Hospital · CCN 390016

Upmc Jameson

1211 Wilmington Avenue, New Castle, PA 16105 · Lawrence County
Part of UPMC · 134 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

24 admission types 31 outpatient services price file: ok
Billed per dollar paid, all admissions
2.83×
$13.9M billed against $4.9M paid across 515 Medicare discharges; the national figure is 5.03×.
2.3%
of adults in Lawrence County have medical debt in collections
6.8%
uninsured in the county · state 6.5%
$62K
median household income
2.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
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
77
$38,625
$12,624
3.1× st 5.2×
291
Heart failure and shock with mcc
70
$25,879
$9,411
2.8× st 5.2×
193
Simple pneumonia and pleurisy with mcc
45
$24,207
$9,551
2.5× st 5.3×
378
Gastrointestinal hemorrhage with cc
25
$21,625
$7,276
3.0× st 6.1×
280
Acute myocardial infarction, discharged alive with mcc
24
$32,730
$11,776
2.8× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
23
$14,025
$5,898
2.4× st 5.7×
683
Renal failure with cc
23
$16,177
$6,719
2.4× st 5.4×
177
Respiratory infections and inflammations with mcc
22
$24,534
$11,126
2.2× st 5.2×
690
Kidney and urinary tract infections without mcc
19
$17,986
$5,945
3.0× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$19,204
$7,301
2.6× st 6.3×
312
Syncope and collapse
15
$14,919
$6,436
2.3× st 5.8×
189
Pulmonary edema and respiratory failure
14
$27,445
$8,472
3.2× st 5.9×
281
Acute myocardial infarction, discharged alive with cc
14
$23,067
$6,027
3.8× st 6.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$39,456
$15,534
2.5× st 6.3×
309
Cardiac arrhythmia and conduction disorders with cc
13
$10,019
$5,832
1.7× st 5.4×
682
Renal failure with mcc
12
$37,175
$11,117
3.3× st 5.4×
377
Gastrointestinal hemorrhage with mcc
12
$40,278
$13,200
3.1× st 5.9×
698
Other kidney and urinary tract diagnoses with mcc
11
$32,363
$12,119
2.7× st 5.2×
689
Kidney and urinary tract infections with mcc
11
$17,385
$8,499
2.0× st 5.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$63,287
$13,101
4.8× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
11
$16,666
$6,014
2.8× st 5.7×
603
Cellulitis without mcc
11
$16,348
$6,817
2.4× st 4.9×
481
Hip and femur procedures except major joint with cc
11
$40,458
$14,171
2.9× st 6.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
11
$21,328
$7,398
2.9× st 5.5×
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
72
$7,334
$2,058
3.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
54
$7,397
$1,400
5.3×
5112
Level 2 Musculoskeletal Procedures
54
$5,767
$1,436
4.0×
5191
Level 1 Endovascular Procedures
50
$15,502
$2,873
5.4×
5375
Level 5 Urology and Related Services
45
$22,127
$4,559
4.9×
8011
Comprehensive Observation Services
40
$9,819
$2,299
4.3×
5115
Level 5 Musculoskeletal Procedures
38
$34,769
$11,208
3.1×
5113
Level 3 Musculoskeletal Procedures
37
$13,647
$2,844
4.8×
5431
Level 1 Nerve Procedures
34
$8,327
$1,725
4.8×
5374
Level 4 Urology and Related Services
32
$15,612
$3,114
5.0×
5373
Level 3 Urology and Related Services
32
$10,063
$1,733
5.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
31
$11,696
$2,478
4.7×
5361
Level 1 Laparoscopy and Related Services
29
$19,111
$5,020
3.8×
5114
Level 4 Musculoskeletal Procedures
26
$27,537
$6,390
4.3×
5183
Level 3 Vascular Procedures
24
$13,676
$2,847
4.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$15,299
$3,090
5.0×
5362
Level 2 Laparoscopy and Related Services
12
$33,817
$9,189
3.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$10,144
$3,405
3.0×
5302
Level 2 Upper GI Procedures
11
$8,964
$1,700
5.3×
5194
Level 4 Endovascular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5193
Level 3 Endovascular 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 3/6/2026, template 3.0.0, 275,033 rows scanned, 3,386 distinct code–setting items kept. 1,516 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
ZB5NC ONC THY DNA&MRNA 112 GNS
$8,769
$5,261
$3,823
22
clean
FOCUSED PHARMACOGENOM PN VAR
$3,627
$2,176
$802
22
clean
PROPRIETORY LAB ANALYSIS P3021
$268
$161
$538
22
clean
KARIUS NGS SPECTRUM TESTING
$8,800
$5,280
$2,296
22
clean
ISO PSA INDEX
$1,712
$1,027
$792
21
clean
NCNTC R-T FLUOR WND IMG 1ST
$382
$229
$297
21
clean
NCNTC R-T FLUOR WND IMG EA
$382
$229
$190
12
clean
EXTRACTION W/US GUI 1ST LES
$1,431
$859
$700
50
clean
FNA BX W/US GDN EA ADDL
$1,350
$810
$73
17
clean
FNA BX W/FLUOR GDN 1ST LES
$1,431
$859
$699
25
clean
FNA BX W/CT GDN 1ST LES
$1,431
$859
$700
25
clean
FNA BX W/MR GDN 1ST LES
$1,431
$859
$685
24
clean
FNA BIOPSY W/O IMA GDE 1ST LES
$834
$500
$381
25
clean
IMG GUID DRN SOFT TIS CTH PERC
$4,484
$2,690
$700
25
clean
ID SIMPLE ABSCESS
$827
$496
$198
25
clean
ID COMPL ABSCESS
$834
$500
$398
25
clean
ID PILONIDAL CYST
$807
$484
$671
25
clean
SUBCUT FB REMOVAL SIMPLE
$834
$500
$381
47
clean
SUBCUT FB REMOVAL COMPL
$4,042
$2,425
$1,610
25
clean
I & D HEMATOMA SEROMA OR FLUID
$2,297
$1,378
$1,545
47
clean
ASPIRATION HEMATOMA
$478
$287
$382
50
clean
I & D COMPLEX POST-OP INFECT
$4,833
$2,900
$2,729
25
clean
EXTENS DEBRID ECZE SKIN
$834
$500
$584
25
clean
DEBRIDE & REM FOREIGN MATTER
$6,290
$3,774
$840
22
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE
—
—
$2,844
17
clean
DEBRID SKIN AND SQ TISSUE
$8,421
$5,053
$411
25
clean
DEBRIDE SKIN SUBCU TISSU & MUS
$9,028
$5,417
$609
47
clean
DEBRIDE SKIN SUBQ MUS & BONE
$2,459
$1,475
$1,545
25
clean
DEBRID SQ TIS EA ADD'L 20 CM
$734
$440
$385
14
clean
DEBRID MUSCLE EA ADD'L 20 CM
$1,276
$766
$578
14
clean
DEBRID BONE EA ADD'L 20 CM
$1,633
$980
$776
14
clean
PAR/CUT BEN HYPERK/SINGLE LES
$310
$186
$197
50
clean
PAR/CUT HYPERK LESION 2 TO 4
$452
$271
$197
46
clean
PAR/CUT HYPERK LESION-OVER 4
$799
$479
$198
25
clean
PUNCH BX SKIN SINGLE LESION
$658
$395
$397
25
clean
PUNCH BX SKIN EA SEP/ADDL
$681
$409
$72
17
clean
INCAL BX SKN SINGLE LES
$658
$395
$584
25
clean
EXCISION LES B T A L 3.1-4.0CM
$4,489
$2,693
$1,613
25
clean
EXC BGN LES FEENL 3.1-4CM
$5,062
$3,037
$1,545
25
clean
TRIM NONDYSTRPC NAILS ANY NMBR
$182
$109
$61
22
clean
DEBRIDEMENT NAILS 1 - 5
$206
$124
$59
25
clean
DEBRIDEMENT NAILS 6 OR MORE
$258
$155
$61
25
clean
NAIL AVULSION COMP/PART SNGL
$443
$266
$198
25
clean
ID SUBUNGUAL HEMATOMA
$219
$131
$128
25
clean
EXCISION NAIL COMP/PART
$1,143
$686
$475
22
clean
REPAIR NAIL BED
$689
$413
$584
25
clean
WEDGE EXCISION SKIN NAIL FOLD
$442
$265
$354
25
clean
INTRALESIONAL INJ UP TO 7 LES
$505
$303
$205
22
clean
SMPL LAC RPR 0-2.5CM SCALP
$310
$186
$197
25
clean
SMPL LAC RPR 2.6-7.5CM SCALP
$352
$211
$198
25
clean
SMPL LAC RPR 7.6-12.5CM SCALP
$396
$238
$205
25
clean
SMPL LAC RPR 12.6-20CM SCALP
$437
$262
$397
25
clean
SMPL LAC RPR 20.1-30CM SCALP
$703
$422
$411
25
clean
SMPL LAC RPR 0-2.5CM FACE
$310
$186
$197
25
clean
SMPL LAC RPR 2.6-5CM FACE
$352
$211
$198
25
clean
SMPL LAC RPR 5.1-7.5CM FACE
$396
$238
$205
25
clean
SMPL LAC RPR 7.6-12CM FACE
$442
$265
$205
25
clean
SMPL LAC RPR 12.6-20CM FACE
$442
$265
$397
25
clean
WOUND DEHISCENCE SIMPLE
$1,268
$761
$608
25
clean
TX SUPERFI WOUND W PACKING
$825
$495
$411
46
clean
INT LAC RPR 0-2.5CM SCLP TRNK
$703
$422
$397
25
clean
INT LAC RPR 2.6-7.5CM SCLP TR
$658
$395
$397
25
clean
INT LAC RPR 7.6-12.5CM SCLP TR
$658
$395
$411
25
clean
INT LAC RPR 12.6-20CM SCLP TR
$1,268
$761
$411
25
clean
INT LAC RPR 20.1-30CM SCLP TR
$1,274
$764
$618
25
clean
INT LAC RPR 0-2.5CM NCK HND
$703
$422
$397
25
clean
INT LAC RPR 2.6-7.5CM NCK HND
$719
$431
$397
25
clean
INT LAC RPR 7.6-12.5CM NCK HND
$6,717
$4,030
$630
25
clean
INT LAC RPR 0-2.5CM FACE
$772
$463
$397
25
clean
INT LAC RPR 2.6-5CM FACE
$924
$554
$398
25
clean
INT LAC RPR 5.1-7.5CM FACE
$969
$581
$408
25
clean
INT LAC RPR 7.6-12.5CM FACE
$658
$395
$411
25
clean
INT LAC RPR 12.6-20CM FACE
$703
$422
$411
25
clean
COMP LAC RPR 2.6-7.5CM TRNK
$1,543
$926
$662
22
clean
COMP LAC RPR EA ADD 5CM TRNK
$719
$431
$377
14
clean
COMP LAC RPR 2.6-7.5CM SCALP
$1,543
$926
$662
22
clean
COMP LAC RPR EA ADD 5CM SCALP
$787
$472
$413
14
clean
COMP LAC RPR 2.6-7.5CM FOREHEA
$1,268
$761
$664
22
clean
COMP LAC RPR 2.6-7.5CM EYELID
$1,319
$791
$678
22
clean
COMP LAC RPR EA ADD 5CM EYELID
$806
$484
$423
14
clean
ADJ TISS XFER TRNK <10CM
$5,298
$3,179
$1,744
25
clean
HC SKIN SUB GRFT TAL 25SQ CM
$2,209
$1,325
$1,744
22
clean
HC SKIN SUB GRFT TAL EA 25SQCM
$575
$345
$302
14
clean
HC SKIN SUB GRFT TAL 100SQ CM
$5,736
$3,442
$3,564
38
clean
HC SKIN SUB GRFT TAL EA 100CM
$4,283
$2,570
$588
20
clean
HC SKIN SUB GRF FNHFG 25SQ CM
$2,209
$1,325
$1,744
22
clean
HC SKIN SUB GRF FNHFG EA 25CM
$918
$551
$436
14
clean
REMOVL SUTR OR STAPL XREQ ANES
$33
$20
$16
14
clean
REMOVAL SUTR & STAPL XREQ ANES
$47
$28
$22
14
clean
BURN TRTMT 1ST DEGREE LOCAL
$292
$175
$189
25
clean
BURN TRTMT 2ND DEGREE SMALL
$798
$479
$198
25
clean
BURN TRTMT 2ND DEGREE MED
$1,011
$607
$205
25
clean
BURN TRTMT 2ND DEGREE LG
$834
$500
$398
25
clean
DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS
—
—
$189
21
clean
CHEM CAUTERY GRANULIN TISSUE
$1,032
$619
$197
25
clean
UNLIST SKIN MM PROC
$428
$257
$205
21
clean
PUNC ASP BREAST CYST
$1,431
$859
$132
17
clean
MASTOTOMY W/ABSCESS DRAINAGE
$4,833
$2,900
$1,610
25
clean
INJ PROC MAM DUCT GALACTOGR
$244
$146
$134
14
clean
BX BREAST 1ST LESION STRTCTC
$7,123
$4,274
$900
17
clean
BX BREAST ADD LESION STRTCTC
$6,020
$3,612
$581
17
clean
BX BREAST 1ST LESION US IMAG
$5,244
$3,146
$1,545
42
clean
BX BREAST ADD LESION US IMAG
$4,434
$2,660
$581
17
clean
MAMO GUID DVC PLC BRST 1ST LES
$959
$575
$704
42
clean
MAMO GUID DVC PLC BRST EA ADD
$1,968
$1,181
$225
34
clean
PERQ DVC BREAST 1ST US IMAG
$2,783
$1,670
$700
42
clean
PRQ DVC BREAST US IMG EA ADD
$2,229
$1,337
$410
34
clean
RMVL RUPTURED BREAST IMPLANT
$3,957
$2,374
$3,566
22
clean
EXPLOR PENETR WOUND EXTREM
$2,902
$1,741
$1,596
22
clean
BX MUSCLE PERC NDL
$2,997
$1,798
$1,545
25
clean
BX BONE SUPERFIC ND/TROCAR
$3,835
$2,301
$1,545
25
clean
BX BONE DEEP FEMUR VET BODY
$3,952
$2,371
$1,610
25
clean
INJ SINUS TRACT DIAG SINOGRAM
$601
$361
$132
17
clean
REM FRN BODY IN MUS/TEND SIMPL
$1,008
$605
$860
25
clean
INJ SNG/MUL TRG PTS 1-2 MUS GR
$952
$571
$293
25
clean
INJ SNG/MUL TRG PTS 3 OR MORE
$1,209
$725
$294
50
clean
ARTHRO ASP INJ SM JO/BU WO US
$633
$380
$293
50
clean
ARTHRO ASP/INJ INT JT WO/US
$633
$380
$293
50
clean
ARTHRO ASP INJ INTR JO/BU W US
$404
$242
$660
25
clean
ARTHRO ASP/INJ LG JT WO/US
$633
$380
$293
50
clean
ARTHRO ASP INJ MJR JO/BU W US
$1,094
$656
$294
25
clean
APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE)
—
—
$12,267
17
clean
CLSD TX NASL FX MNPJ WO STABIL
$4,393
$2,636
$1,472
25
clean
TM DISLOC TRTMT INIT/SUB
$386
$232
$247
25
clean
BX SOFT TISSUE NECK/THORAX
$2,867
$1,720
$1,545
25
clean
INJ PROC SHOULDER ARTHROGR
$360
$216
$198
14
clean
ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
—
—
$17,533
16
clean
CL TX ACROM/CLAV DISLO/W MANIP
$633
$380
$247
25
clean
CLO TX SHOULDER BLADE FX
$4,276
$2,566
$1,526
25
clean
CL TX PROX HUMERUS W MANIP
$4,921
$2,953
$1,590
25
clean
SHOULDER DISL W/MANIP NO ANES
$1,054
$632
$247
47
clean
CL REDUCT SHLDR DISLOC W/ANES
$3,450
$2,070
$1,526
47
clean
CL TX DIS SHD/GR HU TUB FX/MAN
$2,108
$1,265
$1,526
46
clean
OPEN TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
—
—
$4,454
22
clean
I&D OF ELBOW/BURSA
$2,547
$1,528
$1,545
25
clean
INJ PROC ELBOW ARTHROGRAM
$968
$581
$460
14
clean
HUMERAL SHAFT FX W REDUCT
$633
$380
$851
25
clean
OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE
—
—
$4,769
22
clean
CL REDUX HUM EPICON FX W/MANIP
$633
$380
$892
25
clean
CLSD TX HUM CONDYLAR FX W/MAN
$3,957
$2,374
$1,526
25
clean
ELBOW DISLOC CLOSED TRTMT
$633
$380
$247
25
clean
TX CLSD ELBOW DISLOC REQ ANES
$3,450
$2,070
$1,553
25
clean
RADIAL HEAD DISLOC W REDUC CHI
$633
$380
$247
25
clean
CL TX ULNAR FX W/MANIP
$4,052
$2,431
$1,526
25
clean
ARTHROTMY WRIST W/EXP W/WO BIO
$6,405
$3,843
$3,093
25
clean
INJ PROC WRIST ARTHROGRAM
$968
$581
$460
14
clean
CL REDUX RADIAL SHAFT FX
$2,108
$1,265
$1,526
25
clean
RADIAL/ULNAR SHAFT FX W REDUCT
$1,902
$1,141
$1,522
25
clean
OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS AND ULNA
—
—
$4,463
22
clean
DISTAL RADIUS/COLLES FX WO RED
$633
$380
$247
25
clean
DISTAL RADIUS/COLLES FX W REDU
$2,108
$1,265
$1,526
25
clean
CLO TX WRIST FX W MANIP
$5,653
$3,392
$309
25
clean
DRAIN FINGER ABCESS SIMPLE
$478
$287
$198
25
clean
I&D FINGER ABSCESS COMP
$2,902
$1,741
$1,545
68
clean
TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)
—
—
$1,526
22
clean
EXPLORE/TREAT FINGER JOINT EA
$7,555
$4,533
$1,590
25
clean
EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; LESS THAN 1.5 CM
—
—
$1,545
22
clean
PART EXCISION DIST PHALAN FNGR
$6,483
$3,890
$1,590
25
clean
METACARPAL FX W REDUCT EA BONE
$633
$380
$247
25
clean
OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH BONE
—
—
$3,093
22
clean
CARPOMETAC DISLOC THUMB W RED
$1,096
$658
$247
25
clean
CL TX CMC DSLC SGL MAN WO ANES
$636
$382
$238
25
clean
METACARP DISLOC W REDUCT
$633
$380
$239
25
clean
FINGER FX W REDUCT
$633
$380
$247
25
clean
CL TX METACARPO JT W/MANIPUL
$1,902
$1,141
$1,522
25
clean
DISTAL FINGER FX W REDUCT
$633
$380
$247
25
clean
INTERPHAL JT DISLOC W REDUCT
$528
$317
$238
25
clean
INTERPHAL JT W REDUCT W ANES
$6,134
$3,680
$472
22
clean
REMOVAL FB PELVIS/HIP DEEP
$6,076
$3,646
$3,093
25
clean
INJ PROC HIP ARTHROGRAM
$601
$361
$316
14
clean
HIP DISLOC CLSD TRTMT
$633
$380
$266
25
clean
CL TX HIP DISLOC TRAU REQ ANES
$5,847
$3,508
$1,526
47
clean
CL TX POST HIP ARTHRPLASTY DIS
$633
$380
$273
47
clean
CL TX POST HIP DIS RG GEN ANES
$6,042
$3,625
$1,526
47
clean
ARTHRT KNEE W/EXPL DRG/RMVL FB
$7,666
$4,600
$3,224
25
clean
INJ PROC KNEE ARTHROGRAM
$223
$134
$123
14
clean
CLOS TRT FEMORAL FX W MANIP
$633
$380
$892
25
clean
CL TX KNEE DISLOC W/O ANESTH
$633
$380
$247
25
clean
PATELLAR DISLOC CLSD TRTMT
$528
$317
$247
25
clean
UNLISTED PROCEDURE, FEMUR OR KNEE
—
—
$239
14
clean
CL TRMT TIBIA SHFT FX W MANIP
$3,866
$2,320
$1,590
25
clean
CLSD TRT MED.MALLEO FX W/MANIP
$4,237
$2,542
$1,648
22
clean
CL TX PROX FIB/SHAFT FX W/MAN
$4,510
$2,706
$1,526
25
clean
CL TX DISTAL FIBULA W/MANIP
$633
$380
$247
25
clean
OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED
—
—
$6,811
17
clean
BIMALLEOLAR ANKLE FX W/REDUCT
$2,108
$1,265
$1,558
22
clean
CL TX TRIMALLEOL ANKLE FX W/O
$633
$380
$328
22
clean
TRIMALLEOLAR ANKLE FX W/REDUCT
$2,108
$1,265
$1,526
47
clean
OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITHOUT FIXATION OF POSTERIOR LIP
—
—
$6,811
17
clean
CL TX FX DIST TIB WWO ANES MAN
$5,693
$3,416
$1,648
22
clean
OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED
—
—
$6,811
17
clean
CLTX TIBFIB JT DISLC W/O ANES
$4,383
$2,630
$247
25
clean
ANKLE DISLOCATION WO ANESTH
$633
$380
$247
25
clean
TENOTOMY SUBCUTANEOUS TOE SING
$2,772
$1,663
$1,526
25
clean
REM F B FOOT
$2,459
$1,475
$700
25
clean
GREAT TOE FX W/REDUCT
$5,298
$3,179
$247
25
clean
TOE FX W/REDUCT EACH
$633
$380
$247
25
clean
METATARSOPHALANGEAL DISLOC WO
$633
$380
$238
46
clean
INTERPHALANGEAL DISLOC WO ANES
$528
$317
$238
25
clean
APPLY LONG ARM SPLINT
$432
$259
$157
25
clean

Showing the first 200 of 3,386 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
614 of 2,140 comparable items (29%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $584 exceeds the gross charge $268
warn
mrf_rate_without_estimate
12,134 of 12,134 percentage/algorithm rates across 1,554 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 81227/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 J1171/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
MS-DRG 010/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 326/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81229/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 J1200/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
MS-DRG 011/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 327/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81240/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 91322/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 012/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 328/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81241/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 J1240/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 013/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 329/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81243/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 J1250/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
MS-DRG 014/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 330/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81256/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 J1265/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 016/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 331/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81263/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 J1303/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 017/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 332/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81270/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 J1325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 018/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 333/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81273/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 J1327/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
MS-DRG 019/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 334/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81277/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1335/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 020/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 335/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81279/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 J1439/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
MS-DRG 021/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 336/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81288/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 J1442/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
MS-DRG 022/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 337/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81305/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 J1450/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 differ, so no cross-line comparison was made for this item
MS-DRG 023/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 344/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1451/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
MS-DRG 024/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 345/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1459/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
MS-DRG 025/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 346/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1561/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
MS-DRG 026/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 347/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81329/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 J1566/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
MS-DRG 027/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 348/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1568/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 028/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 349/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81339/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 J1569/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
MS-DRG 029/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 350/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81340/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 J1570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 030/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 351/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81342/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 J1580/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
MS-DRG 031/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 352/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81376/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 J1596/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
MS-DRG 032/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 353/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81381/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 J1599/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 033/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 354/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31623/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81400/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 J1602/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
MS-DRG 034/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 355/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31624/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 81401/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 J1610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 035/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 356/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81402/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 J1626/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 036/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 357/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81403/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 037/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 358/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81404/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 J1642/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
MS-DRG 038/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 359/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81405/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
CPT J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 039/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 360/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81406/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 J1650/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
MS-DRG 040/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 368/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81407/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 differ, so no cross-line comparison was made for this item
CPT 93798/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 J1652/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, max differ, so no cross-line comparison was made for this item
MS-DRG 041/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 369/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81408/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 93882/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 J1670/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 042/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 370/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1720/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
MS-DRG 052/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 371/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81432/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 J1742/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
MS-DRG 053/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 372/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81443/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1744/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
MS-DRG 054/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 373/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81450/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 J1745/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 055/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 374/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1750/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
MS-DRG 056/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 375/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1756/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
MS-DRG 057/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 376/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81479/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1790/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
MS-DRG 058/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 377/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94640/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 J1805/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
MS-DRG 059/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 378/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1808/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
MS-DRG 060/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 379/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94799/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 J1815/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
MS-DRG 061/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 380/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95800/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 differ, so no cross-line comparison was made for this item
CPT J1833/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
MS-DRG 062/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 381/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1836/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 063/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 382/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1885/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
MS-DRG 064/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 383/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1938/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
MS-DRG 065/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 384/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1939/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
MS-DRG 066/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 385/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1953/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 067/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 386/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1955/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 068/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 387/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1956/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
MS-DRG 069/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 388/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2003/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
MS-DRG 070/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 389/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
MS-DRG 071/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 390/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2060/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

Showing the first 200 of 1,516 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. Upmc Jameson — standard charges file · PA · updated 3/6/2026
    · csv-tall · 63.0M bytes · fetched 2026-08-23 · sha256 ca033c794857…

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.