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 A2027/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 J9208/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
MS-DRG 380/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81479/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 A4562/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 J9260/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
MS-DRG 383/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82024/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 A4648/b
info
mrf_item_fields_vary
this code and setting cover at least 107 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9280/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
MS-DRG 384/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82043/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 A4722/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 J9299/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
MS-DRG 385/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82103/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 A7521/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 J9305/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
MS-DRG 420/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82105/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 A9577/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 L0120/b
info
mrf_item_fields_vary
this code and setting cover at least 69 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 422/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82131/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 A9579/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 L0130/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
MS-DRG 425/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82139/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 C1052/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 L0140/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
MS-DRG 446/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82150/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 C1062/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 L0150/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
MS-DRG 463/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82172/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 C1601/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 L0172/b
info
mrf_item_fields_vary
this code and setting cover at least 32 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 465/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82175/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 C1602/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 L0174/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
MS-DRG 466/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82175/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 C1605/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 L0180/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 468/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82239/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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 13856 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0190/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 469/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82247/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 C1714/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 L0220/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
MS-DRG 500/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82306/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 C1715/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 L0450/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
MS-DRG 501/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82378/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 C1721/b
info
mrf_item_fields_vary
this code and setting cover at least 103 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0456/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
MS-DRG 547/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82397/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 C1722/b
info
mrf_item_fields_vary
this code and setting cover at least 110 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0457/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
MS-DRG 560/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82438/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 C1724/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 L0462/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
MS-DRG 561/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82465/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 C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 377 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0464/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
MS-DRG 566/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82507/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 C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 145 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0469/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
MS-DRG 660/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82523/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 C1727/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0472/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
MS-DRG 661/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82525/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 C1728/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 L0486/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
MS-DRG 662/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82542/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 666 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0625/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
MS-DRG 663/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82550/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 C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 283 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0626/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
MS-DRG 694/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82553/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 C1731/b
info
mrf_item_fields_vary
this code and setting cover at least 46 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0628/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
MS-DRG 710/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82570/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 C1732/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 L0630/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
MS-DRG 720/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82595/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 C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 71 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0641/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
MS-DRG 721/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82657/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 C1734/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0642/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
MS-DRG 723/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82681/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 C1747/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0650/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
MS-DRG 770/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82728/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 C1748/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 L0810/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
MS-DRG 773/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82785/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 C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 183 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1620/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
MS-DRG 775/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82977/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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 1048 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1810/b
info
mrf_item_fields_vary
this code and setting cover at least 55 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 811/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83001/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 C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 192 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1812/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
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83002/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 C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1820/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 813/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 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 83010/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 C1754/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 L1830/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
MS-DRG 815/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83018/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 C1755/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 L1832/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
MS-DRG 816/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83036/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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 177 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1833/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
MS-DRG 861/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83090/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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 89 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1845/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
MS-DRG 950/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11042/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 83497/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 C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1851/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
MS-DRG 951/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83516/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 C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1852/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 11043/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 83519/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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 817 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1906/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 11043/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 83520/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 C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 252 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1930/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 11045/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 83540/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 C1764/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 L2200/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 11045/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 83605/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 C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L2210/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 11106/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 83625/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 C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 34 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 1,029 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 33.9M bytes · fetched 2026-08-25 · sha256 65fd9ec79974…

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.