Hospital · CCN 370106

Integris Southwest Medical Center

4401 South Western Avenue, Oklahoma City, OK 73109 · Oklahoma County
Part of Integris Health · 169 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

43 admission types 45 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.39×
$139.7M billed against $21.9M paid across 1,563 Medicare discharges; the national figure is 5.03×.
11.5%
of adults in Oklahoma County have medical debt in collections
14.9%
uninsured in the county · state 14.3%
$66K
median household income
6.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (19 in the inpatient or outpatient file)ⓘ
37.7%
obesity in the countyⓘ
12.6%
diagnosed diabetes (PLACES)
6.7%
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
218
$120,560
$16,538
7.3× st 4.7×
291
Heart failure and shock with mcc
126
$62,927
$11,200
5.6× st 4.5×
177
Respiratory infections and inflammations with mcc
105
$91,825
$13,681
6.7× st 4.8×
189
Pulmonary edema and respiratory failure
86
$87,070
$10,875
8.0× st 5.1×
683
Renal failure with cc
80
$46,699
$8,460
5.5× st 4.5×
193
Simple pneumonia and pleurisy with mcc
59
$67,299
$11,363
5.9× st 5.2×
690
Kidney and urinary tract infections without mcc
58
$38,207
$7,664
5.0× st 4.5×
682
Renal failure with mcc
54
$63,306
$12,471
5.1× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
47
$42,658
$11,346
3.8× st 4.7×
378
Gastrointestinal hemorrhage with cc
47
$45,101
$9,124
4.9× st 5.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
43
$36,610
$10,313
3.6× st 5.5×
689
Kidney and urinary tract infections with mcc
36
$50,149
$10,036
5.0× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
36
$34,619
$7,628
4.5× st 4.4×
377
Gastrointestinal hemorrhage with mcc
35
$78,739
$14,664
5.4× st 4.9×
194
Simple pneumonia and pleurisy with cc
35
$41,587
$8,101
5.1× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
33
$372,646
$50,516
7.4× st 6.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
32
$39,299
$7,782
5.1× st 4.9×
481
Hip and femur procedures except major joint with cc
31
$123,702
$16,523
7.5× st 5.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
26
$114,276
$15,814
7.2× st 5.9×
178
Respiratory infections and inflammations with cc
24
$50,613
$9,139
5.5× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
23
$301,904
$40,028
7.5× st 5.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$62,345
$16,008
3.9× st 5.6×
280
Acute myocardial infarction, discharged alive with mcc
21
$104,476
$13,079
8.0× st 6.1×
467
Revision of hip or knee replacement with cc
20
$166,485
$26,945
6.2× st 5.5×
698
Other kidney and urinary tract diagnoses with mcc
18
$61,918
$11,982
5.2× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
17
$156,337
$14,830
10.5× st 5.2×
389
Gastrointestinal obstruction with cc
17
$32,953
$7,834
4.2× st 4.3×
468
Revision of hip or knee replacement without cc/mcc
16
$162,505
$21,295
7.6× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
16
$58,995
$9,890
6.0× st 6.0×
603
Cellulitis without mcc
16
$42,548
$7,835
5.4× st 4.6×
329
Major small and large bowel procedures with mcc
15
$240,794
$36,565
6.6× st 5.2×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$68,649
$10,875
6.3× st 5.2×
482
Hip and femur procedures except major joint without cc/mcc
15
$91,931
$13,536
6.8× st 7.0×
812
Red blood cell disorders without mcc
14
$42,690
$8,580
5.0× st 5.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$120,843
$16,085
7.5× st 6.7×
638
Diabetes with cc
13
$43,600
$8,487
5.1× st 5.0×
673
Other kidney and urinary tract procedures with mcc
12
$198,897
$31,864
6.2× st 5.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
12
$43,271
$9,322
4.6× st 4.3×
252
Other vascular procedures with mcc
12
$176,003
$22,826
7.7× st 5.7×
330
Major small and large bowel procedures with cc
12
$126,247
$18,989
6.6× st 5.1×
314
Other circulatory system diagnoses with mcc
11
$90,765
$17,148
5.3× st 5.3×
057
Degenerative nervous system disorders without mcc
11
$92,988
$10,918
8.5× st 4.8×
811
Red blood cell disorders with mcc
11
$67,164
$12,554
5.4× st 4.9×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
134
$24,317
$2,291
10.6×
5191
Level 1 Endovascular Procedures
117
$33,440
$2,736
12.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
100
$15,428
$1,397
11.0×
5183
Level 3 Vascular Procedures
91
$23,796
$2,722
8.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
65
$22,634
$2,390
9.5×
5115
Level 5 Musculoskeletal Procedures
64
$126,450
$11,023
11.5×
5361
Level 1 Laparoscopy and Related Services
63
$58,417
$4,845
12.1×
5113
Level 3 Musculoskeletal Procedures
60
$46,638
$2,789
16.7×
5182
Level 2 Vascular Procedures
42
$12,463
$1,380
9.0×
5114
Level 4 Musculoskeletal Procedures
41
$71,304
$6,164
11.6×
5302
Level 2 Upper GI Procedures
36
$16,563
$1,639
10.1×
5375
Level 5 Urology and Related Services
34
$35,249
$4,458
7.9×
5374
Level 4 Urology and Related Services
30
$37,018
$2,924
12.7×
5491
Level 1 Intraocular Procedures
30
$20,115
$1,955
10.3×
5193
Level 3 Endovascular Procedures
27
$78,983
$9,182
8.6×
5373
Level 3 Urology and Related Services
23
$15,332
$1,633
9.4×
5184
Level 4 Vascular Procedures
23
$50,181
$4,735
10.6×
5116
Level 6 Musculoskeletal Procedures
21
$133,848
$15,338
8.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
20
$36,850
$2,981
12.4×
5415
Level 5 Gynecologic Procedures
19
$47,375
$4,106
11.5×
5431
Level 1 Nerve Procedures
19
$19,191
$1,664
11.5×
5192
Level 2 Endovascular Procedures
17
$45,178
$4,694
9.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
15
$33,087
$3,284
10.1×
5222
Level 2 Pacemaker and Similar Procedures
12
$56,226
$7,320
7.7×
5362
Level 2 Laparoscopy and Related Services
11
$112,404
$8,865
12.7×
5112
Level 2 Musculoskeletal Procedures
11
$14,375
$1,385
10.4×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5414
Level 4 Gynecologic 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 2026-04-01, template 3.0.0, 202,778 rows scanned, 19,380 distinct code–setting items kept. 508 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
5
clean
Liver dis 10 assays w/ash
—
—
$513
3
clean
Liver dis 10 assays w/nash
—
—
$513
3
clean
Onco prst8 3 gene ur alg
—
—
$768
6
clean
Onc mrna 5 gen rsk urthl ca
—
—
$768
6
clean
Onc mrna 5 gen recr urthl ca
—
—
$768
6
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,305
5
clean
Onc bladder mrna 209 gen alg
—
—
$3,525
6
clean
Onc thyr 10 microrna seq alg
—
—
$3,032
6
clean
Onc aml dna detcj/nondetcj
—
—
$249
5
clean
HC ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ
$782
$156
—
0
clean
Glyca nuc mr spectrsc quan
—
—
$34
5
clean
Onc thyr dna&mrna 112 genes
—
—
$3,636
6
clean
Jak2 gene trgt seq alys
—
—
$122
5
clean
Rx metab advrs trgt seq alys
—
—
$798
4
clean
Tpmt nudt15 genes
—
—
$471
6
clean
Neuro csf prion prtn qual
—
—
$541
5
clean
Trgt gen seq dna 324 genes
—
—
$3,500
5
clean
B brgdrferi antb 5 prtn igm
—
—
$17
5
clean
B brgdrferi antb 12 prtn igg
—
—
$17
5
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
5
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
5
clean
Onc brst dux carc is 12 gene
—
—
$3,912
6
clean
Onc prst8 mrna 17 gene alg
—
—
$3,912
6
clean
Bone srgry cmptr fluor image
—
—
$3,911
6
clean
Bone srgry cmptr ct/mri imag
—
—
$3,911
6
clean
Onc merkel cll carc srm quan
—
—
$323
5
clean
Onc merkel cll carc srm +/-
—
—
$323
5
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$25
5
clean
Antb tp total&rpr ia qual
—
—
$31
5
clean
Syfls tst nontreponemal antb
—
—
$18
5
clean
Candida species pnl amp prb
—
—
$143
5
clean
HC EXTRACRANIAL CAROTID ARTERY STENT
$10,593
$2,119
—
0
clean
Perq Stent/Chest Vert Art
—
—
$6,157
5
clean
Ig paraprotein qual bld/ur
—
—
$43
5
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
5
clean
Onc mlnma prame & linc00518
—
—
$768
6
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,970
6
clean
Extracorp shockwv tx hi enrg
—
—
$6,711
9
clean
Hered colon ca do 15 genes
—
—
$1,761
6
clean
Neph ckd mult eclia tum nec
—
—
$950
5
clean
Touch Quant Sensory Test
—
—
$37
3
clean
Gstr emptg 7 timed brth spec
—
—
$874
5
clean
Vibrate Quant Sensory Test
—
—
$37
3
clean
Cool Quant Sensory Test
—
—
$58
3
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,000
6
clean
Heat Quant Sensory Test
—
—
$37
3
clean
Iadi 16s&18s rrna genes
—
—
$356
5
clean
Trnsplj don-drv cll-fr dna
—
—
$2,781
6
clean
Crd ceramides liq chrom plsm
—
—
$84
5
clean
Hered brst ca rltd do panel
—
—
$1,317
6
clean
HC KARIUS SPECTRUM MICROBIAL DNA SEQUENCING
$4,024
$805
—
0
clean
Nfct bct fng prst dna >1000
—
—
$2,126
5
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$112
5
clean
Liver ds 10 biochem asy srm
—
—
$503
5
clean
Onc sld tum alys brca1 brca2
—
—
$3,030
5
clean
Onc solid tumor 30 prtn trgt
—
—
$1,305
5
clean
Exc rectal tumor endoscopic
—
—
$6,711
9
clean
Perq sacral augmt unilat inj
—
—
$7,118
9
clean
Perq sacral augmt bilat inj
—
—
$7,118
9
clean
Post vert arthrplst 1 lumbar
—
—
$10,758
8
clean
HC RP W/SARS-COV-2
$1,087
$217
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$421
6
clean
Neuro alzheimer cell aggregj
—
—
$2,215
5
clean
Clear eyelid gland w/heat
—
—
$941
9
clean
Neuro alzheimer quan imaging
—
—
$460
3
clean
Njx platelet plasma
—
—
$941
9
clean
Trluml perip athrc brchiocph
—
—
$11,103
9
clean
HC ATHERECTOMY WO/W PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF ILIAC ARTERY
$48,912
$9,782
—
0
clean
Trluml perip athrc iliac art
—
—
$17,631
9
clean
Trgt gen seq alys pnl 311+
—
—
$3,535
6
clean
Nfct ds vir resp rna 3 trgt
—
—
$128
2
clean
Nfct ds vir resp rna 4 trgt
—
—
$128
2
clean
Trgt gen seq alys pnl 55-74
—
—
$5,050
6
clean
Onc thyr mut alys 10 gen&37
—
—
$1,279
6
clean
Onc sld org neo dna 505 gene
—
—
$2,949
6
clean
Implt/rpl crtd sns dev total
—
—
$23,295
6
clean
Implt/rpl crtd sns dev gen
—
—
$23,295
6
clean
Interrogate crtd sns dev
—
—
$266
1
clean
Interrogate crtd sns w/pgrmg
—
—
$266
1
clean
Perq lamot/lam lumbar
—
—
$11,878
6
clean
Tempr
—
—
$906
8
clean
Onc lung mrna quan pcr 11&3
—
—
$3,912
6
clean
Onc brst dux carc 7 proteins
—
—
$5,435
5
clean
Crd cad alys 3 prtn plsm alg
—
—
$391
5
clean
Crd cv ds aly 4 prtn plm alg
—
—
$391
5
clean
Nfct ds bct quan antmcrb sc
—
—
$8
5
clean
Ai ds sle alys 8 igg autoant
—
—
$841
5
clean
Onc cutan sq cll ca mrna 40
—
—
$8,585
6
clean
Neph rna psttrnspl perph bld
—
—
$2,650
5
clean
Trgt gen seq alys pnl 83+
—
—
$5,050
6
clean
Onc neo xome&trns seq alys
—
—
$3,472
6
clean
Tear film img uni/bi w/i&r
—
—
$37
3
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,535
6
clean
Onc plsm cell do&myeloma id
—
—
$2,435
5
clean
Onc sld tum crcg tum cl slct
—
—
$2,435
5
clean
Trnscth renal symp denrv bil
—
—
$8,806
10
clean
HC BILATERAL TRANSCATHETER RENAL SYMPATHETIC DENERVATION
$21,200
$4,240
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$768
6
clean
Onc pan ca alys mrd plasma
—
—
$3,626
6
clean
Hep nafld semiq evl 28 lipid
—
—
$792
5
clean
Psyc genom alys pnl 15 gen
—
—
$1,349
6
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,336
5
clean
Rx metab/pcx dna 25 gen alys
—
—
$742
5
clean
Rx metab/pcx dna 27gen rx ia
—
—
$742
5
clean
RSA lower extr exam
—
—
$85
3
clean
Intraop oct brst/node spec
—
—
$5,774
1
clean
Nfct ds bct/viral trail ip10
—
—
$261
5
clean
Oct brst/node i&r per spec
—
—
$5,774
1
clean
Apol1 risk variants
—
—
$137
5
clean
Onc orop 17 dna ddpcr alg
—
—
$1,818
6
clean
Neuro alys b-amyl 1-42&1-40
—
—
$261
5
clean
Onc prst8 ca alys all psa
—
—
$760
5
clean
Onc lung elisa 7 autoant alg
—
—
$841
5
clean
Neurflmnt lt chn dig ia quan
—
—
$105
3
clean
Onc urthl mrna 5 gen alg
—
—
$768
6
clean
Onc bldr 10 prb bldr ca
—
—
$897
5
clean
Onc bldr 10 prb recr bldr ca
—
—
$897
5
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$906
6
clean
Onc prst8 ca img alys 128
—
—
$706
5
clean
Vis field assmnt tech suppt
—
—
$36
2
clean
HC TGSAP SL OR NEO DNA523&RNA55
$1,962
$392
—
0
clean
Tgsap sl or neo dna523&rna55
—
—
$3,321
6
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,535
6
clean
Neu prksn msfl ?-syncln prtn
—
—
$541
5
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$199
5
clean
Gi baret esph dna mthyln aly
—
—
$1,755
5
clean
Collagen crosslinking cornea
—
—
$4,292
10
clean
Onc prst8 mrna 18 gen dre ur
—
—
$760
5
clean
Onc brst semiq meas thym kn
—
—
$323
5
clean
Onc lung flow cytmtry 5 mrk
—
—
$760
5
clean
Neph dbtc ckd mult eclia alg
—
—
$950
5
clean
Insj/rplc cardiac modulj sys
—
—
$20,214
8
clean
HC INSERTION/REPLACEMENT OF PERM CARDIAC CONTRACTILITY MOD SYSTEM PULSE GENERATOR W/TRANSVENOUS ELECTRODES
$91,488
$18,298
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$2,949
6
clean
Psyc genom alys pnl 15 gen
—
—
$1,349
6
clean
Cv ds acs bld alg 5 yr score
—
—
$391
5
clean
HC PROGRAMMING DEVICE EVALUATION OF IMPLANTABLE CARDIAC CONTRACTILITY MODULATION SYSTEM
$484
$97
—
0
clean
HC INTERROGATION DEVICE EVALUATION OF IMPLANTABLE CARDIAC CONTRACTILITY MODULATION SYSTEM
$484
$97
—
0
clean
Waterjet prostate abltj cmpl
—
—
$6,193
6
clean
Onc pan solid tum alys dna
—
—
$1,982
3
clean
Gi malabs aat calpro pncrtc
—
—
$62
6
clean
Gly rcptr alpha1 igg srm/csf
—
—
$37
6
clean
Klhl11 antb sr/csf asy qual
—
—
$37
5
clean
Onc prst8 5 dna reg mrk pcr
—
—
$760
5
clean
Rx metab advrs vrnt alys 25
—
—
$417
5
clean
Impltj synth rnfcmt abdl wal
—
—
$3,911
6
clean
Abltj perc lxtr/perph nrv
—
—
$7,062
9
clean
Abltj perc plex/trncl nrv
—
—
$8,609
9
clean
Neurflmnt lt chn ultrsens ia
—
—
$119
3
clean
Insj impltbl glucose sensor
—
—
$4,440
10
clean
Rmvl impltbl glucose sensor
—
—
$906
10
clean
Remvl insj impltbl gluc sens
—
—
$4,440
10
clean
Insj aqueous drain dev 1st
—
—
$6,769
9
clean
Visual ep test for glaucoma
—
—
$125
2
clean
Onc sld tum bld/slv 648 gene
—
—
$4,545
6
clean
Hered prst8 ca gsap 23 genes
—
—
$1,317
6
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$3,911
10
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$5,610
7
clean
HC TMVI W/PERCUTANEOUS PROSTHETIC VALVE APPLICATION
$7,650
$1,530
—
0
clean
Tmvi percutaneous approach
—
—
$6,215
6
clean
Tmvi transthoracic exposure
—
—
$6,215
6
clean
Oct mid ear i&r unilateral
—
—
$37
3
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,722
3
clean
Oct mid ear i&r bilateral
—
—
$37
3
clean
Prep & cannulj cdvr don lung
—
—
$6,215
6
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$6,157
5
clean
Ev fempop artl revsc
—
—
$7,790
9
clean
Near ifr 2img mibmn glnd i&r
—
—
$58
3
clean
Pattern erg w/i&r
—
—
$212
3
clean
Esw integ wnd hlg 1st wnd
—
—
$4,942
10
clean
Esw integ wnd hlg ea addl
—
—
$5,884
6
clean
Ntrapx c ffr w/3d funcjl map
—
—
$3,275
6
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCTIONAL MAPPING
$5,369
$1,074
—
0
clean
Insj/rplcmt compl iims
—
—
$10,652
9
clean
Prgrmg dev eval iims ip
—
—
$37
3
clean
Interrog dev eval iims ip
—
—
$37
3
clean
Rf spectrsc ntraop mrgn asmt
—
—
$2,874
2
clean
Low-level laser therapy
—
—
$4,913
2
clean
Antmc guide 3d print 1st gd
—
—
$131
3
clean
Antmc guide 3d print ea addl
—
—
$161
1
clean
Evac meibomian glnd heat bi
—
—
$941
9
clean
HC TRANSCATHETER TRICUSPID VALVE REPAIR PERCUTANEOUS APPROACH - INITIAL PROSTHESIS
$9,568
$1,914
—
0
clean
Ttvr perq appr 1st prosth
—
—
$6,157
5
clean
Ttvr perq ea addl prosth
—
—
$6,157
5
clean
HC TRANSCATHETER TRICUSPID VALVE REPAIR PERCUTANEOUS APPROACH - EACH ADDITIONAL PROSTHESIS
$4,783
$957
—
0
clean
Insj/rplcmt icds ss eltrd
—
—
$20,214
8
clean
HC INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM W/SUBSTERNAL ELECTRODE(S)
$112,675
$22,535
—
0
clean
Prgrmg dev eval icds ss ip
—
—
$37
3
clean
Interrog dev eval icds ss ip
—
—
$37
3
clean
Rem interrog dev icds phys
—
—
$4,873
1
clean
Rem interrog dev icds tech
—
—
$37
3
clean
Abltj mal brst tum perq crtx
—
—
$5,963
9
clean
Elec alys cplx prgrmg iins
—
—
$93
3
clean
Hlth&wb coaching indiv 1st
—
—
$5,551
1
clean
Hlth&wb coaching indiv f-up
—
—
$12,269
1
clean
Ncntc r-t fluor wnd img 1st
—
—
$212
3
clean
HC FLUORORESCENCE WOUND IMAGING FOR BACTERIA - EACH ADDITIONAL ANATOMIC SITE
$759
$152
—
0
clean
Ncntc r-t fluor wnd img ea
—
—
$12,269
1
clean
HC FLUORORESCENCE WOUND IMAGING FOR BACTERIA - FIRST ANATOMIC SITE
$381
$76
—
0
clean

Showing the first 200 of 19,380 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
29,754 of 29,754 percentage/algorithm rates across 783 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 73010/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 A6260/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 73020/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 A6261/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 73030/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 A6266/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 73060/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 A6402/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 73070/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 A6446/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 73080/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 A6448/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 73090/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 A6454/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 73100/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 A6456/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 73110/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 A6457/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 73120/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 A6550/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 73130/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 A7040/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 73140/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 A7520/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73225/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 A7521/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 73552/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 A7522/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 73560/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 A9270/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 73562/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 73564/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 C1603/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 73590/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 1702 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73600/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73610/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 C1715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73620/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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73630/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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73650/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 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73700/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 50 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73725/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74185/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 C1727/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 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 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 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 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 114 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77048/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 C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77049/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77063/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77065/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1734/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77066/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1748/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 77067/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1749/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 77290/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 C1750/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 differ, so no cross-line comparison was made for this item
CPT 80307/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 84 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80320/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 C1752/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 80321/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 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80323/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 C1754/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 80337/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 C1755/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
CPT 80338/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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 35 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80345/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 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80346/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 C1759/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 80349/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 C1760/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 80353/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 C1762/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 differ, so no cross-line comparison was made for this item
CPT 80356/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 C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80358/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 80359/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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80361/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 C1767/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
CPT 80365/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 C1768/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 80367/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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 221 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80373/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 C1771/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 80377/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 C1773/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 differ, so no cross-line comparison was made for this item
CPT 81001/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 229 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81002/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 C1777/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 81210/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 C1778/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 81272/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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 87 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81339/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 C1782/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 81375/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 C1784/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 81382/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 C1785/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 81406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1786/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
CPT 81445/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 C1787/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 81479/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 C1788/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 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 C1813/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 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 C1814/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
CPT 82542/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 C1815/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 82670/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 C1817/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/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 C1819/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 83050/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 C1820/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 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1821/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 83520/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 C1822/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 83521/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 C1824/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 83690/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 C1830/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 83992/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 C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 75 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84182/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 C1875/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 84482/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 C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84560/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 C1877/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 84702/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 C1880/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 84703/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 C1882/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 85396/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 C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85397/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 C1884/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 85576/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 C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/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 C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 143 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86008/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 C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86023/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 C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 214 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86038/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 C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86039/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 C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86041/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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 129 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86042/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 C1895/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 86053/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 C1896/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 86146/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 C1897/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
CPT 86147/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 C1898/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 differ, so no cross-line comparison was made for this item
CPT 86160/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 C1900/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 86161/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 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 differ, so no cross-line comparison was made for this item
CPT 86162/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 C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86200/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 C2618/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 86235/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 C2621/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 differ, so no cross-line comparison was made for this item
CPT 86255/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 C2623/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 86256/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 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/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

Showing the first 200 of 508 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 470
info
inp_charge_10x_payment
average charge $156,337 is 10.5× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 45.8M bytes · fetched 2026-08-23 · sha256 4949023a3f7c…

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.