Hospital · CCN 390102

Upmc St Margaret

815 Freeport Road, Pittsburgh, PA 15215 · Allegheny County
Part of UPMC · 213 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

34 admission types 41 outpatient services price file: ok
Billed per dollar paid, all admissions
5.94×
$60.6M billed against $10.2M paid across 817 Medicare discharges; the national figure is 5.03×.
1.2%
of adults in Allegheny County have medical debt in collections
4.7%
uninsured in the county · state 6.5%
$76K
median household income
7.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (16 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
291
Heart failure and shock with mcc
93
$54,362
$10,486
5.2× st 5.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
69
$86,652
$15,480
5.6× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
51
$105,859
$14,809
7.1× st 5.0×
177
Respiratory infections and inflammations with mcc
47
$72,493
$13,564
5.3× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
41
$34,645
$6,973
5.0× st 5.7×
690
Kidney and urinary tract infections without mcc
29
$41,134
$6,516
6.3× st 5.3×
193
Simple pneumonia and pleurisy with mcc
27
$67,357
$10,502
6.4× st 5.3×
460
Spinal fusion except cervical without mcc
27
$191,233
$27,788
6.9× st 4.7×
189
Pulmonary edema and respiratory failure
27
$51,986
$10,903
4.8× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
26
$42,940
$7,000
6.1× st 5.7×
683
Renal failure with cc
25
$45,667
$7,999
5.7× st 5.4×
603
Cellulitis without mcc
24
$33,346
$7,293
4.6× st 4.9×
682
Renal failure with mcc
22
$67,554
$10,705
6.3× st 5.4×
552
Medical back problems without mcc
20
$37,633
$7,648
4.9× st 5.5×
194
Simple pneumonia and pleurisy with cc
20
$51,143
$7,316
7.0× st 5.6×
467
Revision of hip or knee replacement with cc
19
$127,838
$23,658
5.4× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$298,717
$45,477
6.6× st 5.3×
481
Hip and femur procedures except major joint with cc
17
$104,349
$16,675
6.3× st 6.0×
178
Respiratory infections and inflammations with cc
17
$42,302
$8,076
5.2× st 5.8×
377
Gastrointestinal hemorrhage with mcc
17
$103,529
$16,263
6.4× st 5.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
16
$55,986
$7,987
7.0× st 5.5×
378
Gastrointestinal hemorrhage with cc
16
$60,204
$8,564
7.0× st 6.1×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$46,274
$10,590
4.4× st 5.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$44,762
$10,923
4.1× st 5.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
13
$34,646
$7,155
4.8× st 5.4×
554
Bone diseases and arthropathies without mcc
13
$37,603
$7,074
5.3× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
13
$33,454
$6,294
5.3× st 5.4×
312
Syncope and collapse
12
$45,449
$7,299
6.2× st 5.8×
468
Revision of hip or knee replacement without cc/mcc
12
$118,179
$19,102
6.2× st 5.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$113,762
$15,969
7.1× st 5.8×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$74,712
$12,321
6.1× st 5.8×
638
Diabetes with cc
11
$58,109
$8,096
7.2× st 5.2×
637
Diabetes with mcc
11
$91,192
$12,655
7.2× st 5.4×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$92,098
$16,446
5.6× st 5.7×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5491
Level 1 Intraocular Procedures
282
$21,697
$2,076
10.5×
5115
Level 5 Musculoskeletal Procedures
215
$76,709
$11,693
6.6×
8011
Comprehensive Observation Services
161
$26,329
$2,409
10.9×
5431
Level 1 Nerve Procedures
114
$14,068
$1,713
8.2×
5114
Level 4 Musculoskeletal Procedures
92
$61,344
$6,334
9.7×
5113
Level 3 Musculoskeletal Procedures
83
$33,967
$2,839
12.0×
5375
Level 5 Urology and Related Services
75
$54,933
$4,622
11.9×
5112
Level 2 Musculoskeletal Procedures
68
$14,660
$1,419
10.3×
5372
Level 2 Urology and Related Services
61
$4,696
$610
7.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
51
$11,880
$1,377
8.6×
5361
Level 1 Laparoscopy and Related Services
51
$47,665
$5,078
9.4×
5183
Level 3 Vascular Procedures
48
$20,248
$2,847
7.1×
5116
Level 6 Musculoskeletal Procedures
42
$95,505
$16,610
5.8×
5374
Level 4 Urology and Related Services
38
$37,074
$3,114
11.9×
5373
Level 3 Urology and Related Services
35
$12,580
$1,819
6.9×
5302
Level 2 Upper GI Procedures
27
$22,230
$1,699
13.1×
5192
Level 2 Endovascular Procedures
26
$46,597
$5,105
9.1×
5492
Level 2 Intraocular Procedures
26
$33,543
$3,520
9.5×
5313
Level 3 Lower GI Procedures
20
$26,802
$2,506
10.7×
5184
Level 4 Vascular Procedures
18
$37,403
$4,090
9.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
17
$38,537
$3,090
12.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
16
$23,133
$2,538
9.1×
5182
Level 2 Vascular Procedures
15
$7,389
$1,354
5.5×
5165
Level 5 ENT Procedures
12
$49,706
$4,918
10.1×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5432
Level 2 Nerve 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, 634,566 rows scanned, 3,962 distinct code–setting items kept. 1,288 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
KARIUS NGS SPECTRUM TESTING
$8,800
$5,280
$2,339
25
clean
PLATELET HARVEST/PREP & INJECT
$1,374
$824
$405
48
clean
ISO PSA INDEX
$2,020
$1,212
$808
25
clean
FNA BX W/US GDN 1ST LES
$958
$575
$268
47
clean
FNA BX W/US GDN EA ADDL
$958
$575
$231
26
clean
FNA BX W/FLUOR GDN 1ST LES
$958
$575
$383
29
clean
FNA BX W/CT GDN 1ST LES
$958
$575
$579
29
clean
FNA BX W/MR GDN 1ST LES
$958
$575
$331
28
clean
FNA BIOPSY W/O IMA GDE 1ST LES
$1,251
$751
$411
29
clean
IMG GUID DRN SOFT TIS CTH PERC
$1,969
$1,181
$738
29
clean
ACNE SURGERY
$146
$88
$54
53
clean
ID SIMPLE ABSCESS
$795
$477
$208
73
clean
ID COMPL ABSCESS
$2,055
$1,233
$518
73
clean
ID PILONIDAL CYST
$795
$477
$318
29
clean
INCISION & DRAINAGE CYST COMP
$2,569
$1,541
$724
29
clean
SUBCUT FB REMOVAL SIMPLE
$795
$477
$318
29
clean
I & D HEMATOMA SEROMA OR FLUID
$2,044
$1,226
$597
73
clean
ASPIRATION HEMATOMA
$707
$424
$283
84
clean
I & D COMPLEX POST-OP INFECT
$4,021
$2,413
$1,608
29
clean
EXTENS DEBRID ECZE SKIN
$707
$424
$269
55
clean
DEBRIDE SKIN MUSC FASC MUS BON
$6,184
$3,710
$2,518
38
clean
DEBRID SKIN AND SQ TISSUE
$4,823
$2,894
$737
47
clean
DEBRIDE SKIN SUBCU TISSU & MUS
$5,604
$3,362
$737
47
clean
DEBRIDE SKIN SUBQ MUS & BONE
$5,405
$3,243
$1,622
47
clean
DEBRID SQ TIS EA ADD'L 20 CM
$1,352
$811
$339
30
clean
DEBRID MUSCLE EA ADD'L 20 CM
$4,206
$2,524
$1,165
22
clean
PAR/CUT BEN HYPERK/SINGLE LES
$543
$326
$199
29
clean
PAR/CUT HYPERK LESION 2 TO 4
$805
$483
$208
29
clean
TANGNTL BX SKIN SINGLE LES
$1,645
$987
$383
26
clean
TANGNTL BX SKIN EA SEP/ADDL
$1,610
$966
$297
26
clean
PUNCH BX SKIN SINGLE LESION
$1,645
$987
$411
55
clean
PUNCH BX SKIN EA SEP/ADDL
$1,610
$966
$311
52
clean
INCAL BX SKN SINGLE LES
$1,645
$987
$461
55
clean
INCAL BX SKN EA SEP/ADDL
$1,610
$966
$331
26
clean
REMOVAL OF SKIN TAGS UP TO 15
$1,645
$987
$460
55
clean
REMOVAL OF SKIN TAGS EA ADD 10
$479
$287
$134
26
clean
SHAV EPI/DERM LES TRNK<0.5CM
$1,025
$615
$290
26
clean
SHAV EPI/DER LES TRK 0.6-1.0CM
$1,025
$615
$290
26
clean
SHAV EPI/DER LES TRK 1.1-2CM
$1,610
$966
$455
26
clean
SHAV EPI/DER LES TRK >2.0CM
$2,635
$1,581
$745
26
clean
SHAV EPI/DER LES SCLP <0.5CM
$1,238
$743
$347
26
clean
SHAV EPI/DER LES SCL 0.6-1.0CM
$1,238
$743
$347
26
clean
SHAV EPI/DER LES SCL 1.1-2.0CM
$1,745
$1,047
$489
26
clean
SHAV EPI/DER LES SCLP >2.0 CM
$3,079
$1,847
$862
26
clean
SHAV EPI/DER LES FAC 0.6-1.0CM
$1,025
$615
$290
26
clean
SHAV EPI/DER LES FAC 1.1-2.0CM
$1,947
$1,168
$545
26
clean
SHAV EPI/DER LES FACE >2.0 CM
$3,051
$1,831
$854
26
clean
EX BEN LES<0.5CM TRNK/LIMB
$2,839
$1,703
$778
55
clean
EXCISION LES B T A L 0.6-1.0CM
$4,395
$2,637
$1,225
55
clean
EXCISION LES B T A L 1.1-2.0CM
$4,291
$2,575
$1,201
55
clean
EXCISION LES B T A L 2.1-3.0CM
$4,291
$2,575
$1,201
55
clean
EXCISION LES B T A L 3.1-4.0CM
$4,048
$2,429
$1,334
73
clean
EXCISION LES B T A L 4.1+CM
$5,928
$3,557
$1,660
55
clean
EXCISION LESB S N H <= 0.5 CM
$2,839
$1,703
$1,136
55
clean
EXCISION LESB S N H 0.6-1.0 CM
$4,520
$2,712
$1,238
55
clean
EXCISION LESB S N H 1.1-2.0 CM
$4,305
$2,583
$1,334
73
clean
EXCISION LESB S N H 2.1-3.0CM
$4,291
$2,575
$1,334
55
clean
EXCISION LESB S N H 3.1-4.0CM
$6,177
$3,706
$1,699
55
clean
EXCISION LESB S N H > 4.0 CM
$6,177
$3,706
$1,730
26
clean
EXC BGN LES FEENL <0.5CM
$2,678
$1,607
$778
55
clean
EXC BGN LES FEENL 0.6-1.0CM
$4,189
$2,513
$1,173
55
clean
EXC BGN LES FEENL 1.1-2.0CM
$4,291
$2,575
$1,201
55
clean
EXC BGN LES FEENL 2.1-3CM
$4,156
$2,494
$1,194
26
clean
EXC BGN LES FEENL 3.1-4CM
$4,291
$2,575
$1,213
26
clean
EXC BGN LES FEENL > 4.0 CM
$6,654
$3,992
$1,863
26
clean
EXC MAL LES TAL <=0.5 CM
$4,291
$2,575
$1,201
55
clean
EXC MAL LES TAL 0.6-1.0CM
$4,613
$2,768
$1,264
55
clean
EXC MAL LES TAL 1.1-2.0CM
$4,291
$2,575
$1,201
55
clean
EXC TR-EXT MLG+MARG 2.1-3 CM
$4,291
$2,575
$1,213
26
clean
EXC MAL LES TAL 3.1-4.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES TAL > 4.0CM
$5,747
$3,448
$1,616
44
clean
EXC MAL LES SNHFG 0.6-1.0CM
$4,291
$2,575
$1,213
26
clean
EXC MAL LES SNHFG 1.1-2.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES SNHFG 2.1-3.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES SNHFG 3.1-4.0CM
$5,882
$3,529
$1,647
26
clean
EXC MAL LES SNHFG >4.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES FEEL 0.6-1.0CM
$4,291
$2,575
$1,213
26
clean
EXC MAL LES FEEL 1.1-2.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES FEEL 2.1-3.0CM
$5,747
$3,448
$1,625
26
clean
EXC MAL LES FEEL 3.1-4.0CM
$6,224
$3,734
$1,743
26
clean
EXC MAL LES FEEL > 4.0CM
$5,725
$3,435
$1,622
26
clean
TRIM NONDYSTRPC NAILS ANY NMBR
$244
$146
$69
25
clean
DEBRIDEMENT NAILS 1 - 5
$370
$222
$104
29
clean
DEBRIDEMENT NAILS 6 OR MORE
$616
$370
$159
58
clean
NAIL AVULSION COMP/PART SNGL
$795
$477
$223
55
clean
ID SUBUNGUAL HEMATOMA
$569
$341
$156
29
clean
EXCISION NAIL COMP/PART
$2,055
$1,233
$752
25
clean
BIOPSY OF NAIL UNIT ANY METHOD
$4,156
$2,494
$1,194
26
clean
REPAIR NAIL BED
$2,478
$1,487
$694
29
clean
WEDGE EXCISION SKIN NAIL FOLD
$475
$285
$190
29
clean
EXC PILONIDAL CYST/SINUS SMPL
$7,140
$4,284
$2,446
29
clean
INTRALESIONAL INJ UP TO 7 LES
$452
$271
$172
47
clean
INTRALESIONAL INJ > 7 LES
$1,044
$626
$292
22
clean
SMPL LAC RPR 0-2.5CM SCALP
$795
$477
$223
55
clean
SMPL LAC RPR 2.6-7.5CM SCALP
$795
$477
$223
55
clean
SMPL LAC RPR 7.6-12.5CM SCALP
$1,255
$753
$351
55
clean
SMPL LAC RPR 12.6-20CM SCALP
$3,888
$2,333
$1,065
29
clean
SMPL LAC RPR 20.1-30CM SCALP
$5,401
$3,241
$1,480
29
clean
SMPL LAC RPR >30CM SCALP
$5,604
$3,362
$1,536
29
clean
SMPL LAC RPR 0-2.5CM FACE
$795
$477
$218
29
clean
SMPL LAC RPR 2.6-5CM FACE
$795
$477
$223
55
clean
SMPL LAC RPR 5.1-7.5CM FACE
$1,255
$753
$344
29
clean
SMPL LAC RPR 7.6-12CM FACE
$2,007
$1,204
$506
29
clean
SMPL LAC RPR 12.6-20CM FACE
$6,048
$3,629
$1,640
29
clean
WOUND DEHISCENCE SIMPLE
$4,399
$2,639
$1,205
29
clean
INT LAC RPR 0-2.5CM SCLP TRNK
$795
$477
$302
55
clean
INT LAC RPR 2.6-7.5CM SCLP TR
$1,255
$753
$400
73
clean
INT LAC RPR 7.6-12.5CM SCLP TR
$4,469
$2,681
$1,251
55
clean
INT LAC RPR 12.6-20CM SCLP TR
$3,888
$2,333
$1,089
55
clean
INT LAC RPR 20.1-30CM SCLP TR
$5,887
$3,532
$1,648
26
clean
INT LAC RPR >30CM SCLP TRNK
$5,887
$3,532
$1,648
26
clean
INT LAC RPR 0-2.5CM NCK HND
$795
$477
$302
55
clean
INT LAC RPR 2.6-7.5CM NCK HND
$1,255
$753
$411
55
clean
INT LAC RPR 7.6-12.5CM NCK HND
$5,747
$3,448
$1,609
55
clean
INT LAC RPR 12.6-20CM NCK HND
$6,224
$3,734
$1,705
55
clean
INT LAC RPR 0-2.5CM FACE
$795
$477
$302
55
clean
INT LAC RPR 2.6-5CM FACE
$795
$477
$318
55
clean
INT LAC RPR 5.1-7.5CM FACE
$1,093
$656
$411
55
clean
INT LAC RPR 7.6-12.5CM FACE
$5,747
$3,448
$1,609
55
clean
INT LAC RPR 12.6-20CM FACE
$6,284
$3,770
$1,760
26
clean
COMP LAC RPR 2.6-7.5CM TRNK
$6,593
$3,956
$2,446
47
clean
COMP LAC RPR EA ADD 5CM TRNK
$1,344
$806
$512
22
clean
COMP LAC RPR 1.1-2.5CM SCALP
$5,747
$3,448
$1,609
55
clean
COMP LAC RPR 2.6-7.5CM SCALP
$4,467
$2,680
$1,742
60
clean
COMP LAC RPR EA ADD 5CM SCALP
$993
$596
$497
52
clean
COMP LAC RPR 1.1-2.5CM FOREHEA
$3,888
$2,333
$1,089
55
clean
COMP LAC RPR 2.6-7.5CM FOREHEA
$5,129
$3,077
$1,949
47
clean
COMP LAC RPR EA ADD 5CM FRHEAD
$1,009
$605
$530
22
clean
COMP LAC RPR 1.1-2.5CM EYELID
$6,593
$3,956
$1,846
55
clean
COMP LAC RPR 2.6-7.5CM EYELID
$4,898
$2,939
$1,881
47
clean
COMP LAC RPR EA ADD 5CM EYELID
$2,918
$1,751
$1,016
22
clean
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED
—
—
$1,573
18
clean
ADJ TISS XFER TRNK <10CM
$6,281
$3,769
$1,759
26
clean
ADJ TISS XFER TRNK 10-30CM
$6,593
$3,956
$1,846
44
clean
ADJ TISS XFER SAL <10CM
$6,593
$3,956
$1,864
26
clean
ADJ TISS XFER SAL 10-30CM
$6,593
$3,956
$1,864
26
clean
ADJ TISS XFER HFH <10CM
$5,747
$3,448
$1,627
44
clean
ADJ TISS XFER HFH 10-30CM
$6,593
$3,956
$1,893
26
clean
ADJ TISS XFER LNE <10CM
$6,593
$3,956
$1,849
44
clean
ADJ TISS XFER LNE 10-30CM
$6,593
$3,956
$2,065
26
clean
ADJ TISS XFER 30-60 SQ CM
$15,708
$9,425
$5,757
22
clean
ADJ TISS XFER EA ADD 30 SQ CM
$3,531
$2,119
$1,288
22
clean
PINCH SKIN GRAFT UP TO 2CM
$6,950
$4,170
$1,946
26
clean
FULL GRAFT TRUNK <20 SQCM
$7,202
$4,321
$2,628
22
clean
FULL GRAFT TRUNK ADD 20CM
$6,281
$3,769
$2,292
22
clean
FULL GRAFT SCALP/ARM/LEG <20CM
$5,747
$3,448
$2,190
22
clean
FULL GRAFT SC/ARM/LEG ADD 20CM
$5,747
$3,448
$2,190
22
clean
SKIN FULL GRFT INC CLOS <20 CM
$6,593
$3,956
$2,512
22
clean
FULL GRAFT NOSE/EARS/LID <20CM
$5,747
$3,448
$1,918
35
clean
FULL GRFT N/E/E/L EA ADL <20CM
$6,950
$4,170
$2,419
22
clean
HC SKIN SUB GRFT TAL 25SQ CM
$4,650
$2,790
$1,696
22
clean
HC SKIN SUB GRFT TAL EA 25SQCM
$722
$433
$254
22
clean
WOUND THERAPY 100SQ/CM OR LESS
$3,877
$2,326
$1,937
47
clean
HC SKIN SUB GFT TAL EA 100SQCM
$5,454
$3,272
$1,916
22
clean
HC SKIN SUB GRFT FNHFG 25SQ CM
$4,608
$2,765
$1,688
22
clean
HC SKIN SUB GRFT FNHFG EA 25CM
$722
$433
$254
22
clean
HC SKIN SUB GRFT FNHFG 100SQCM
$7,303
$4,382
$2,848
22
clean
HC SKIN SUB GFT FNHFG EA 100CM
$5,454
$3,272
$2,127
22
clean
FORMATION TUBED PEDICLE W/WO
$6,593
$3,956
$2,578
22
clean
DELAY/SEC FLAP LID NOS EAR LIP
$6,593
$3,956
$1,864
26
clean
FOREHEAD FLAP W/VASC PEDICLE
$7,047
$4,228
$2,686
22
clean
ISLAND PEDICLE FLAP GRAFT
$6,281
$3,769
$1,795
44
clean
COMPOSITE SKIN GRAFT
$6,224
$3,734
$1,938
26
clean
REMOVL SUTR OR STAPL XREQ ANES
$41
$25
$13
29
clean
REMOVAL SUTR & STAPL XREQ ANES
$59
$35
$23
22
clean
BURN TRTMT 1ST DEGREE LOCAL
$576
$346
$205
29
clean
BURN TRTMT 2ND DEGREE SMALL
$593
$356
$205
29
clean
BURN TRTMT 2ND DEGREE MED
$517
$310
$205
29
clean
DEST PRE-MALIGNANT LES 1ST
$1,025
$615
$290
26
clean
DEST PRE-MALIGNANT LES 2-14 EA
$143
$86
$47
26
clean
DEST PRE-MALIGNANT LES 15 OR >
$2,774
$1,664
$784
26
clean
DESTR BENIGN LESIONS 1-14
$762
$457
$213
55
clean
DESTR BENIGN LESIONS 15 OR >
$1,384
$830
$391
26
clean
CHEM CAUTERY GRANULIN TISSUE
$750
$450
$208
29
clean
DESTR MALIG TRNK/EXT <0.5CM
$1,258
$755
$316
44
clean
DESTR MALIG TRNK/EXT 0.6-1 CM
$1,489
$893
$421
26
clean
DESTR MALIG TRNK/EXT 1.1-2 CM
$1,865
$1,119
$527
26
clean
DESTR MALIG TRNK/EXT 2.1-3 CM
$2,067
$1,240
$585
26
clean
DESTR MALIG TRNK/EXT 3.1-4 CM
$2,408
$1,445
$674
26
clean
DESTR MALIG TRNK/EXT >4.0 CM
$2,863
$1,718
$826
26
clean
DESTR MALIG SNHFG 1.1-2 CM
$2,027
$1,216
$573
26
clean
DESTR MALIG SNHFG 2.1-3 CM
$2,297
$1,378
$649
26
clean
DESTR MALIG FEENLMM <= 0.5CM
$1,741
$1,045
$425
44
clean
DESTR MALIG FEENLMM 0.6-1 CM
$1,948
$1,169
$551
26
clean
DESTR MALIG FEENLMM 1.1-2 CM
$2,267
$1,360
$641
26
clean
MOHS 1 STAGE H/N/HF/G
$8,613
$5,168
$2,435
26
clean
MOHS ADDL STAGE
$5,177
$3,106
$1,463
26
clean
MOHS 1 STAGE T/A/L
$7,860
$4,716
$2,222
26
clean
MOHS ADDL STAGE T/A/L
$4,794
$2,876
$1,355
26
clean
MOHS SURG ADDL BLOCK
$1,109
$665
$345
26
clean
UNLIST SKIN MM PROC
$277
$166
$111
36
clean
BX BREAST 1ST LESION US IMAG
$5,359
$3,215
$1,501
29
clean
BX BREAST ADD LESION US IMAG
$4,861
$2,917
$1,278
26
clean
MAMO GUID DVC PLC BRST 1ST LES
$2,953
$1,772
$827
29
clean
MAMO GUID DVC PLC BRST EA ADD
$2,108
$1,265
$529
26
clean
PERQ DVC BREAST 1ST US IMAG
$2,607
$1,564
$730
29
clean
PRQ DVC BREAST US IMG EA ADD
$830
$498
$324
26
clean
MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);
—
—
$3,152
13
clean
RMVL RUPTURED BREAST IMPLANT
$4,969
$2,981
$1,988
25
clean
EXPLOR PENETR WOUND EXTREM
$7,615
$4,569
$2,173
25
clean

Showing the first 200 of 3,962 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
549 of 2,479 comparable items (22%) 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 $1,435 exceeds the gross charge $1,234
warn
mrf_rate_without_estimate
8,571 of 8,571 percentage/algorithm rates across 1,775 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 81340/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 J1790/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 J9293/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 81342/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 B4087/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 J1800/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 J9299/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81374/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT B4164/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 J1805/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9301/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 81381/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1808/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 J9302/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81400/o
info
mrf_item_fields_vary
this code and setting cover at least 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 B4185/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 J1815/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 J9303/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81401/o
info
mrf_item_fields_vary
this code and setting cover at least 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 B4216/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1833/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81402/o
info
mrf_item_fields_vary
this code and setting cover at least 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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 659 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 J1836/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 J9306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81403/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1714/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 J9307/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 81404/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9308/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81405/o
info
mrf_item_fields_vary
this code and setting cover at least 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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 33 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 J1932/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9309/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 81406/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 21 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 J1939/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 J9312/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37239/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 81407/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 C1727/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 J1940/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 81408/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 27 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 J1944/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 J9317/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 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 J1953/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, max differ, so no cross-line comparison was made for this item
CPT 81432/o
info
mrf_item_fields_vary
this code and setting cover at least 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 C1734/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 J1955/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 J9332/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 81435/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 C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 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 81443/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 C1751/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 J2002/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 81450/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1752/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 J2020/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 C1753/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 J2060/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 J9354/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 15 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 J2150/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 41899/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 81479/o
info
mrf_item_fields_vary
this code and setting cover at least 22 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 22 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 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
CPT J9360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J2182/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 J9370/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 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 J2185/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43235/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 C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 29 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 J2186/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 J9395/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 C1763/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 J2212/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 J9400/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 83520/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 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 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
CPT J9999/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 83986/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 C1767/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 J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1768/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 J2260/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 108 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 J2270/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 L0150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84560/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 C1773/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 J2274/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 84999/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 C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 472 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 J2278/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 L0172/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2280/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 J2290/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 L1830/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 86001/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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 47 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 J2300/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1783/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 differ, so no cross-line comparison was made for this item
CPT J2305/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 43262/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 C1787/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 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, 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2315/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 86671/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 C1789/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 J2327/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 C1813/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 J2353/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L3670/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 43275/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 C1820/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 J2354/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
CPT C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 35 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 J2356/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 L3908/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 C1875/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 J2357/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43762/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 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 J2359/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 C1877/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 J2360/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 87081/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 J2371/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 C1880/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 J2401/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87254/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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8600/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 C1884/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2405/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 L8610/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 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
CPT L8670/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 C1887/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 J2430/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 C1888/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 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
CPT L8699/o
info
mrf_item_fields_vary
this code and setting cover at least 261 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 87798/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 C1889/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 J2469/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 C1892/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 J2470/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 C1894/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 J2501/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C2617/o
info
mrf_item_fields_vary
this code and setting cover at least 27 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 J2506/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C2623/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 J2540/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 C2625/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 J2543/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 46999/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 C2627/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 J2547/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 C2628/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 J2550/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 C8902/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2560/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 differ, so no cross-line comparison was made for this item
CPT C8910/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2590/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 88348/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 C8911/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J2597/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 C8924/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C9254/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 J2598/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 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, max differ, so no cross-line comparison was made for this item
CPT C9352/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 J2675/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 P9045/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 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9353/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 J2680/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 P9047/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 90378/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C9355/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 J2690/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 differ, so no cross-line comparison was made for this item
CPT J2700/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 Q0138/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 90380/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 C9399/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 J2704/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

Showing the first 200 of 1,288 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 · 129.2M bytes · fetched 2026-08-23 · sha256 5915cb65db0d…

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.