Hospital · CCN 390039

Upmc Somerset

225 South Center Avenue, Somerset, PA 15501 · Somerset County
Part of UPMC · 56 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

7 admission types 37 outpatient services price file: ok

Billed per dollar paid, all admissions

1.94×

$3.6M billed against $1.9M paid across 156 Medicare discharges; the national figure is 5.03×.

1.7%

of adults in Somerset County have medical debt in collections

7.6%

uninsured in the county · state 6.5%

$60K

median household income

1.9×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 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

$28,785

$15,298

1.9× st 5.2×

885

Psychoses

$20,722

$10,882

1.9× st 4.8×

193

Simple pneumonia and pleurisy with mcc

$21,209

$10,246

2.1× st 5.3×

291

Heart failure and shock with mcc

$21,708

$10,269

2.1× st 5.2×

177

Respiratory infections and inflammations with mcc

$25,982

$12,925

2.0× st 5.2×

189

Pulmonary edema and respiratory failure

$16,682

$9,447

1.8× st 5.9×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$15,851

$8,022

2.0× 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

8011

Comprehensive Observation Services

$10,410

$2,596

4.0×

5373

Level 3 Urology and Related Services

$11,205

$1,948

5.8×

5431

Level 1 Nerve Procedures

$6,684

$1,847

3.6×

5374

Level 4 Urology and Related Services

$12,077

$3,335

3.6×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$5,566

$1,551

3.6×

5191

Level 1 Endovascular Procedures

$13,145

$3,122

4.2×

5115

Level 5 Musculoskeletal Procedures

$42,988

$12,571

3.4×

5491

Level 1 Intraocular Procedures

$11,925

$2,229

5.4×

5193

Level 3 Endovascular Procedures

$41,093

$10,513

3.9×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$12,898

$2,718

4.7×

5375

Level 5 Urology and Related Services

$19,094

$4,950

3.9×

5114

Level 4 Musculoskeletal Procedures

$30,800

$6,843

4.5×

5183

Level 3 Vascular Procedures

$12,587

$3,049

4.1×

5113

Level 3 Musculoskeletal Procedures

$16,633

$3,096

5.4×

5362

Level 2 Laparoscopy and Related Services

—

5372

Level 2 Urology and Related Services

—

5112

Level 2 Musculoskeletal Procedures

—

5416

Level 6 Gynecologic Procedures

—

5414

Level 4 Gynecologic Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5415

Level 5 Gynecologic Procedures

—

5462

Level 2 Neurostimulator and Related Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

5342

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5192

Level 2 Endovascular Procedures

—

5194

Level 4 Endovascular Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5302

Level 2 Upper GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5231

Level 1 ICD and Similar 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, 325,991 rows scanned, 4,885 distinct code–setting items kept. 1,739 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

HC NASH FIBROSURE

CPT 0003M

$1,818

$1,091

$636

clean

HC CT PERF W/CON CEREBRL BLD FLOW

CPT 0042T

$1,784

$1,070

$892

clean

HC ANESTHESIA VASCULAR ACCESS - P/F

CPT 00532

$143

$86

—

clean

HC ANES, ABD WALL SURG PER UNIT

CPT 00800

$88

$53

$44

clean

HC ANES SURG LOW ABDOM PER UNIT

CPT 00840

$275

$165

$136

clean

HC ANESTH KIDNEY/URTER SURG MD

CPT 00862

$275

$165

$136

clean

HC ANES, KIDNEY TRANSPL PER UNIT

CPT 00868

$275

$165

$136

clean

HC ANESTH BLADDER SURGERY

CPT 00910

$1,067

$640

$528

clean

HC ANESTHESIA CAT/MRI - P/F

CPT 01922

$143

$86

—

clean

PERCUTANEOUS SACRAL AUGMENTATION (SACROPLASTY), BILATERAL INJECTIONS, INCLUDING THE USE OF A BALLOON OR MECHANICAL DEVICE, WHEN USED, 2 OR MORE NEEDLES, INCLUDES IMAGING GUIDANCE AND BONE BIOPSY, WHEN PERFORMED

CPT 0201T

—

$6,811

clean

INJECTION(S), PLATELET RICH PLASMA, ANY SITE, INCLUDING IMAGE GUIDANCE, HARVESTING AND PREPARATION WHEN PERFORMED

CPT 0232T

—

$384

clean

HC TRLUML PERIP ATHRC BRCHIOCPH

CPT 0237T

$45,070

$27,042

$16,035

clean

HC TRLUML PERIP ATHRC ILIAC ART

CPT 0238T

$40,269

$24,161

$17,356

clean

HC TRNSCTH RENAL SYMP DENRV BI

CPT 0339T

$19,059

$11,435

$7,505

clean

HC BETA-AMYLOID 42/40 RATIO,PL

CPT 0346U

$315

$189

$149

clean

HC INS/RPLC CCM SYSTEM

CPT 0408T

$86,071

$51,643

$34,162

clean

HC TMVI PERCUTANEOUS APPROACH

CPT 0483T

$15,527

$9,316

$6,987

clean

HC TMVI TRANSTHORACIC EXPOSURE

CPT 0484T

$20,702

$12,421

$9,316

clean

HC TTVR PERQ APPR 1ST PROSTH

CPT 0569T

$17,505

$10,503

$7,877

clean

HC TTVR PERQ EA ADDL PROSTH

CPT 0570T

$585

$351

$293

clean

HC IRE ABLTJ 1+TUM ORGAN PERQ

CPT 0600T

$10,411

$6,247

$7,288

clean

HC TCAT RMVL/DBLK ICAR MAS PERQ

CPT 0644T

$19,059

$11,435

$7,565

clean

HC TTVI/RPLCMT W/PRSTC VLV PERQ

CPT 0646T

$13,459

$8,075

$6,393

clean

HC SCALP COOL PLMT MNTR RMVL

CPT 0663T

$156

$94

$77

clean

HC TCAT INS 1CHMBR LDLS PM RA

CPT 0823T

$56,243

$33,746

$22,497

clean

HC PRGRMG EVL LDLS PM 1CHMBR IP

CPT 0826T

$109

$65

$45

clean

HC FINE NEEDLE ASP BX INCL US 1ST LESION

CPT 10005

$3,841

$2,305

$724

clean

HC FINE NEEDLE ASP BX INCL US ADD LESION

CPT 10006

$1,921

$1,153

$245

clean

HC FINE NEEDLE ASP BX INCL FL 1ST LESION

CPT 10007

$3,812

$2,287

$724

clean

HC FINE NEEDLE ASP BX INCL CT 1ST LESION

CPT 10009

$3,468

$2,081

$724

clean

HC FINE NEEDLE ASP BX INCL CT ADD LESION

CPT 10010

$524

$314

$218

clean

HC FINE NEEDLE ASP BX INCL MR 1ST LESION

CPT 10011

$2,497

$1,498

$704

clean

HC FINE NEEDLE ASP BX INCL MR ADD LESION

CPT 10012

$494

$296

$195

clean

HC FINE NDL ASP W/O IMAG GUIDE

CPT 10021

$1,760

$1,056

$299

clean

HC IMG GUID CTH DRAIN SFT TIS PRC

CPT 10030

$7,681

$4,609

$724

clean

HC PRC PLC SF TIS LOC DEV W/IMG 1ST

CPT 10035

$2,312

$1,387

$684

clean

HC PRC PLC SFT TIS LOC DEV W/IMG ADD

CPT 10036

$2,404

$1,442

$894

clean

HC ACNE SURGERY MILIA CYSTS

CPT 10040

$442

$265

$189

clean

HC I&D ABSCESS SIMPLE

CPT 10060

$851

$511

$205

clean

HC I&D ABSCESS SIMPLE - P/F

CPT 10060

$414

$248

$104

clean

HC I&D ABSCESS COMP/MULT

CPT 10061

$1,427

$856

$411

clean

HC I&D ABSCESS COMP/MULT - P/F

CPT 10061

$771

$463

$179

clean

HC I&D PILONIDAL CYST SIM

CPT 10080

$1,541

$925

$664

clean

HC I&D PILONIDAL CYST COMP

CPT 10081

$2,236

$1,342

$671

clean

HC I&D FOREIGN BODY SIMPLE

CPT 10120

$868

$521

$381

clean

HC INC & REM FB SQ; SMPL P/F

CPT 10120

$440

$264

$103

clean

HC I&D FOREIGN BODY COMP

CPT 10121

$4,458

$2,675

$1,545

clean

HC INC & REM FB SQ; COMPL P/F

CPT 10121

$798

$479

$180

clean

HC I&D HEMATOMA T/F

CPT 10140

$3,468

$2,081

$1,495

clean

HC PUNC ASP ABSC, HEMATMA, CYST

CPT 10160

$868

$521

$381

clean

HC PUNCT ASP - ABSC HEMAT CYST P/F

CPT 10160

$366

$220

$94

clean

HC I&D CPLX POSTOP WND INF P/F

CPT 10180

$771

$463

$175

clean

HC I&D POSTOP WOUND INFECT COMP

CPT 10180

$5,859

$3,515

$2,701

clean

HC DEBR EXZ/INF SKIN 10% BS

CPT 11000

$2,480

$1,488

$584

clean

HC DEBR NECROTIZ ST - GENITALS & PERINEUM

CPT 11004

$2,565

$1,539

$554

clean

HC DEB;SBC;MSL;FAS ABD WLL W/W/O CLOSURE P/F

CPT 11005

$3,455

$2,073

$753

clean

HC DEBR FX SKIN MUSC BONE

CPT 11012

$5,859

$3,515

$2,756

clean

HC DEBR SUBQ TISSUE 1ST 20SQCM

CPT 11042

$2,634

$1,580

$565

clean

HC DEBR MUSC/FASC 1ST 20SQCM

CPT 11043

$3,275

$1,965

$697

clean

HC DEB MUSC/FASCIA 20 SQ CM/< P/F

CPT 11043

$679

$407

$151

clean

HC DEBRIDEMENT BONE 1ST 20SQCM

CPT 11044

$3,868

$2,321

$1,545

clean

HC DEB MUSC/FASCIA ADD-ON =<20 SQ CM P/F

CPT 11046

$245

$147

$53

clean

DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)

CPT 11047

—

$161

clean

HC PARE BEN HYPERKERATOT LES,SNG

CPT 11055

$481

$289

$192

clean

HC PARE BEN HYPERKERATOT LES 2-4

CPT 11056

$607

$364

$205

clean

HC PARE BEN HYPERKERATOT LES 5+

CPT 11057

$726

$436

$205

clean

HC PUNCH BX SKIN SINGLE LESION

CPT 11104

$1,151

$691

$396

clean

HC REM SKIN TAGS <=15 LESIONS

CPT 11200

$1,365

$819

$198

clean

HC REM SKIN TAGS; <=15 LESIONS P/F

CPT 11200

$314

$188

$75

clean

HC REM SKIN TAGS EA ADDL 10 LES

CPT 11201

$585

$351

$55

clean

HC SHV DERM LESION,SING TAL <0.5

CPT 11300

$868

$521

$381

clean

HC SHV DERM LES SNG TAL 1.1-2.0CM

CPT 11302

$1,100

$660

$205

clean

HC SHV DERM LES SNG TAL >2.0CM

CPT 11303

$2,236

$1,342

$411

clean

HC SHV LES SLP/NCK/HNDS<.6C T/F

CPT 11305

$868

$521

$205

clean

HC SHV LES SLP/NCK/HND.6-1C T/F

CPT 11306

$868

$521

$205

clean

HC SHAVE LES S/N/H/F/G; 1.1-2.0CM

CPT 11307

$959

$575

$205

clean

HC SHV DERM LESION SING FENL <0.5

CPT 11310

$868

$521

$205

clean

HC SHV DRM LES SNG FENL 0.6-1.0CM

CPT 11311

$868

$521

$211

clean

HC SHV DRM LES SNG FENL 1.1-2.0CM

CPT 11312

$1,365

$819

$391

clean

HC SHV DRM LES SNG FENL >2.0CM

CPT 11313

$2,236

$1,342

$411

clean

HC EXC BN LS W/MRG TALO <0.5CM

CPT 11400

$2,236

$1,342

$671

clean

HC EXC BEN LS W MARG TAL0.6-1.0CM

CPT 11401

$1,615

$969

$540

clean

HC EXC BEN LES T/A/L; 0.6-1.0CM P/F

CPT 11401

$442

$265

$103

clean

HC EXC BEN LES T/A/L; 1.1-2.0CM P/F

CPT 11402

$488

$293

$113

clean

HC EXC BN LS W/MRG TALO 1.1-2.0CM

CPT 11402

$3,641

$2,185

$678

clean

HC EXC BN LS W/MRG TALO 2.1-3.0CM

CPT 11403

$2,753

$1,652

$672

clean

HC EXC BEN LES T/A/L; 2.1-3.0CM P/F

CPT 11403

$632

$379

$147

clean

HC EXC BN LS W/MRG TALO 3.1-4.0CM

CPT 11404

$3,641

$2,185

$1,545

clean

HC EXCISED DIAMETER 3.1 TO 4.0 P/F

CPT 11404

$697

$418

$162

clean

HC EXC BN LS W/MRG TALO >4.0CM

CPT 11406

$4,875

$2,925

$1,545

clean

HC EXC BN LS W/MRG TALO >4.0CM P/F

CPT 11406

$1,066

$640

$244

clean

HC EXC BLES S/N/EX G; 0.5CM/<

CPT 11420

$350

$210

$81

clean

HC EXC BLES S/N/EX G 0.5CM/<

CPT 11420

$3,468

$2,081

$1,529

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM

CPT 11421

—

$671

clean

HC EXC BLES S/N/EX G; 1.1-2.0CM DIA P/F

CPT 11422

$580

$348

$134

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM

CPT 11422

—

$1,529

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM

CPT 11423

—

$1,529

clean

HC EXC BLES S/N/EX G; 2.1-3.0CM P/F

CPT 11423

$677

$406

$155

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM

CPT 11424

—

$1,545

clean

HC EXC BENIGN LES S/N/EX G; 3.1-4.0CM P/F

CPT 11424

$774

$464

$179

clean

HC EXC BLES S/N/EX G; > 4.0CM

CPT 11426

$1,198

$719

$265

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM

CPT 11426

—

$2,701

clean

HC EXC BN LS W/MRG EENL <0.5CM

CPT 11440

$3,641

$2,185

$724

clean

HC EXC BN LS W/MRG EENL 0.6-1.0CM

CPT 11441

$3,641

$2,185

$684

clean

HC EXC BN LS W/MRG EENL 1.1-2.0CM

CPT 11442

$3,641

$2,185

$678

clean

HC EXC BN LS W/MRG EENL 2.1-3.0CM

CPT 11443

$3,641

$2,185

$1,537

clean

HC EXC FACE-MM B9+MARG 2.1-3 CM

CPT 11443

$2,399

$1,439

$176

clean

HC EXC BN LS W/MRG EENL 3.1-4.0CM

CPT 11444

$3,641

$2,185

$1,545

clean

HC EXC BN LS W/MRG EENL >4.0CM

CPT 11446

$5,859

$3,515

$2,701

clean

HC EXC SKIN SUB TISS FOR HIDRAD AX; S/I REP P/F

CPT 11450

$1,088

$653

$258

clean

HC EXC HIDRAD AXIL; CPLX REP P/F

CPT 11451

$1,410

$846

$327

clean

EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR

CPT 11462

—

$2,701

clean

HC EXC HIDRAD ING; S/I RPR P/F

CPT 11462

$1,036

$622

$247

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM

CPT 11602

—

$381

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM

CPT 11603

—

$671

clean

HC EXC MALIG TRU ARM LEGS EX .05 CM P/F

CPT 11603

$847

$508

$188

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM

CPT 11604

—

$671

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM

CPT 11606

—

$1,545

clean

HC EXC H-F-NK-SP MAL+MARG 0.5 <

CPT 11620

$525

$315

$120

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM

CPT 11623

—

$1,529

clean

HC EXC S/N/H/F/G MAL+MRG 2.1-3CM P/F

CPT 11623

$917

$550

$204

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM

CPT 11626

—

$2,701

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.5 CM OR LESS

CPT 11640

—

$671

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM

CPT 11641

—

$671

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM

CPT 11642

—

$671

clean

HC EXC F/E/E/N/L MAL+MRG 1.1-2 CM- P/F

CPT 11642

$795

$477

$177

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM

CPT 11643

—

$1,529

clean

HC TRIM NONDYSTROPHIC NAIL(S)

CPT 11719

$217

$130

$85

clean

HC DEBRIDE NAILS 1-5

CPT 11720

$387

$232

$59

clean

HC AVUL NAIL PL PART/COMP SIN SIM

CPT 11730

$868

$521

$205

clean

HC AVUL NAIL PL PART/COMP EAADLNL

CPT 11732

$618

$371

$206

clean

HC EVAC SUBUNG HEMATOMA

CPT 11740

$618

$371

$133

clean

HC EXC NAIL&MATRX PT/CMP PERM REM

CPT 11750

$808

$485

$389

clean

HC NAIL BED REPAIR

CPT 11760

$2,061

$1,237

$630

clean

HC WEDGE EXCIS SKIN NAIL FOLD

CPT 11765

$808

$485

$348

clean

HC EXC PILONID CYST; SMPL P/F

CPT 11770

$801

$481

$181

clean

EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE

CPT 11770

—

$2,701

clean

EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE

CPT 11771

—

$2,701

clean

HC EXC PILONID CYST OR SINUS; EXTENS P/F

CPT 11771

$1,876

$1,126

$442

clean

HC EXC PILONID CYT; COMPL P/F

CPT 11772

$2,487

$1,492

$567

clean

HC INSERT DRUG IMPLANT

CPT 11981

$424

$254

$170

clean

HC REMOVAL DRUG IMPLANT

CPT 11982

$1,942

$1,165

$411

clean

HC RPR S/N/AX/GEN/TRNK 2.5CM/<

CPT 12001

$868

$521

$193

clean

HC SIM REP S/N/T/E 2.6-7.5 CM

CPT 12002

$868

$521

$199

clean

HC SIM REP S/N/T/E 7.6-12.5 CM

CPT 12004

$1,347

$808

$203

clean

HC SIM REP S/N/T/E 12.6-20.0 CM

CPT 12005

$1,366

$820

$538

clean

HC SIM REP S/N/T/E 20.1-30.0 CM

CPT 12006

$1,609

$965

$565

clean

HC SIM REP S/N/T/E OVER 30.0 CM

CPT 12007

$1,100

$660

$356

clean

HC SIM REP F/E/E/N/L <2.5 CM

CPT 12011

$868

$521

$189

clean

HC SIM REP F/E/E/N/L 2.6-5.0 CM

CPT 12013

$868

$521

$199

clean

HC SIM REP F/E/E/N/L 5.1-7.5 CM

CPT 12014

$1,347

$808

$275

clean

HC SIM REP F/E/E/N/L 7.6-12.5 CM

CPT 12015

$1,347

$808

$281

clean

HC SIM REP F/E/E/N/L 12.6-20.0 CM

CPT 12016

$2,051

$1,231

$565

clean

HC SIM REP F/E/E/N/L 20.1-30.0CM

CPT 12017

$3,466

$2,080

$715

clean

HC SIM REP F/E/E/N/L OVER 30.0CM

CPT 12018

$1,100

$660

$356

clean

HC RX SUPR WOUND DEHIS SIM CL

CPT 12020

$1,265

$759

$584

clean

HC TRT SUPR WND DEHIS W PACKING

CPT 12021

$2,121

$1,273

$540

clean

HC INT REP S/A/T/E <2.5 CM

CPT 12031

$868

$521

$381

clean

HC INTMD WND REPAIR S/A/T/EXT < 2.5 CM P/F

CPT 12031

$665

$399

$147

clean

HC INT REP S/A/T/E 2.6-7.5 CM

CPT 12032

$1,365

$819

$381

clean

HC INTMD WND REPAIR S/A/T/EXT > 2.5 CM P/F

CPT 12032

$838

$503

$185

clean

HC INT REP S/A/T/E 7.6-12.5 CM

CPT 12034

$2,020

$1,212

$565

clean

HC INT REP S/A/T/E 12.6-20.0 CM

CPT 12035

$2,020

$1,212

$456

clean

HC INT REP S/A/T/E 20.1-30.0 CM

CPT 12036

$3,459

$2,075

$722

clean

HC INT REP S/A/T/EOVER 30.0 CM

CPT 12037

$5,315

$3,189

$1,744

clean

HC INT REP N/H/F <2.5 CM

CPT 12041

$868

$521

$381

clean

HC INTMD WND RPR N-HF/GENIT =< 2.5 CM P/F

CPT 12041

$649

$389

$142

clean

HC INTMD WND REPAIR N-HF/GENIT P/F

CPT 12042

$872

$523

$191

clean

HC INT REP N/H/F 2.6-7.5 CM

CPT 12042

$1,365

$819

$389

clean

HC INT REP N/H/F 7.6-12.5 CM

CPT 12044

$2,020

$1,212

$722

clean

HC INT REP N/H/F 12.6-20.0 CM

CPT 12045

$1,655

$993

$652

clean

HC INT REP N/H/F 20.1-30.0 CM

CPT 12046

$3,213

$1,928

$722

clean

HC INT REP N/H/F OVER 30.0 CM

CPT 12047

$4,875

$2,925

$1,744

clean

HC INTMD WND REPAIR FACE/MM =< 2.5 CM P/F

CPT 12051

$739

$443

$165

clean

HC INT REP F/E/E/N/L <2.5 CM

CPT 12051

$868

$521

$381

clean

HC INT REP F/E/E/N/L 2.6-5.0 CM

CPT 12052

$868

$521

$381

clean

HC INT REP F/E/E/N/L 5.1-7.5 CM

CPT 12053

$1,365

$819

$392

clean

HC INT REP F/E/E/N/L 7.6-12.5 CM

CPT 12054

$2,001

$1,201

$565

clean

HC INT REP F/E/E/N/L 12.6-20.0 CM

CPT 12055

$1,655

$993

$652

clean

HC INT REP F/E/E/N/L 20.1-30.0 CM

CPT 12056

$2,121

$1,273

$715

clean

HC INT REP F/E/E/N/L OVER 30.0 CM

CPT 12057

$2,121

$1,273

$715

clean

HC COMP REP TRUNK 1.1-2.5 CM

CPT 13100

$3,213

$1,928

$722

clean

HC COMP REP TRUNK 2.6-7.5 CM

CPT 13101

$2,262

$1,357

$892

clean

HC COMP REP TRUNK EAADL 5CM OR LS

CPT 13102

$1,236

$742

$533

clean

HC COMP REP S/A/L 1.1-2.5 CM

CPT 13120

$3,213

$1,928

$722

clean

HC COMP REP S/A/L 2.6-7.5 CM

CPT 13121

$2,774

$1,664

$866

clean

HC COMP REP S/A/L EA ADL5CM OR LS

CPT 13122

$1,381

$829

$643

clean

HC COMP REP F/C/C/M/N/H/F 1.1-2.5

CPT 13131

$1,519

$911

$565

clean

HC COMP REP F/C/C/M/N/H/F 2.6-7.5

CPT 13132

$2,020

$1,212

$847

clean

HC COMP REP F/C/C/M/N/H/F ADL5CLS

CPT 13133

$1,815

$1,089

$860

clean

HC COMP REP E/N/E/L 1.1-2.5 CM

CPT 13151

$2,221

$1,333

$829

clean

HC COMP REP E/N/E/L 2.6-7.5 CM

CPT 13152

$2,020

$1,212

$868

clean

HC COMP REP E/N/E/L EA ADL 5CM LS

CPT 13153

$532

$319

$288

clean

HC CL SURG WND/DEH EXTENS

CPT 13160

$3,499

$2,099

$782

clean

HC SECONDARY CL SURG WND COMPL

CPT 13160

$4,643

$2,786

$1,779

clean

HC ADJ TISS TRN FCCMNAGHF 10SQCM>

CPT 14040

$4,875

$2,925

$1,744

clean

HC ATT F/C/M/N/A/G/H/F; 10 SQ CM OR LESS P/F

CPT 14040

$2,724

$1,634

$610

clean

ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS

CPT 14060

—

$1,744

clean

HC ADJ TIS TRANS 30.1 SQ CM TO 60 CM P/F

CPT 14301

$3,815

$2,289

$849

clean

HC EACH ADD 30.0 SQ CM TIS TRANFER P/F

CPT 14302

$970

$582

$210

clean

Showing the first 200 of 4,885 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

479 of 2,904 comparable items (16%) 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 $18,633 exceeds the gross charge $10,411

warn

mrf_rate_without_estimate

8,255 of 8,255 percentage/algorithm rates across 2,390 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 71275/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 85246/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 99000/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 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 85250/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 99001/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 J1950/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

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 85270/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 99153/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 J1953/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 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 72100/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 85280/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 99202/b

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 J1955/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 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 72110/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 99202/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 J1956/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

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 72191/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 85347/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 99203/b

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

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 72192/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 85397/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 99203/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 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, min 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 72193/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 99204/b

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 J2175/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 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 72194/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 85610/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 99204/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 J2185/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 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 72195/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 99205/b

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 J2210/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 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 72197/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 85652/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 99211/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 J2248/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 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 85730/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 99212/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J2250/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 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 99212/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 J2270/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 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 74018/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 86038/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 99213/b

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 J2272/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 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 74019/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 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 99213/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 J2274/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 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 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 99214/b

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

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 74022/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 74150/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 86147/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 99215/b

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 J2310/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 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 74160/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 99232/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 J2312/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 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 74170/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 86160/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 99245/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 J2323/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 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 74174/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 86200/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 99253/b

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 J2353/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 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 74175/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 86225/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 99254/b

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 J2354/o

info

mrf_item_fields_vary

this code and setting cover at least 15 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 74176/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 99282/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 J2359/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 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 74177/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 86235/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 99283/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 J2371/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 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 74178/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 86255/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 99284/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 J2404/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 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 26770/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 74181/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 86316/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 99285/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 74183/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 86317/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 99291/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 J2407/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 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 74221/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 86334/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 99499/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 J2426/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 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 86335/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 J2430/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 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 A4364/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 J2440/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 74400/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 J2469/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 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 74420/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 A4648/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, min, max differ, so no cross-line comparison was made for this item

CPT J2501/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 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 74455/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 86376/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 J2507/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 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 86431/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 A9500/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 J2515/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 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 27605/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 75571/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 86480/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 A9502/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 J2540/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 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 75574/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 86481/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 J2543/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

MS-DRG 072/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 391/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 75635/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 86580/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 A9505/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 J2545/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 differ, so no cross-line comparison was made for this item

MS-DRG 073/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 392/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 75716/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 86592/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

Showing the first 200 of 1,739 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
Upmc Somerset — standard charges file · PA · updated 3/6/2026
· csv-tall · 72.2M bytes · fetched 2026-08-23 · sha256 8e0de6b8786d…

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.