Hospital · CCN 390164
Upmc Presbyterian Shadyside
200 Lothrop Street, Pittsburgh, PA 15213 · Allegheny County
Part of UPMC · 1,141 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
197 admission types 61 outpatient services price file: ok 70 Medicare-file findings
Billed per dollar paid, all admissions
9.72×
$1,715.5M billed against $176.5M paid across 6,147 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
871
Septicemia or severe sepsis without mv >96 hours with mcc
306
$233,517
$22,790
10.2× st 5.2×
291
Heart failure and shock with mcc
177
$128,276
$14,435
8.9× st 5.2×
025
Craniotomy and endovascular intracranial procedures with mcc
104
$394,623
$42,513
9.3× st 6.4×
177
Respiratory infections and inflammations with mcc
103
$177,336
$18,660
9.5× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
85
$82,618
$8,825
9.4× st 5.7×
330
Major small and large bowel procedures with cc
76
$243,067
$34,052
7.1× st 6.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
75
$199,632
$20,594
9.7× st 6.0×
314
Other circulatory system diagnoses with mcc
74
$257,287
$26,961
9.5× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
70
$681,523
$56,716
12.0× st 5.3×
699
Other kidney and urinary tract diagnoses with cc
70
$74,167
$11,284
6.6× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
68
$126,828
$18,146
7.0× st 5.0×
552
Medical back problems without mcc
67
$91,435
$10,244
8.9× st 5.5×
394
Other digestive system diagnoses with cc
67
$115,974
$10,975
10.6× st 5.9×
683
Renal failure with cc
66
$83,690
$9,900
8.5× st 5.4×
698
Other kidney and urinary tract diagnoses with mcc
65
$164,519
$17,653
9.3× st 5.2×
189
Pulmonary edema and respiratory failure
64
$157,287
$13,336
11.8× st 5.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
60
$842,515
$71,439
11.8× st 6.1×
690
Kidney and urinary tract infections without mcc
59
$90,135
$9,492
9.5× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$137,575
$14,553
9.5× st 5.6×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
56
$119,676
$13,630
8.8× st 5.9×
460
Spinal fusion except cervical without mcc
55
$255,373
$35,070
7.3× st 4.7×
329
Major small and large bowel procedures with mcc
54
$552,341
$50,688
10.9× st 5.9×
682
Renal failure with mcc
54
$140,076
$15,800
8.9× st 5.4×
193
Simple pneumonia and pleurisy with mcc
54
$147,118
$13,901
10.6× st 5.3×
919
Complications of treatment with mcc
53
$163,292
$18,384
8.9× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
51
$134,154
$14,884
9.0× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
50
$170,170
$17,802
9.6× st 5.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
49
$351,489
$56,408
6.2× st 5.5×
054
Nervous system neoplasms with mcc
49
$156,528
$17,298
9.0× st 6.5×
205
Other respiratory system diagnoses with mcc
48
$281,584
$24,721
11.4× st 8.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
47
$150,231
$11,414
13.2× st 6.3×
389
Gastrointestinal obstruction with cc
47
$80,504
$9,430
8.5× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
47
$91,198
$9,112
10.0× st 5.7×
603
Cellulitis without mcc
46
$86,525
$10,131
8.5× st 4.9×
406
Pancreas, liver and shunt procedures with cc
45
$267,843
$28,025
9.6× st 6.8×
445
Disorders of the biliary tract with cc
45
$105,811
$12,152
8.7× st 6.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
45
$192,876
$19,591
9.8× st 7.1×
481
Hip and femur procedures except major joint with cc
44
$218,577
$20,986
10.4× st 6.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
44
$104,517
$10,974
9.5× st 5.5×
327
Stomach, esophageal and duodenal procedures with cc
42
$278,939
$26,023
10.7× st 7.5×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
42
$1,856,698
$189,679
9.8× st 6.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
42
$508,555
$51,581
9.9× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
41
$287,441
$31,008
9.3× st 6.5×
312
Syncope and collapse
41
$89,522
$9,803
9.1× st 5.8×
378
Gastrointestinal hemorrhage with cc
41
$82,360
$10,614
7.8× st 6.1×
101
Seizures without mcc
41
$86,005
$9,995
8.6× st 6.1×
393
Other digestive system diagnoses with mcc
40
$147,738
$17,758
8.3× st 5.6×
315
Other circulatory system diagnoses with cc
40
$98,632
$10,487
9.4× st 6.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
40
$253,695
$43,654
5.8× st 6.4×
235
Coronary bypass without cardiac catheterization with mcc
39
$723,350
$53,378
13.6× st 6.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
39
$170,740
$20,112
8.5× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
39
$179,679
$20,133
8.9× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
38
$67,764
$8,416
8.1× st 5.4×
454
Combined anterior and posterior spinal fusion with cc
37
$380,287
$55,566
6.8× st 4.0×
252
Other vascular procedures with mcc
37
$315,280
$34,213
9.2× st 6.1×
472
Cervical spinal fusion with cc
37
$209,996
$28,055
7.5× st 5.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
37
$300,488
$24,571
12.2× st 6.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
37
$40,731
$7,372
5.5× st 5.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
36
$520,013
$56,673
9.2× st 5.8×
467
Revision of hip or knee replacement with cc
35
$248,280
$33,493
7.4× st 4.8×
834
Acute leukemia with mcc
35
$677,198
$63,475
10.7× st 7.0×
439
Disorders of pancreas except malignancy with cc
33
$100,493
$10,137
9.9× st 6.8×
689
Kidney and urinary tract infections with mcc
31
$111,439
$13,048
8.5× st 5.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
31
$175,831
$15,436
11.4× st 6.2×
326
Stomach, esophageal and duodenal procedures with mcc
31
$588,301
$58,416
10.1× st 6.8×
377
Gastrointestinal hemorrhage with mcc
31
$179,199
$18,440
9.7× st 5.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
30
$220,896
$25,901
8.5× st 6.0×
840
Lymphoma and non-acute leukemia with mcc
30
$336,976
$32,151
10.5× st 6.7×
708
Major male pelvic procedures without cc/mcc
30
$123,300
$13,846
8.9× st 8.0×
444
Disorders of the biliary tract with mcc
29
$148,158
$17,394
8.5× st 6.7×
026
Craniotomy and endovascular intracranial procedures with cc
29
$295,462
$29,411
10.0× st 6.9×
308
Cardiac arrhythmia and conduction disorders with mcc
29
$102,178
$13,813
7.4× st 5.4×
920
Complications of treatment with cc
29
$96,074
$10,653
9.0× st 6.4×
274
Percutaneous and other intracardiac procedures without mcc
29
$265,105
$30,943
8.6× st 6.2×
438
Disorders of pancreas except malignancy with mcc
28
$151,988
$17,582
8.6× st 7.7×
100
Seizures with mcc
28
$211,751
$20,843
10.2× st 5.9×
405
Pancreas, liver and shunt procedures with mcc
28
$470,113
$56,025
8.4× st 6.9×
652
Kidney transplant
28
$423,983
$38,938
10.9× st 10.1×
812
Red blood cell disorders without mcc
27
$73,427
$9,824
7.5× st 6.3×
948
Signs and symptoms without mcc
27
$65,897
$9,304
7.1× st 6.1×
468
Revision of hip or knee replacement without cc/mcc
26
$187,092
$24,990
7.5× st 5.0×
253
Other vascular procedures with cc
26
$270,358
$28,256
9.6× st 6.4×
057
Degenerative nervous system disorders without mcc
26
$145,150
$14,164
10.2× st 5.1×
242
Permanent cardiac pacemaker implant with mcc
26
$471,353
$37,392
12.6× st 6.2×
092
Other disorders of nervous system with cc
26
$112,584
$11,351
9.9× st 6.1×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
25
$6,565,675
$541,456
12.1× st 9.3×
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
25
$409,542
$37,092
11.0× st 7.6×
270
Other major cardiovascular procedures with mcc
25
$580,321
$53,062
10.9× st 6.0×
281
Acute myocardial infarction, discharged alive with cc
25
$73,305
$10,101
7.3× st 6.6×
917
Poisoning and toxic effects of drugs with mcc
25
$190,211
$18,994
10.0× st 6.2×
164
Major chest procedures with cc
24
$211,826
$25,152
8.4× st 6.2×
907
Other o.r. procedures for injuries with mcc
24
$603,406
$58,731
10.3× st 7.3×
194
Simple pneumonia and pleurisy with cc
24
$93,971
$9,785
9.6× st 5.6×
300
Peripheral vascular disorders with cc
24
$101,435
$11,584
8.8× st 5.7×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
23
$100,009
$11,061
9.0× st 7.1×
178
Respiratory infections and inflammations with cc
23
$97,910
$11,245
8.7× st 5.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
23
$131,040
$12,698
10.3× st 5.9×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
23
$71,274
$9,684
7.4× st 5.9×
480
Hip and femur procedures except major joint with mcc
23
$370,230
$32,371
11.4× st 6.4×
331
Major small and large bowel procedures without cc/mcc
23
$158,319
$16,591
9.5× st 6.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$339,475
$28,942
11.7× st 6.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
23
$73,804
$9,556
7.7× st 5.4×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
23
$173,905
$14,001
12.4× st 7.5×
551
Medical back problems with mcc
23
$177,110
$18,224
9.7× st 5.7×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
22
$199,176
$25,084
7.9× st 6.1×
660
Kidney and ureter procedures for non-neoplasm with cc
22
$129,027
$14,019
9.2× st 5.8×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
22
$437,957
$57,934
7.6× st 5.0×
056
Degenerative nervous system disorders with mcc
22
$357,639
$34,286
10.4× st 5.3×
388
Gastrointestinal obstruction with mcc
21
$286,801
$22,266
12.9× st 6.1×
657
Kidney and ureter procedures for neoplasm with cc
21
$172,190
$18,128
9.5× st 7.2×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
21
$317,994
$22,907
13.9× st 6.8×
644
Endocrine disorders with cc
21
$144,360
$13,052
11.1× st 5.6×
870
Septicemia or severe sepsis with mv >96 hours
21
$899,911
$80,124
11.2× st 5.9×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
21
$519,947
$51,456
10.1× st 6.3×
190
Chronic obstructive pulmonary disease with mcc
21
$132,912
$13,880
9.6× st 5.5×
005
Liver transplant with mcc or intestinal transplant
20
$1,552,666
$256,407
6.1× st 6.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
20
$190,844
$19,206
9.9× st 7.1×
184
Major chest trauma with cc
20
$95,655
$11,154
8.6× st 5.5×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
20
$315,595
$48,968
6.4× st 5.8×
862
Postoperative and post-traumatic infections with mcc
20
$186,408
$17,898
10.4× st 6.0×
374
Digestive malignancy with mcc
20
$191,807
$21,670
8.9× st 5.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$99,368
$11,401
8.7× st 6.6×
884
Organic disturbances and intellectual disability
19
$154,377
$19,715
7.8× st 4.5×
011
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
19
$499,122
$51,468
9.7× st 8.2×
206
Other respiratory system diagnoses without mcc
19
$126,856
$10,010
12.7× st 9.8×
841
Lymphoma and non-acute leukemia with cc
19
$188,976
$17,771
10.6× st 8.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$147,873
$11,778
12.6× st 5.8×
141
Major head and neck procedures with cc
19
$209,144
$20,531
10.2× st 7.6×
176
Pulmonary embolism without mcc
19
$67,982
$8,340
8.2× st 6.5×
673
Other kidney and urinary tract procedures with mcc
19
$322,260
$37,237
8.7× st 5.9×
180
Respiratory neoplasms with mcc
18
$282,061
$22,003
12.8× st 6.4×
356
Other digestive system o.r. procedures with mcc
18
$442,936
$43,596
10.2× st 7.0×
243
Permanent cardiac pacemaker implant with cc
18
$253,331
$21,400
11.8× st 6.1×
166
Other respiratory system o.r. procedures with mcc
18
$382,498
$34,026
11.2× st 5.9×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$264,481
$22,736
11.6× st 5.9×
863
Postoperative and post-traumatic infections without mcc
18
$112,376
$11,185
10.0× st 5.9×
271
Other major cardiovascular procedures with cc
17
$246,369
$35,496
6.9× st 6.0×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
17
$125,539
$19,894
6.3× st 4.9×
086
Traumatic stupor and coma <1 hour with cc
17
$132,643
$13,697
9.7× st 5.7×
074
Cranial and peripheral nerve disorders without mcc
17
$152,220
$14,641
10.4× st 6.1×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
17
$248,492
$27,951
8.9× st 7.0×
455
Combined anterior and posterior spinal fusion without cc/mcc
17
$322,801
$42,428
7.6× st 3.6×
707
Major male pelvic procedures with cc/mcc
16
$139,299
$18,402
7.6× st 7.6×
908
Other o.r. procedures for injuries with cc
16
$184,601
$21,170
8.7× st 6.3×
638
Diabetes with cc
16
$77,649
$9,541
8.1× st 5.2×
375
Digestive malignancy with cc
16
$116,357
$13,912
8.4× st 6.3×
163
Major chest procedures with mcc
16
$570,492
$62,463
9.1× st 5.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
16
$147,991
$19,731
7.5× st 5.1×
085
Traumatic stupor and coma <1 hour with mcc
16
$309,795
$28,922
10.7× st 5.9×
299
Peripheral vascular disorders with mcc
16
$101,210
$16,087
6.3× st 5.8×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
16
$1,556,343
$116,086
13.4× st 6.3×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
15
$1,013,650
$79,475
12.8× st 6.3×
554
Bone diseases and arthropathies without mcc
15
$68,372
$10,631
6.4× st 5.1×
091
Other disorders of nervous system with mcc
15
$338,012
$24,695
13.7× st 6.3×
811
Red blood cell disorders with mcc
15
$134,345
$14,594
9.2× st 5.8×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$422,213
$38,638
10.9× st 6.2×
283
Acute myocardial infarction, expired with mcc
14
$346,079
$28,509
12.1× st 7.7×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
14
$243,855
$24,886
9.8× st 5.6×
103
Headaches without mcc
14
$123,650
$10,031
12.3× st 4.6×
829
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wi
14
$356,955
$40,998
8.7× st 7.6×
654
Major bladder procedures with cc
14
$226,823
$25,261
9.0× st 6.6×
336
Peritoneal adhesiolysis with cc
14
$214,281
$21,351
10.0× st 6.1×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
13
$1,028,155
$92,839
11.1× st 7.3×
165
Major chest procedures without cc/mcc
13
$203,912
$18,043
11.3× st 6.2×
864
Fever and inflammatory conditions
13
$65,609
$10,215
6.4× st 6.0×
083
Traumatic stupor and coma >1 hour with cc
13
$156,864
$12,996
12.1× st 5.8×
071
Other cerebrovascular disorders with cc
13
$111,547
$12,572
8.9× st 6.2×
069
Transient ischemia without thrombolytic
13
$88,347
$8,553
10.3× st 6.4×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
13
$295,395
$37,200
7.9× st 4.9×
029
Spinal procedures with cc or spinal neurostimulators
13
$350,268
$39,881
8.8× st 6.0×
674
Other kidney and urinary tract procedures with cc
13
$237,552
$24,101
9.9× st 7.7×
637
Diabetes with mcc
13
$184,105
$18,722
9.8× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$183,687
$20,680
8.9× st 5.7×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
12
$189,544
$23,460
8.1× st 6.0×
073
Cranial and peripheral nerve disorders with mcc
12
$185,916
$23,426
7.9× st 7.9×
390
Gastrointestinal obstruction without cc/mcc
12
$47,310
$6,625
7.1× st 6.5×
658
Kidney and ureter procedures for neoplasm without cc/mcc
12
$122,231
$14,413
8.5× st 7.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$209,184
$21,381
9.8× st 6.1×
207
Respiratory system diagnosis with ventilator support >96 hours
12
$776,592
$73,244
10.6× st 5.9×
305
Hypertension without mcc
12
$81,373
$8,462
9.6× st 5.8×
264
Other circulatory system o.r. procedures
12
$409,593
$27,898
14.7× st 5.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
12
$274,431
$38,210
7.2× st 6.0×
650
Kidney transplant with hemodialysis with mcc
12
$1,063,368
$86,293
12.3× st 8.8×
823
Lymphoma and non-acute leukemia with other procedures with mcc
12
$739,505
$44,217
16.7× st 10.1×
607
Minor skin disorders without mcc
11
$80,838
$8,970
9.0× st 5.9×
014
Allogeneic bone marrow transplant
11
$648,526
$169,738
3.8× st 3.9×
602
Cellulitis with mcc
11
$104,439
$15,479
6.7× st 4.9×
964
Other multiple significant trauma with cc
11
$154,128
$14,687
10.5× st 6.1×
545
Connective tissue disorders with mcc
11
$360,504
$36,169
10.0× st 7.7×
313
Chest pain
11
$43,258
$7,506
5.8× st 5.0×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
11
$952,871
$73,383
13.0× st 6.6×
436
Malignancy of hepatobiliary system or pancreas with cc
11
$85,797
$11,739
7.3× st 6.3×
433
Cirrhosis and alcoholic hepatitis with cc
11
$160,309
$12,012
13.3× st 7.4×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
11
$423,421
$66,475
6.4× st 4.2×
357
Other digestive system o.r. procedures with cc
11
$236,171
$27,261
8.7× st 8.0×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
11
$234,921
$25,543
9.2× st 8.0×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
11
$226,675
$18,809
12.1× st 6.9×
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
5302
Level 2 Upper GI Procedures
420
$26,411
$1,673
15.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
308
$24,859
$1,435
17.3×
5183
Level 3 Vascular Procedures
270
$36,232
$2,839
12.8×
5191
Level 1 Endovascular Procedures
216
$32,730
$2,838
11.5×
5154
Level 4 Airway Endoscopy
214
$51,861
$3,225
16.1×
5115
Level 5 Musculoskeletal Procedures
213
$96,644
$11,598
8.3×
8011
Comprehensive Observation Services
205
$47,501
$2,360
20.1×
5114
Level 4 Musculoskeletal Procedures
142
$80,288
$6,251
12.8×
5361
Level 1 Laparoscopy and Related Services
137
$62,019
$5,070
12.2×
5627
Level 7 Radiation Therapy
131
$58,551
$6,913
8.5×
5374
Level 4 Urology and Related Services
123
$45,634
$3,094
14.8×
5193
Level 3 Endovascular Procedures
119
$125,316
$9,750
12.9×
5373
Level 3 Urology and Related Services
117
$22,757
$1,819
12.5×
5184
Level 4 Vascular Procedures
109
$61,946
$2,612
23.7×
5213
Level 3 Electrophysiologic Procedures
104
$237,220
$21,159
11.2×
5375
Level 5 Urology and Related Services
100
$61,213
$4,622
13.2×
5182
Level 2 Vascular Procedures
96
$16,093
$1,430
11.3×
5165
Level 5 ENT Procedures
92
$53,260
$5,157
10.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
91
$36,540
$2,538
14.4×
5113
Level 3 Musculoskeletal Procedures
83
$43,013
$2,845
15.1×
5112
Level 2 Musculoskeletal Procedures
78
$17,001
$1,436
11.8×
5303
Level 3 Upper GI Procedures
76
$47,872
$3,349
14.3×
5192
Level 2 Endovascular Procedures
75
$58,665
$5,105
11.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
73
$44,004
$3,090
14.2×
5431
Level 1 Nerve Procedures
73
$26,067
$1,675
15.6×
5153
Level 3 Airway Endoscopy
59
$60,841
$1,503
40.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
57
$56,627
$3,405
16.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
46
$82,108
$5,824
14.1×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
46
$33,138
$2,087
15.9×
5223
Level 3 Pacemaker and Similar Procedures
44
$131,593
$9,531
13.8×
5194
Level 4 Endovascular Procedures
39
$157,015
$15,631
10.0×
5155
Level 5 Airway Endoscopy
38
$78,545
$6,113
12.8×
5331
Complex GI Procedures
35
$51,704
$5,090
10.2×
5232
Level 2 ICD and Similar Procedures
32
$336,834
$29,297
11.5×
5362
Level 2 Laparoscopy and Related Services
23
$100,943
$8,861
11.4×
5224
Level 4 Pacemaker and Similar Procedures
19
$182,669
$17,365
10.5×
5313
Level 3 Lower GI Procedures
17
$28,722
$2,406
11.9×
5222
Level 2 Pacemaker and Similar Procedures
16
$62,346
$7,588
8.2×
5164
Level 4 ENT Procedures
14
$51,533
$2,876
17.9×
5231
Level 1 ICD and Similar Procedures
14
$234,118
$21,000
11.1×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
14
$50,077
$3,453
14.5×
5465
Level 5 Neurostimulator and Related Procedures
12
$164,481
$27,655
5.9×
5372
Level 2 Urology and Related Services
11
$17,857
$610
29.3×
5471
Implantation of Drug Infusion Device
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via upmc.com/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-06, template 3.0.0, 1,286,613 rows scanned, 5,720 distinct code–setting items kept. 2,048 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
INSERTION OF AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE SUBCONJUNCTIVAL SPACE; INITIAL DEVICE
—
—
$4,338
14
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, AND MUSCLE
—
—
$795
17
clean
DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$165
10
clean
DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$476
10
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,307
24
clean
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED
—
—
$1,654
24
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$1,883
24
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$919
10
clean
SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR 1% OF
—
—
$1,883
17
clean
SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, OR
—
—
$725
17
clean
SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
—
—
$3,770
17
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS
—
—
$1,883
17
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO C
—
—
$1,809
10
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS
—
—
$1,883
17
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF, OR EACH ADDITIONAL 1% OF BODY AREA OF
—
—
$1,026
10
clean
FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; SCALP, ARMS, OR LEGS
—
—
$3,770
17
clean
DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, GENITALIA, HANDS, OR FEET
—
—
$1,687
24
clean
MIDFACE FLAP (IE, ZYGOMATICOFACIAL FLAP) WITH PRESERVATION OF VASCULAR PEDICLE(S)
—
—
$3,770
16
clean
FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE (EG, AXIAL PATTERN FLAP, PARAMEDIAN FOREHEAD FLAP)
—
—
$3,770
17
clean
MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK WITH NAMED VASCULAR PEDICLE (IE, BUCCINATORS, GENIOGLOSSUS, TEMPORALIS, MASSETER, STERNOCLEIDOMASTOID, LEVATOR SCAPULAE)
—
—
$3,770
17
clean
GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; 50 CC OR LESS INJECTATE
—
—
$2,219
17
clean
GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 50 CC INJECTATE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$281
10
clean
Showing the first 200 of 5,720 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
481 of 3,551 comparable items (14%) 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 $9,881 exceeds the gross charge $8,769
warn
mrf_rate_without_estimate
29,028 of 29,028 percentage/algorithm rates across 2,982 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 64400/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 A6402/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 J0699/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 J7507/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 039/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 360/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64416/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 A6448/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 J0702/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 J7508/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 040/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 368/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27502/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 64418/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 86972/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 A6449/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 J0706/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 J7509/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 041/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 369/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27532/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 64461/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 J0712/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 J7510/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, max differ, so no cross-line comparison was made for this item
MS-DRG 042/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 370/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27550/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 64462/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 86999/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 J0713/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 J7512/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 052/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 371/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27552/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 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 A6454/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 J0714/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 J7515/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 053/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 372/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27752/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 87086/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 A6456/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 J0717/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 J7517/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 054/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 373/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27786/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 A6457/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 J7518/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 055/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 374/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27788/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 87205/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 J0735/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 J7520/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 056/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 375/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27810/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 87209/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 A6550/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 J0736/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 J7527/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 057/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 376/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27818/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 87290/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 J0737/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 058/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 377/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27825/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 64488/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 87329/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 J0742/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 J7608/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
MS-DRG 059/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 378/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27840/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 64510/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 J0743/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 060/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 379/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28208/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 64517/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 87426/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 A7048/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 J0744/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 J7611/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 061/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 380/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28435/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 64530/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 87427/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 A7504/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 062/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 381/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64633/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 87478/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 A7520/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 J0770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 063/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 382/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28825/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 64999/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 87484/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 A7521/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 J0780/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 J7674/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 064/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 383/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29105/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 J0791/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 J7677/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 065/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 384/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 65270/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 A9155/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 066/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 385/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29505/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 65275/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 A9272/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 J7699/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 067/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 386/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29515/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 J7999/o
info
mrf_item_fields_vary
this code and setting cover at least 78 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 068/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 387/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 67700/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 J0840/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 J8498/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 069/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 388/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 67875/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 J8501/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 070/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 389/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 68700/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 87799/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 J8515/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 071/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 390/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 69120/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 J0875/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 J8530/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 072/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 391/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30901/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 J0878/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 J8540/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 073/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 392/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30905/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 J0881/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 074/i
info
mrf_item_fields_vary
this code and setting cover at 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 393/i
info
mrf_item_fields_vary
this code and setting cover at 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 70336/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 J0883/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 J8597/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 075/i
info
mrf_item_fields_vary
this code and setting cover at 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 394/i
info
mrf_item_fields_vary
this code and setting cover at 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 31231/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 70480/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 J0885/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 J8610/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 076/i
info
mrf_item_fields_vary
this code and setting cover at 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 395/i
info
mrf_item_fields_vary
this code and setting cover at 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 31237/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 70496/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 J0894/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 J8700/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 080/i
info
mrf_item_fields_vary
this code and setting cover at 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 397/i
info
mrf_item_fields_vary
this code and setting cover at 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 31238/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 70498/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 88184/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 J0896/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 J8999/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
MS-DRG 081/i
info
mrf_item_fields_vary
this code and setting cover at 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 398/i
info
mrf_item_fields_vary
this code and setting cover at 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 31500/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 70540/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 A9560/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 J0897/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 J9000/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 082/i
info
mrf_item_fields_vary
this code and setting cover at 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 399/i
info
mrf_item_fields_vary
this code and setting cover at 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 31502/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 70542/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 J1010/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 J9015/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 083/i
info
mrf_item_fields_vary
this code and setting cover at 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 402/i
info
mrf_item_fields_vary
this code and setting cover at 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 31525/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 70543/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 J1050/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
Showing the first 200 of 2,048 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 004
info
inp_charge_10x_payment
average charge $1,556,343 is 13.4× the total payment
MS-DRG 012
info
inp_charge_10x_payment
average charge $409,542 is 11.0× the total payment
MS-DRG 018
info
inp_charge_10x_payment
average charge $6,565,675 is 12.1× the total payment
MS-DRG 026
info
inp_charge_10x_payment
average charge $295,462 is 10.0× the total payment
MS-DRG 056
info
inp_charge_10x_payment
average charge $357,639 is 10.4× the total payment
MS-DRG 057
info
inp_charge_10x_payment
average charge $145,150 is 10.2× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $150,231 is 13.2× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $88,347 is 10.3× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $152,220 is 10.4× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $156,864 is 12.1× the total payment
MS-DRG 085
info
inp_charge_10x_payment
average charge $309,795 is 10.7× the total payment
MS-DRG 091
info
inp_charge_10x_payment
average charge $338,012 is 13.7× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $211,751 is 10.2× the total payment
MS-DRG 103
info
inp_charge_10x_payment
average charge $123,650 is 12.3× the total payment
MS-DRG 141
info
inp_charge_10x_payment
average charge $209,144 is 10.2× the total payment
MS-DRG 165
info
inp_charge_10x_payment
average charge $203,912 is 11.3× the total payment
MS-DRG 166
info
inp_charge_10x_payment
average charge $382,498 is 11.2× the total payment
MS-DRG 175
info
inp_charge_10x_payment
average charge $175,831 is 11.4× the total payment
MS-DRG 180
info
inp_charge_10x_payment
average charge $282,061 is 12.8× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $157,287 is 11.8× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $147,118 is 10.6× the total payment
MS-DRG 205
info
inp_charge_10x_payment
average charge $281,584 is 11.4× the total payment
MS-DRG 206
info
inp_charge_10x_payment
average charge $126,856 is 12.7× the total payment
MS-DRG 207
info
inp_charge_10x_payment
average charge $776,592 is 10.6× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $339,475 is 11.7× the total payment
MS-DRG 216
info
inp_charge_10x_payment
average charge $1,028,155 is 11.1× the total payment
MS-DRG 219
info
inp_charge_10x_payment
average charge $842,515 is 11.8× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $1,013,650 is 12.8× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $723,350 is 13.6× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $471,353 is 12.6× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $253,331 is 11.8× the total payment
MS-DRG 264
info
inp_charge_10x_payment
average charge $409,593 is 14.7× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $580,321 is 10.9× the total payment
MS-DRG 283
info
inp_charge_10x_payment
average charge $346,079 is 12.1× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $300,488 is 12.2× the total payment
MS-DRG 326
info
inp_charge_10x_payment
average charge $588,301 is 10.1× the total payment
MS-DRG 327
info
inp_charge_10x_payment
average charge $278,939 is 10.7× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $552,341 is 10.9× the total payment
MS-DRG 336
info
inp_charge_10x_payment
average charge $214,281 is 10.0× the total payment
MS-DRG 356
info
inp_charge_10x_payment
average charge $442,936 is 10.2× the total payment
MS-DRG 372
info
inp_charge_10x_payment
average charge $147,873 is 12.6× the total payment
MS-DRG 388
info
inp_charge_10x_payment
average charge $286,801 is 12.9× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $115,974 is 10.6× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $264,481 is 11.6× the total payment
MS-DRG 433
info
inp_charge_10x_payment
average charge $160,309 is 13.3× the total payment
MS-DRG 463
info
inp_charge_10x_payment
average charge $952,871 is 13.0× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $370,230 is 11.4× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $218,576 is 10.4× the total payment
MS-DRG 543
info
inp_charge_10x_payment
average charge $131,040 is 10.3× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $91,198 is 10.0× the total payment
MS-DRG 644
info
inp_charge_10x_payment
average charge $144,360 is 11.1× the total payment
MS-DRG 650
info
inp_charge_10x_payment
average charge $1,063,368 is 12.3× the total payment
MS-DRG 652
info
inp_charge_10x_payment
average charge $423,983 is 10.9× the total payment
MS-DRG 809
info
inp_charge_10x_payment
average charge $173,905 is 12.4× the total payment
MS-DRG 823
info
inp_charge_10x_payment
average charge $739,505 is 16.7× the total payment
MS-DRG 834
info
inp_charge_10x_payment
average charge $677,198 is 10.7× the total payment
MS-DRG 840
info
inp_charge_10x_payment
average charge $336,976 is 10.5× the total payment
MS-DRG 841
info
inp_charge_10x_payment
average charge $188,976 is 10.6× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $681,523 is 12.0× the total payment
MS-DRG 856
info
inp_charge_10x_payment
average charge $519,947 is 10.1× the total payment
MS-DRG 857
info
inp_charge_10x_payment
average charge $317,994 is 13.9× the total payment
MS-DRG 862
info
inp_charge_10x_payment
average charge $186,408 is 10.4× the total payment
MS-DRG 863
info
inp_charge_10x_payment
average charge $112,376 is 10.0× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $899,911 is 11.2× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $233,517 is 10.2× the total payment
MS-DRG 907
info
inp_charge_10x_payment
average charge $603,406 is 10.3× the total payment
MS-DRG 917
info
inp_charge_10x_payment
average charge $190,211 is 10.0× the total payment
MS-DRG 964
info
inp_charge_10x_payment
average charge $154,128 is 10.5× the total payment
MS-DRG 987
info
inp_charge_10x_payment
average charge $422,212 is 10.9× the total payment
MS-DRG 988
info
inp_charge_10x_payment
average charge $226,675 is 12.1× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- UPMC Presbyterian — standard charges file · PA · updated 2026-03-06found via cms-hpt.txt · csv-tall · 309.1M bytes · fetched 2026-08-21 · sha256 15895731e674…
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.