Hospital · CCN 420026

Musc Health Columbia Medical Center Downtown

2435 Forest Drive, Columbia, SC 29204 · Richland County
Part of Medical University of South Carolina Medical Center · 332 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

69 admission types 56 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
5.18×
$150.5M billed against $29.1M paid across 2,086 Medicare discharges; the national figure is 5.03×.
4.1%
of adults in Richland County have medical debt in collections
9.6%
uninsured in the county · state 11.0%
$62K
median household income
4.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
34.7%
obesity in the countyⓘ
13.0%
diagnosed diabetes (PLACES)
5.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
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
159
$65,509
$13,566
4.8× st 4.8×
274
Percutaneous and other intracardiac procedures without mcc
130
$134,824
$22,442
6.0× st 7.2×
291
Heart failure and shock with mcc
116
$32,168
$8,440
3.8× st 4.3×
280
Acute myocardial infarction, discharged alive with mcc
101
$44,839
$10,274
4.4× st 5.7×
378
Gastrointestinal hemorrhage with cc
60
$32,199
$6,543
4.9× st 4.8×
193
Simple pneumonia and pleurisy with mcc
57
$34,585
$8,701
4.0× st 4.8×
189
Pulmonary edema and respiratory failure
55
$46,868
$8,784
5.3× st 5.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
49
$72,890
$13,984
5.2× st 7.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
49
$27,692
$7,720
3.6× st 5.7×
281
Acute myocardial infarction, discharged alive with cc
46
$24,812
$6,432
3.9× st 5.9×
273
Percutaneous and other intracardiac procedures with mcc
43
$146,344
$27,416
5.3× st 6.2×
236
Coronary bypass without cardiac catheterization without mcc
41
$155,403
$30,395
5.1× st 7.2×
309
Cardiac arrhythmia and conduction disorders with cc
41
$21,231
$5,294
4.0× st 4.8×
683
Renal failure with cc
40
$25,009
$6,046
4.1× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
38
$46,811
$14,742
3.2× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$20,795
$5,323
3.9× st 5.1×
177
Respiratory infections and inflammations with mcc
37
$43,003
$10,515
4.1× st 4.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
36
$225,943
$42,556
5.3× st 5.2×
682
Renal failure with mcc
35
$54,537
$11,202
4.9× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
33
$176,920
$36,614
4.8× st 5.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
33
$125,599
$12,651
9.9× st 6.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
32
$208,641
$34,876
6.0× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
31
$30,170
$8,033
3.8× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$38,346
$8,817
4.3× st 4.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
29
$18,564
$3,810
4.9× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
28
$33,057
$7,059
4.7× st 5.0×
812
Red blood cell disorders without mcc
26
$25,564
$6,219
4.1× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
25
$30,114
$7,419
4.1× st 4.4×
689
Kidney and urinary tract infections with mcc
24
$29,011
$7,898
3.7× st 4.3×
330
Major small and large bowel procedures with cc
23
$91,440
$16,820
5.4× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
23
$29,469
$5,563
5.3× st 4.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$113,020
$23,268
4.9× st 7.0×
243
Permanent cardiac pacemaker implant with cc
22
$108,416
$15,149
7.2× st 6.7×
690
Kidney and urinary tract infections without mcc
22
$24,700
$5,429
4.6× st 4.5×
603
Cellulitis without mcc
21
$23,235
$6,303
3.7× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$30,992
$6,531
4.7× st 5.2×
331
Major small and large bowel procedures without cc/mcc
20
$95,754
$11,211
8.5× st 6.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$31,916
$9,786
3.3× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$40,226
$8,397
4.8× st 4.7×
377
Gastrointestinal hemorrhage with mcc
19
$48,175
$11,721
4.1× st 5.0×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$19,869
$6,736
3.0× st 6.3×
460
Spinal fusion except cervical without mcc
18
$169,283
$24,863
6.8× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$52,437
$12,968
4.0× st 5.3×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
17
$171,638
$34,227
5.0× st 6.7×
313
Chest pain
17
$20,857
$5,309
3.9× st 5.4×
468
Revision of hip or knee replacement without cc/mcc
16
$159,298
$21,982
7.2× st 6.3×
481
Hip and femur procedures except major joint with cc
16
$104,236
$15,216
6.9× st 5.9×
811
Red blood cell disorders with mcc
15
$47,659
$9,847
4.8× st 4.7×
314
Other circulatory system diagnoses with mcc
15
$80,103
$16,557
4.8× st 4.2×
389
Gastrointestinal obstruction with cc
15
$19,338
$5,307
3.6× st 4.7×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
14
$136,025
$20,204
6.7× st 5.8×
252
Other vascular procedures with mcc
13
$97,630
$27,246
3.6× st 5.5×
069
Transient ischemia without thrombolytic
13
$21,224
$5,175
4.1× st 6.6×
472
Cervical spinal fusion with cc
13
$130,627
$19,611
6.7× st 5.9×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
13
$169,140
$30,805
5.5× st 5.5×
329
Major small and large bowel procedures with mcc
13
$172,452
$32,037
5.4× st 5.5×
071
Other cerebrovascular disorders with cc
12
$31,034
$7,163
4.3× st 5.7×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$194,285
$31,078
6.3× st 6.1×
235
Coronary bypass without cardiac catheterization with mcc
12
$220,296
$40,708
5.4× st 6.2×
312
Syncope and collapse
12
$20,878
$6,372
3.3× st 4.9×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$82,019
$13,541
6.1× st 5.9×
100
Seizures with mcc
11
$95,434
$16,449
5.8× st 5.4×
163
Major chest procedures with mcc
11
$172,429
$27,517
6.3× st 4.9×
039
Extracranial procedures without cc/mcc
11
$81,273
$7,652
10.6× st 7.5×
292
Heart failure and shock with cc
11
$26,018
$5,774
4.5× st 3.8×
176
Pulmonary embolism without mcc
11
$15,292
$5,438
2.8× st 4.6×
283
Acute myocardial infarction, expired with mcc
11
$82,792
$14,687
5.6× st 4.5×
638
Diabetes with cc
11
$21,471
$6,223
3.5× st 4.5×
480
Hip and femur procedures except major joint with mcc
11
$131,700
$19,200
6.9× st 6.1×
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
5191
Level 1 Endovascular Procedures
501
$13,132
$2,844
4.6×
5115
Level 5 Musculoskeletal Procedures
276
$113,295
$11,506
9.8×
5193
Level 3 Endovascular Procedures
170
$56,836
$9,480
6.0×
5492
Level 2 Intraocular Procedures
168
$31,044
$3,521
8.8×
5213
Level 3 Electrophysiologic Procedures
150
$164,142
$20,689
7.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
119
$9,673
$1,422
6.8×
5114
Level 4 Musculoskeletal Procedures
99
$58,547
$6,259
9.4×
5223
Level 3 Pacemaker and Similar Procedures
96
$67,296
$9,407
7.2×
5183
Level 3 Vascular Procedures
87
$14,510
$2,818
5.1×
8011
Comprehensive Observation Services
86
$11,844
$2,389
5.0×
5194
Level 4 Endovascular Procedures
77
$74,382
$13,136
5.7×
5113
Level 3 Musculoskeletal Procedures
77
$35,336
$2,848
12.4×
5116
Level 6 Musculoskeletal Procedures
69
$120,103
$16,536
7.3×
5184
Level 4 Vascular Procedures
69
$32,698
$4,851
6.7×
5222
Level 2 Pacemaker and Similar Procedures
55
$45,114
$7,335
6.2×
5361
Level 1 Laparoscopy and Related Services
55
$50,342
$5,056
10.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
48
$18,929
$2,474
7.7×
5374
Level 4 Urology and Related Services
41
$29,757
$3,100
9.6×
5192
Level 2 Endovascular Procedures
41
$37,817
$5,082
7.4×
5375
Level 5 Urology and Related Services
39
$40,937
$4,601
8.9×
5232
Level 2 ICD and Similar Procedures
36
$136,169
$29,167
4.7×
5313
Level 3 Lower GI Procedures
28
$24,843
$2,355
10.6×
5302
Level 2 Upper GI Procedures
27
$14,628
$1,692
8.6×
5153
Level 3 Airway Endoscopy
25
$19,168
$1,461
13.1×
5112
Level 2 Musculoskeletal Procedures
24
$16,269
$1,382
11.8×
5464
Level 4 Neurostimulator and Related Procedures
22
$97,776
$19,405
5.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
19
$21,257
$2,833
7.5×
5182
Level 2 Vascular Procedures
19
$5,825
$1,424
4.1×
5493
Level 3 Intraocular Procedures
19
$42,590
$4,647
9.2×
5165
Level 5 ENT Procedures
17
$52,294
$5,207
10.0×
5154
Level 4 Airway Endoscopy
15
$27,422
$3,330
8.2×
5155
Level 5 Airway Endoscopy
12
$46,358
$6,086
7.6×
5431
Level 1 Nerve Procedures
11
$15,620
$1,717
9.1×
5224
Level 4 Pacemaker and Similar Procedures
11
$94,079
$17,288
5.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-01, template 3.0.0, 194,303 rows scanned, 15,615 distinct code–setting items kept. 368 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$738
6
clean
HB RBC ANTIGEN GENOTYPING PANEL
$384
$192
—
0
clean
Liver dis 10 assays w/ash
—
—
$530
6
clean
HB NASH NSFIB - MAYO (SEND OUT)
$1,190
$595
—
0
clean
Liver dis 10 assays w/nash
—
—
$530
6
clean
Onco prst8 3 gene ur alg
—
—
$783
7
clean
Onc mrna 5 gen rsk urthl ca
—
—
$783
7
clean
Onc mrna 5 gen recr urthl ca
—
—
$783
7
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,338
6
clean
Onc bladder mrna 209 gen alg
—
—
$3,594
10
clean
Onc thyr 10 microrna seq alg
—
—
$3,077
6
clean
Onc aml dna detcj/nondetcj
—
—
$255
6
clean
Glyca nuc mr spectrsc quan
—
—
$35
7
clean
Onc thyr dna&mrna 112 genes
—
—
$3,708
7
clean
Jak2 gene trgt seq alys
—
—
$126
7
clean
Rx metab advrs trgt seq alys
—
—
$765
7
clean
Tpmt nudt15 genes
—
—
$480
7
clean
Neuro csf prion prtn qual
—
—
$557
7
clean
HB RT QUIC (SEND OUT)
$1,393
$697
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,605
7
clean
B brgdrferi antb 5 prtn igm
—
—
$18
7
clean
HB CT PERFUSION W/CONTRAST
$1,350
$675
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$18
7
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
7
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
7
clean
Onc brst dux carc is 12 gene
—
—
$3,970
6
clean
Onc prst8 mrna 17 gene alg
—
—
$3,970
6
clean
Bone srgry cmptr fluor image
—
—
$4,151
2
clean
Bone srgry cmptr ct/mri imag
—
—
$4,151
2
clean
Onc merkel cll carc srm quan
—
—
$331
6
clean
Onc merkel cll carc srm +/-
—
—
$331
6
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$26
6
clean
Antb tp total&rpr ia qual
—
—
$32
6
clean
Syfls tst nontreponemal antb
—
—
$19
6
clean
HB SYPHILLIS TEST RPR QL
$65
$33
—
0
clean
Candida species pnl amp prb
—
—
$146
6
clean
Perq Stent/Chest Vert Art
—
—
$4,392
1
clean
HB TRANSCATH STENT PLCMT,PERC,INT
$4,433
$2,217
—
0
clean
Ig paraprotein qual bld/ur
—
—
$45
6
clean
Onc lng 5 clin rsk factr alg
—
—
$3,626
7
clean
Onc mlnma prame & linc00518
—
—
$779
6
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,999
6
clean
Extracorp shockwv tx hi enrg
—
—
$4,393
13
clean
Hered colon ca do 15 genes
—
—
$1,788
6
clean
Neph ckd mult eclia tum nec
—
—
$974
6
clean
Touch Quant Sensory Test
—
—
$29
12
clean
Gstr emptg 7 timed brth spec
—
—
$896
6
clean
Vibrate Quant Sensory Test
—
—
$29
12
clean
Cool Quant Sensory Test
—
—
$29
12
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,074
6
clean
Heat Quant Sensory Test
—
—
$29
12
clean
Iadi 16s&18s rrna genes
—
—
$365
6
clean
Trnsplj don-drv cll-fr dna
—
—
$2,822
6
clean
Crd ceramides liq chrom plsm
—
—
$86
6
clean
Hered brst ca rltd do panel
—
—
$1,337
6
clean
Nfct bct fng prst dna >1000
—
—
$2,179
6
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$115
6
clean
Liver ds 10 biochem asy srm
—
—
$516
6
clean
Onc sld tum alys brca1 brca2
—
—
$3,106
6
clean
Onc solid tumor 30 prtn trgt
—
—
$1,338
6
clean
Exc rectal tumor endoscopic
—
—
$6,510
13
clean
Perq sacral augmt unilat inj
—
—
$7,154
13
clean
Perq sacral augmt bilat inj
—
—
$7,154
13
clean
Post vert arthrplst 1 lumbar
—
—
$13,651
13
clean
Nfct ds 22 trgt sars-cov-2
—
—
$417
13
clean
Neuro alzheimer cell aggregj
—
—
$2,271
6
clean
Clear eyelid gland w/heat
—
—
$132
14
clean
Neuro alzheimer quan imaging
—
—
$215
1
clean
Njx platelet plasma
—
—
$333
14
clean
Trluml perip athrc brchiocph
—
—
$13,207
14
clean
HB ATHERECTOMY; BRACHIOCEPHALIC T&B, EA VESSEL
$29,560
$14,780
—
0
clean
Trluml perip athrc iliac art
—
—
$17,897
14
clean
HB ATHERECTOMY; ILIAC, EA VESSEL
$29,560
$14,780
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,588
6
clean
Nfct ds vir resp rna 3 trgt
—
—
$157
8
clean
Nfct ds vir resp rna 4 trgt
—
—
$157
8
clean
Trgt gen seq alys pnl 55-74
—
—
$5,125
6
clean
Onc thyr mut alys 10 gen&37
—
—
$1,298
6
clean
HB PGDX ELIO TISSUE COMPLETE ASSAY
$7,300
$3,650
—
0
clean
Onc sld org neo dna 505 gene
—
—
$2,993
6
clean
Implt/rpl crtd sns dev total
—
—
$40,680
8
clean
Implt/rpl crtd sns dev gen
—
—
$36,868
8
clean
Interrogate crtd sns dev
—
—
$228
7
clean
Interrogate crtd sns w/pgrmg
—
—
$228
7
clean
Perq lamot/lam lumbar
—
—
$9,436
8
clean
Tempr
—
—
$127
13
clean
Onc lung mrna quan pcr 11&3
—
—
$3,970
6
clean
Onc brst dux carc 7 proteins
—
—
$5,571
6
clean
Crd cad alys 3 prtn plsm alg
—
—
$401
6
clean
Crd cv ds aly 4 prtn plm alg
—
—
$401
6
clean
Nfct ds bct quan antmcrb sc
—
—
$8
6
clean
Ai ds sle alys 8 igg autoant
—
—
$862
6
clean
Onc cutan sq cll ca mrna 40
—
—
$8,713
6
clean
Neph rna psttrnspl perph bld
—
—
$2,716
6
clean
Trgt gen seq alys pnl 83+
—
—
$5,125
6
clean
Onc neo xome&trns seq alys
—
—
$3,524
6
clean
Tear film img uni/bi w/i&r
—
—
$40
11
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,588
6
clean
Onc plsm cell do&myeloma id
—
—
$2,496
6
clean
Onc sld tum crcg tum cl slct
—
—
$2,496
6
clean
HB TRANSCATH RENAL DENVERV;BILAT
$14,250
$7,125
—
0
clean
Trnscth renal symp denrv bil
—
—
$6,417
13
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$779
6
clean
Onc pan ca alys mrd plasma
—
—
$3,680
6
clean
Hep nafld semiq evl 28 lipid
—
—
$812
6
clean
Psyc genom alys pnl 15 gen
—
—
$1,369
6
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$39
1
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,369
6
clean
Rx metab/pcx dna 25 gen alys
—
—
$761
6
clean
Rx metab/pcx dna 27gen rx ia
—
—
$761
6
clean
RSA lower extr exam
—
—
$99
12
clean
Intraop oct brst/node spec
—
—
$941
1
clean
Nfct ds bct/viral trail ip10
—
—
$267
6
clean
Oct brst/node i&r per spec
—
—
$790
1
clean
Nfct ds bv&vaginitis amp prb
—
—
$60
1
clean
Iadna chlmyd&gonorr amp prb
—
—
$29
1
clean
Apol1 risk variants
—
—
$140
6
clean
Onc orop 17 dna ddpcr alg
—
—
$1,845
6
clean
BIA whole body
—
—
$31
11
clean
Neuro alys b-amyl 1-42&1-40
—
—
$267
6
clean
Onc prst8 ca alys all psa
—
—
$779
6
clean
Onc lung elisa 7 autoant alg
—
—
$862
6
clean
Onc urthl mrna 5 gen alg
—
—
$779
6
clean
Onc bldr 10 prb bldr ca
—
—
$919
6
clean
Onc bldr 10 prb recr bldr ca
—
—
$919
6
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$919
6
clean
Onc prst8 ca img alys 128
—
—
$724
6
clean
Vis field assmnt tech suppt
—
—
$94
12
clean
Tgsap sl or neo dna523&rna55
—
—
$3,387
5
clean
Rx metb advrs trgt sq aly 20
—
—
$175
1
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,605
5
clean
Neu prksn msfl ?-syncln prtn
—
—
$555
6
clean
Hdr elctrnc skn surf brchytx
—
—
$316
6
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$204
6
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$741
11
clean
Gi baret esph dna mthyln aly
—
—
$1,808
5
clean
Collagen crosslinking cornea
—
—
$2,592
13
clean
Onc prst8 mrna 18 gen dre ur
—
—
$779
6
clean
Onc brst semiq meas thym kn
—
—
$331
6
clean
Onc lung flow cytmtry 5 mrk
—
—
$779
6
clean
Neph dbtc ckd mult eclia alg
—
—
$974
6
clean
Insj/rplc cardiac modulj sys
—
—
$30,948
13
clean
Onc sld tum dna 80 & rna 36
—
—
$2,993
6
clean
Psyc genom alys pnl 15 gen
—
—
$1,369
6
clean
Cv ds acs bld alg 5 yr score
—
—
$401
6
clean
Prgrmg eval cardiac modulj
—
—
$40
11
clean
Interro eval cardiac modulj
—
—
$40
11
clean
Waterjet prostate abltj cmpl
—
—
$10,795
8
clean
Onc pan solid tum alys dna
—
—
$2,002
5
clean
Gi malabs aat calpro pncrtc
—
—
$63
5
clean
Gly rcptr alpha1 igg srm/csf
—
—
$38
5
clean
Klhl11 antb sr/csf asy qual
—
—
$38
5
clean
Onc prst8 5 dna reg mrk pcr
—
—
$783
5
clean
Rx metab advrs vrnt alys 25
—
—
$429
5
clean
Impltj synth rnfcmt abdl wal
—
—
$4,151
2
clean
Abltj perc lxtr/perph nrv
—
—
$2,271
13
clean
Abltj perc plex/trncl nrv
—
—
$8,653
13
clean
Neurflmnt lt chn ultrsens ia
—
—
$120
5
clean
Insj impltbl glucose sensor
—
—
$4,021
13
clean
Rmvl impltbl glucose sensor
—
—
$232
13
clean
Remvl insj impltbl gluc sens
—
—
$4,021
13
clean
Insj aqueous drain dev 1st
—
—
$5,298
13
clean
Visual ep test for glaucoma
—
—
$138
11
clean
Onc sld tum bld/slv 648 gene
—
—
$4,635
5
clean
Hered prst8 ca gsap 23 genes
—
—
$1,343
5
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$736
13
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$4,151
2
clean
Tmvi percutaneous approach
—
—
$4,392
1
clean
Tmvi transthoracic exposure
—
—
$4,392
1
clean
Oct mid ear i&r unilateral
—
—
$37
5
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,759
5
clean
Oct mid ear i&r bilateral
—
—
$37
5
clean
Prep & cannulj cdvr don lung
—
—
$4,392
1
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$4,392
1
clean
Ev fempop artl revsc
—
—
$12,275
13
clean
HB EV REMPOP ARTL REVSC
$21,221
$10,611
—
0
clean
Near ifr 2img mibmn glnd i&r
—
—
$63
11
clean
Pattern erg w/i&r
—
—
$262
11
clean
Esw integ wnd hlg 1st wnd
—
—
$204
6
clean
Esw integ wnd hlg ea addl
—
—
$3,439
1
clean
Ntrapx c ffr w/3d funcjl map
—
—
$3,439
1
clean
Insj/rplcmt compl iims
—
—
$19,177
7
clean
HB INS/RPLCMT COMPLETE IIMS
$20,599
$10,300
—
0
clean
Rf spectrsc ntraop mrgn asmt
—
—
$426
1
clean
Antmc guide 3d print 1st gd
—
—
$135
6
clean
Antmc guide 3d print ea addl
—
—
$73
1
clean
Evac meibomian glnd heat bi
—
—
$72
13
clean
Ttvr perq appr 1st prosth
—
—
$9,008
2
clean
HB TTVR PERQ APPR INITIAL PROSTHESIS
$76,767
$38,384
—
0
clean
Ttvr perq ea addl prosth
—
—
$9,008
2
clean
HB TTVR PERQ EA ADDL PROSTHESIS
$76,767
$38,384
—
0
clean
Insj/rplcmt icds ss eltrd
—
—
$31,251
7
clean
Abltj mal brst tum perq crtx
—
—
$4,069
7
clean
Ncntc r-t fluor wnd img 1st
—
—
$215
5
clean
Ire abltj 1+tum organ perq
—
—
$10,583
7
clean
HB ABLATION IRE 1+ TUMORS PER ORGAN
$16,499
$8,250
—
0
clean
Ire abltj 1+tumors open
—
—
$11,025
7
clean
Insertion of iris prosthesis
—
—
$11,025
1
clean
Insj iris prosth w/rmvl&insj
—
—
$11,025
1
clean
Insj iris prosth sec io lens
—
—
$11,025
1
clean

Showing the first 200 of 15,615 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
24,892 of 24,892 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1780/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 227 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1782/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1783/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1787/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1815/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1816/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1817/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1820/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1821/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1822/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1830/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 126 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1875/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 116 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1877/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1878/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 45 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1885/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36430/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 206 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37799/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77063/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 C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77065/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 C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 35 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77066/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 C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77067/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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 207 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1895/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1896/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80186/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1900/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80203/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 62 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80235/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80354/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2622/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81225/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2624/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81259/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81342/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81370/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81371/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2629/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81374/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81403/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2642/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81404/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9355/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9356/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81413/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9360/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81414/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9363/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81418/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0120/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81432/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0172/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81479/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0174/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0810/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0984/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1820/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82397/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1833/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82438/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1902/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82523/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3260/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3650/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82533/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3670/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82542/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3761/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82626/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3809/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3908/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L4350/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82728/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L4360/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L4386/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82787/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L4396/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L5450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83020/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8000/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83021/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8501/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8509/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8606/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8614/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83655/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8670/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83735/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8680/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8689/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83921/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8690/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83945/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8691/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8692/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8693/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0478/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0481/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0495/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0497/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84166/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0498/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84182/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0506/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0508/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4100/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84402/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4102/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4103/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84484/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4104/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4105/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4107/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85018/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4108/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85240/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85245/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4116/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 368 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $81,273 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 45.5M bytes · fetched 2026-08-23 · sha256 7719db7463ee…

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.