Hospital · CCN 370216

Tulsa Spine & Specialty Hospital

6901 South Olympia Avenue, Tulsa, OK 74132 · Tulsa County
Part of Ardent Health Services · 38 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

6 admission types 32 outpatient services price file: ok
Billed per dollar paid, all admissions
4.10×
$19.0M billed against $4.6M paid across 162 Medicare discharges; the national figure is 5.03×.
4.8%
of adults in Tulsa County have medical debt in collections
14.2%
uninsured in the county · state 14.3%
$66K
median household income
4.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
35.7%
obesity in the countyⓘ
11.7%
diagnosed diabetes (PLACES)
6.6%
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
460
Spinal fusion except cervical without mcc
49
$104,564
$22,880
4.6× st 5.6×
454
Combined anterior and posterior spinal fusion with cc
47
$151,146
$39,479
3.8× st 4.7×
472
Cervical spinal fusion with cc
25
$82,272
$18,913
4.4× st 6.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
18
$109,679
$31,350
3.5× st 4.6×
497
Local excision and removal of internal fixation devices except hip and femur without cc/
12
$38,372
$8,898
4.3× st 3.6×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
11
$209,163
$46,646
4.5× 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
5431
Level 1 Nerve Procedures
280
$11,777
$1,582
7.4×
5492
Level 2 Intraocular Procedures
214
$18,728
$3,410
5.5×
5491
Level 1 Intraocular Procedures
173
$11,921
$1,952
6.1×
5115
Level 5 Musculoskeletal Procedures
126
$60,196
$11,088
5.4×
5114
Level 4 Musculoskeletal Procedures
115
$41,243
$5,991
6.9×
5113
Level 3 Musculoskeletal Procedures
52
$21,084
$2,749
7.7×
5165
Level 5 ENT Procedures
33
$37,259
$4,865
7.7×
5155
Level 5 Airway Endoscopy
29
$32,365
$5,812
5.6×
5116
Level 6 Musculoskeletal Procedures
23
$77,756
$15,794
4.9×
5164
Level 4 ENT Procedures
21
$21,115
$2,675
7.9×
5465
Level 5 Neurostimulator and Related Procedures
21
$124,225
$26,294
4.7×
5462
Level 2 Neurostimulator and Related Procedures
20
$27,415
$3,194
8.6×
5163
Level 3 ENT Procedures
12
$13,670
$1,295
10.6×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
12
$18,686
$1,853
10.1×
5493
Level 3 Intraocular Procedures
11
$21,593
$4,438
4.9×
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye 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 2/12/2026, template 3.0.0, 420,274 rows scanned, 900 distinct code–setting items kept. 133 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$15,134
$3,784
$3,784
17
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$16,285
$4,071
$4,071
17
clean
HC Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$3,213
$803
$803
17
clean
HC Fine Ndl Aspiration Bx W/US Gdn Ea Addl Lesion
$1,418
$355
$355
17
clean
HC Fine Needle Aspiration Bx W/Fluor Gdn 1st Lesion
$1,642
$411
$673
36
clean
HC Fine Needle Aspiration Bx W/CT Gdn 1st Lesion
$2,881
$720
$720
17
clean
HC Fine Needle Aspiration Bx W/CT Gdn Ea Add
$1,418
$355
$355
17
clean
Simple or single drainage of skin abscess
$488
$122
$122
17
clean
Aspiration of abscess, blood, or cyst
$940
$235
$385
36
clean
Permanent removal fingernail or toenail
$758
$190
$190
17
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
$487
$122
$122
17
clean
Destruction of skin growth, 15 or more growths
$457
$114
$114
17
clean
Needle biopsy of muscle
$3,791
$948
$948
17
clean
Deep biopsy of bone using needle or trocar
$4,003
$1,001
$1,001
17
clean
Injection of carpal tunnel
$713
$178
$178
17
clean
Injection into tendon or ligament
$725
$181
$297
72
clean
Injection of trigger points, 1-2 muscles
$724
$181
$297
36
clean
Injection of trigger points, 3 or more muscles
$724
$181
$297
36
clean
HC Arthrocentesis Asp/Inj Small Joint W/O US
$1,249
$312
$312
34
clean
HC Bilat Arthrocentesis Asp/Inj Interm Jnt W/O US|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,866
$467
$535
144
clean
HC Arthrocentesis Asp/Inj Major Joint W/O US|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,087
$272
$435
216
clean
Aspiration and/or injection of fluid large joint using ultrasound guidance
$682
$171
$280
36
clean
Stabilization of upper spine bone
$17,423
$4,356
$4,356
17
clean
Stabilization of lower spine bone
$17,423
$4,356
$4,356
17
clean
Stabilization of spine bone, each additional bone
$9,684
$2,421
$2,421
17
clean
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
$17,016
$4,254
$4,254
17
clean
Treatment of broken lower spine bone with placement of stabilizing device
$16,285
$4,071
$6,677
36
clean
Treatment of broken spine bone with stabilizing device, each additional segment
$10,843
$2,711
$2,711
17
clean
HC Spine Unlisted Surgical Procedure
$581
$145
$145
17
clean
HC Inj Arthrogram Shoulder|TECHNICAL COMPONENT|BILATERAL PROCEDURE
$380
$95
$109
72
clean
HC Inj Arthrogram Wrist
$871
$218
$218
22
clean
HC Inj Arthrogram Hip W/O Anes
$1,875
$469
$769
36
clean
Tenex fast pelvis/hip
$15,134
$3,784
$3,784
17
clean
HC Njx Px Cntrst Kne Arthg Cntrst Enhncd CT/MRI Kn
$1,520
$380
$380
17
clean
Tenex fast femur/knee
$588
$147
$147
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, each first order branch
$6,114
$1,529
$1,529
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch
$6,725
$1,681
$2,757
36
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch
$7,085
$1,771
$1,771
17
clean
Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond
$3,858
$965
$965
17
clean
Insertion of needle into vein for collection of blood sample
$61
$15
$15
12
clean
Transfusion of blood or blood products
$1,153
$288
$473
50
clean
HC Insert Non-Tunnl Cvc => 5 Yrs
$3,014
$754
$754
17
clean
Insertion of tube for infusion (5 years or older)
$3,020
$755
$1,238
36
clean
HC Insj Picc W/Rs&I 5 Yr+
$3,014
$754
$754
17
clean
Artery puncture collection of blood sample
$294
$74
$74
22
clean
Needle biopsy or removal of surface lymph nodes
$3,822
$956
$956
17
clean
Biopsy of esophagus using a flexible endoscope through mouth
$3,034
$759
$759
17
clean
Removal of foreign bodies in esophagus using a flexible endoscope
$4,425
$1,106
$1,106
17
clean
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more
$4,429
$1,107
$1,107
17
clean
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$3,034
$759
$1,244
36
clean
HC Egd Biopsy Single/Multiple
$3,034
$759
$1,244
36
clean
Tying of dilated veins of stomach and/or esophagus using a flexible endoscope
$4,331
$1,083
$1,776
36
clean
Dilation of stomach outlet using a flexible endoscope
$4,414
$1,104
$1,810
36
clean
Insertion of stomach tube using a flexible endoscope
$4,331
$1,083
$1,083
17
clean
Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$3,034
$759
$759
17
clean
Insertion of guide wire with dilation of esophagus using a flexible endoscope
$3,034
$759
$759
17
clean
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
$4,331
$1,083
$1,776
36
clean
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
$4,331
$1,083
$1,083
17
clean
Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$4,331
$1,083
$1,083
17
clean
Dilation of esophagus
$3,337
$834
$834
17
clean
HC Perq Replacement Gtube Not Req Revj Gstrst Trc
$813
$203
$203
17
clean
HC Perq Replacement Gtube Req Revj Gstrst Trc
$895
$224
$224
17
clean
Diagnostic exam of small bowel (including lower small intestine) using an endoscope
$4,425
$1,106
$1,106
17
clean
Diagnostic exam of small bowel using an endoscope inserted through surgically created opening from small bowel to skin
$3,034
$759
$759
17
clean
Diagnostic exam of surgically created pouch of small bowel using an endoscope
$2,199
$550
$550
17
clean
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin
$3,213
$803
$803
17
clean
Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created opening into large bowel to skin
$2,817
$704
$704
17
clean
Other procedure on small bowel
$2,199
$550
$550
17
clean
Destruction of growth of rectum
$7,435
$1,859
$1,859
17
clean
Diagnostic exam of lower portion of large bowel using a flexible endoscope
$2,009
$502
$502
17
clean
Biopsy of lower large bowel using a flexible endoscope
$2,009
$502
$824
36
clean
Removal of polyps or growths of lower large bowel using a flexible endoscope with electrical cautery
$2,053
$513
$513
17
clean
Injection beneath lining of lower large bowel using a flexible endoscope
$2,736
$684
$1,122
36
clean
Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare
$2,734
$684
$1,121
40
clean
Balloon dilation of lower large bowel using a flexible endoscope
$2,817
$704
$704
17
clean
Destruction of polyp or growth of lower large bowel using a flexible endoscope
$3,368
$842
$842
17
clean
Diagnostic exam of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Biopsy of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Injection beneath lining of large bowel using a flexible endoscope
$3,063
$766
$1,256
36
clean
Control of bleeding of upper large bowel using a flexible endoscope
$3,369
$842
$842
17
clean
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
$3,063
$766
$766
17
clean
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$3,063
$766
$1,256
36
clean
Removal of large bowel tissue using a flexible endoscope
$3,063
$766
$766
17
clean
HC Biopsy Liver Needle Perc
$3,341
$835
$835
17
clean
HC Biopsy Abdom/Retroperitonial Mass Perc Ndl
$3,791
$948
$948
17
clean
Needle biopsy of kidney
$3,791
$948
$948
17
clean
Ultrasound measurement of bladder capacity after voiding
$150
$38
$62
50
clean
Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes
$1,267
$317
$317
17
clean
Needle biopsy of thyroid through skin
$1,929
$482
$482
17
clean
Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir
$2,146
$537
$880
36
clean
Aspiration of spinal disc tissue for diagnostic purposes
$1,597
$399
$399
17
clean
Aspiration of fluid from cyst of spinal cord or fluid-filled cavity
$2,178
$545
$545
17
clean
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test
$1,347
$337
$337
17
clean
Removal of cerebrospinal fluid with lower back spinal tap
$930
$233
$233
17
clean
Injection of blood or blood clot into spinal canal
$2,072
$518
$850
36
clean
Injection of contrast for imaging of lower spinal canal
$2,053
$513
$513
17
clean
Injection of contrast for imaging of each level of lower spine
$1,525
$381
$625
36
clean
Injection of contrast for imaging of each level of middle or upper spine
$1,525
$381
$625
36
clean
X-ray of upper spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of middle spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of lower spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
X-ray of multiple regions of spinal canal with review by radiologist
$4,116
$1,029
$1,688
50
clean
Injection of substance into middle or upper spine canal
$1,467
$367
$367
17
clean
Injection of substance into middle or upper spine canal using imaging guidance
$2,539
$635
$1,041
36
clean
Injection of substance into lower spine canal
$1,467
$367
$601
36
clean
HC Inj Epidural Lumb/Caud W/Imaging
$2,539
$635
$1,041
36
clean
Insertion of tube and injection of substance into lower spine canal
$1,814
$454
$454
17
clean
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
$1,702
$426
$698
36
clean
Removal of cerebrospinal fluid with lower back spinal tap using imaging guidance
$1,702
$426
$698
36
clean
Insertion, revision, or repositioning of spinal canal tube for medication administration
$13,717
$3,429
$3,429
17
clean
Insertion of programmable spinal canal drug infusion pump
$57,597
$14,399
$14,399
17
clean
Insertion of spinal neurostimulator electrode array through skin
$18,685
$4,671
$7,661
36
clean
Revision of spinal neurostimulator electrode array using fluoroscopic guidance
$28,425
$7,106
$7,106
17
clean
Injection of anesthetic agent and/or steroid into face nerve
$661
$165
$271
36
clean
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$1,622
$405
$649
216
clean
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)
$1,814
$454
$744
36
clean
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter
$1,814
$454
$454
17
clean
Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)
$1,814
$454
$744
36
clean
Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve
$1,467
$367
$367
17
clean
Injection of anesthetic agent and/or steroid into rib nerve
$1,467
$367
$601
72
clean
HC Bilat Inj Nerve Intercostal Ea Addl Lvl
$2,072
$518
$850
72
clean
Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve
$2,622
$655
$655
17
clean
Injection of anesthetic agent and/or steroid into external genitals and anus nerve
$4,152
$1,038
$1,785
72
clean
Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)
$2,072
$518
$850
72
clean
Continuous infusion of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) through catheter
$1,814
$454
$454
17
clean
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
$1,467
$367
$601
72
clean
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter
$1,814
$454
$454
17
clean
HC Bilat Inj Nerve Other Peripheral
$1,760
$440
$1,082
288
clean
Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance
$1,702
$426
$426
17
clean
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance
$1,724
$431
$741
144
clean
HC Bilat Inj Anes/Steroid Trnsf C/T Sngl
$2,485
$621
$1,069
144
clean
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, each additional level
$2,005
$501
$822
36
clean
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level|BILATERAL PROCEDURE|SEPARATE STRUCTURE
$4,288
$1,072
$1,715
216
clean
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level|BILATERAL PROCEDURE
$1,622
$405
$465
144
clean
Injection of local anesthetic for abdominal wall pain control on side using imaging guidance
$2,859
$715
$715
17
clean
Continuous infusion of local anesthetic for abdominal wall pain control on side using imaging guidance
$3,145
$786
$786
17
clean
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance
$4,288
$1,072
$1,758
36
clean
Continuous infusion of local anesthetic for abdominal wall pain control on both sides using imaging guidance
$4,718
$1,179
$1,179
17
clean
HC Inj Paravert Cerv/Thorac Sngl Lvl|BILATERAL PROCEDURE
$3,109
$777
$891
144
clean
Injection of upper or middle spine facet joint using imaging guidance, second level
$725
$181
$312
144
clean
Injection of upper or middle spine facet joint using imaging guidance, third and any additional level
$870
$218
$357
72
clean
Injection of lower or sacral spine facet joint using imaging guidance, single level|BILATERAL PROCEDURE
$3,645
$911
$1,045
144
clean
Injection of lower or sacral spine facet joint using imaging guidance, second level|BILATERAL PROCEDURE
$1,086
$272
$312
144
clean
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level|BILATERAL PROCEDURE
$1,087
$272
$312
144
clean
Injection of anesthetic agent, trigeminal nerve bundle
$710
$178
$291
36
clean
Injection of anesthetic agent into sympathetic nerve bundle
$2,072
$518
$850
72
clean
Injection of anesthetic agent into sacral nerve bundle
$6,022
$1,505
$2,469
36
clean
Injection of anesthetic agent into middle or lower spine sympathetic nerve
$2,072
$518
$850
72
clean
HC Inj Anesthetic Agent Celiac Plex
$2,072
$518
$850
36
clean
Insertion of peripheral nerve neurostimulator electrode through skin
$17,076
$4,269
$6,404
34
clean
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face
$727
$182
$182
17
clean
Injection of agent to destroy rib nerve
$2,108
$527
$864
36
clean
Destruction of nerve branches of knee using imaging guidance
$4,681
$1,170
$1,919
36
clean
Destruction of nerves supplying joint between spine and pelvis using imaging guidance|BILATERAL PROCEDURE
$7,022
$1,755
$2,013
144
clean
Destruction of external genital nerve
$2,606
$652
$1,121
72
clean
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint|BILATERAL PROCEDURE
$7,298
$1,824
$2,092
144
clean
Bilateral destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
$2,814
$704
$1,210
144
clean
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint|BILATERAL PROCEDURE
$6,442
$1,611
$1,847
144
clean
Bilateral destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
$2,489
$622
$1,070
144
clean
Destruction of peripheral nerve or branch|BILATERAL PROCEDURE
$3,109
$777
$891
144
clean
Injection of agent to destroy abdominal nerve bundle
$1,815
$454
$454
17
clean
Other procedure on nervous system
$2,686
$672
$1,101
36
clean
Removal of foreign body from external eye (conjunctiva)
$387
$97
$97
17
clean
Incision of eardrum with placement of eardrum tube under general anesthesia|BILATERAL PROCEDURE
$14,250
$3,563
$4,085
144
clean
Review by radiologist of brain and spinal cord image
$1,907
$477
$477
22
clean
X-ray of eye for detection of foreign body
$172
$43
$43
22
clean
X-ray of nose bones, minimum of 3 views
$172
$43
$43
22
clean
X-ray of paranasal sinus, 1-2 views
$278
$69
$114
50
clean
X-ray of paranasal sinus, minimum of 3 views
$260
$65
$107
50
clean
X-ray of skull, 1-3 views
$278
$69
$114
50
clean
X-ray of skull, minimum of 4 views
$296
$74
$74
22
clean
X-ray of jaw joints on both sides of mouth
$220
$55
$55
22
clean
MRI scan of jaw joint
$636
$159
$261
35
clean
X-ray of soft tissue of neck
$232
$58
$95
50
clean
CT scan head or brain without contrast
$2,098
$524
$860
35
clean
CT scan head or brain with contrast
$1,861
$465
$763
35
clean
CT scan of head or brain before and after contrast
$2,797
$699
$1,147
35
clean
CT scan of cranial cavity without contrast
$2,447
$612
$1,003
35
clean
CT scan of cranial cavity with contrast
$2,244
$561
$561
12
clean
CT scan of cranial cavity before and after contrast
$2,070
$517
$849
35
clean
CT scan of face without contrast
$2,447
$612
$1,003
35
clean
CT scan of face with contrast
$1,861
$465
$763
35
clean
CT scan of face before and after contrast
$2,070
$517
$517
12
clean
CT scan of soft tissue of neck without contrast
$1,189
$297
$487
35
clean
CT scan of soft tissue of neck with contrast
$1,861
$465
$763
35
clean
CT scan of soft tissue of neck before and after contrast
$2,070
$517
$849
35
clean
CT scan of blood vessels of head with contrast
$2,097
$524
$860
35
clean
CT scan of blood vessels of neck with contrast
$2,097
$524
$860
35
clean
MRI scan of bone of eye socket, face, and/or neck without contrast
$1,995
$499
$818
35
clean
MRI scan of bone of eye socket, face, and/or neck with contrast
$2,569
$642
$1,053
35
clean
MRI scan of bone of eye socket, face, and/or neck before and after contrast
$3,148
$787
$1,291
35
clean
MRI scan of blood vessels of head without contrast
$1,995
$499
$818
35
clean
MRI scan of blood vessels of head with contrast
$2,569
$642
$1,053
35
clean
MRI scan of blood vessels of head before and after contrast
$2,194
$549
$900
35
clean
MRI scan of blood vessels of neck without contrast
$1,995
$499
$499
12
clean
MRI scan of blood vessels of neck with contrast
$2,194
$549
$900
35
clean
MRI scan of blood vessels of neck before and after contrast
$2,413
$603
$989
35
clean
MRI scan of brain without contrast
$3,327
$832
$1,364
35
clean
MRI scan of brain with contrast
$3,660
$915
$1,500
35
clean
MRI scan of brain before and after contrast
$3,148
$787
$1,291
35
clean

Showing the first 200 of 900 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 20605/b
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 20610/b
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 23350/b
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 64405/b
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 64430/b
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 64445/b
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 64450/b
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 64454/b
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 64479/b
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 64483/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 64484/b
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 64490/b
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 64491/b
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 64493/b
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 64494/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 64495/b
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 64520/b
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 64555/b
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 64625/b
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 64630/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64640/b
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 69436/b
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 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 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 77002/b
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 A4615/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 A6206/b
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 A9575/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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 962 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/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 C1729/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 C1750/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 4 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 4 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 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 20 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 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 12 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 4 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 49 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1772/b
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 204 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 20 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 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1783/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 C1784/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 C1787/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 C1788/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 C1789/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 C1816/b
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 14 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 7 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 11 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 2 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 7 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 82 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 8 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 5 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 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 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9364/b
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 C9804/b
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 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 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 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 differ, so no cross-line comparison was made for this item
CPT J0282/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0475/b
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 J0618/b
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 J0665/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 J0692/b
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 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 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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1165/b
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 J1171/b
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 J1596/b
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 J1644/b
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 J1650/b
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 J1885/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 J1920/b
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 J2003/b
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 J2004/b
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 J2185/b
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 J2250/b
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 J2270/b
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 J2274/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 J2305/b
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 J2543/b
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 J2598/b
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 J2704/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 J2919/b
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 J3260/b
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 J3373/b
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 J3410/b
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 J3475/b
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 J3480/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 J7030/b
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 J7050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J8540/b
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 L8613/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 L8614/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 L8690/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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 34 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4104/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 Q4107/b
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 Q4108/b
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 Q4116/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 Q4118/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 Q4122/b
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 Q4125/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 Q4126/b
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 Q4133/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 Q4150/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 Q4171/b
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 Q4193/b
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 Q9966/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 Q9967/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 V2632/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 V2787/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 V2788/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

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 · 177.8M bytes · fetched 2026-08-26 · sha256 2167b2f408d0…

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.