Hospital · CCN 390046

Wellspan York Hospital

1001 South George Street, York, PA 17403 · York County
Part of Wellspan Health · 533 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

159 admission types 59 outpatient services price file: ok
Billed per dollar paid, all admissions
4.05×
$515.8M billed against $127.4M paid across 6,098 Medicare discharges; the national figure is 5.03×.
2.0%
of adults in York County have medical debt in collections
5.7%
uninsured in the county · state 6.5%
$81K
median household income
4.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 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
711
$68,009
$18,404
3.7× st 5.2×
291
Heart failure and shock with mcc
304
$46,689
$11,521
4.1× st 5.2×
274
Percutaneous and other intracardiac procedures without mcc
173
$122,502
$26,900
4.6× st 6.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
145
$189,582
$50,292
3.8× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
145
$36,350
$9,578
3.8× st 5.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
137
$151,357
$39,730
3.8× st 6.4×
378
Gastrointestinal hemorrhage with cc
100
$36,849
$11,988
3.1× st 6.1×
481
Hip and femur procedures except major joint with cc
86
$118,237
$17,028
6.9× st 6.0×
193
Simple pneumonia and pleurisy with mcc
85
$43,227
$12,940
3.3× st 5.3×
177
Respiratory infections and inflammations with mcc
85
$52,200
$16,146
3.2× st 5.2×
682
Renal failure with mcc
82
$50,209
$13,322
3.8× st 5.4×
683
Renal failure with cc
81
$29,640
$8,426
3.5× st 5.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
81
$51,219
$9,451
5.4× st 6.3×
698
Other kidney and urinary tract diagnoses with mcc
79
$49,725
$14,885
3.3× st 5.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
77
$90,421
$19,373
4.7× st 6.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
74
$25,185
$7,492
3.4× st 5.7×
689
Kidney and urinary tract infections with mcc
74
$36,725
$10,773
3.4× st 5.3×
690
Kidney and urinary tract infections without mcc
73
$28,183
$7,467
3.8× st 5.3×
377
Gastrointestinal hemorrhage with mcc
67
$65,461
$16,353
4.0× st 5.9×
552
Medical back problems without mcc
60
$33,240
$10,401
3.2× st 5.5×
309
Cardiac arrhythmia and conduction disorders with cc
59
$31,904
$7,012
4.6× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
59
$140,568
$21,198
6.6× st 6.9×
603
Cellulitis without mcc
57
$26,923
$8,702
3.1× st 4.9×
813
Coagulation disorders
56
$52,066
$13,366
3.9× st 6.5×
312
Syncope and collapse
55
$35,414
$8,609
4.1× st 5.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
55
$103,431
$24,663
4.2× st 6.3×
189
Pulmonary edema and respiratory failure
53
$46,324
$10,920
4.2× st 5.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
48
$47,686
$13,401
3.6× st 5.6×
330
Major small and large bowel procedures with cc
47
$103,678
$26,614
3.9× st 6.0×
812
Red blood cell disorders without mcc
47
$35,621
$8,461
4.2× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
44
$62,986
$12,348
5.1× st 6.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
42
$28,771
$8,517
3.4× st 5.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
42
$173,587
$37,476
4.6× st 6.5×
184
Major chest trauma with cc
41
$40,239
$9,394
4.3× st 5.5×
280
Acute myocardial infarction, discharged alive with mcc
41
$73,047
$15,213
4.8× st 5.2×
314
Other circulatory system diagnoses with mcc
41
$65,141
$20,283
3.2× st 5.8×
389
Gastrointestinal obstruction with cc
39
$22,239
$7,434
3.0× st 5.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
39
$30,046
$9,163
3.3× st 5.4×
243
Permanent cardiac pacemaker implant with cc
38
$85,526
$19,163
4.5× st 6.1×
394
Other digestive system diagnoses with cc
37
$35,335
$8,388
4.2× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
37
$50,452
$12,992
3.9× st 5.8×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
37
$219,198
$50,846
4.3× st 5.8×
190
Chronic obstructive pulmonary disease with mcc
37
$35,833
$9,687
3.7× st 5.5×
194
Simple pneumonia and pleurisy with cc
37
$27,445
$7,790
3.5× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
36
$50,582
$13,973
3.6× st 5.4×
811
Red blood cell disorders with mcc
36
$44,184
$12,923
3.4× st 5.8×
164
Major chest procedures with cc
35
$95,129
$24,917
3.8× st 6.2×
057
Degenerative nervous system disorders without mcc
34
$41,148
$11,631
3.5× st 5.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
33
$84,471
$22,520
3.8× st 5.5×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
33
$247,390
$47,616
5.2× st 6.8×
699
Other kidney and urinary tract diagnoses with cc
33
$23,294
$9,598
2.4× st 5.2×
025
Craniotomy and endovascular intracranial procedures with mcc
32
$171,408
$42,268
4.1× st 6.4×
083
Traumatic stupor and coma >1 hour with cc
32
$56,245
$11,925
4.7× st 5.8×
163
Major chest procedures with mcc
32
$142,535
$38,606
3.7× st 5.9×
178
Respiratory infections and inflammations with cc
32
$36,279
$8,443
4.3× st 5.8×
236
Coronary bypass without cardiac catheterization without mcc
32
$256,298
$55,856
4.6× st 5.6×
242
Permanent cardiac pacemaker implant with mcc
31
$121,451
$28,918
4.2× st 6.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
29
$56,620
$13,126
4.3× st 6.2×
299
Peripheral vascular disorders with mcc
29
$54,933
$15,028
3.7× st 5.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
29
$124,892
$17,512
7.1× st 5.7×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
29
$78,431
$20,272
3.9× st 5.7×
637
Diabetes with mcc
29
$49,326
$12,809
3.9× st 5.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
29
$220,144
$50,938
4.3× st 5.5×
329
Major small and large bowel procedures with mcc
28
$227,546
$58,500
3.9× st 5.9×
202
Bronchitis and asthma with cc/mcc
27
$33,730
$9,648
3.5× st 5.7×
082
Traumatic stupor and coma >1 hour with mcc
27
$73,151
$21,858
3.3× st 5.6×
270
Other major cardiovascular procedures with mcc
26
$195,474
$48,824
4.0× st 6.0×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
26
$38,398
$8,722
4.4× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
26
$24,237
$6,495
3.7× st 5.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
26
$112,432
$24,488
4.6× st 6.4×
176
Pulmonary embolism without mcc
25
$43,970
$9,288
4.7× st 6.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
25
$67,311
$17,057
3.9× st 7.1×
393
Other digestive system diagnoses with mcc
25
$35,650
$15,026
2.4× st 5.6×
069
Transient ischemia without thrombolytic
25
$37,532
$8,307
4.5× st 6.4×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
24
$86,444
$26,113
3.3× st 6.0×
253
Other vascular procedures with cc
24
$149,764
$36,965
4.1× st 6.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
24
$26,338
$9,510
2.8× st 5.8×
480
Hip and femur procedures except major joint with mcc
24
$149,013
$24,213
6.2× st 6.4×
034
Carotid artery stent procedures with mcc
24
$162,844
$33,453
4.9× st 4.9×
035
Carotid artery stent procedures with cc
24
$102,176
$23,459
4.4× st 5.6×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
23
$225,587
$52,934
4.3× st 4.3×
305
Hypertension without mcc
23
$32,400
$6,518
5.0× st 5.8×
638
Diabetes with cc
22
$32,943
$10,697
3.1× st 5.2×
551
Medical back problems with mcc
22
$62,801
$14,581
4.3× st 5.7×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
22
$314,444
$59,947
5.2× st 5.7×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
22
$816,447
$268,835
3.0× st 6.4×
271
Other major cardiovascular procedures with cc
22
$167,358
$30,238
5.5× st 6.0×
281
Acute myocardial infarction, discharged alive with cc
21
$52,647
$9,363
5.6× st 6.6×
086
Traumatic stupor and coma <1 hour with cc
21
$38,856
$11,289
3.4× st 5.7×
300
Peripheral vascular disorders with cc
21
$33,914
$10,203
3.3× st 5.7×
166
Other respiratory system o.r. procedures with mcc
20
$106,199
$40,205
2.6× st 5.9×
101
Seizures without mcc
20
$33,001
$11,603
2.8× st 6.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
20
$169,611
$45,962
3.7× st 5.8×
269
Aortic and heart assist procedures except pulsation balloon without mcc
20
$217,295
$40,725
5.3× st 6.0×
056
Degenerative nervous system disorders with mcc
20
$87,867
$31,112
2.8× st 5.3×
917
Poisoning and toxic effects of drugs with mcc
20
$54,209
$13,329
4.1× st 6.2×
660
Kidney and ureter procedures for non-neoplasm with cc
20
$51,174
$14,827
3.5× st 5.8×
273
Percutaneous and other intracardiac procedures with mcc
19
$157,205
$46,378
3.4× st 7.4×
068
Precerebral occlusion without infarction without mcc
19
$47,578
$10,976
4.3× st 5.9×
191
Chronic obstructive pulmonary disease with cc
19
$37,702
$9,294
4.1× st 6.0×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
19
$154,866
$45,696
3.4× st 5.7×
602
Cellulitis with mcc
18
$38,775
$13,816
2.8× st 4.9×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
18
$200,675
$41,623
4.8× st 5.4×
091
Other disorders of nervous system with mcc
18
$35,581
$16,546
2.2× st 6.3×
565
Other musculoskeletal system and connective tissue diagnoses with cc
18
$39,291
$17,727
2.2× st 5.1×
092
Other disorders of nervous system with cc
18
$45,571
$11,155
4.1× st 6.1×
100
Seizures with mcc
18
$49,105
$21,161
2.3× st 5.9×
536
Fractures of hip and pelvis without mcc
17
$35,364
$7,135
5.0× st 5.8×
070
Other cerebrovascular disorders with mcc
17
$53,832
$15,044
3.6× st 6.0×
870
Septicemia or severe sepsis with mv >96 hours
17
$294,478
$68,883
4.3× st 5.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
17
$439,727
$91,826
4.8× st 6.1×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
17
$121,313
$22,815
5.3× st 5.6×
644
Endocrine disorders with cc
17
$37,244
$10,402
3.6× st 5.6×
183
Major chest trauma with mcc
16
$54,047
$13,947
3.9× st 5.9×
439
Disorders of pancreas except malignancy with cc
16
$27,375
$7,679
3.6× st 6.8×
919
Complications of treatment with mcc
16
$66,083
$15,691
4.2× st 5.9×
252
Other vascular procedures with mcc
16
$148,577
$47,279
3.1× st 6.1×
445
Disorders of the biliary tract with cc
16
$43,591
$13,355
3.3× st 6.8×
862
Postoperative and post-traumatic infections with mcc
16
$47,995
$14,979
3.2× st 6.0×
165
Major chest procedures without cc/mcc
16
$73,032
$22,550
3.2× st 6.2×
388
Gastrointestinal obstruction with mcc
15
$50,704
$21,367
2.4× st 6.1×
283
Acute myocardial infarction, expired with mcc
15
$44,006
$16,525
2.7× st 7.7×
215
Other heart assist system implant
15
$472,062
$99,834
4.7× st 4.7×
444
Disorders of the biliary tract with mcc
15
$61,203
$13,658
4.5× st 6.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
15
$153,185
$19,945
7.7× st 6.0×
948
Signs and symptoms without mcc
14
$37,067
$7,328
5.1× st 6.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
14
$70,140
$21,988
3.2× st 6.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$42,293
$17,536
2.4× st 5.9×
326
Stomach, esophageal and duodenal procedures with mcc
14
$125,896
$40,164
3.1× st 6.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$154,688
$22,644
6.8× st 6.5×
206
Other respiratory system diagnoses without mcc
14
$35,050
$8,210
4.3× st 9.8×
418
Laparoscopic cholecystectomy without c.d.e. with cc
14
$89,205
$17,279
5.2× st 6.5×
460
Spinal fusion except cervical without mcc
14
$175,219
$29,803
5.9× st 4.7×
478
Biopsies of musculoskeletal system and connective tissue with cc
14
$73,040
$21,327
3.4× st 5.2×
920
Complications of treatment with cc
13
$71,563
$10,700
6.7× st 6.4×
315
Other circulatory system diagnoses with cc
13
$41,430
$13,223
3.1× st 6.9×
432
Cirrhosis and alcoholic hepatitis with mcc
13
$73,739
$16,702
4.4× st 5.9×
907
Other o.r. procedures for injuries with mcc
13
$181,066
$33,400
5.4× st 7.3×
884
Organic disturbances and intellectual disability
13
$39,390
$14,433
2.7× st 4.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$45,044
$9,819
4.6× st 5.9×
331
Major small and large bowel procedures without cc/mcc
13
$84,197
$14,116
6.0× st 6.1×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
13
$517,882
$102,160
5.1× st 7.3×
454
Combined anterior and posterior spinal fusion with cc
12
$257,134
$52,064
4.9× st 4.0×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$101,243
$19,772
5.1× st 6.1×
229
Other cardiothoracic procedures without mcc
12
$166,668
$32,447
5.1× st 7.2×
964
Other multiple significant trauma with cc
12
$69,741
$20,489
3.4× st 6.1×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
12
$166,503
$35,516
4.7× st 4.9×
438
Disorders of pancreas except malignancy with mcc
12
$46,361
$14,504
3.2× st 7.7×
908
Other o.r. procedures for injuries with cc
12
$103,948
$21,149
4.9× st 6.3×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$54,697
$16,023
3.4× st 5.6×
149
Dysequilibrium
11
$32,877
$6,708
4.9× st 6.2×
026
Craniotomy and endovascular intracranial procedures with cc
11
$136,016
$32,253
4.2× st 6.9×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
11
$200,237
$43,550
4.6× st 6.3×
039
Extracranial procedures without cc/mcc
11
$91,594
$17,717
5.2× st 8.0×
327
Stomach, esophageal and duodenal procedures with cc
11
$147,950
$26,195
5.6× st 7.5×
071
Other cerebrovascular disorders with cc
11
$57,072
$9,901
5.8× st 6.2×
085
Traumatic stupor and coma <1 hour with mcc
11
$49,852
$17,254
2.9× st 5.9×
643
Endocrine disorders with mcc
11
$40,148
$22,297
1.8× st 5.4×
054
Nervous system neoplasms with mcc
11
$33,482
$12,064
2.8× st 6.5×
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
704
$20,049
$2,553
7.9×
5191
Level 1 Endovascular Procedures
422
$24,419
$3,051
8.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
360
$6,221
$1,507
4.1×
5213
Level 3 Electrophysiologic Procedures
271
$159,737
$22,227
7.2×
5183
Level 3 Vascular Procedures
210
$16,428
$2,992
5.5×
5302
Level 2 Upper GI Procedures
207
$10,971
$1,784
6.1×
5431
Level 1 Nerve Procedures
181
$7,136
$1,793
4.0×
5373
Level 3 Urology and Related Services
165
$12,484
$1,750
7.1×
5193
Level 3 Endovascular Procedures
164
$96,523
$10,346
9.3×
5361
Level 1 Laparoscopy and Related Services
150
$50,504
$5,402
9.3×
5155
Level 5 Airway Endoscopy
132
$36,321
$6,442
5.6×
5372
Level 2 Urology and Related Services
129
$6,054
$529
11.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
121
$11,234
$2,661
4.2×
5184
Level 4 Vascular Procedures
119
$23,920
$5,129
4.7×
5194
Level 4 Endovascular Procedures
116
$139,267
$16,345
8.5×
5375
Level 5 Urology and Related Services
102
$33,348
$4,870
6.8×
5223
Level 3 Pacemaker and Similar Procedures
96
$41,112
$10,043
4.1×
5362
Level 2 Laparoscopy and Related Services
83
$79,829
$9,682
8.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
71
$20,534
$3,256
6.3×
5153
Level 3 Airway Endoscopy
68
$12,184
$1,560
7.8×
5182
Level 2 Vascular Procedures
60
$6,339
$1,430
4.4×
5192
Level 2 Endovascular Procedures
58
$44,927
$5,380
8.4×
5222
Level 2 Pacemaker and Similar Procedures
58
$30,017
$7,997
3.8×
5154
Level 4 Airway Endoscopy
54
$20,613
$3,525
5.8×
5232
Level 2 ICD and Similar Procedures
53
$98,961
$30,322
3.3×
5116
Level 6 Musculoskeletal Procedures
49
$162,202
$17,179
9.4×
5114
Level 4 Musculoskeletal Procedures
48
$52,304
$6,664
7.8×
5313
Level 3 Lower GI Procedures
48
$14,249
$2,555
5.6×
5115
Level 5 Musculoskeletal Procedures
46
$79,435
$12,137
6.5×
5465
Level 5 Neurostimulator and Related Procedures
37
$123,964
$28,399
4.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
36
$17,446
$3,508
5.0×
5374
Level 4 Urology and Related Services
32
$24,717
$3,281
7.5×
5303
Level 3 Upper GI Procedures
31
$14,046
$3,605
3.9×
5165
Level 5 ENT Procedures
31
$54,709
$5,512
9.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
28
$58,380
$6,138
9.5×
5462
Level 2 Neurostimulator and Related Procedures
28
$23,957
$6,437
3.7×
5414
Level 4 Gynecologic Procedures
20
$21,702
$2,943
7.4×
5212
Level 2 Electrophysiologic Procedures
20
$64,546
$7,030
9.2×
5331
Complex GI Procedures
17
$30,066
$5,364
5.6×
5112
Level 2 Musculoskeletal Procedures
15
$13,057
$1,462
8.9×
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 1/1/2026, template 3.0.0, 306,649 rows scanned, 2,196 distinct code–setting items kept. 1,674 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Measurement of Glycosylated Acute Phase Proteins
$178
$142
$71
41
clean
Testing for Presence of Prion Protein in Cerebrospinal Fluid
$2,813
$2,250
$1,125
41
clean
Computed Tomography (CT) of Brain Blood Flow
$2,857
$2,286
$2,592
15
clean
Inject Both Sides of Sacrum for Enlargement, 2 or More Needles, Skin Access
$13,320
$10,656
$8,391
41
clean
Detect Respiratory Disease-Causing Organisms Nose/Throat W Coronavirus 2
$980
$784
$440
19
clean
Cepheid Panel Pathogen-Specific Sars-Cov-2/Influenza a/Influenza B/Rsv
$890
$100
$499
20
clean
Insert or Replace Pulse Generator and Electrodes
$7,684
$6,147
$32,198
40
clean
Insert Artificial Valve Between Left Heart Chambers, Skin Access
$33,576
$26,861
$30,467
17
clean
Ablation of Malignant Breast Tumors
$6,601
$5,281
$4,158
41
clean
Transcatheter Removal or Debulk Intracardiac Mass
$3,787
$3,030
$5,726
40
clean
Perc Transcath Replprostc Tricuspid Valve
$33,576
$26,861
$30,467
17
clean
Scalp Cooling Mechanical Placement Monitoring and Removal
$42
$34
$38
17
clean
Insert Leadless Dual Chamber Pacemaker
$33,141
$26,513
$21,522
40
clean
Insert Leadless Dual Chamber Pacemaker Right Atrium
$33,141
$26,513
$21,522
40
clean
Insert Single-Chamber Leadless Pacemaker
$35,856
$28,685
$23,285
40
clean
Programming Evaluation of Single Chamber Leadless Pacemaker
$69
$55
$45
40
clean
Fine Needle Aspiration Biopsy, First Growth
$1,210
$968
$758
43
clean
Fine Needle Aspiration Biopsy, Each Add'l Growth
$1,210
$968
$1,089
20
clean
Fine Needle Aspiration Biopsy of Growth, First Growth
$1,210
$968
$758
43
clean
Drainage of Fluid Collection in Soft Tissue Using Imaging Guidance
$1,445
$1,156
$758
43
clean
Placement of Soft Tissue Locating Device Using X-Ray, First Growth
$1,502
$1,202
$758
43
clean
Placement of Soft Tissue Locating Device Using X-Ray, Each Add'l Growth
$751
$601
$676
20
clean
Acne Surgery
$236
$189
$210
43
clean
Simple or Single Drainage of Skin Abscess
$417
$334
$214
43
clean
Complicated or Multiple Drainage of Skin Abscess
$417
$334
$396
43
clean
Simple Drainage of Cyst of Tailbone
$417
$334
$689
43
clean
Complicated Drainage of Cyst of Tailbone
$3,429
$2,743
$758
43
clean
Removal of Foreign Body From Tissue, Accessed Beneath the Skin, Simple
$417
$334
$396
43
clean
Removal of Foreign Body From Tissue, Accessed Beneath the Skin, Complex
$5,265
$4,212
$1,745
43
clean
Drainage of Blood or Fluid Accumulation
$3,645
$2,916
$1,745
43
clean
Aspiration of Abscess, Blood, or Cyst
$793
$634
$430
43
clean
Removal of Skin and Tissue, 20.0 Sq Cm or Less
$428
$342
$407
43
clean
Punch Biopsy, First Skin Growth
$700
$560
$430
43
clean
Punch Biopsy, Each Additional Skin Growth
$124
$99
$112
20
clean
Removal of Noncancer Skin Growth of Body, Arms, or Legs, 0.5 Cm or Less
$1,409
$1,127
$758
43
clean
Removal of Noncancer Skin Growth of Body, Arms, or Legs, 1.1-2.0 Cm
$678
$542
$689
43
clean
Removal of Noncancer Skin Growth of Body, Arms, or Legs, 3.1-4.0 Cm
$1,233
$986
$1,586
43
clean
Removal of Noncancer Skin Growth Scalp/Neck/Hands/Feet/Genitals 0.5cm
$2,775
$2,220
$1,745
43
clean
Trimming of Fingernails or Toenails
$125
$100
$79
41
clean
Removal of Fingernails or Toenails, 1-5 Nails
$235
$188
$64
43
clean
Simple Separation of Fingernail or Toenail From Nail Bed, First Nail
$252
$202
$230
43
clean
Removal of Blood Accumulation Under Fingernail or Toenail
$181
$145
$136
43
clean
Permanent Removal Fingernail or Toenail
$995
$796
$587
41
clean
Repair of Fingernail or Toenail Bed
$609
$487
$599
43
clean
Removal of Skin of Fingernail or Toenail
$638
$510
$422
43
clean
Injection Into Skin Growth, 1-7 Growths
$746
$597
$319
42
clean
Insertion of Drug Delivery Implant Into Tissue
$241
$193
$139
82
clean
Removal of Drug Delivery Implant From Tissue
$785
$628
$430
43
clean
Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.5cm or Less
$669
$535
$214
43
clean
Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.6-7.5 Cm
$904
$723
$214
43
clean
Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 7.6-12.5 Cm
$1,403
$1,122
$214
43
clean
Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 12.6-20.0cm
$1,560
$1,248
$430
43
clean
Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 20.1-30.0 Cm
$1,840
$1,472
$430
43
clean
Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 2.5cm or Less
$669
$535
$214
43
clean
Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 2.6-5.0 Cm
$904
$723
$214
43
clean
Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 5.1-7.5 Cm
$1,102
$882
$214
43
clean
Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 7.6-12.5 Cm
$1,336
$1,069
$214
43
clean
Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 12.6-20.0 Cm
$1,720
$1,376
$430
43
clean
Simple Closure of Surface Wound Reopening
$1,242
$994
$659
43
clean
Repair of Separation of Wound Closure With Insertion of Packing
$776
$621
$430
43
clean
Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 2.5 Cm or Less
$701
$561
$430
43
clean
Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 2.6-7.5 Cm
$1,096
$877
$430
43
clean
Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 7.6-12.5 Cm
$1,644
$1,315
$430
43
clean
Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 12.6-20.0 Cm
$1,801
$1,441
$430
43
clean
Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, or Legs, More Than 30.0 Cm
$3,668
$2,934
$1,970
43
clean
Intermediate Repair Wound Neck/Hands/Feet/Genitals 2.5 Cm or Less
$701
$561
$422
82
clean
Intermediate Repair of Wound of Neck, Hands, Feet, or Genitals, 2.6-7.5 Cm
$1,096
$877
$430
43
clean
Intermediate Repair of Wound of Neck, Hands, Feet, or Genitals, 7.6-12.5 Cm
$1,644
$1,315
$659
43
clean
Intermediate Repair Wound Neck/Hands/Feet/Genitals 12.6-20.0 Cm
$1,801
$1,441
$659
43
clean
Intermediate Repair Wound Face/Ear/Eyelid/Nose/Lip/Mouth 2.5 Cm or Less
$560
$448
$422
43
clean
Intermediate Repair Wound Face/Ear/Eyelid/Nose/Lip/Mouth 2.6-5.0 Cm
$672
$538
$423
43
clean
Intermediate Repair Wound Face/Ear/Eyelid/Nose/Lip/Mouth 5.1-7.5 Cm
$806
$645
$430
43
clean
Intermediate Repair Wound Face/Ear/Eyelid/Nose/Lip/Mouth 7.6-12.5 Cm
$967
$774
$430
43
clean
Intermediate Repair Wound Face/Ear/Eyelid/Nose/Lip/Mouth 12.6-20.0 Cm
$1,161
$929
$430
43
clean
Repair of Wound 2.6-7.5 Cm
$1,446
$1,157
$899
41
clean
Repair of Wound Each Additional 5 Cm Or
$1,446
$1,157
$1,312
17
clean
Repair of Wound 2.6-7.5 Cm
$1,446
$1,157
$899
41
clean
Repair of Wound Each Additional 5 Cm or Less
$1,446
$1,157
$1,312
17
clean
Extensive or Complicated Repair of Surface Wound Reopening
$4,056
$3,245
$1,970
43
clean
First Degree Burn Treatment
$483
$386
$214
43
clean
Dressing Change or Removal Burn Tissue Less Than 5% of Total Body Surface
$381
$305
$214
43
clean
Dressing Change or Removal of Burn Tissue, 5-10% of Total Body Surface
$869
$695
$292
43
clean
Destruction of Skin Growth, 1-14 Growths
$397
$318
$214
43
clean
Application of Chemical to Stop Tissue Regrowth in Wound
$212
$170
$201
43
clean
Other Procedure on Skin, Mucous Membrane, and Tissue
$1,335
$1,068
$347
41
clean
Aspiration of Cyst of Breast, First Cyst
$688
$550
$689
43
clean
Aspiration of Cyst of Breast, Each Additional Cyst
$344
$275
$310
20
clean
Biopsy Breast/Placement Locating Device Using X-Ray With Needle 1st Growth
$1,867
$1,494
$1,680
43
clean
Biopsy Breast/Place Locating Device Using X-Ray With Needle, Ea Addl Growth
$1,084
$867
$976
20
clean
Biopsy Breast Place Locating Device Using Ultrasound, First Growth
$1,942
$1,554
$1,713
43
clean
Biopsy Breast/Place Locating Device Using Ultrasound, Each Addl Growth
$1,073
$858
$966
20
clean
Biopsy of Breast and Placement of Locating Device Using MRI, First Growth
$1,798
$1,438
$1,666
43
clean
Biopsy Breast/Place of Locating Device Using MRI, Each Additional Growth
$1,032
$826
$929
20
clean
Placement of Locating Device in Breast Using Imaging Guidance, First Growth
$2,021
$1,617
$1,713
43
clean
Placement Locating Device Breast Using Imaging Guidance, Each Addl Growth
$361
$289
$325
20
clean
Place Locating Device Breast Using X-Ray With Needle Guidance, 1st Growth
$874
$699
$744
43
clean
Placement Locating Device Breast Using Ultrasound Guidance, First Growth
$613
$490
$689
43
clean
Placement of Locating Device in Breast Using MRI Guidance, First Growth
$1,504
$1,203
$758
43
clean
Tomographic Guided Breast Localization
$874
$699
$3,787
123
clean
Exploration of Wound of Arm or Leg
$2,712
$2,170
$1,745
41
clean
Needle Biopsy of Muscle
$2,064
$1,651
$1,713
43
clean
Biopsy of Bone Using Needle or Trocar
$1,867
$1,494
$1,680
43
clean
Deep Biopsy of Bone Using Needle or Trocar
$3,301
$2,641
$1,745
43
clean
Injection of Abnormal Muscle Drainage Tract for X-Ray Study
$155
$124
$139
20
clean
Injection of Carpal Tunnel
$618
$494
$318
43
clean
Injection Into Tendon or Ligament
$508
$406
$318
43
clean
Injection Into Tendon at Attachment to Bone or Muscle
$672
$538
$318
43
clean
Injection of Trigger Points, 1-2 Muscles
$686
$549
$318
43
clean
Injection of Trigger Points, 3 or More Muscles
$686
$549
$318
43
clean
Aspiration and/or Injection of Fluid From Small Joint
$658
$526
$318
43
clean
Aspiration and/or Injection of Fluid Small Joint With Ultrasound Guidance
$1,069
$855
$318
43
clean
Aspiration and/or Injection of Fluid From Medium Joint
$701
$561
$318
43
clean
Aspiration and/or Injection of Fluid Medium Joint With Ultrasound Guidance
$1,199
$959
$746
43
clean
Aspiration and/or Injection of Fluid From Large Joint
$825
$660
$318
43
clean
Aspiration and/or Injection of Fluid Large Joint Using Ultrasound Guidance
$1,556
$1,245
$318
43
clean
Insertion of Wire or Pin to Bone for Traction
$11,237
$8,990
$3,495
43
clean
Placement of Device in Muscle to Monitor Fluid Pressure
$1,361
$1,089
$758
43
clean
Destruction of Growths and Adjacent Soft Tissue
$13,320
$10,656
$12,724
41
clean
Closed Treatment of Broken Nose Bone With Manipulation
$2,701
$2,161
$1,595
43
clean
Closed Treatment of Broken Lower Jaw Bone
$802
$642
$539
43
clean
Closed Treatment of Dislocated Jaw Joint
$480
$384
$258
43
clean
Drainage of Deep Abscess or Blood Accumulation in Soft Tissue of Neck/Chest
$4,820
$3,856
$3,036
43
clean
Stabilization of Lower Spine Bone
$6,285
$5,028
$3,959
41
clean
Stabilization of Spine Bone, Each Additional Bone
$3,143
$2,514
$2,852
17
clean
Treat Broken Middle Spine With Place Stabilizing Device Using Image Guide
$13,160
$10,528
$8,290
41
clean
Treatment of Broken Lower Spine Bone With Placement of Stabilizing Device
$13,320
$10,656
$8,391
41
clean
Treat Broken Spine Bone With Stabilizing Device, Each Additional Segment
$6,580
$5,264
$5,971
17
clean
Injection of Contrast for Imaging of Shoulder Joint
$1,167
$934
$1,050
20
clean
Closed Treatment of Broken Collar Bone
$512
$410
$258
43
clean
Closed Treatment of Dislocated Joint Between Collar Bone and Shoulder
$2,108
$1,686
$258
43
clean
Closed Treatment of Broken Shoulder Blade
$1,496
$1,197
$258
43
clean
Closed Treatment of Broken Top of Upper Arm Bone
$1,101
$881
$352
43
clean
Closed Treatment of Broken Top of Upper Arm Bone With Manipulation
$1,850
$1,480
$1,665
43
clean
Closed Treatment Upper Arm Broken at Shoulder Joint With Manipulation
$1,688
$1,350
$1,604
43
clean
Closed Treatment of Dislocated Shoulder With Manipulation
$675
$540
$337
43
clean
Closed Treatment Dislocated Shoulder/Broken Arm at Shoulder With Manipulati
$804
$643
$1,567
43
clean
Drainage of Fluid Filled Sac in Elbow Joint
$4,958
$3,966
$1,745
43
clean
Injection of Contrast for Imaging of Elbow Joint
$1,091
$873
$982
20
clean
Closed Treatment of Broken Middle Part of Upper Arm Bone
$710
$568
$352
43
clean
Closed Treatment of Broken Middle Part of Upper Arm Bone With Manipulation
$1,261
$1,009
$1,567
43
clean
Closed Treatment of Upper Arm Bone Broken at Elbow
$780
$624
$352
43
clean
Closed Treatment of Upper Arm Bone Broken at Elbow With Manipulation
$1,021
$817
$1,567
43
clean
Closed Treatment of Broken Outer Part of Upper Arm Bone at Elbow
$530
$424
$334
43
clean
Repair of Dislocated Elbow
$395
$316
$258
43
clean
Closed Treatment Broken and Dislocated Forearm Bones at Elbow With Manip
$3,368
$2,694
$1,724
43
clean
Closed Treatment Dislocated Forearm, Thumb Side at Elbow With Manip, Child
$460
$368
$258
43
clean
Closed Treatment of Broken Forearm Bone on Thumb Side at Elbow
$499
$399
$314
43
clean
Closed Treatment Broken Forearm, Thumb Side at Elbow With Manipulation
$1,198
$958
$1,567
43
clean
Closed Treatment of Broken Forearm Bone on Small Finger Side at Elbow
$949
$759
$340
43
clean
Closed Treatment Broken Forearm on Small Finger Side at Elbow With Manip
$419
$335
$1,567
43
clean
Injection of Contrast for Imaging of Wrist
$1,049
$839
$944
20
clean
Closed Treatment Broken Midpart of Forearm on Thumb Side With Manipulation
$1,080
$864
$1,567
43
clean
Closed Treatment of Broken Midpart of Forearm Bone on Thumb Side and Dislocated Wrist Joint
$2,780
$2,224
$1,751
41
clean
Closed Treatment of Broken Midpart of Forearm Bone on Small Finger Side
$2,122
$1,698
$352
43
clean
Closed Treatment Broken Midpart of Forearm on Small Finger Side With Manip
$2,526
$2,021
$352
43
clean
Closed Treatment of Broken Midpart of Both Forearm Bones
$758
$606
$352
43
clean
Closed Treatment of Broken Midpart of Both Forearm Bones With Manipulation
$1,105
$884
$1,567
43
clean
Closed Treatment Broken Forearm, Wrist Area, Thumb Side Wrist Without Manip
$862
$690
$352
43
clean
Closed Treatment Broke/Growth Plate Separate of Forearm at Wrist With Manip
$1,450
$1,160
$1,567
43
clean
Closed Treatment of Other Broken Wrist Bone
$730
$584
$350
43
clean
Closed Treatment of Other Broken Wrist Bone With Manipulation
$2,856
$2,285
$1,724
43
clean
Closed Treatment of Dislocated Wrist (Lunate) Bone With Manipulation
$771
$617
$1,567
43
clean
Simple Drainage of Abscess of Finger
$657
$526
$214
43
clean
Complicated Drainage of Abscess in Finger
$3,104
$2,483
$1,745
43
clean
Drainage of Tendon of Finger and or Palm
$2,520
$2,016
$3,177
43
clean
Closed Treatment of Broken Hand Bone
$972
$778
$258
43
clean
Closed Treatment of Broken Hand Bone With Manipulation
$566
$453
$352
43
clean
Closed Treatment of Dislocated Thumb at Wrist With Manipulation
$1,219
$975
$258
43
clean
Closed Treatment of Dislocated Hand Bone at Wrist Joint With Manipulation
$1,162
$930
$258
43
clean
Closed Treatment Dislocated Hand Joint at Base of Finger With Manipulation
$578
$462
$258
43
clean
Closed Treatment of Broken Finger or Thumb at Midportion or Part Near Hand
$879
$703
$258
43
clean
Closed Treatment Broken Finger/Thumb at Midportion or Near Hand With Manip
$565
$452
$262
43
clean
Closed Treatment of Broken Finger or Hand at Base of Finger
$421
$337
$258
43
clean
Closed Treatment Broken Finger or Hand at Base of Finger With Manipulation
$3,209
$2,567
$1,724
43
clean
Closed Treatment of Broken End of Finger or Thumb
$934
$747
$258
43
clean
Closed Treatment of Broken End of Finger or Thumb With Manipulation
$1,143
$914
$258
43
clean
Closed Treatment of Dislocated Finger Joint With Manipulation
$526
$421
$258
43
clean
Injection of Contrast for Imaging of Hip Joint
$1,091
$873
$982
20
clean
Injection Anesthetic/Steroid Joint Between Lower Spine/Hip With Image Guide
$2,302
$1,842
$746
43
clean
Closed Treatment of Broken and/or Dislocated Pelvis and/or Sacrum
$560
$448
$317
43
clean
Closed Treatment of Broken Tailbone
$952
$762
$258
43
clean
Broken Hip Socket Treatment
$1,233
$986
$405
43
clean
Closed Treatment of Broken Hip Socket With Manipulation
$1,466
$1,173
$993
34
clean
Closed Treatment of Broken Upper Thigh Bone W/O Manipulation
$2,285
$1,828
$373
43
clean
Closed Treatment of Broken Below Neck of Thigh Bone
$2,942
$2,354
$1,724
43
clean
Closed Treatment of Broken Below Head of Thigh Bone
$564
$451
$352
43
clean
Closed Treatment of Dislocated Hip
$746
$597
$352
43
clean
Closed Treatment of Dislocated Hip Prosthesis
$4,152
$3,322
$352
43
clean
Drainage of Deep Abscess or Blood Accumulation of Thigh or Knee
$5,007
$4,006
$3,083
43
clean
Injection of Contrast for Imaging of Knee Joint
$1,049
$839
$944
20
clean
Closed Treatment of Broken Thigh Bone
$1,005
$804
$352
43
clean
Closed Treatment of Broken Thigh Bone at Midportion With Manipulation
$3,536
$2,829
$1,724
43
clean
Closed Treatment of Broken Inside or Outside Portion of Lower End of Thigh
$980
$784
$352
43
clean
Closed Treatment of Broken Thigh Bone at Knee Area With Manipulation
$2,397
$1,918
$1,692
43
clean
Closed Treatment of Broken Kneecap
$1,004
$803
$352
43
clean
Closed Treatment of Broken Shin Bone
$877
$702
$352
43
clean
Closed Treatment of Dislocated Knee
$512
$410
$323
43
clean
Closed Treatment of Dislocated Kneecap
$512
$410
$323
43
clean
Closed Treatment of Broken Middle Part of Shin Bone
$861
$689
$352
43
clean
Closed Treatment of Middle Part of Broken Shin Bone With Manipulation
$1,710
$1,368
$1,625
43
clean

Showing the first 200 of 2,196 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 90739/o
error
mrf_negotiated_above_max
a negotiated rate of $394 is above the file's own maximum $99
CPT 81220/o
error
mrf_negotiated_below_min
a negotiated rate of $147 is below the file's own minimum $192
CPT 96127/o
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $38
CPT 96409/o
error
mrf_negotiated_below_min
a negotiated rate of $105 is below the file's own minimum $115
warn
mrf_negotiated_above_gross_systematic
1,539 of 2,071 comparable items (74%) 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 $211 exceeds the gross charge $178
CPT 97033/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 97035/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 87481/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 97537/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 64999/o
info
mrf_item_fields_vary
this code and setting cover at least 9 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 97545/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 33952/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 33999/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97761/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 97802/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 97803/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 99202/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 99203/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 99204/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 99211/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 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99213/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99214/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99215/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 36573/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 11981/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 36584/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 88175/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 99283/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 71555/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 85660/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A4648/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 A9270/o
info
mrf_item_fields_vary
this code and setting cover at least 222 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 12041/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 C1601/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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 718 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 C1721/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, min, max differ, so no cross-line comparison was made for this item
CPT 88374/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 C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81479/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, min, max differ, so no cross-line comparison was made for this item
CPT C1724/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 66 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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 C1728/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 C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 34 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 19499/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
CPT 37799/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 C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 17 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 C1731/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 90371/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 C1732/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, min, max differ, so no cross-line comparison was made for this item
CPT C1733/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 C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 41 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 90619/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 C1752/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 C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 90653/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 C1755/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90656/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 C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 38 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 90661/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 C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1759/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 90675/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 C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 16 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 73620/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 90677/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 C1761/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1764/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 C1765/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 C1766/o
info
mrf_item_fields_vary
this code and setting cover at least 9 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 90935/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 C1767/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 C1768/o
info
mrf_item_fields_vary
this code and setting cover at least 53 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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 163 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 C1771/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 91320/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 C1772/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 C1773/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 124 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 C1777/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, min, max differ, so no cross-line comparison was made for this item
CPT C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 16 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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 58 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 C1782/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 C1783/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 C1785/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 C1786/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1787/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/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 C1789/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, min, max differ, so no cross-line comparison was made for this item
CPT C1813/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 C1815/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 C1817/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1820/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 C1821/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 C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 54 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 C1876/o
info
mrf_item_fields_vary
this code and setting cover at least 26 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 C1882/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, min, max differ, so no cross-line comparison was made for this item
CPT C1883/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 93303/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 C1884/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 C1887/o
info
mrf_item_fields_vary
this code and setting cover at least 88 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 93304/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 93306/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 93307/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 93312/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 93350/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 49999/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 76376/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 76377/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 76497/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 76498/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 93799/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54150/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 93998/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 82947/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
CPT 86902/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 58300/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 94761/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 58301/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 29405/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 59412/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 59414/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 95992/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 31579/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 31600/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 96125/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 97014/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 97016/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 97018/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 97026/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 33214/o
info
mrf_negotiated_above_gross
highest negotiated rate $63,165 exceeds the gross charge $11,281 — part of a file-wide pattern, counted once at the file level
CPT 64454/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,180 exceeds the gross charge $1,440 — part of a file-wide pattern, counted once at the file level
CPT 80081/o
info
mrf_negotiated_above_gross
highest negotiated rate $461 exceeds the gross charge $299 — part of a file-wide pattern, counted once at the file level
CPT 84156/o
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 87427/o
info
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $61 — part of a file-wide pattern, counted once at the file level
CPT 33215/o
info
mrf_negotiated_above_gross
highest negotiated rate $18,997 exceeds the gross charge $4,965 — part of a file-wide pattern, counted once at the file level
CPT 64463/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,180 exceeds the gross charge $1,820 — part of a file-wide pattern, counted once at the file level
CPT 80145/o
info
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $197 — part of a file-wide pattern, counted once at the file level
CPT 84157/o
info
mrf_negotiated_above_gross
highest negotiated rate $25 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 87449/o
info
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $61 — part of a file-wide pattern, counted once at the file level
CPT 33216/o
info
mrf_negotiated_above_gross
highest negotiated rate $49,951 exceeds the gross charge $15,020 — part of a file-wide pattern, counted once at the file level
CPT 64479/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $1,529 — part of a file-wide pattern, counted once at the file level
CPT 80150/o
info
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $78 — part of a file-wide pattern, counted once at the file level
CPT 84165/o
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level
CPT 87468/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 97110/o
info
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $148 — part of a file-wide pattern, counted once at the file level
CPT 0024U/o
info
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $178 — part of a file-wide pattern, counted once at the file level
CPT 33217/o
info
mrf_negotiated_above_gross
highest negotiated rate $49,951 exceeds the gross charge $15,020 — part of a file-wide pattern, counted once at the file level
CPT 64483/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $2,040 — part of a file-wide pattern, counted once at the file level
CPT 80151/o
info
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $97 — part of a file-wide pattern, counted once at the file level
CPT 84166/o
info
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $93 — part of a file-wide pattern, counted once at the file level
CPT 87469/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 97112/o
info
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $148 — part of a file-wide pattern, counted once at the file level
CPT 0032U/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,078 exceeds the gross charge $874 — part of a file-wide pattern, counted once at the file level
CPT 33218/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,966 exceeds the gross charge $5,815 — part of a file-wide pattern, counted once at the file level
CPT 64490/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $2,059 — part of a file-wide pattern, counted once at the file level
CPT 80155/o
info
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $103 — part of a file-wide pattern, counted once at the file level
CPT 84181/o
info
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $88 — part of a file-wide pattern, counted once at the file level
CPT 87471/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $182 — part of a file-wide pattern, counted once at the file level
CPT 97116/o
info
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $148 — part of a file-wide pattern, counted once at the file level
CPT 0035U/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,335 exceeds the gross charge $2,813 — part of a file-wide pattern, counted once at the file level
CPT 33223/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,041 exceeds the gross charge $9,960 — part of a file-wide pattern, counted once at the file level
CPT 64493/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $1,801 — part of a file-wide pattern, counted once at the file level
CPT 80156/o
info
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $76 — part of a file-wide pattern, counted once at the file level
CPT 84182/o
info
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $152 — part of a file-wide pattern, counted once at the file level
CPT 87478/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 97140/o
info
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $148 — part of a file-wide pattern, counted once at the file level
CPT 0201T/o
info
mrf_negotiated_above_gross
highest negotiated rate $43,117 exceeds the gross charge $13,320 — part of a file-wide pattern, counted once at the file level
CPT 33224/o
info
mrf_negotiated_above_gross
highest negotiated rate $63,165 exceeds the gross charge $22,690 — part of a file-wide pattern, counted once at the file level
CPT 64510/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $1,420 — part of a file-wide pattern, counted once at the file level
CPT 80157/o
info
mrf_negotiated_above_gross
highest negotiated rate $82 exceeds the gross charge $69 — part of a file-wide pattern, counted once at the file level
CPT 84202/o
info
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 97161/o
info
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $366 — part of a file-wide pattern, counted once at the file level
CPT 0202U/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,721 exceeds the gross charge $980 — part of a file-wide pattern, counted once at the file level
CPT 33227/o
info
mrf_negotiated_above_gross
highest negotiated rate $49,951 exceeds the gross charge $9,895 — part of a file-wide pattern, counted once at the file level
CPT 64517/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $1,552 — part of a file-wide pattern, counted once at the file level
CPT 80158/o
info
mrf_negotiated_above_gross
highest negotiated rate $111 exceeds the gross charge $94 — part of a file-wide pattern, counted once at the file level
CPT 84206/o
info
mrf_negotiated_above_gross
highest negotiated rate $165 exceeds the gross charge $136 — part of a file-wide pattern, counted once at the file level
CPT 87483/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,569 exceeds the gross charge $1,594 — part of a file-wide pattern, counted once at the file level
CPT 97162/o
info
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $391 — part of a file-wide pattern, counted once at the file level
CPT 0282U/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,438 exceeds the gross charge $1,030 — part of a file-wide pattern, counted once at the file level
CPT 33228/o
info
mrf_negotiated_above_gross
highest negotiated rate $63,165 exceeds the gross charge $13,923 — part of a file-wide pattern, counted once at the file level
CPT 64520/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,374 exceeds the gross charge $1,355 — part of a file-wide pattern, counted once at the file level
CPT 80159/o
info
mrf_negotiated_above_gross
highest negotiated rate $124 exceeds the gross charge $105 — part of a file-wide pattern, counted once at the file level
CPT 84207/o
info
mrf_negotiated_above_gross
highest negotiated rate $173 exceeds the gross charge $147 — part of a file-wide pattern, counted once at the file level
CPT 87484/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 97163/o
info
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $417 — part of a file-wide pattern, counted once at the file level
CPT 0408T/o
info
mrf_negotiated_above_gross
highest negotiated rate $193,514 exceeds the gross charge $7,684 — part of a file-wide pattern, counted once at the file level
CPT 33229/o
info
mrf_negotiated_above_gross
highest negotiated rate $115,108 exceeds the gross charge $13,923 — part of a file-wide pattern, counted once at the file level
CPT 64555/o
info
mrf_negotiated_above_gross
highest negotiated rate $39,612 exceeds the gross charge $13,270 — part of a file-wide pattern, counted once at the file level
CPT 80161/o
info
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $97 — part of a file-wide pattern, counted once at the file level
CPT 84210/o
info
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level
CPT 87486/o
info
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $179 — part of a file-wide pattern, counted once at the file level
CPT 97164/o
info
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 0411T/o
info
mrf_negotiated_above_gross
highest negotiated rate $49,951 exceeds the gross charge $14,933 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 1,674 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 59.7M bytes · fetched 2026-08-23 · sha256 590c1a7bd700…

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.