Hospital · CCN 380021

Hillsboro Medical Center

335 Se 8th Avenue, Hillsboro, OR 97123 · Washington County
Part of Oregon Health and Science University · 113 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

20 admission types 42 outpatient services price file: ok
Billed per dollar paid, all admissions
3.64×
$30.3M billed against $8.3M paid across 454 Medicare discharges; the national figure is 5.03×.
0.6%
of adults in Washington County have medical debt in collections
6.1%
uninsured in the county · state 7.4%
$103K
median household income
2.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
32.4%
obesity in the countyⓘ
9.9%
diagnosed diabetes (PLACES)
5.0%
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
117
$78,095
$21,277
3.7× st 3.0×
291
Heart failure and shock with mcc
49
$67,862
$16,468
4.1× st 3.1×
193
Simple pneumonia and pleurisy with mcc
28
$49,221
$13,968
3.5× st 2.9×
177
Respiratory infections and inflammations with mcc
24
$88,607
$23,357
3.8× st 2.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
22
$44,558
$11,998
3.7× st 3.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
19
$49,746
$12,604
3.9× st 3.6×
637
Diabetes with mcc
19
$54,137
$14,974
3.6× st 3.1×
280
Acute myocardial infarction, discharged alive with mcc
17
$58,812
$16,318
3.6× st 3.0×
309
Cardiac arrhythmia and conduction disorders with cc
15
$26,525
$8,592
3.1× st 3.2×
377
Gastrointestinal hemorrhage with mcc
14
$126,900
$35,945
3.5× st 3.3×
698
Other kidney and urinary tract diagnoses with mcc
14
$51,203
$17,387
2.9× st 2.8×
683
Renal failure with cc
14
$39,620
$10,583
3.7× st 3.2×
682
Renal failure with mcc
14
$50,153
$16,193
3.1× st 3.1×
378
Gastrointestinal hemorrhage with cc
14
$33,705
$11,195
3.0× st 3.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$30,443
$10,262
3.0× st 3.5×
689
Kidney and urinary tract infections with mcc
13
$45,001
$13,167
3.4× st 2.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
13
$212,549
$57,143
3.7× st 2.9×
190
Chronic obstructive pulmonary disease with mcc
12
$46,424
$12,403
3.7× st 2.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
12
$55,321
$14,501
3.8× st 3.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$75,634
$21,265
3.6× st 2.9×
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
5491
Level 1 Intraocular Procedures
386
$5,658
$2,440
2.3×
8011
Comprehensive Observation Services
197
$19,641
$2,872
6.8×
5372
Level 2 Urology and Related Services
134
$1,753
$717
2.4×
5115
Level 5 Musculoskeletal Procedures
65
$43,417
$13,420
3.2×
5114
Level 4 Musculoskeletal Procedures
42
$39,933
$7,507
5.3×
5431
Level 1 Nerve Procedures
40
$7,667
$2,026
3.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
35
$9,595
$1,623
5.9×
5373
Level 3 Urology and Related Services
33
$8,327
$2,137
3.9×
5374
Level 4 Urology and Related Services
29
$17,146
$3,658
4.7×
5361
Level 1 Laparoscopy and Related Services
28
$30,484
$6,054
5.0×
5302
Level 2 Upper GI Procedures
26
$9,682
$1,996
4.9×
5112
Level 2 Musculoskeletal Procedures
23
$7,660
$1,686
4.5×
5375
Level 5 Urology and Related Services
22
$19,426
$5,429
3.6×
5191
Level 1 Endovascular Procedures
21
$17,461
$3,425
5.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
18
$20,578
$2,981
6.9×
5113
Level 3 Musculoskeletal Procedures
17
$17,116
$3,396
5.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$23,752
$3,630
6.5×
5183
Level 3 Vascular Procedures
14
$15,608
$3,345
4.7×
5414
Level 4 Gynecologic Procedures
11
$12,961
$3,281
4.0×
5193
Level 3 Endovascular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 3/23/2026, template 3.0.0, 473,405 rows scanned, 3,721 distinct code–setting items kept. 1,136 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp
$583
$379
$583
88
clean
Quaking Induced Conversion for Prion Detection
$1,050
$683
$590
44
clean
Biofire Respiratory Virus 12-25 Targets With Covid-19
$1,062
$690
$454
176
clean
WATERJET PROSTATE ABLTJ CMPL
—
—
—
0
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
—
0
clean
Insert Gtube Perq W/Magnetic Gastropexy, US Guidance
$7,700
$5,005
$2,325
44
clean
Fine Needle Aspiration Biopsy W/ US Guid, First Lesion
$3,006
$1,954
$858
176
clean
Fine Needle Aspiration Biopsy W/ US Guid, Ea Addl Lesion
$2,050
$1,333
$1,691
16
clean
Fine Needle Aspiration Biopsy W/ CT Guid, First Lesion
$2,992
$1,945
$858
44
clean
HB Fine Needl Asp W/O Guidance
$1,608
$1,045
$493
176
clean
HB Guided Catheter Fluid Drainage, Perc
$2,992
$1,945
$858
44
clean
Place Soft Tissue Loc Device, 1st Lesion, Incl Guidance
$2,992
$1,945
$858
176
clean
Acne Surgery
$248
$161
$225
44
clean
I&D Abs/Cyst Smpl/One
$248
$161
$230
484
clean
I&D Abs/Cyst Cmplx/Mult
$1,608
$1,045
$488
484
clean
ED I&D Pilonidal Cyst Smpl
$3,128
$2,033
$858
88
clean
ED I&D Pilondial Cyst Cmplx
$3,128
$2,033
$858
88
clean
HB I&R FB Subq Simple
$498
$324
$461
264
clean
Incise & Removal, Foreign Body, Subcu, Complicated
$6,166
$4,008
$2,001
88
clean
HB I & D of Hematoma
$2,019
$1,312
$1,891
176
clean
ED Punc Asp Abscess Cyst
$2,062
$1,340
$488
440
clean
ED I&D Postop Wound, Complex
$12,931
$8,405
$3,519
44
clean
Debride Infect Skin to 10%
$2,852
$1,854
$493
44
clean
ED Debride Open Fx/Dislo, Skin/Sq/Muscle/Bone
$12,931
$8,405
$3,519
44
clean
ED Debrid Skin and Subcu Tissue 1st 20sq Cm or Less
$1,969
$1,280
$493
308
clean
Debrid Skin, Sq, Muscle, First 20 Sq Cm or Less
$3,016
$1,960
$895
44
clean
Debride Skin, Sq, Musc, Bone, First 20 Sq Cm or <
$7,504
$4,878
$2,001
88
clean
DBRDMT MUSC&/FSCA EA ADDL
—
—
—
0
clean
Pare/Cut Benigin Lesion Sgl
$770
$501
$241
264
clean
Pare/Cut 2-4 Benign Lesions
$770
$501
$243
132
clean
Biopsy of Skin (Shave), Single Lesion
$248
$161
$248
352
clean
Biopsy of Skin (Shave), Ea Addtl Lesion
$226
$147
$186
40
clean
Punch Biopsy of Skin, Single Lesion
$498
$324
$452
396
clean
Punch Biopsy of Skin, Ea Addtl Lesion
$292
$190
$241
32
clean
Incnl Biopsy Skin Wedge Inc Simple Closure, Single Lesion
$2,427
$1,578
$887
440
clean
Incnl Biopsy Skin Wedge Inc Simple Closur, Ea Addl Lesion
$1,102
$716
$909
16
clean
HB Remove Skin Tags 1-15
$248
$161
$223
308
clean
Remove Skin Tags Ea Add 10
$199
$129
$164
16
clean
HB Shave Lsn Trnk/Ext <0.5cm Sgl
$498
$324
$456
176
clean
HB Shave Lsn Trnk/Ext 0.6-1.0cm
$248
$161
$225
132
clean
HB Ex Bng Lsn Trnk/Ext <0.5cm
$877
$877
$796
176
clean
HB Ex Bng Lsn Tnk/Ext .6-1.0cm
$1,608
$1,608
$493
132
clean
HB Ex Bng Lsn Tnk/Ext 1.1-2.Cm
$2,546
$2,546
$850
176
clean
HB Ex Bng Lsn Tnk/Ext 2.1-3.Cm
$2,546
$2,546
$850
176
clean
HB Ex Bng Lsn Tnk/Ext 3.1-4.Cm
$6,166
$3,140
$2,001
88
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
—
0
clean
HB Ex Bng Lsn Hd/Hn/Ft <0.5cm
$6,166
$4,008
$2,001
88
clean
HB Ex Bng Lsn Hd/Hn/Ft .6-1.Cm
$2,546
$1,655
$858
176
clean
HB Ex Bn Lsn Hd/Hn/Ft 1.1-2.Cm
$6,166
$4,008
$1,983
132
clean
HB Ex Bn Lsn Hd/Hn/Ft 2.1-3.Cm
$6,166
$4,008
$2,001
88
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
—
0
clean
HB Ex Bng Lsn Hd/Hn/Ft >4.0cm
$10,919
$7,097
$3,519
44
clean
HB Ex Bng Lsn Face <0.5cm
$2,546
$1,655
$858
132
clean
HB Ex Bng Lsn Face 1.1-2.0 Cm
$2,546
$1,655
$858
176
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
—
0
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
—
—
0
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
—
0
clean
EXC SKN H/P/P/U SMPL/NTRM
—
—
—
0
clean
HB Ex Mlg Lsn Tnk/Ext .6-1.0cm
$877
$570
$788
132
clean
HB Ex Mlg Lsn Tnk/Ext 1.1-2.Cm
$498
$324
$456
132
clean
HB Ex Mlg Lsn Tnk/Ext 2.1-3.Cm
$877
$570
$796
132
clean
HB Ex Mlg Lsn Hd/Hn/Ft <0.5cm
$6,166
$4,008
$2,001
44
clean
HB Ex Ml Lsn Hd/Hn/Ft 1.1-2.Cm
$877
$570
$796
132
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
—
0
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
—
0
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
—
0
clean
HB Ex Mlg Lsn Face 1.1-2.0cm
$2,546
$1,655
$858
88
clean
Nail Trim, Non-Dystrophic
$74
$48
$67
176
clean
Nail Debridement 1-5
$236
$153
$71
132
clean
Nail Debridement 6 or More
$74
$48
$67
220
clean
ED Avulsion of Nail Plate
$923
$600
$230
572
clean
Avulsion Nail, Partial/Complete Each Addtl Nail
$178
$116
$156
24
clean
ED Evac Subungual Hematoma
$549
$357
$161
132
clean
ED Excise Nail & Nail Matix
$1,969
$1,280
$493
484
clean
HB Biopsy of Nail Unit
$877
$570
$807
44
clean
ED Repair of Nail Bed
$3,016
$1,960
$895
132
clean
ED Wedge Excision Nail Fold
$1,969
$1,280
$493
132
clean
EXC PILONIDAL CYST SIMPLE
—
—
—
0
clean
EXC PILONIDAL CYST XTNSV
—
—
—
0
clean
EXC PILONIDAL CYST COMP
—
—
—
0
clean
Inj Intralesional, 0-7
$248
$161
$225
220
clean
HB Inj Intralesional >7 Lesions
$248
$161
$225
176
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
—
0
clean
HB Subq Hormone Pellet Impl
$498
$324
$497
88
clean
Insert Non Biodegradable Drug Implant
$161
$105
$152
220
clean
Remove Drug Implant
$498
$324
$498
308
clean
Removal W/Reinsertion Drug Implant
$498
$324
$497
88
clean
HB Sclp/Trnk Smpl-2.5cm
$770
$501
$241
704
clean
ED Scp/Trnk Smpl 2.6-7.5cm
$923
$600
$243
220
clean
ED Scp/Trnk Smpl 7.6-12.5cm
$1,008
$655
$243
132
clean
ED Scp/Trnk Smpl 12.6-20cm
$1,969
$1,280
$493
88
clean
ED Scp/Trnk Smpl 20.1-30cm
$1,969
$1,280
$493
44
clean
Smpl Wnd Rpr Sclp/Nk/Ax/Gen/Trnk/Ext >30.0 Cm
$923
$600
$243
44
clean
ED Face/Ear/Eye Smpl - 2.5cm
$923
$600
$243
220
clean
ED Face/Ear/Eye Smpl 2.6-5.0cm
$981
$638
$243
176
clean
ED Face/Ear/Eye Smpl 5.1-7.5cm
$1,012
$658
$243
44
clean
ED Fce/Ear/Eye Smpl 7.6-12.5cm
$1,090
$709
$243
44
clean
ED Face/Ear/Eye Smpl 12.6-20cm
$1,969
$1,280
$493
44
clean
HB Tx Superficial Wnd Dehis Sm
$2,427
$1,578
$895
132
clean
HB Scp/Trnk Inter to 2.5cm
$1,608
$1,045
$493
176
clean
HB Scp/Trnk Inter 2.6-7.5cm
$498
$324
$465
220
clean
ED Scp/Trnk Inter 7.6-12.5cm
$1,969
$1,280
$493
88
clean
Wound Repair Scp/Trnk/Ext/Ax Inter 12.6-20cm
$1,890
$1,229
$493
88
clean
ED Scp/Trnk Inter 20.1-30cm
$3,016
$1,960
$895
44
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
—
0
clean
ED Nck/Hnd/Ft Inter to 2.5cm
$1,969
$1,280
$493
132
clean
ED Nck/Hnd/Ft Inter 2.6-7.5cm
$1,969
$1,280
$493
88
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
—
0
clean
Repair Wound, Intermediate,Nedck/Hand/Foot/G
$3,016
$1,960
$895
44
clean
ED Face/Ear/Eye Inter to 2.5cm
$1,969
$1,280
$493
132
clean
ED Face/Ear/Eye Intr 2.6-5.0cm
$1,969
$1,280
$493
88
clean
ED Face/Ear/Eye Intr 5.1-7.5cm
$1,969
$1,280
$493
88
clean
ED Fce/Ear/Eye Intr 7.6-12.5cm
$1,969
$1,280
$493
88
clean
ED Face/Ear/Eye Intr 12.6-20cm
$2,053
$1,334
$493
88
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
—
0
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
—
0
clean
ED Scp/Lmb Cmplx 2.6-7.5cm
$3,016
$2,510
$493
88
clean
ED Scp/Lmb Cmplx Ea Add 5cm
$897
$897
$785
8
clean
ED Face/Hnd/Ft Cmplx 1.1-2.5cm
$1,969
$1,969
$493
44
clean
ED Face/Hnd/Ft Cmplx 2.6-7.5cm
$3,016
$2,510
$493
44
clean
ED Fce/Hnd/Ft Cmplx Ea Add 5cm
$1,186
$1,186
$1,038
8
clean
ED Eye/Ear/Nose Cplx 1.1-2.5cm
$3,016
$2,510
$895
44
clean
ED Eye/Ear/Nose Cplx 2.6-7.5cm
$3,016
$2,510
$895
88
clean
ED Eye/Ear/Nose Cplx Ea Ad 5cm
$1,562
$1,562
$1,367
8
clean
SEC CLSR SURG WND/DEHSN XTN
—
—
—
0
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
—
0
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
—
0
clean
Tiss Tsfr Hed,Cks,Chn,Mth,Nk,Genit,Hnd,Ft Up to 10 Sq Cm
$4,256
$2,930
$2,500
44
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
—
0
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
—
0
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
—
0
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
—
0
clean
TIS TRNFR ADDL 30 SQ CM
—
—
—
0
clean
WOUND PREP TRK/ARM/LEG
—
—
—
0
clean
WOUND PREP ADDL 100 CM
—
—
—
0
clean
WOUND PREP F/N/HF/G
—
—
—
0
clean
WND PREP F/N/HF/G ADDL CM
—
—
—
0
clean
SPLT AGRFT T/A/L 1ST 100SQCM
—
—
—
0
clean
SPLT AGRFT T/A/L EA ADDL 100
—
—
—
0
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
—
—
—
0
clean
FTH/GFT FR S/A/L 20 SQ CM/<
—
—
—
0
clean
FTH/GFT FR N/E/E/L 20 SQCM/<
—
—
—
0
clean
PEDICLE E/N/E/L/NTRORAL
—
—
—
0
clean
DELAY FLAP F/C/C/N/AX/G/H/F
—
—
—
0
clean
DELAY FLAP EYE/NOS/EAR/LIP
—
—
—
0
clean
TRANSFER SKIN PEDICLE FLAP
—
—
—
0
clean
MDFC FLAP W/PRSRV VASC PEDCL
—
—
—
0
clean
FOREHEAD FLAP W/VASC PEDICLE
—
—
—
0
clean
MUSC MYOQ/FSCQ FLP H&N PEDCL
—
—
—
0
clean
MUSCLE-SKIN GRAFT TRUNK
—
—
—
0
clean
ISLAND PEDICLE FLAP GRAFT
—
—
—
0
clean
COMPOSITE SKIN GRAFT
—
—
—
0
clean
GRFG AUTOL SOFT TISS DIR EXC
—
—
—
0
clean
GRFG AUTOL FAT LIPO 50 CC/<
—
—
—
0
clean
GRFG AUTOL FAT LIPO EA ADDL
—
—
—
0
clean
GRFG AUTOL FAT LIPO 25 CC/<
—
—
—
0
clean
ACELLULAR DERM MATRIX IMPLT
—
—
—
0
clean
BLEPHAROPLASTY UPPER EYELID
—
—
—
0
clean
BLEPHARP UPR EYELID XCSV SKN
—
—
—
0
clean
EXC EXCESSIVE SKIN ABDOMEN
—
—
—
0
clean
EXC EXCESSIVE SKIN ARM
—
—
—
0
clean
EXC SKIN ABD ADD-ON
—
—
—
0
clean
REMOVAL SUTR/STAPLE REQ ANES
—
—
—
0
clean
Removal Sutures/Staples, Not Req Anesthesia
$615
$400
$538
8
clean
SUCTION LIPECTOMY TRUNK
—
—
—
0
clean
ED Local Init Tx 1 Deg Burn
$923
$600
$243
44
clean
ED Burn Small 1-2 Degree
$924
$601
$243
132
clean
Burn Medium 1-2 Degree
$905
$588
$243
44
clean
Burn Large 1-2 Degree
$1,120
$728
$493
44
clean
Destruction Premalignant Lesion, First
$248
$161
$223
308
clean
Destruction, Premalignant, 2-14 Lesions
$68
$44
$56
40
clean
Destruction Benign Lesions 1-14
$248
$161
$223
352
clean
Destruction Benign Lesions 15+
$248
$161
$225
88
clean
Chemical Cauterization Granulation Tissue
$248
$161
$223
220
clean
UNLISTD PX SKN MUC MEMB SUBQ
—
—
—
0
clean
ED Puncture Aspiration Breast Cyst
$3,713
$2,413
$858
132
clean
MA Ductogram Injection
$1,826
$1,187
$1,506
8
clean
HB Bx Breast W/Dev Plcmnt 1st Lesion,Stereotactic Guidance
$7,246
$4,710
$2,001
88
clean
HB Bx Breast W/Dev Plcmnt Addl Lesion,Stereotactic Guidance
$3,841
$2,497
$3,169
8
clean
HB Bx Breast W/Device Plcmnt 1st Lesion, US Guidance
$7,246
$4,710
$2,001
176
clean
HB Bx Breast W/Device Plcmnt Addl Lesion, US Guidance
$3,659
$2,378
$3,019
24
clean
HB Exc Cyst/Fibroadenoma/Other Ben/Mal Tumor Breast
$14,388
$9,352
$4,700
132
clean
HB Perq Device Plcmnt 1st Lesion, Mammographic Guidance
$7,246
$4,710
$2,001
220
clean
HB Perq Device Plcmnt Addl Lesion, Mammographic Guidance
$2,076
$1,349
$1,713
24
clean
HB Perq Device Plcmnt 1st Lesion, US Guidance
$2,992
$1,945
$858
264
clean
HB Perq Device Plcmnt Addl Lesion, US Guidance
$1,273
$827
$1,050
24
clean
MASTECTOMY FOR GYNECOMASTIA
—
—
—
0
clean
MAST SIMPLE COMPLETE
—
—
—
0
clean
MASTOPEXY
—
—
—
0
clean
BREAST REDUCTION
—
—
—
0
clean
BREAST AUGMENTATION W/IMPLT
—
—
—
0
clean
RMVL INTACT BREAST IMPLANT
—
—
—
0
clean
RMVL RUPTURED BREAST IMPLANT
—
—
—
0
clean
INSJ/RPLCMT BRST IMPLT SEP D
—
—
—
0
clean
NIPPLE/AREOLA RECONSTRUCTION
—
—
—
0
clean
TISS XPNDR PLMT BRST RCNSTJ
—
—
—
0
clean
REVJ PERI-IMPLT CAPSULE BRST
—
—
—
0
clean
PERI-IMPLT CAPSLC BRST COMPL
—
—
—
0
clean
REVJ RECONSTRUCTED BREAST
—
—
—
0
clean
UNLISTED PROCEDURE BREAST
—
—
—
0
clean

Showing the first 200 of 3,721 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 51736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 86141/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $106
CPT 53600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 53620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $838
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,742 exceeds the gross charge $750
CPT 54200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 54235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 55000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT J7500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 55250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,742 exceeds the gross charge $2,552
CPT 55876/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,815 exceeds the gross charge $1,705
CPT E0189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $38
CPT G0008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 56501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,706 exceeds the gross charge $2,279
CPT G0009/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 56605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT 86704/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $116
CPT 57160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $251
CPT G0010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 86706/o
warn
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $117
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 57452/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $251
CPT G0402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 57454/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT 57456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT J7611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $19
CPT 57500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT J7613/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 57505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,208 exceeds the gross charge $1,085
CPT J7620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $20
CPT 59200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $379
CPT J8515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $30
CPT J8610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $19
CPT 87086/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $91
CPT 64425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 64435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 87340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $105
CPT 0001U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $688 exceeds the gross charge $583
CPT 10040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 64566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $368
CPT 64644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $248
CPT 64646/o
warn
mrf_negotiated_above_gross
highest negotiated rate $926 exceeds the gross charge $863
CPT J0571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $49
CPT 11104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT J0573/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $78
CPT 11200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT J0604/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $131
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 11301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 11400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11601/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 11603/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11622/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11719/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $74
CPT 11721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $74
CPT 11755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $877
CPT 11900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $89
CPT 11901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 11980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $586 exceeds the gross charge $498
CPT 11981/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 11983/o
warn
mrf_negotiated_above_gross
highest negotiated rate $586 exceeds the gross charge $498
CPT J0750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $278
CPT 17000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $458 exceeds the gross charge $445
CPT 17110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 17111/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $458 exceeds the gross charge $445
CPT 90791/o
warn
mrf_negotiated_above_gross
highest negotiated rate $233 exceeds the gross charge $201
CPT 17250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $248
CPT 74450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $313 exceeds the gross charge $302
CPT 90792/o
warn
mrf_negotiated_above_gross
highest negotiated rate $233 exceeds the gross charge $201
CPT Q0091/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $31
CPT 20551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $368
CPT Q0144/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $23
CPT Q0169/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $17
CPT Q0170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $17
CPT 93279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT Q3014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $31
CPT 76872/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT 93280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 76881/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT 93282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 23620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 93298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $47
CPT 23930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,810 exceeds the gross charge $3,566
CPT J1595/o
warn
mrf_negotiated_above_gross
highest negotiated rate $603 exceeds the gross charge $548
CPT 24500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 24670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 25560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 93980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $133
CPT J1628/o
warn
mrf_negotiated_above_gross
highest negotiated rate $68,117 exceeds the gross charge $61,924
CPT 26600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT S0108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $30
CPT 95870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT S0170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $18
CPT 26720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT S0187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $19
CPT 26750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95907/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $195
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $388
CPT 27508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 95970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 27520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $292
CPT 81401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $271 exceeds the gross charge $230
CPT 96156/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 27750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 96167/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $38
CPT 27780/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 27786/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,360 exceeds the gross charge $2,333
CPT 28470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,445 exceeds the gross charge $3,406
CPT 28490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 28510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $299
CPT 81513/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $143
CPT 29065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 29085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $197
CPT 82172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $89
CPT 96405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $89
CPT 96406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $279 exceeds the gross charge $263
CPT 29405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 82306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $254 exceeds the gross charge $215
CPT 97607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $498
CPT 29425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $331
CPT 82728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $129
CPT 36598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $279 exceeds the gross charge $114
CPT 99495/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 99496/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $161
CPT 37182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,044 exceeds the gross charge $13,180
CPT 99497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $116
CPT 83090/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $111
CPT 43763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 83540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $64
CPT 46221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $1,136
CPT 46500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $1,136
CPT 83937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $35 exceeds the gross charge $30
CPT 84443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $133
CPT 51700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 84466/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $97
CPT 51720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
CPT 85014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $38
CPT 51725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 51726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $303
CPT 51728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
CPT 51729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $915 exceeds the gross charge $832
warn
mrf_rate_without_estimate
65,853 of 65,853 percentage/algorithm rates across 953 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 85397/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3360/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51736/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85610/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3373/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51741/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85660/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3380/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85730/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3410/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51798/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86003/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52000/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86022/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3430/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86039/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1761/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3465/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1764/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3470/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52204/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 55 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3473/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52214/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86141/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 C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,136 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 143.6M bytes · fetched 2026-08-25 · sha256 3a0a780bf9a9…

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.