Hospital · CCN 390117

Upmc Bedford Memorial

10455 Lincoln Highway, Everett, PA 15537 · Bedford County
Part of UPMC · 40 beds · 1
Small town core: primary flow within an urban cluster of 2,500 to 9,999

6 admission types 30 outpatient services price file: ok

Billed per dollar paid, all admissions

2.37×

$3.1M billed against $1.3M paid across 115 Medicare discharges; the national figure is 5.03×.

2.0%

of adults in Bedford County have medical debt in collections

7.4%

uninsured in the county · state 6.5%

$58K

median household income

2.4×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$29,414

$15,658

1.9× st 5.2×

193

Simple pneumonia and pleurisy with mcc

$30,787

$11,119

2.8× st 5.3×

690

Kidney and urinary tract infections without mcc

$16,722

$6,981

2.4× st 5.3×

177

Respiratory infections and inflammations with mcc

$32,605

$13,262

2.5× st 5.2×

291

Heart failure and shock with mcc

$26,194

$10,728

2.4× st 5.2×

194

Simple pneumonia and pleurisy with cc

$20,855

$7,080

2.9× st 5.6×

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

$8,264

$2,229

3.7×

5375

Level 5 Urology and Related Services

$15,944

$4,950

3.2×

8011

Comprehensive Observation Services

$14,568

$2,618

5.6×

5374

Level 4 Urology and Related Services

$11,043

$3,335

3.3×

5373

Level 3 Urology and Related Services

$6,951

$1,948

3.6×

5414

Level 4 Gynecologic Procedures

$9,506

$2,991

3.2×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

5372

Level 2 Urology and Related Services

—

5376

Level 6 Urology and Related Services

—

5415

Level 5 Gynecologic Procedures

—

5431

Level 1 Nerve Procedures

—

5432

Level 2 Nerve Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5331

Complex GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5112

Level 2 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5183

Level 3 Vascular Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5302

Level 2 Upper GI Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

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, 399,649 rows scanned, 3,134 distinct code–setting items kept. 981 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

ZB5NC ONC THY DNA&MRNA 112 GNS

CPT 0026U

$8,769

$5,261

$5,437

clean

CT PERFUSION BRAIN W CONTRAST

CPT 0042T

$4,259

$2,555

$2,641

clean

KARIUS NGS SPECTRUM TESTING

CPT 0152U

$8,800

$5,280

$4,840

clean

PLATELET HARVEST/PREP & INJECT

CPT 0232T

$905

$543

$498

clean

SARS-COV2/FLU/RSV

CPT 0241U

$350

$210

$228

clean

ISO PSA INDEX

CPT 0359U

$2,965

$1,779

$1,631

clean

FNA BX W/US GDN 1ST LES

CPT 10005

$2,663

$1,598

$692

clean

FNA BX W/US GDN EA ADDL

CPT 10006

$2,663

$1,598

$227

clean

FNA BX W/FLUOR GDN 1ST LES

CPT 10007

$2,663

$1,598

$724

clean

FNA BX W/MR GDN 1ST LES

CPT 10011

$2,663

$1,598

$828

clean

FNA BIOPSY W/O IMA GDE 1ST LES

CPT 10021

$2,421

$1,453

$411

clean

PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; FIRST LESION

CPT 10035

—

$676

clean

ID SIMPLE ABSCESS

CPT 10060

$540

$324

$216

clean

ID COMPL ABSCESS

CPT 10061

$3,381

$2,029

$411

clean

ID PILONIDAL CYST

CPT 10080

$1,347

$808

$692

clean

INCISION & DRAINAGE CYST COMP

CPT 10081

$3,739

$2,243

$718

clean

SUBCUT FB REMOVAL SIMPLE

CPT 10120

$467

$280

$304

clean

I & D HEMATOMA SEROMA OR FLUID

CPT 10140

$2,285

$1,371

$1,417

clean

ASPIRATION HEMATOMA

CPT 10160

$1,277

$766

$411

clean

EXTENS DEBRID ECZE SKIN

CPT 11000

$1,068

$641

$601

clean

DEBRIDE & REM FOREIGN MATTER

CPT 11010

$8,772

$5,263

$4,167

clean

DEBRID SKIN AND SQ TISSUE

CPT 11042

$3,035

$1,821

$411

clean

DEBRIDE SKIN SUBCU TISSU & MUS

CPT 11043

$7,999

$4,799

$630

clean

DEBRIDE SKIN SUBQ MUS & BONE

CPT 11044

$7,999

$4,799

$1,653

clean

DEBRID SQ TIS EA ADD'L 20 CM

CPT 11045

$2,427

$1,456

$1,505

clean

DEBRID BONE EA ADD'L 20 CM

CPT 11047

$4,206

$2,524

$1,893

clean

PAR/CUT HYPERK LESION SINGLE

CPT 11055

$562

$337

$225

clean

PAR/CUT HYPERK LESION 2 TO 4

CPT 11056

$921

$553

$245

clean

TANGNTL BX SKIN SINGLE LES

CPT 11102

$636

$382

$205

clean

PUNCH BX SKIN SINGLE LESION

CPT 11104

$2,309

$1,385

$411

clean

PUNCH BX SKIN EA SEP/ADDL

CPT 11105

$1,177

$706

$471

clean

INCAL BX SKN SINGLE LES

CPT 11106

$981

$589

$608

clean

REMOVAL OF SKIN TAGS UP TO 15

CPT 11200

$1,177

$706

$205

clean

SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.5 CM OR LESS

CPT 11300

—

$275

clean

SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 1.1 TO 2.0 CM

CPT 11302

—

$186

clean

SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.5 CM OR LESS

CPT 11310

—

$178

clean

SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 0.6 TO 1.0 CM

CPT 11311

—

$192

clean

SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 1.1 TO 2.0 CM

CPT 11312

—

$344

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM

CPT 11401

—

$355

clean

EXCISION LES B T A L 1.1-2.0CM

CPT 11402

$5,695

$3,417

$724

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM

CPT 11403

—

$625

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM

CPT 11404

—

$1,143

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM

CPT 11406

—

$1,305

clean

EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS

CPT 11420

—

$1,139

clean

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

CPT 11421

—

$625

clean

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

CPT 11422

—

$1,144

clean

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

CPT 11423

—

$1,139

clean

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

CPT 11424

—

$1,300

clean

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

CPT 11426

—

$1,651

clean

EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS

CPT 11440

—

$625

clean

EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM

CPT 11442

—

$625

clean

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

CPT 11602

—

$375

clean

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

CPT 11603

—

$625

clean

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

CPT 11606

—

$1,300

clean

EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM

CPT 11624

—

$1,300

clean

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

CPT 11626

—

$1,646

clean

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

CPT 11641

—

$625

clean

DEBRIDEMENT NAILS 1 - 5

CPT 11720

$550

$330

$160

clean

DEBRIDEMENT NAILS 6 OR MORE

CPT 11721

$736

$442

$61

clean

NAIL AVULSION COMP/PART SNGL

CPT 11730

$482

$289

$205

clean

NAIL AVULSION COMP/PART EA ADD

CPT 11732

$1,037

$622

$415

clean

ID SUBUNGUAL HEMATOMA

CPT 11740

$350

$210

$140

clean

EXCISION NAIL COMP/PART

CPT 11750

$1,390

$834

$578

clean

REPAIR NAIL BED

CPT 11760

$2,024

$1,214

$630

clean

WEDGE EXCISION SKIN NAIL FOLD

CPT 11765

$960

$576

$393

clean

EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE

CPT 11770

—

$1,887

clean

EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE

CPT 11771

—

$1,888

clean

REMOVE DRUG IMPLANT DEVICE

CPT 11982

$2,902

$1,741

$889

clean

REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT

CPT 11983

—

$386

clean

SMPL LAC RPR 0-2.5CM SCALP

CPT 12001

$518

$311

$205

clean

SMPL LAC RPR 2.6-7.5CM SCALP

CPT 12002

$482

$289

$205

clean

SMPL LAC RPR 7.6-12.5CM SCALP

CPT 12004

$757

$454

$303

clean

SMPL LAC RPR 12.6-20CM SCALP

CPT 12005

$2,711

$1,627

$1,084

clean

SMPL LAC RPR 20.1-30CM SCALP

CPT 12006

$8,238

$4,943

$2,024

clean

SMPL LAC RPR 0-2.5CM FACE

CPT 12011

$482

$289

$205

clean

SMPL LAC RPR 2.6-5CM FACE

CPT 12013

$482

$289

$205

clean

SMPL LAC RPR 5.1-7.5CM FACE

CPT 12014

$757

$454

$303

clean

SMPL LAC RPR 7.6-12CM FACE

CPT 12015

$757

$454

$303

clean

SMPL LAC RPR 12.6-20CM FACE

CPT 12016

$3,086

$1,852

$1,234

clean

SMPL LAC RPR 20.1-30CM FACE

CPT 12017

$7,999

$4,799

$2,024

clean

WOUND DEHISCENCE SIMPLE

CPT 12020

$1,909

$1,145

$764

clean

INT LAC RPR 0-2.5CM SCLP TRNK

CPT 12031

$482

$289

$313

clean

INT LAC RPR 2.6-7.5CM SCLP TR

CPT 12032

$757

$454

$393

clean

INT LAC RPR 7.6-12.5CM SCLP TR

CPT 12034

$2,711

$1,627

$411

clean

INT LAC RPR 12.6-20CM SCLP TR

CPT 12035

$2,711

$1,627

$1,084

clean

INT LAC RPR 20.1-30CM SCLP TR

CPT 12036

$7,899

$4,739

$2,024

clean

INT LAC RPR 0-2.5CM NCK HND

CPT 12041

$482

$289

$313

clean

INT LAC RPR 2.6-7.5CM NCK HND

CPT 12042

$757

$454

$393

clean

INT LAC RPR 7.6-12.5CM NCK HND

CPT 12044

$2,711

$1,627

$1,084

clean

INT LAC RPR 0-2.5CM FACE

CPT 12051

$1,455

$873

$393

clean

INT LAC RPR 2.6-5CM FACE

CPT 12052

$482

$289

$313

clean

INT LAC RPR 5.1-7.5CM FACE

CPT 12053

$714

$428

$411

clean

INT LAC RPR 7.6-12.5CM FACE

CPT 12054

$6,762

$4,057

$2,024

clean

COMP LAC RPR 2.6-7.5CM SCALP

CPT 13121

$3,105

$1,863

$1,816

clean

COMP LAC RPR 1.1-2.5CM FOREHEA

CPT 13131

$8,155

$4,893

$2,024

clean

COMP LAC RPR 2.6-7.5CM FOREHEA

CPT 13132

$3,105

$1,863

$1,816

clean

COMP LAC RPR EA ADD 5CM FRHEAD

CPT 13133

$1,008

$605

$655

clean

COMP LAC RPR 1.1-2.5CM EYELID

CPT 13151

$9,609

$5,765

$2,321

clean

COMP LAC RPR 2.6-7.5CM EYELID

CPT 13152

$9,348

$5,609

$4,440

clean

ADJ TISS XFER TRNK <10CM

CPT 14000

$7,627

$4,576

$2,024

clean

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

CPT 14060

—

$1,617

clean

HC SKIN SUB GRFT TAL 25SQ CM

CPT 15271

$5,919

$3,551

$2,812

clean

BLEPHAROPLASTY, LOWER EYELID;

CPT 15820

—

$1,866

clean

REMOVL SUTR OR STAPL XREQ ANES

CPT 15853

$47

$28

$30

clean

REMOVAL SUTR & STAPL XREQ ANES

CPT 15854

$67

$40

$42

clean

BURN TRTMT 1ST DEGREE LOCAL

CPT 16000

$354

$212

$205

clean

BURN TRTMT 2ND DEGREE SMALL

CPT 16020

$364

$218

$205

clean

BURN TRTMT 2ND DEGREE MED

CPT 16025

$350

$210

$205

clean

DEST CUT VAS PROLIF LES < 10CM

CPT 17106

$3,856

$2,314

$411

clean

DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS

CPT 17110

—

$176

clean

CHEM CAUTERY GRANULIN TISSUE

CPT 17250

$1,068

$641

$258

clean

PUNC ASP BREAST CYST

CPT 19000

$1,347

$808

$578

clean

PUNC ASP BREAST CYST EA ADD

CPT 19001

$669

$401

$268

clean

MASTOTOMY W/ABSCESS DRAINAGE

CPT 19020

$7,558

$4,535

$2,024

clean

BX BREAST 1ST LESION US IMAG

CPT 19083

$4,395

$2,637

$1,594

clean

BX BREAST ADD LESION US IMAG

CPT 19084

$4,367

$2,620

$1,035

clean

BX BREAST PERC NDL CRE WO/IMAG

CPT 19100

$5,960

$3,576

$1,668

clean

EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS

CPT 19120

—

$1,893

clean

PERQ DVC BREAST 1ST US IMAG

CPT 19285

$6,053

$3,632

$1,035

clean

PRQ DVC BREAST US IMG EA ADD

CPT 19286

$6,053

$3,632

$2,421

clean

RMVL RUPTURED BREAST IMPLANT

CPT 19330

$5,695

$3,417

$3,702

clean

EXPLOR PENETR WOUND EXTREM

CPT 20103

$3,585

$2,151

$1,972

clean

BX MUSCLE PERC NDL

CPT 20206

$6,258

$3,755

$1,594

clean

REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE

CPT 20520

—

$390

clean

THER INJ CARPAL TUNNEL

CPT 20526

$1,035

$621

$376

clean

INJ TEND/LIGAMENT/GANG CYST

CPT 20550

$1,134

$680

$304

clean

INJ(S) TENDON ORIGIN/INSERTION

CPT 20551

$601

$361

$304

clean

INJ SNG/MUL TRG PTS 1-2 MUS GR

CPT 20552

$670

$402

$301

clean

ARTHRO ASP/INJ SMALL JOINT

CPT 20600

$517

$310

$243

clean

ARTHRO ASP/INJ INT JT WO/US

CPT 20605

$409

$245

$254

clean

ARTHRO ASP INJ INTR JO/BU W US

CPT 20606

$607

$364

$395

clean

ARTHRO ASP/INJ LG JT WO/US

CPT 20610

$416

$250

$229

clean

ARTHRO ASP INJ MJR JO/BU W US

CPT 20611

$1,094

$656

$304

clean

ASP/INJ GANGLION CYST

CPT 20612

$1,068

$641

$342

clean

REMOVAL IMPLANT SUPERFICIAL

CPT 20670

$7,065

$4,239

$1,668

clean

REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE)

CPT 20680

—

$1,893

clean

REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM

CPT 20694

—

$1,575

clean

CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITH STABILIZATION

CPT 21320

—

$1,651

clean

OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH IMPLANT

CPT 21407

—

$5,640

clean

TM DISLOC TRTMT INIT/SUB

CPT 21480

$2,024

$1,214

$810

clean

EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM

CPT 21556

—

$1,650

clean

EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM

CPT 21930

—

$1,305

clean

EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER

CPT 21931

—

$1,668

clean

EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER

CPT 22903

—

$2,810

clean

INJ PROC SHOULDER ARTHROGR

CPT 23350

$1,347

$808

$835

clean

CLAVICLE FX WO REDUCTION

CPT 23500

$2,692

$1,615

$1,077

clean

CLO TX SHOULDER BLADE FX

CPT 23575

$5,960

$3,576

$1,648

clean

PROX HUMERAL FX WO REDUCT

CPT 23600

$4,262

$2,557

$1,511

clean

CL TX PROX HUMERUS W MANIP

CPT 23605

$6,728

$4,037

$2,024

clean

GREATER TUBEROSTY FX WO REDUCT

CPT 23620

$4,057

$2,434

$1,511

clean

SHOULDER DISL W/MANIP NO ANES

CPT 23650

$2,024

$1,214

$810

clean

CL REDUCT SHLDR DISLOC W/ANES

CPT 23655

$6,089

$3,653

$1,648

clean

CL TX DIS SHD/GR HU TUB FX/MAN

CPT 23665

$7,899

$4,739

$2,024

clean

EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN 3 CM

CPT 24075

—

$1,300

clean

ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY

CPT 24101

—

$3,193

clean

HUMERAL SHAFT FX W REDUCT

CPT 24505

$5,974

$3,584

$1,648

clean

SUPRA/TRANSCONDLAR FX WO RED

CPT 24530

$4,156

$2,494

$1,511

clean

CL TRT W/MANIP OF HUMORAL FX

CPT 24535

$5,022

$3,013

$1,648

clean

CL TX HUMORAL FX W/O MANIPUL

CPT 24576

$5,346

$3,208

$1,511

clean

ELBOW DISLOC CLOSED TRTMT

CPT 24600

$5,322

$3,193

$1,511

clean

TX CLSD ELBOW DISLOC REQ ANES

CPT 24605

$8,140

$4,884

$2,024

clean

RADIAL HEAD DISLOC W REDUC CHI

CPT 24640

$350

$210

$228

clean

RADIAL HEAD/NECK FX WO REDUCT

CPT 24650

$710

$426

$284

clean

CLSD REDUCTION RADIUS W/MANIP

CPT 24655

$4,190

$2,514

$1,648

clean

CL TX ULNAR FX W/MANIP

CPT 24675

$4,036

$2,422

$1,648

clean

UNLISTED PROC HUMERUS/ELBOW

CPT 24999

$204

$122

$133

clean

ARTHROTMY WRIST W/EXP W/WO BIO

CPT 25101

$9,334

$5,600

$3,341

clean

EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY

CPT 25111

—

$1,633

clean

EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS);

CPT 25120

—

$3,093

clean

REPAIR TENDON/MUSCLE FOREARM

CPT 25260

$11,159

$6,695

$3,341

clean

LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON

CPT 25280

—

$3,193

clean

CL REDUX RADIAL SHAFT FX

CPT 25505

$6,522

$3,913

$1,648

clean

CL TX FX/DISLOCATION GALEAZZI

CPT 25520

$5,693

$3,416

$2,704

clean

ULNAR SHAFT FX WO REDUCT

CPT 25530

$1,107

$664

$360

clean

RADIAL/ULNAR SHAFT FX WO REDUC

CPT 25560

$861

$517

$344

clean

RADIAL/ULNAR SHAFT FX W REDUCT

CPT 25565

$2,711

$1,627

$1,648

clean

DISTAL RADIUS/COLLES FX WO RED

CPT 25600

$771

$463

$308

clean

DISTAL RADIUS/COLLES FX W REDU

CPT 25605

$3,105

$1,863

$1,648

clean

OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION, WITH INTERNAL FIXATION

CPT 25607

—

$6,811

clean

OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 3 OR MORE FRAGMENTS

CPT 25609

—

$6,811

clean

NAVICULAR FX WO REDUCT

CPT 25622

$808

$485

$323

clean

OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED

CPT 25628

—

$6,811

clean

CL TRMT CARPAL BONE FX WO MAN

CPT 25630

$710

$426

$391

clean

OPEN TREATMENT OF CARPAL BONE FRACTURE (OTHER THAN CARPAL SCAPHOID [NAVICULAR]), EACH BONE

CPT 25645

—

$3,093

clean

ULNAR STYLOID FX CLSD TRTMT

CPT 25650

$991

$595

$396

clean

OPEN TREATMENT OF ULNAR STYLOID FRACTURE

CPT 25652

—

$6,811

clean

CL TX LUNATE DISLOC W/MANIP

CPT 25690

$4,823

$2,894

$1,648

clean

DRAIN FINGER ABCESS SIMPLE

CPT 26010

$766

$460

$205

clean

FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); OPEN, PARTIAL

CPT 26045

—

$1,888

clean

TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)

CPT 26055

—

$1,292

clean

EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; LESS THAN 1.5 CM

CPT 26115

—

$1,300

clean

FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAFT);

CPT 26123

—

$3,193

clean

SYNOVECTOMY, PROXIMAL INTERPHALANGEAL JOINT, INCLUDING EXTENSOR RECONSTRUCTION, EACH INTERPHALANGEAL JOINT

CPT 26140

—

$1,633

clean

EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND OR FINGER

CPT 26160

—

$1,633

clean

PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); DISTAL PHALANX OF FINGER

CPT 26236

—

$1,390

clean

FINGER MANIP W/ANES EA JNT

CPT 26340

$5,547

$3,328

$1,648

clean

MANIPULAT PALM CRD POST INJ

CPT 26341

$1,332

$799

$733

clean

TENODESIS; OF PROXIMAL INTERPHALANGEAL JOINT, EACH JOINT

CPT 26471

—

$1,651

clean

METACARPAL FX WO REDUCT EA BON

CPT 26600

$636

$382

$254

clean

METACARPAL FX W REDUCT EA BONE

CPT 26605

$2,711

$1,627

$1,084

clean

Showing the first 200 of 3,134 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

180 of 1,737 comparable items (10%) 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 $906 exceeds the gross charge $350

warn

mrf_rate_without_estimate

3,430 of 3,430 percentage/algorithm rates across 1,219 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

MS-DRG 140/i

info

mrf_item_fields_vary

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

MS-DRG 441/i

info

mrf_item_fields_vary

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

CPT J2250/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 141/i

info

mrf_item_fields_vary

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

MS-DRG 442/i

info

mrf_item_fields_vary

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

CPT J2260/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 142/i

info

mrf_item_fields_vary

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

MS-DRG 443/i

info

mrf_item_fields_vary

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

CPT J2270/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

MS-DRG 143/i

info

mrf_item_fields_vary

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

MS-DRG 444/i

info

mrf_item_fields_vary

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

CPT 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

MS-DRG 144/i

info

mrf_item_fields_vary

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

MS-DRG 445/i

info

mrf_item_fields_vary

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

CPT J2305/o

info

mrf_item_fields_vary

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

MS-DRG 145/i

info

mrf_item_fields_vary

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

MS-DRG 446/i

info

mrf_item_fields_vary

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

CPT 90375/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 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

MS-DRG 146/i

info

mrf_item_fields_vary

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

MS-DRG 447/i

info

mrf_item_fields_vary

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

CPT 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

MS-DRG 147/i

info

mrf_item_fields_vary

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

MS-DRG 448/i

info

mrf_item_fields_vary

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

CPT 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 J2350/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 148/i

info

mrf_item_fields_vary

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

MS-DRG 450/i

info

mrf_item_fields_vary

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

CPT J2354/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

MS-DRG 149/i

info

mrf_item_fields_vary

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

MS-DRG 451/i

info

mrf_item_fields_vary

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

CPT 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, max differ, so no cross-line comparison was made for this item

MS-DRG 150/i

info

mrf_item_fields_vary

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

MS-DRG 456/i

info

mrf_item_fields_vary

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

CPT J2357/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 151/i

info

mrf_item_fields_vary

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

MS-DRG 457/i

info

mrf_item_fields_vary

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

CPT 90636/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 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

MS-DRG 152/i

info

mrf_item_fields_vary

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

MS-DRG 458/i

info

mrf_item_fields_vary

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

CPT J2360/o

info

mrf_item_fields_vary

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

MS-DRG 153/i

info

mrf_item_fields_vary

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

MS-DRG 461/i

info

mrf_item_fields_vary

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

CPT 90661/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 J2371/o

info

mrf_item_fields_vary

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

MS-DRG 154/i

info

mrf_item_fields_vary

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

MS-DRG 462/i

info

mrf_item_fields_vary

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

CPT J2404/o

info

mrf_item_fields_vary

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

MS-DRG 155/i

info

mrf_item_fields_vary

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

MS-DRG 463/i

info

mrf_item_fields_vary

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

CPT J2405/o

info

mrf_item_fields_vary

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

MS-DRG 156/i

info

mrf_item_fields_vary

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

MS-DRG 464/i

info

mrf_item_fields_vary

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

CPT 90673/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 J2470/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

MS-DRG 157/i

info

mrf_item_fields_vary

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

MS-DRG 465/i

info

mrf_item_fields_vary

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

CPT J2506/o

info

mrf_item_fields_vary

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

MS-DRG 158/i

info

mrf_item_fields_vary

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

MS-DRG 466/i

info

mrf_item_fields_vary

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

CPT 90675/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 J2540/o

info

mrf_item_fields_vary

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

MS-DRG 159/i

info

mrf_item_fields_vary

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

MS-DRG 467/i

info

mrf_item_fields_vary

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

CPT J2543/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 163/i

info

mrf_item_fields_vary

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

MS-DRG 468/i

info

mrf_item_fields_vary

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

CPT 90677/o

info

mrf_item_fields_vary

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

MS-DRG 164/i

info

mrf_item_fields_vary

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

MS-DRG 469/i

info

mrf_item_fields_vary

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

MS-DRG 165/i

info

mrf_item_fields_vary

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

MS-DRG 470/i

info

mrf_item_fields_vary

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

CPT 90684/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 J2560/o

info

mrf_item_fields_vary

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

MS-DRG 166/i

info

mrf_item_fields_vary

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

MS-DRG 471/i

info

mrf_item_fields_vary

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

CPT J2590/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

MS-DRG 167/i

info

mrf_item_fields_vary

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

MS-DRG 472/i

info

mrf_item_fields_vary

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

CPT J2597/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 168/i

info

mrf_item_fields_vary

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

MS-DRG 473/i

info

mrf_item_fields_vary

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

CPT 90715/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 J2598/o

info

mrf_item_fields_vary

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

MS-DRG 173/i

info

mrf_item_fields_vary

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

MS-DRG 474/i

info

mrf_item_fields_vary

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

CPT J2700/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 175/i

info

mrf_item_fields_vary

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

MS-DRG 475/i

info

mrf_item_fields_vary

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

CPT J2704/o

info

mrf_item_fields_vary

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

MS-DRG 176/i

info

mrf_item_fields_vary

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

MS-DRG 476/i

info

mrf_item_fields_vary

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

CPT J2710/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

MS-DRG 177/i

info

mrf_item_fields_vary

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

MS-DRG 477/i

info

mrf_item_fields_vary

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

CPT 90734/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 J2765/o

info

mrf_item_fields_vary

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

MS-DRG 178/i

info

mrf_item_fields_vary

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

MS-DRG 478/i

info

mrf_item_fields_vary

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

CPT J2785/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 179/i

info

mrf_item_fields_vary

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

MS-DRG 479/i

info

mrf_item_fields_vary

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

CPT 90739/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 J2790/o

info

mrf_item_fields_vary

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

MS-DRG 180/i

info

mrf_item_fields_vary

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

MS-DRG 480/i

info

mrf_item_fields_vary

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

CPT J2791/o

info

mrf_item_fields_vary

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

MS-DRG 181/i

info

mrf_item_fields_vary

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

MS-DRG 481/i

info

mrf_item_fields_vary

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

CPT 90746/o

info

mrf_item_fields_vary

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

MS-DRG 182/i

info

mrf_item_fields_vary

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

MS-DRG 482/i

info

mrf_item_fields_vary

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

CPT J2795/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 183/i

info

mrf_item_fields_vary

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

MS-DRG 483/i

info

mrf_item_fields_vary

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

CPT 91322/o

info

mrf_item_fields_vary

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

CPT J2800/o

info

mrf_item_fields_vary

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

MS-DRG 184/i

info

mrf_item_fields_vary

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

MS-DRG 485/i

info

mrf_item_fields_vary

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

CPT J2805/o

info

mrf_item_fields_vary

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

MS-DRG 185/i

info

mrf_item_fields_vary

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

MS-DRG 486/i

info

mrf_item_fields_vary

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

CPT J2916/o

info

mrf_item_fields_vary

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

MS-DRG 186/i

info

mrf_item_fields_vary

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

MS-DRG 487/i

info

mrf_item_fields_vary

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

CPT 93798/o

info

mrf_item_fields_vary

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

CPT J2919/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

MS-DRG 187/i

info

mrf_item_fields_vary

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

MS-DRG 488/i

info

mrf_item_fields_vary

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

CPT J2997/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

MS-DRG 188/i

info

mrf_item_fields_vary

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

MS-DRG 489/i

info

mrf_item_fields_vary

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

CPT 94640/o

info

mrf_item_fields_vary

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

CPT J3010/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 189/i

info

mrf_item_fields_vary

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

MS-DRG 492/i

info

mrf_item_fields_vary

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

CPT J3030/o

info

mrf_item_fields_vary

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

MS-DRG 190/i

info

mrf_item_fields_vary

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

MS-DRG 493/i

info

mrf_item_fields_vary

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

MS-DRG 191/i

info

mrf_item_fields_vary

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

MS-DRG 494/i

info

mrf_item_fields_vary

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

CPT J3032/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 192/i

info

mrf_item_fields_vary

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

MS-DRG 495/i

info

mrf_item_fields_vary

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

CPT 94799/o

info

mrf_item_fields_vary

this code and setting cover at least 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 J3101/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 193/i

info

mrf_item_fields_vary

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

CPT J3105/o

info

mrf_item_fields_vary

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

MS-DRG 194/i

info

mrf_item_fields_vary

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

CPT J3111/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 195/i

info

mrf_item_fields_vary

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

CPT J3240/o

info

mrf_item_fields_vary

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

MS-DRG 196/i

info

mrf_item_fields_vary

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

CPT J3262/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 197/i

info

mrf_item_fields_vary

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

CPT J3300/o

info

mrf_item_fields_vary

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

MS-DRG 198/i

info

mrf_item_fields_vary

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

CPT J3301/o

info

mrf_item_fields_vary

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

MS-DRG 199/i

info

mrf_item_fields_vary

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

CPT J3360/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 200/i

info

mrf_item_fields_vary

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

CPT 99202/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

MS-DRG 201/i

info

mrf_item_fields_vary

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

CPT J3380/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 202/i

info

mrf_item_fields_vary

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

CPT J3411/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 203/i

info

mrf_item_fields_vary

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

CPT A4216/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 J3420/o

info

mrf_item_fields_vary

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

MS-DRG 204/i

info

mrf_item_fields_vary

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

CPT J3430/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 205/i

info

mrf_item_fields_vary

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

CPT A4314/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 J3473/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 206/i

info

mrf_item_fields_vary

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

CPT A4315/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 J3475/o

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 207/i

info

mrf_item_fields_vary

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

CPT A4338/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 differ, so no cross-line comparison was made for this item

CPT J3480/o

info

mrf_item_fields_vary

this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 208/i

info

mrf_item_fields_vary

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

CPT A4340/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 J3489/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

MS-DRG 209/i

info

mrf_item_fields_vary

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

CPT A4344/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 J3490/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

MS-DRG 212/i

info

mrf_item_fields_vary

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

CPT A4346/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 J3535/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

MS-DRG 213/i

info

mrf_item_fields_vary

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

CPT A4351/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 J3590/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

MS-DRG 215/i

info

mrf_item_fields_vary

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

CPT A4648/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 J7030/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

MS-DRG 216/i

info

mrf_item_fields_vary

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

CPT A6197/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

Showing the first 200 of 981 findings, errors first — every finding as JSON →

Sources for this hospital

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

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Upmc Bedford Memorial — standard charges file · PA · updated 3/6/2026
· csv-tall · 82.3M bytes · fetched 2026-08-23 · sha256 e3131a337133…

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.