Hospital · CCN 360266

Mount Carmel New Albany Surgical Hospital

7333 Smith's Mill Road, New Albany, OH 43054 · Franklin County
Part of Trinity Health · 60 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

7 admission types 15 outpatient services price file: ok
Billed per dollar paid, all admissions
4.71×
$28.1M billed against $6.0M paid across 261 Medicare discharges; the national figure is 5.03×.
4.2%
of adults in Franklin County have medical debt in collections
8.2%
uninsured in the county · state 7.1%
$72K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
33.7%
obesity in the countyⓘ
11.8%
diagnosed diabetes (PLACES)
5.6%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
468
Revision of hip or knee replacement without cc/mcc
86
$113,127
$20,638
5.5× st 4.7×
467
Revision of hip or knee replacement with cc
50
$136,176
$24,985
5.5× st 4.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
50
$90,997
$12,371
7.4× st 5.0×
460
Spinal fusion except cervical without mcc
29
$86,491
$31,390
2.8× st 4.1×
472
Cervical spinal fusion with cc
18
$97,342
$28,484
3.4× st 4.4×
489
Knee procedures without principal diagnosis of infection without cc/mcc
15
$62,453
$9,363
6.7× st 5.8×
454
Combined anterior and posterior spinal fusion with cc
13
$142,321
$59,173
2.4× st 3.4×
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
5115
Level 5 Musculoskeletal Procedures
660
$68,423
$11,647
5.9×
5116
Level 6 Musculoskeletal Procedures
121
$83,661
$16,630
5.0×
5114
Level 4 Musculoskeletal Procedures
87
$47,982
$6,339
7.6×
5113
Level 3 Musculoskeletal Procedures
29
$37,572
$2,894
13.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
19
$19,351
$3,409
5.7×
5465
Level 5 Neurostimulator and Related Procedures
18
$113,455
$27,688
4.1×
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
8011
Comprehensive Observation Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-31, template 3.0.0, 5,288,973 rows scanned, 2,790 distinct code–setting items kept. 2,161 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference
$3,539
$2,300
$1,653
207
clean
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$669
$435
$502
414
clean
HC Anes All Procedures Muscles & Nerves Head Neck&Posterior Trnk Nos(Restricted Method II CAH)
—
$16,594
$10,448
102
clean
HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql
$677
$440
$530
207
clean
HC Anes Proc on Extremities Anterior Trunk and Perineum Nos (Restricted Method II CAH)
—
$16,426
$1,462
102
clean
PR Anes Proc on Extremities Anterior Trunk & Perineum Reconstr Proc Breast
—
$55,028
$29,398
101
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$1,080
$702
$504
122
clean
PR Anesthesia Procedures on Cervical Spine and Cord Not Otherwise Specified
—
$56,398
$46,178
94
clean
PR Anesthesia for Procedures in Lumbar Region Not Otherwise Specified
—
$44,543
$26,099
95
clean
PR Anesthesia for Extensive Spine & Spinal Cord Procedures
—
$29,573
$26,099
95
clean
PR Anesthesia for Hernia Repairs in Lower Abdomen Not Otherwise Specified
—
$51,648
$23,285
102
clean
HC Anesthesia for Open Procedures Hip Joint/Total Hip Arthroplasty (Restricted Method II CAH)
—
$54,332
$46,178
94
clean
HC Anes All Proc Nrv/Musc/Tendons/Fascia/Bursae Knee and/or Popliteal Area(Rest Bcpl Meth II CAH)
—
$22,647
$11,769
102
clean
PR Anesthesia for All Open Procedures on Lower One-Third of Femur
—
$32,151
$10,448
102
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint Nos (Restricted Method II CAH)
—
$42,879
$46,178
94
clean
HC Anesthesia for Open or Surgical Arthroscopic Proc Knee Joint(Tka) (Restricted Method II CAH)
—
$50,221
$46,178
94
clean
HC Anes Proc on Nrvs Muscles Tendons&Fascia of Lwr Leg/Ankle&Foot Nos(Restricted Method II CAH)
—
$26,193
$26,099
102
clean
PR Anes Proc Nerves/Musc/Tndns/Fascia of Lwr Leg/Ank/Ft Gastroc Recession
—
$48,049
$26,099
101
clean
HC Anes for Open Procs on Bones of Lwr Leg Ankle and Foot Nos (Restricted Method II CAH)
—
$45,993
$26,099
101
clean
HC Anes Open/Surg Arthro Proc Hmrl Head/Neck Sc Jt/Ac Jt/Shld Jt Nos (Restricted Method II CAH)
—
$46,771
$26,099
101
clean
PR Anes Open/Surg Arthro Proc on Hmrl H&N Sc Jt Acj & Shld Jt Tot Shld Repl
—
$67,108
$63,065
91
clean
PR Anes Proc Nrvs/Musc/Tndn Fsc & Bursae Upr Arm & Elb Tenoplasty Elb/Shld
—
$51,295
$26,099
102
clean
PR Anes Proc Nrv/Musc/Tndn Fsc Bursae Upr Arm/Elb Tenodesis Rupt Tndn Bicep
—
$61,492
$26,099
101
clean
HC Anes All Procedures Nrv/Musc/Tndn/Fsc/Bursae Forearm/Wrist/Hand (Restricted Method II CAH)
—
$15,749
$7,024
102
clean
HC Anesthesia Distal Rad/Ulna Wrist/Hand Jt Open Nos (Restricted Method II CAH)
—
$45,361
$26,099
101
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$1,473
$957
$688
207
clean
HC Injection(S) Platelet Rich Plasma, W Image Guid, Harvesting & Prep When Performed
—
$43,724
$1,607
94
clean
HC Denervation Transcatheter Renal Sympathetic Bilat
$9,411
$6,117
$7,058
207
clean
HC Envasc Venous Arterialization Tibial/Peroneal Intravasc Stnt Gft Lt
$34,861
$22,660
$24,420
558
clean
PR Inj Bone-Sub Into Subchondral Bn Dfct Incl Img Gud & Arthro Asst Jt Visl
—
$34,756
$26,099
101
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$2,810
$1,827
$2,051
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$1,040
$676
$486
114
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
$1,227
$798
$980
186
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance 1st Lesion
$1,481
$963
$1,111
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance Each Additional Lesion
$1,084
$705
$506
112
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance 1st Lesion
$1,386
$901
$1,040
207
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance Each Additional Lesion
$1,084
$705
$506
114
clean
HC Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance 1st Lesion
$1,691
$1,099
$1,072
200
clean
HC Drainage by Catheter Image Guided Soft Tissue Percutaneous Rt
$1,060
$689
$795
600
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Lt
—
$10,634
$10,448
102
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Bl
$3,732
$2,426
$1,866
828
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous Each Additional Lesion
$981
$638
$458
114
clean
HC Incision & Drainage Abscess Simple/Single
$487
$317
$365
200
clean
HC Incision & Drainage Cyst Pilonidal Simple
$732
$476
$586
200
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
—
$11,051
$5,940
102
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$2,203
$1,432
$1,652
200
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$511
$332
$408
200
clean
HC Incision & Drainage Wound Post OP Infection Complex
—
$16,594
$10,448
102
clean
HC Incision & Drainage Wound Post OP Infection Complex
$3,200
$2,080
$2,560
207
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$2,367
$1,539
$1,446
207
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
—
$16,426
$1,462
102
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
—
$18,524
$11,769
102
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$1,707
$1,110
$1,354
207
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$869
$565
$406
114
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$326
$212
$152
114
clean
HC Biopsy Skin Tangential Single Lesion
$302
$196
$302
200
clean
HC Biopsy Skin Tangential Additional Lesion
$139
$90
$65
114
clean
HC Biopsy Skin Punch Single Lesion
$716
$465
$570
200
clean
HC Biopsy Skin Punch Additional Lesion
$150
$98
$70
114
clean
HC Biopsy Skin Incisional Single Lesion
$714
$464
$698
207
clean
HC Biopsy Skin Incisional Additional Lesion
$247
$161
$115
114
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
$1,777
$1,155
$1,422
207
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
—
$37,289
$46,178
101
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities 2.6 - 7.5 Cm
$371
$241
$278
200
clean
HC Repair Superficial Wounds Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
$298
$194
$224
200
clean
HC Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
—
$19,741
$7,421
102
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$22,838
$5,784
102
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
—
$43,714
$23,883
102
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof
—
$43,714
$23,883
102
clean
HC Preparation/Creation Surgical Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
$2,068
$1,344
$1,551
207
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
$783
$509
$626
207
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child
—
$28,087
$7,421
102
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
—
$51,300
$5,662
101
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk
—
$73,226
$49,567
101
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Lower Extremity
—
$26,193
$26,099
102
clean
PR Grafting of Autologous Fat by Lipo 50 Cc or Less
—
$55,028
$29,398
101
clean
PR Grafting of Autologous Fat by Lipo Ea Addl 50 Cc
—
$55,028
$29,398
101
clean
PR Implantation of Biologic Implant for Soft Tissue Reinforcement
—
$84,520
$49,567
101
clean
PR Excision Excessive Skin Subq Tissue Abd Infraumbilical Panniculectomy
—
$57,853
$23,883
102
clean
PR Excision Excessive Skin & Subcutaneous Tissue Thigh|BILATERAL PROCEDURE
—
$62,794
$23,883
204
clean
PR Excision Excessive Skin and Subcutaneous Tissue Leg
—
$54,905
$14,083
102
clean
PR Excision Excessive Skin and Subcutaneous Tissue Arm
—
$70,549
$10,448
204
clean
PR Excision Excessive Skin/Subcutaneous Tissue Other Area
—
$82,987
$23,883
102
clean
PR Excision Excessive Skin and Subcutaneous Tissue Abdomen
—
$59,853
$29,398
102
clean
PR Intravenous Injection of Agent to Test Vascular Flow Flap or Graft
—
$73,718
$29,398
202
clean
PR Suction Assisted Lipectomy Trunk
—
$65,897
$23,883
204
clean
PR Suction Assisted Lipectomy Lower Extremity
—
$77,708
$23,883
204
clean
HC Puncture Aspiration Cyst Breast
$1,072
$697
$804
207
clean
HC Puncture Aspiration Cyst Breast Each Additional
$444
$289
$207
114
clean
HC Injection Only Mammary Ductogram/Galactogram Rt
$448
$291
$302
336
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt
$5,986
$3,891
$3,668
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guide Ea Addl Lesion Rt
$4,556
$2,961
$2,128
228
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt
$4,013
$2,608
$3,074
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$3,045
$1,979
$1,422
228
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guidance 1st Lesion Rt
$3,741
$2,432
$2,989
621
clean
HC Biopsy Breast Placement Localization Device(S) Percutaneous MRI Guide Ea Addl Lesion Lt
$3,541
$2,302
$1,654
228
clean
HC Biopsy Breast Percutaneous Needle Core Not Using Imaging Guidance Lt
$2,228
$1,448
$1,780
621
clean
HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt
—
$13,817
$14,083
204
clean
HC Excision Lesion Breast Identified by Preop Placement Radiological Marker Open Single Lesion Lt
—
$13,590
$14,083
102
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guidance 1st Lesion Rt
$2,078
$1,351
$1,662
621
clean
HC Placement Localization Device(S) Breast Percutaneous Mammographic Guide Ea Addl Lesion Lt
$1,445
$939
$675
228
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guidance 1st Lesion Bl
$3,059
$1,988
$1,529
621
clean
HC Placement Localization Device(S) Breast Percutaneous Stereotactic Guide Ea Addl Lesion Lt
$972
$632
$454
228
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guidance 1st Lesion Bl
$4,670
$3,036
$2,335
621
clean
HC Placement Localization Device(S) Breast Percutaneous Ultrasound Guide Ea Addl Lesion Lt
$1,208
$785
$564
228
clean
HC Placement Breast Localization Device(S) Percutaneous First Lesion Including Magnetic Resonance Guidance Bl
$1,880
$1,222
$1,001
621
clean
PR Mastectomy Partial
—
$17,910
$14,083
102
clean
PR Mastectomy Simple Complete|BILATERAL PROCEDURE
—
$85,011
$49,567
202
clean
PR Modified Rm Incl Axillary Lns W/WO Pectoralis Minor Muscles Only
—
$73,226
$49,567
101
clean
PR Mastopexy
—
$82,879
$23,883
203
clean
PR Breast Reduction
—
$52,096
$23,883
204
clean
Breast Augmentation With Implant|BILATERAL PROCEDURE
—
$68,194
$29,398
102
clean
PR Removal Intact Breast Implant
—
$51,118
$29,398
102
clean
PR Insertion/Replacement Breast Implant Separate Day From Mastectomy|BILATERAL PROCEDURE
—
$55,028
$29,398
203
clean
PR Tissue Expander Placement Breast Reconstruction|BILATERAL PROCEDURE
—
$84,520
$49,567
101
clean
PR Breast Reconstruction With Latissimus Dorsi Flap WO Prosthetic Implant|BILATERAL PROCEDURE
—
$87,550
$23,883
98
clean
PR Peri-Implant Capsulectomy Breast Complete|BILATERAL PROCEDURE
—
$51,926
$29,398
203
clean
PR Revision of Reconstructed Breast|BILATERAL PROCEDURE
—
$55,944
$23,883
203
clean
HC Biopsy Muscle Percutaneous Needle
$2,081
$1,353
$1,651
207
clean
HC Biopsy Bone Trocar/Needle Superficial
$2,078
$1,351
$1,648
207
clean
HC Biopsy Bone Trocar/Needle Deep
$2,767
$1,799
$2,075
207
clean
HC Biopsy Bone Open Superficial
—
$46,931
$11,769
102
clean
HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt
$410
$267
$376
621
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$1,266
$823
$950
207
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$1,328
$863
$996
207
clean
HC Needle Insertion W/O Injection 1 or 2 Muscles
$50
$33
$37
200
clean
HC Needle Insertion W/O Injection 3 or More Muscles
$58
$38
$43
200
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt|BILATERAL PROCEDURE
$453
$294
$1,053
879
clean
HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/Ultrasound Guidance Bl
$1,097
$713
$584
600
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt
—
$597
$1,104
204
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt
$462
$300
$1,104
1,137
clean
HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/Ultrasound Guidance Bl
$1,178
$766
$687
600
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl
$1,227
$798
$1,104
879
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt|BILATERAL PROCEDURE
—
$5,217
$1,104
204
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Lt
$877
$570
$658
600
clean
HC Aspiration &/or Injection Ganglion Cyst(S) Any Location
$434
$282
$347
207
clean
HC Removal of Implant Deep
—
$34,470
$10,448
204
clean
PR Bone Graft Any Donor Area Minor/Small
—
$43,439
$46,178
101
clean
PR Bone Graft Any Donor Area Major/Large
—
$74,152
$46,178
101
clean
PR Allograft Structural Spine Surgery Only
—
$59,393
$46,178
94
clean
HC Ablation Bone Tumor Radiofrequency Lt
$10,312
$6,703
$8,673
621
clean
HC Ablation Ther Redn/Eradication <= 1 Bone Tumors Incl Adj Soft Tiss When Involved by Tumor Extn Perc Incl Img Guid When Performed Cryoablation Lt
$11,085
$7,205
$8,314
558
clean
PR Unlisted Procedure Musculoskeletal System General
—
$13,471
$11,769
102
clean
HC Biopsy Soft Tissue Neck/Thorax
$3,445
$2,239
$2,571
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Cervicothoracic
$6,391
$4,154
$5,106
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Lumbosacral
$6,022
$3,914
$4,812
207
clean
HC Vertebroplasty Percutaneous 1 Vertebral Body Ea Addl Cervicothoracic or Lumbosacral Vertebral
$3,761
$2,445
$1,756
121
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Thoracic
$10,168
$6,609
$7,423
207
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
$10,415
$6,770
$7,603
207
clean
HC Augumentation Percutaneous Vertebral Inc Cavity Creation Ea Addl Thoracic/Lumbar Vertebral Body
$7,663
$4,981
$3,579
121
clean
PR Arthrds Ant I-B Discectomy Decmpr Spinal Cord/Nerve Roots Cerv Below C2
—
$57,912
$46,178
94
clean
PR Arthrds Anterior I-B Cervical Below C2 Each Additional Interspace
—
$64,675
$46,178
94
clean
PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Lumbar
—
$56,009
$63,065
94
clean
PR Arthrodesis Post/Posterolateral Tech Sgl Interspace Each Addl Interspace
—
$64,310
$63,065
94
clean
PR Arthrodesis Post Incl Laminectomy &/or Discectomy Sgl Interspace Lumbar
—
$82,108
$63,065
94
clean
PR Arthrds Post Intrbdy Tech Incl Lam &/Disctmy Prep Sgl/Ea Addl Interspace
—
$82,108
$63,065
94
clean
PR Arthrds W Post I-B Tech Incl Lam/Discectomy Prep Interspace Single Lumb
—
$81,272
$63,065
94
clean
PR Arthrds Post Intrbdy Tech Incl Lam and/or Discetomy Sgl Intrspc Ea Add
—
$82,388
$63,065
94
clean
PR Instrumentation Posterior Non-Segmental
—
$60,176
$63,065
91
clean
PR Instrumentation Posterior Segmental 3 to 6 Vertebral Segments
—
$85,225
$63,065
94
clean
PR Instrumentation Anterior 2-3 Vertebral Segments
—
$59,393
$46,178
94
clean
PR Instrumentation Anterior 4-7 Vertebral Segments
—
$65,531
$46,178
91
clean
PR Ins I-B Biomech Dev to IV Disc Space Conj W/I-B Arthrds Ea Interspace
—
$65,531
$46,178
91
clean
PR Capsular Contracture Release
—
$67,763
$63,065
101
clean
PR Incision and Drainage Shoulder Area Deep Abscess or Hematoma
—
$21,749
$10,448
102
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Rt
$397
$258
$278
342
clean
PR Tenodesis Long Tendon of Biceps
—
$62,844
$63,065
101
clean
PR Arthroplasty Glenohumeral Joint Hemiarthroplasty
—
$47,901
$46,178
94
clean
PR Arthroplasty Glenohumeral Joint Total Shoulder
—
$62,718
$63,065
195
clean
PR Revision Tot Shoulder Arthroplasty Incl Allograft Humeral & Glenoid Comp
—
$68,584
$1,965
91
clean
PR Open Treatment Clavicular Fracture Incl Internal Fixation When Performed
—
$45,405
$26,099
101
clean
PR Tx Fracture Proximal Humeral Open Incl Int Fixn Incl Repr Tuberosity
—
$61,864
$46,178
101
clean
HC Injection for Arthrogram Elbow Rt
$717
$466
$502
342
clean
PR Reinsertion of Ruptured Biceps/Triceps Tendon Distal W/WO Tendon Graft
—
$34,758
$26,099
101
clean
PR Open Treatment of Humeral Shaft Fracture W Plate/Screws W/WO Cerclage
—
$36,473
$46,178
102
clean
HC Incision Extensor Sheath Wrist Rt
—
$9,113
$5,784
102
clean
PR Radical Exc Bursa Synovia Wrist/Fa Tendon Sheaths Flexors
—
$15,632
$7,024
102
clean
PR Radical Exc Bursa Synovia Wr/Fa Tendon Sheaths Ext Dorsal Retinaculum
—
$13,867
$11,769
102
clean
PR Partial Excision of Bone Ulna
—
$28,838
$11,769
102
clean
PR Carpectomy 1 Bone
—
$31,055
$11,769
102
clean
PR Carpectomy All Bones Proximal Row
—
$50,985
$11,769
101
clean
HC Injection for Arthrography Wrist Lt
$776
$504
$544
342
clean
PR Tenolysis Flexor/Extensor Tendon Forearm and/or Wrist Sgl Ea Tendon
—
$28,838
$11,769
102
clean
PR Arthroplasty Wrist W/WO Interposition or External/Internal Fixation
—
$53,246
$11,769
101
clean
PR Arthroplasty With Prosthetic Replacement Lunate
—
$46,925
$46,178
101
clean
HC Arthroplasty Intercarpal/Carpometacarpal Joints Interposition Rt (Restricted Method II CAH)
—
$72,723
$11,769
101
clean
HC Treatment Fracture Radial Distal Closed W/Manipulation Rt
$1,822
$1,184
$1,458
558
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation Lt (Restricted Method II CAH)
—
$35,271
$26,099
102
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 2 Frag Lt (Restricted Method II CAH)
—
$35,714
$26,099
102
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 3+ Frag Lt (Restricted Method II CAH)
—
$38,598
$26,099
101
clean
PR Open Treatment of Ulnar Styloid Fracture
—
$45,361
$26,099
101
clean
HC Drainage Abscess Finger Simple
$367
$239
$275
200
clean
HC Incision Tendon Sheath
—
$11,809
$5,784
102
clean
PR Fasciectomy Partial Palmar W/Release Single Digit Incl Proximal Ipj
—
$14,811
$11,769
102
clean
PR Synovectomy Mcpj Incl Intrinsic Release & Extensor Hood Recon Each Digit
—
$19,923
$11,769
102
clean
HC Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger
—
$14,183
$5,784
102
clean
PR Repair Extensor Tendon Hand Primary/Secondary WO Free Graft Ea Tendon
—
$22,838
$5,784
102
clean
PR Repair Extensor Tendon Finger Prim/Secondary WO Free Graft Each Tendon
—
$19,758
$5,784
102
clean
PR Tenolysis Flexor Tendon Palm or Finger Each Tendon
—
$10,297
$5,784
102
clean
PR Arthroplasty Metacarpophalangeal Joint Each Joint
—
$38,139
$26,099
102
clean

Showing the first 200 of 2,790 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,582 of 1,875 comparable items (84%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,327 exceeds the gross charge $669
CPT 73702/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, max differ, so no cross-line comparison was made for this item
CPT C2616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0648/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37262/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, max differ, so no cross-line comparison was made for this item
CPT 73706/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, max differ, so no cross-line comparison was made for this item
CPT C2617/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, min, max differ, so no cross-line comparison was made for this item
CPT 37279/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, max differ, so no cross-line comparison was made for this item
CPT 73718/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, max differ, so no cross-line comparison was made for this item
CPT C2618/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, min, max differ, so no cross-line comparison was made for this item
CPT L0999/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37296/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 73720/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, max differ, so no cross-line comparison was made for this item
CPT C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37297/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, max differ, so no cross-line comparison was made for this item
CPT 73721/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, max differ, so no cross-line comparison was made for this item
CPT C2622/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37298/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 73722/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, max differ, so no cross-line comparison was made for this item
CPT C2623/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, min, max 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 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37299/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, max differ, so no cross-line comparison was made for this item
CPT 73723/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, max differ, so no cross-line comparison was made for this item
CPT C2624/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, max 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38222/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 C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 72 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 L1833/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38505/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 C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 38790/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 50 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 C2629/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, min, max differ, so no cross-line comparison was made for this item
CPT C2630/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, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C2631/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, min, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C2639/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C2640/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, min differ, so no cross-line comparison was made for this item
CPT 84600/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 C2641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L2999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C8913/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, max differ, so no cross-line comparison was made for this item
CPT C8914/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, max differ, so no cross-line comparison was made for this item
CPT L3260/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, min differ, so no cross-line comparison was made for this item
CPT C9352/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9353/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, max differ, so no cross-line comparison was made for this item
CPT L3650/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, min differ, so no cross-line comparison was made for this item
CPT C9354/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9356/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3670/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, min differ, so no cross-line comparison was made for this item
CPT L3762/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3807/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, min, max differ, so no cross-line comparison was made for this item
CPT C9361/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, min, max differ, so no cross-line comparison was made for this item
CPT L3809/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3906/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9610/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, max differ, so no cross-line comparison was made for this item
CPT L3908/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9804/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3912/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT E0114/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3923/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT E0191/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3925/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, min differ, so no cross-line comparison was made for this item
CPT G0008/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3927/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT G0009/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT G0010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L3960/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3980/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0260/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, max differ, so no cross-line comparison was made for this item
CPT G0279/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, max differ, so no cross-line comparison was made for this item
CPT 82274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L4350/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50200/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 G0378/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L4360/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, min differ, so no cross-line comparison was made for this item
CPT 50390/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 76641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50430/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 76642/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, max differ, so no cross-line comparison was made for this item
CPT L4386/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0620T/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, max differ, so no cross-line comparison was made for this item
CPT 50431/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 G0463/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, min, max differ, so no cross-line comparison was made for this item
CPT L4387/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50432/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, max differ, so no cross-line comparison was made for this item
CPT L4396/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, min differ, so no cross-line comparison was made for this item
CPT 50433/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 L4398/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50434/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 L8000/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50435/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 J0133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8015/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50436/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 J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50437/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 50693/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, max differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50694/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 97597/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 50695/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 J0169/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8499/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 50706/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 97598/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L8501/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8507/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8509/b
info
mrf_item_fields_vary
this code and setting cover at least 45 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 51701/b
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 J0285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51702/b
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 J0289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 165 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 J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8606/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10035/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 J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8610/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, min, max differ, so no cross-line comparison was made for this item
CPT L8612/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, max differ, so no cross-line comparison was made for this item
CPT J0401/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 73 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 77063/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 J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8614/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0457/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8630/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0462/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT L8670/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, max differ, so no cross-line comparison was made for this item
CPT L8690/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59025/b
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 J0561/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, max differ, so no cross-line comparison was made for this item
CPT L8691/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, max differ, so no cross-line comparison was made for this item
CPT L8693/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, max differ, so no cross-line comparison was made for this item
CPT J0572/b
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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99285/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, max differ, so no cross-line comparison was made for this item
CPT J0574/b
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 J0595/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0601/b
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 J0604/b
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 J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 61645/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, max 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0615/b
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 A2008/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT A2012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 15832/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4306/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0665/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, min differ, so no cross-line comparison was made for this item
CPT 15836/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 87899/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 J0670/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 15860/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 15877/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15878/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4344/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0692/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 15879/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT A4349/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0694/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT A4351/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT A4352/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q0481/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 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, min differ, so no cross-line comparison was made for this item
CPT A4353/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 55 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 A4358/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0713/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 A4367/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4038/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, min differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 19085/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 19100/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 J0750/b
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 Q4100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 19281/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 J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4102/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19283/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 J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4104/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, min, max differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 19285/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, max differ, so no cross-line comparison was made for this item
CPT A4407/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4107/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 63047/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT Q4108/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,161 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 · 123.6M bytes · fetched 2026-08-25 · sha256 9bdbce41933b…

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.