Hospital · CCN 420085
Grand Strand Regional Medical Center
809 82nd Parkway, Myrtle Beach, SC 29572 · Horry County
Part of HCA Healthcare · 336 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
160 admission types 53 outpatient services price file: ok 52 Medicare-file findings
Billed per dollar paid, all admissions
9.35×
$932.8M billed against $99.7M paid across 6,089 Medicare discharges; the national figure is 5.03×.
4.5%
of adults in Horry County have medical debt in collections
14.7%
uninsured in the county · state 11.0%
$69K
median household income
7.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
32.3%
obesity in the countyⓘ
14.9%
diagnosed diabetes (PLACES)
8.1%
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
599
$116,272
$16,346
7.1× st 4.8×
291
Heart failure and shock with mcc
289
$69,827
$10,851
6.4× st 4.3×
274
Percutaneous and other intracardiac procedures without mcc
158
$319,986
$25,775
12.4× st 7.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
142
$71,355
$9,813
7.3× st 5.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
115
$57,860
$7,049
8.2× st 5.1×
193
Simple pneumonia and pleurisy with mcc
112
$83,264
$11,983
6.9× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
110
$124,846
$16,246
7.7× st 5.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
97
$228,316
$17,820
12.8× st 7.7×
312
Syncope and collapse
94
$61,502
$7,682
8.0× st 4.9×
481
Hip and femur procedures except major joint with cc
94
$176,012
$16,364
10.8× st 5.9×
177
Respiratory infections and inflammations with mcc
90
$75,945
$13,441
5.7× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
89
$45,909
$7,150
6.4× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
88
$85,991
$9,307
9.2× st 5.2×
552
Medical back problems without mcc
87
$89,109
$8,488
10.5× st 5.7×
682
Renal failure with mcc
84
$78,684
$12,389
6.4× st 4.5×
069
Transient ischemia without thrombolytic
78
$55,259
$7,085
7.8× st 6.6×
683
Renal failure with cc
78
$65,891
$7,838
8.4× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
77
$295,639
$24,430
12.1× st 7.0×
280
Acute myocardial infarction, discharged alive with mcc
71
$117,314
$12,986
9.0× st 5.7×
690
Kidney and urinary tract infections without mcc
70
$59,073
$7,789
7.6× st 4.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
69
$372,165
$49,102
7.6× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
68
$79,359
$11,156
7.1× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
63
$391,565
$38,595
10.1× st 5.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
61
$35,045
$5,400
6.5× st 4.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
61
$349,863
$39,728
8.8× st 5.7×
236
Coronary bypass without cardiac catheterization without mcc
60
$467,182
$36,629
12.8× st 7.2×
189
Pulmonary edema and respiratory failure
57
$72,294
$10,554
6.9× st 5.1×
689
Kidney and urinary tract infections with mcc
57
$63,587
$9,864
6.4× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
55
$58,973
$8,133
7.3× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
54
$91,205
$13,549
6.7× st 4.4×
378
Gastrointestinal hemorrhage with cc
53
$74,819
$9,557
7.8× st 4.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
49
$105,313
$9,809
10.7× st 5.7×
305
Hypertension without mcc
47
$50,287
$7,028
7.2× st 5.2×
313
Chest pain
46
$43,207
$6,608
6.5× st 5.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
45
$169,378
$23,041
7.4× st 5.3×
184
Major chest trauma with cc
44
$115,997
$9,976
11.6× st 6.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
44
$75,176
$7,799
9.6× st 5.6×
811
Red blood cell disorders with mcc
43
$73,870
$11,755
6.3× st 4.7×
455
Combined anterior and posterior spinal fusion without cc/mcc
43
$393,531
$39,984
9.8× st 6.1×
377
Gastrointestinal hemorrhage with mcc
42
$122,343
$14,681
8.3× st 5.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
41
$600,704
$49,166
12.2× st 5.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
39
$168,420
$18,523
9.1× st 5.8×
086
Traumatic stupor and coma <1 hour with cc
39
$134,253
$12,164
11.0× st 7.8×
884
Organic disturbances and intellectual disability
39
$80,339
$13,732
5.9× st 3.7×
149
Dysequilibrium
39
$51,530
$6,594
7.8× st 6.8×
460
Spinal fusion except cervical without mcc
38
$323,290
$35,416
9.1× st 5.9×
329
Major small and large bowel procedures with mcc
36
$518,843
$36,921
14.1× st 5.5×
472
Cervical spinal fusion with cc
36
$214,323
$24,200
8.9× st 5.9×
025
Craniotomy and endovascular intracranial procedures with mcc
35
$443,667
$36,027
12.3× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
35
$65,558
$10,603
6.2× st 4.9×
390
Gastrointestinal obstruction without cc/mcc
34
$39,550
$5,937
6.7× st 4.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
34
$128,457
$17,630
7.3× st 4.7×
101
Seizures without mcc
34
$63,270
$7,829
8.1× st 4.6×
536
Fractures of hip and pelvis without mcc
33
$62,883
$7,070
8.9× st 4.9×
281
Acute myocardial infarction, discharged alive with cc
32
$82,841
$8,696
9.5× st 5.9×
194
Simple pneumonia and pleurisy with cc
31
$55,087
$7,568
7.3× st 4.6×
603
Cellulitis without mcc
31
$62,388
$8,326
7.5× st 4.1×
057
Degenerative nervous system disorders without mcc
30
$89,065
$11,446
7.8× st 4.0×
638
Diabetes with cc
30
$61,004
$7,925
7.7× st 4.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
30
$176,890
$16,267
10.9× st 6.3×
480
Hip and femur procedures except major joint with mcc
29
$279,650
$23,024
12.1× st 6.1×
100
Seizures with mcc
29
$129,873
$17,265
7.5× st 5.4×
468
Revision of hip or knee replacement without cc/mcc
29
$159,570
$24,761
6.4× st 6.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
28
$58,273
$6,255
9.3× st 5.5×
812
Red blood cell disorders without mcc
27
$57,187
$7,704
7.4× st 4.3×
389
Gastrointestinal obstruction with cc
27
$54,869
$7,192
7.6× st 4.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
26
$145,409
$15,418
9.4× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
26
$172,361
$13,929
12.4× st 6.7×
551
Medical back problems with mcc
25
$166,937
$14,095
11.8× st 6.8×
242
Permanent cardiac pacemaker implant with mcc
25
$304,601
$27,648
11.0× st 7.1×
660
Kidney and ureter procedures for non-neoplasm with cc
24
$122,271
$11,516
10.6× st 5.1×
330
Major small and large bowel procedures with cc
24
$251,186
$19,025
13.2× st 5.7×
087
Traumatic stupor and coma <1 hour without cc/mcc
24
$106,211
$7,768
13.7× st 15.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
23
$86,631
$14,204
6.1× st 4.7×
699
Other kidney and urinary tract diagnoses with cc
23
$71,048
$9,423
7.5× st 4.0×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
23
$266,589
$18,648
14.3× st 6.4×
482
Hip and femur procedures except major joint without cc/mcc
23
$121,295
$12,748
9.5× st 5.7×
176
Pulmonary embolism without mcc
22
$64,165
$7,230
8.9× st 4.6×
039
Extracranial procedures without cc/mcc
22
$96,653
$10,176
9.5× st 7.5×
083
Traumatic stupor and coma >1 hour with cc
22
$145,056
$11,163
13.0× st 4.9×
085
Traumatic stupor and coma <1 hour with mcc
21
$200,394
$18,627
10.8× st 6.4×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
21
$569,404
$37,591
15.1× st 6.7×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
21
$108,642
$14,833
7.3× st 6.4×
190
Chronic obstructive pulmonary disease with mcc
21
$66,466
$9,567
6.9× st 4.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
21
$655,331
$40,941
16.0× st 7.2×
454
Combined anterior and posterior spinal fusion with cc
21
$377,337
$50,273
7.5× st 5.6×
637
Diabetes with mcc
21
$95,223
$11,609
8.2× st 5.3×
243
Permanent cardiac pacemaker implant with cc
21
$219,568
$18,576
11.8× st 6.7×
314
Other circulatory system diagnoses with mcc
20
$109,212
$17,702
6.2× st 4.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$83,458
$11,933
7.0× st 4.9×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
19
$453,686
$28,219
16.1× st 7.5×
056
Degenerative nervous system disorders with mcc
19
$147,541
$19,028
7.8× st 4.9×
917
Poisoning and toxic effects of drugs with mcc
18
$94,849
$17,999
5.3× st 4.7×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$167,893
$16,073
10.4× st 5.0×
074
Cranial and peripheral nerve disorders without mcc
18
$80,940
$8,666
9.3× st 4.7×
244
Permanent cardiac pacemaker implant without cc/mcc
18
$182,857
$16,219
11.3× st 5.9×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
18
$158,354
$11,051
14.3× st 7.8×
178
Respiratory infections and inflammations with cc
18
$53,588
$8,693
6.2× st 4.4×
163
Major chest procedures with mcc
18
$375,690
$37,676
10.0× st 4.9×
483
Major joint or limb reattachment procedures of upper extremities
17
$232,111
$20,112
11.5× st 7.0×
071
Other cerebrovascular disorders with cc
17
$81,572
$9,229
8.8× st 5.7×
054
Nervous system neoplasms with mcc
17
$86,681
$12,067
7.2× st 4.1×
084
Traumatic stupor and coma >1 hour without cc/mcc
17
$111,495
$8,126
13.7× st 9.0×
091
Other disorders of nervous system with mcc
17
$163,172
$16,115
10.1× st 5.0×
299
Peripheral vascular disorders with mcc
17
$93,456
$11,828
7.9× st 5.1×
200
Pneumothorax with cc
17
$134,021
$10,396
12.9× st 5.3×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
16
$119,109
$8,915
13.4× st 6.6×
643
Endocrine disorders with mcc
16
$119,989
$13,778
8.7× st 5.3×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
16
$101,940
$15,243
6.7× st 5.2×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
16
$138,692
$17,589
7.9× st 5.8×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
16
$221,138
$23,791
9.3× st 6.3×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
16
$211,846
$15,202
13.9× st 7.5×
303
Atherosclerosis without mcc
16
$39,901
$6,009
6.6× st 5.7×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
16
$401,235
$46,948
8.5× st 4.6×
862
Postoperative and post-traumatic infections with mcc
16
$109,094
$14,967
7.3× st 3.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
15
$330,489
$32,670
10.1× st 5.9×
270
Other major cardiovascular procedures with mcc
15
$493,826
$41,851
11.8× st 6.2×
621
O.r. procedures for obesity without cc/mcc
15
$239,932
$12,290
19.5× st 9.9×
315
Other circulatory system diagnoses with cc
15
$60,759
$8,357
7.3× st 4.5×
164
Major chest procedures with cc
15
$362,921
$20,926
17.3× st 6.2×
235
Coronary bypass without cardiac catheterization with mcc
15
$556,516
$51,602
10.8× st 6.2×
082
Traumatic stupor and coma >1 hour with mcc
15
$261,734
$20,785
12.6× st 5.4×
459
Spinal fusion except cervical with mcc
15
$488,948
$47,590
10.3× st 10.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
15
$56,919
$9,140
6.2× st 3.7×
565
Other musculoskeletal system and connective tissue diagnoses with cc
14
$83,512
$8,933
9.3× st 9.3×
165
Major chest procedures without cc/mcc
14
$265,492
$19,242
13.8× st 6.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$217,354
$19,116
11.4× st 6.4×
885
Psychoses
14
$85,892
$12,816
6.7× st 3.0×
180
Respiratory neoplasms with mcc
14
$121,970
$14,690
8.3× st 5.2×
070
Other cerebrovascular disorders with mcc
13
$104,656
$14,062
7.4× st 4.6×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
13
$435,302
$36,064
12.1× st 8.1×
673
Other kidney and urinary tract procedures with mcc
13
$270,233
$35,646
7.6× st 4.6×
813
Coagulation disorders
13
$116,651
$12,776
9.1× st 4.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$816,996
$64,141
12.7× st 7.0×
196
Interstitial lung disease with mcc
13
$81,310
$16,858
4.8× st 3.8×
300
Peripheral vascular disorders with cc
13
$71,121
$9,336
7.6× st 4.9×
393
Other digestive system diagnoses with mcc
13
$87,119
$12,764
6.8× st 4.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
13
$76,842
$14,750
5.2× st 3.2×
439
Disorders of pancreas except malignancy with cc
13
$50,077
$7,432
6.7× st 3.6×
558
Tendonitis, myositis and bursitis without mcc
13
$74,558
$7,944
9.4× st 9.4×
644
Endocrine disorders with cc
12
$72,145
$9,396
7.7× st 5.0×
394
Other digestive system diagnoses with cc
12
$63,352
$8,228
7.7× st 4.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
12
$132,625
$14,978
8.9× st 4.2×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$58,260
$7,744
7.5× st 5.7×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
12
$352,585
$47,233
7.5× st 5.2×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
12
$85,345
$12,448
6.9× st 6.9×
191
Chronic obstructive pulmonary disease with cc
11
$62,076
$7,058
8.8× st 4.5×
918
Poisoning and toxic effects of drugs without mcc
11
$45,351
$7,416
6.1× st 4.0×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
11
$693,014
$52,030
13.3× st 8.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$150,505
$16,582
9.1× st 4.4×
103
Headaches without mcc
11
$68,504
$8,001
8.6× st 8.6×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$78,698
$7,979
9.9× st 6.1×
473
Cervical spinal fusion without cc/mcc
11
$162,583
$22,322
7.3× st 4.4×
253
Other vascular procedures with cc
11
$229,674
$25,334
9.1× st 5.8×
433
Cirrhosis and alcoholic hepatitis with cc
11
$65,421
$8,989
7.3× st 4.4×
402
Single level combined anterior and posterior spinal fusion except cervical
11
$402,174
$31,811
12.6× st 12.6×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
11
$1,233,053
$125,501
9.8× st 4.4×
186
Pleural effusion with mcc
11
$85,600
$12,478
6.9× st 5.6×
331
Major small and large bowel procedures without cc/mcc
11
$241,061
$13,790
17.5× st 6.0×
252
Other vascular procedures with mcc
11
$398,337
$27,513
14.5× st 5.5×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
803
$32,865
$2,328
14.1×
5191
Level 1 Endovascular Procedures
437
$69,950
$2,782
25.1×
5115
Level 5 Musculoskeletal Procedures
405
$128,362
$11,182
11.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
253
$20,606
$1,389
14.8×
5193
Level 3 Endovascular Procedures
183
$171,682
$9,333
18.4×
5213
Level 3 Electrophysiologic Procedures
155
$413,597
$19,983
20.7×
5361
Level 1 Laparoscopy and Related Services
145
$99,269
$4,915
20.2×
5374
Level 4 Urology and Related Services
137
$50,670
$2,986
17.0×
5375
Level 5 Urology and Related Services
119
$99,412
$4,343
22.9×
5114
Level 4 Musculoskeletal Procedures
117
$98,176
$6,086
16.1×
5194
Level 4 Endovascular Procedures
96
$248,331
$14,851
16.7×
5223
Level 3 Pacemaker and Similar Procedures
83
$133,825
$9,141
14.6×
5373
Level 3 Urology and Related Services
80
$26,088
$1,734
15.0×
5362
Level 2 Laparoscopy and Related Services
78
$155,907
$8,721
17.9×
5116
Level 6 Musculoskeletal Procedures
75
$199,421
$15,739
12.7×
5232
Level 2 ICD and Similar Procedures
74
$414,845
$28,096
14.8×
5183
Level 3 Vascular Procedures
60
$36,996
$2,730
13.6×
5224
Level 4 Pacemaker and Similar Procedures
49
$351,431
$16,654
21.1×
5302
Level 2 Upper GI Procedures
47
$29,779
$1,630
18.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
46
$36,393
$2,404
15.1×
5113
Level 3 Musculoskeletal Procedures
45
$74,324
$2,772
26.8×
5222
Level 2 Pacemaker and Similar Procedures
41
$81,526
$7,277
11.2×
5155
Level 5 Airway Endoscopy
40
$102,683
$5,862
17.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
39
$78,450
$5,585
14.0×
5376
Level 6 Urology and Related Services
37
$165,269
$7,890
20.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
37
$70,284
$2,899
24.2×
5112
Level 2 Musculoskeletal Procedures
36
$20,283
$1,377
14.7×
5465
Level 5 Neurostimulator and Related Procedures
34
$245,046
$25,788
9.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
31
$54,050
$3,265
16.6×
5154
Level 4 Airway Endoscopy
30
$45,548
$3,207
14.2×
5153
Level 3 Airway Endoscopy
29
$20,091
$1,454
13.8×
5416
Level 6 Gynecologic Procedures
27
$92,928
$6,472
14.4×
5192
Level 2 Endovascular Procedures
27
$173,960
$4,895
35.5×
5165
Level 5 ENT Procedures
25
$74,378
$4,856
15.3×
5415
Level 5 Gynecologic Procedures
21
$65,265
$4,099
15.9×
5212
Level 2 Electrophysiologic Procedures
20
$124,326
$6,396
19.4×
5182
Level 2 Vascular Procedures
18
$14,173
$1,372
10.3×
5461
Level 1 Neurostimulator and Related Procedures
14
$55,210
$2,914
18.9×
5184
Level 4 Vascular Procedures
14
$104,280
$4,707
22.2×
5414
Level 4 Gynecologic Procedures
13
$57,638
$2,678
21.5×
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2024-10-01, template 2.2.0, 242,580 rows scanned, 15,757 distinct code–setting items kept. 13,223 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported Other Outpatient
—
—
$734
70
clean
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo Other Outpatient
—
—
$691
47
clean
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo
—
—
$691
47
clean
Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score
—
—
$775
69
clean
Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo Other Outpatient
—
—
$775
69
clean
Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo
—
—
$775
69
clean
Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster
—
—
$1,331
69
clean
Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b
—
—
$3,559
69
clean
Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy
—
—
$3,062
69
clean
Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo Other Outpatient
—
—
$253
70
clean
Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative
—
—
$35
69
clean
Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result ("Positive, high probability of Other Outpatient
—
—
$3,672
69
clean
JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15
—
—
$124
69
clean
Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)
—
—
$757
69
clean
TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)
—
—
$475
69
clean
Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative
—
—
$552
69
clean
Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit Other Outpatient
—
—
$3,570
70
clean
Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM
—
—
$18
69
clean
Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG Other Outpatient
—
—
$18
69
clean
Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM
—
—
$15
69
clean
Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG
—
—
$15
69
clean
Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm Other Outpatient
—
—
$3,950
69
clean
Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor
—
—
$3,950
69
clean
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)
—
—
$5,951
48
clean
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)
—
—
$5,951
48
clean
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative
—
—
$329
69
clean
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative
—
—
$329
69
clean
Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis
—
—
$26
69
clean
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative
—
—
$32
70
clean
Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species Other Outpatient
—
—
$145
70
clean
Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel
—
—
$9,668
16
clean
Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype Other Outpatient
—
—
$44
70
clean
Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet Other Outpatient
—
—
$3,590
69
clean
Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es)
—
—
$775
69
clean
Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori
—
—
$1,989
69
clean
Extracorporeal shock wave involving musculoskeletal system, not otherwise specified
—
—
$9,000
21
clean
Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San Other Outpatient
—
—
$1,779
69
clean
Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI
—
—
$969
69
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation
—
—
$16
5
clean
Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat Other Outpatient
—
—
$892
70
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation
—
—
$16
5
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia
—
—
$16
5
clean
Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX- Other Outpatient
—
—
$5,049
69
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia
—
—
$16
5
clean
Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene
—
—
$363
69
clean
Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f
—
—
$2,808
69
clean
Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events
—
—
$85
69
clean
Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A
—
—
$1,330
69
clean
Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens Other Outpatient
—
—
$2,169
69
clean
Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results
—
—
$114
69
clean
Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili
—
—
$513
69
clean
Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a
—
—
$3,091
70
clean
Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che Other Outpatient
—
—
$1,331
69
clean
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)
—
—
$9,509
53
clean
Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w
—
—
$9,000
21
clean
Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when
—
—
$9,000
21
clean
Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i
—
—
$13,881
49
clean
Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua
—
—
$425
77
clean
Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral
—
—
$5,560
53
clean
Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed
—
—
$5,560
53
clean
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel
—
—
$13,000
55
clean
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel
—
—
$13,504
55
clean
Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec
—
—
$3,570
70
clean
Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det
—
—
$145
77
clean
Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper resp spec, ea pathogen rep as det or not det
—
—
$145
77
clean
Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra Other Outpatient
—
—
$5,100
70
clean
Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna
—
—
$1,291
65
clean
Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden Other Outpatient
—
—
$2,978
70
clean
Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programmin
—
—
$34,407
17
clean
Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed)
—
—
$34,407
21
clean
Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and prog
—
—
$221
5
clean
Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and prog
—
—
$221
5
clean
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde
—
—
$12,025
24
clean
Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)
—
—
$2,800
21
clean
Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb
—
—
$3,950
65
clean
Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo
—
—
$5,544
65
clean
Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD
—
—
$399
65
clean
Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported
—
—
$399
65
clean
Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi
—
—
$8
66
clean
Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl Other Outpatient
—
—
$857
65
clean
Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm
—
—
$8,670
65
clean
Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection
—
—
$2,703
65
clean
Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang
—
—
$5,100
66
clean
Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation
—
—
$3,507
65
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$43
1
clean
Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,
—
—
$2,920
22
clean
Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19
—
—
$2,484
65
clean
Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark
—
—
$2,484
66
clean
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r
—
—
$10,444
49
clean
Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a Other Outpatient
—
—
$775
65
clean
Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p
—
—
$3,920
65
clean
Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato
—
—
$808
65
clean
Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6
—
—
$1,363
65
clean
Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectromety, ratio, plasma
—
—
$95
65
clean
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes Other Outpatient
—
—
$1,363
65
clean
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes
—
—
$757
65
clean
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions Other Outpatient
—
—
$757
65
clean
Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)
—
—
$182
17
clean
Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor
—
—
$266
66
clean
Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred
—
—
$2,186
16
clean
Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate
—
—
$145
66
clean
Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants Other Outpatient
—
—
$140
65
clean
Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence
—
—
$1,836
65
clean
Bioelectrical impedance analysis whole body composition assessment, with interpretation and report
—
—
$31
1
clean
Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative Other Outpatient
—
—
$266
65
clean
Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer
—
—
$775
65
clean
Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy
—
—
$857
65
clean
Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking
—
—
$775
65
clean
Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer Other Outpatient
—
—
$915
65
clean
Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer
—
—
$915
65
clean
Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1
—
—
$915
66
clean
Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta
—
—
$720
65
clean
Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical suppor
—
—
$121
5
clean
Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange
—
—
—
0
clean
Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication anaylsis with reported genotype and phenotype Other Outpatient
—
—
$425
65
clean
Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f
—
—
—
0
clean
Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative
—
—
$552
66
clean
High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed
—
—
$304
1
clean
Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative
—
—
$203
65
clean
High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed
—
—
$890
1
clean
Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when
—
—
$14,114
17
clean
Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed
—
—
$6,750
49
clean
Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer
—
—
$775
65
clean
Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression
—
—
$329
66
clean
Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer
—
—
$775
65
clean
Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas
—
—
$969
66
clean
Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator
—
—
$17,323
49
clean
Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite
—
—
$2,978
65
clean
Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 Other Outpatient
—
—
$1,363
65
clean
Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5 Other Outpatient
—
—
$399
65
clean
Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or
—
—
$9,220
49
clean
Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D
—
—
—
0
clean
Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure)
—
—
$5,951
48
clean
Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve
—
—
$7,390
49
clean
Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)
—
—
$7,390
49
clean
Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid
—
—
—
0
clean
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training
—
—
$5,560
49
clean
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision
—
—
$5,560
49
clean
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation
—
—
$5,560
49
clean
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device
—
—
$10,000
49
clean
Visual evoked potential, testing for glaucoma, with interpretation and report
—
—
$175
1
clean
Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68
—
—
$5,400
43
clean
Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array
—
—
—
0
clean
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children
—
—
$5,560
49
clean
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther
—
—
$5,951
48
clean
Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed
—
—
$10,994
19
clean
Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)
—
—
$10,994
19
clean
Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio
—
—
$9,668
16
clean
Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu
—
—
$9,668
16
clean
Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso
—
—
$13,000
49
clean
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or bilateral, with interpretation and report
—
—
$70
1
clean
Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound
—
—
$4,571
16
clean
Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure)
—
—
$4,571
16
clean
Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp
—
—
$4,571
16
clean
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system
—
—
$13,441
48
clean
Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous
—
—
$390
1
clean
Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide
—
—
$125
16
clean
Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral
—
—
$5,560
49
clean
Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis
—
—
$11,336
19
clean
Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)
—
—
$11,336
19
clean
Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre
—
—
$15,602
48
clean
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral
—
—
$11,958
48
clean
Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes
—
—
—
0
clean
Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; first anatomic site (eg, lower extremity)
—
—
$595
16
clean
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed, percutaneous
—
—
$12,953
48
clean
Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open
—
—
$12,953
48
clean
Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su
—
—
$84
16
clean
Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens
—
—
$11,958
48
clean
Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens
—
—
$12,163
48
clean
Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with secondary intraocular lens placement or intraocular lens exchange
—
—
$12,163
48
clean
Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed
—
—
$11,075
48
clean
Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul
—
—
$13,441
48
clean
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level
—
—
$8,305
48
clean
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separ
—
—
$5,951
48
clean
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level
—
—
$8,305
48
clean
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s)
—
—
$828
12
clean
Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated bloo
—
—
$12,025
49
clean
Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ve
—
—
$9,668
16
clean
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report
—
—
$9,481
48
clean
Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep
—
—
$518
17
clean
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanen
—
—
$47
1
clean
Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter
—
—
$6,475
48
clean
Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging
—
—
$7,070
48
clean
Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score
—
—
$125
16
clean
Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach
—
—
$10,423
48
clean
Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more
—
—
$9,509
53
clean
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance
—
—
$6,475
48
clean
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance
—
—
$13,881
34
clean
Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance a
—
—
$8,195
48
clean
Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)
—
—
—
0
clean
Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)
—
—
$6,475
32
clean
Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract
—
—
$5,951
48
clean
Showing the first 200 of 15,757 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
193 of 1,477 comparable items (13%) 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 $2,060 exceeds the gross charge $891
warn
mrf_stale
last updated 2024-10-01, 695 days ago; the rule requires an update at least once a year
CPT 0034U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0280U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11470/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 17111/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21196/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 23105/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25270/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26727/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27514/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 28315/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31002/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32853/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 33852/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 35634/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 37616/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 42825/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44147/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 46930/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50360/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 53260/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57282/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61150/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 63057/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 64911/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 68320/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72157/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76977/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78832/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81293/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82435/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84234/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86356/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87278/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88341/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 93458/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4239/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 A6444/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 C2623/o
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 E0442/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 E1818/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 J0218/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 J1596/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 J3410/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 J9267/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 L1030/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 L3762/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 L5987/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 P9100/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 Q9966/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 180/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 478/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0035U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0281U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11471/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 17250/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21198/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 23106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25272/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26735/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27516/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28320/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31020/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32854/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 33853/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 35636/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 37617/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 42826/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44150/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 46940/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50365/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 53265/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57283/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61151/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 63064/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64912/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 68325/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72158/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76978/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78999/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81294/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82436/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84235/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86357/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87279/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88342/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93459/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4253/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 A6445/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 C2625/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 differ, so no cross-line comparison was made for this item
CPT E0443/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 E1820/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 J0219/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 J1602/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 J3411/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 J9268/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 L1040/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 L3763/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 L5988/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 Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 181/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 479/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 813/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0036U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0282U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 17260/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21199/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 23107/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25274/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26740/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27517/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28322/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31030/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32855/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 33858/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 35637/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 37618/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 42830/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44151/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 46942/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50370/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 53270/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57284/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61154/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 63066/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 64913/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 68326/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72159/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 79005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81295/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82438/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84238/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87280/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88344/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 93460/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4255/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 A6446/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 C2627/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT E0444/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 E1821/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 J0220/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 J1610/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 J3415/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 J9269/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 L1050/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 L3764/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 L5990/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 P9612/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q9968/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 182/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 480/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 814/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0037U/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0283U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11601/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 17261/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21206/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 23120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25275/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26742/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27519/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 28340/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31032/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32856/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 33859/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 35638/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 37619/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42831/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44155/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 46945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50380/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 53275/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57285/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61156/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 63075/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, 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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 68328/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72170/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76981/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 79101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81296/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82441/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84244/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86359/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87281/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88346/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 93461/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4256/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 A6447/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 C2628/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT E0447/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 E1825/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 J0221/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 J1611/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 J3420/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 J9271/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 L1060/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
Showing the first 200 of 13,223 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 023
info
inp_charge_10x_payment
average charge $600,704 is 12.2× the total payment
MS-DRG 024
info
inp_charge_10x_payment
average charge $453,686 is 16.1× the total payment
MS-DRG 025
info
inp_charge_10x_payment
average charge $443,667 is 12.3× the total payment
MS-DRG 082
info
inp_charge_10x_payment
average charge $261,734 is 12.6× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $145,056 is 13.0× the total payment
MS-DRG 084
info
inp_charge_10x_payment
average charge $111,495 is 13.7× the total payment
MS-DRG 085
info
inp_charge_10x_payment
average charge $200,394 is 10.8× the total payment
MS-DRG 086
info
inp_charge_10x_payment
average charge $134,253 is 11.0× the total payment
MS-DRG 087
info
inp_charge_10x_payment
average charge $106,211 is 13.7× the total payment
MS-DRG 091
info
inp_charge_10x_payment
average charge $163,172 is 10.1× the total payment
MS-DRG 164
info
inp_charge_10x_payment
average charge $362,921 is 17.3× the total payment
MS-DRG 165
info
inp_charge_10x_payment
average charge $265,492 is 13.8× the total payment
MS-DRG 184
info
inp_charge_10x_payment
average charge $115,997 is 11.6× the total payment
MS-DRG 200
info
inp_charge_10x_payment
average charge $134,021 is 12.9× the total payment
MS-DRG 220
info
inp_charge_10x_payment
average charge $655,331 is 16.0× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $816,996 is 12.7× the total payment
MS-DRG 234
info
inp_charge_10x_payment
average charge $569,404 is 15.1× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $556,516 is 10.8× the total payment
MS-DRG 236
info
inp_charge_10x_payment
average charge $467,182 is 12.8× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $304,601 is 11.0× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $219,568 is 11.8× the total payment
MS-DRG 244
info
inp_charge_10x_payment
average charge $182,857 is 11.3× the total payment
MS-DRG 252
info
inp_charge_10x_payment
average charge $398,337 is 14.5× the total payment
MS-DRG 269
info
inp_charge_10x_payment
average charge $330,489 is 10.1× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $493,826 is 11.8× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $319,986 is 12.4× the total payment
MS-DRG 275
info
inp_charge_10x_payment
average charge $693,014 is 13.3× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $105,313 is 10.7× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $295,639 is 12.1× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $228,316 is 12.8× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $518,843 is 14.1× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $251,186 is 13.2× the total payment
MS-DRG 331
info
inp_charge_10x_payment
average charge $241,061 is 17.5× the total payment
MS-DRG 402
info
inp_charge_10x_payment
average charge $402,174 is 12.6× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $217,354 is 11.4× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $172,361 is 12.4× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $158,354 is 14.3× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $167,892 is 10.4× the total payment
MS-DRG 459
info
inp_charge_10x_payment
average charge $488,948 is 10.3× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $279,650 is 12.1× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $176,012 is 10.8× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $232,111 is 11.5× the total payment
MS-DRG 493
info
inp_charge_10x_payment
average charge $266,589 is 14.3× the total payment
MS-DRG 494
info
inp_charge_10x_payment
average charge $211,846 is 13.9× the total payment
MS-DRG 551
info
inp_charge_10x_payment
average charge $166,937 is 11.8× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $89,109 is 10.5× the total payment
MS-DRG 621
info
inp_charge_10x_payment
average charge $239,932 is 19.5× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $122,271 is 10.6× the total payment
MS-DRG 661
info
inp_charge_10x_payment
average charge $119,109 is 13.4× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $391,565 is 10.1× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $176,890 is 10.9× the total payment
MS-DRG 956
info
inp_charge_10x_payment
average charge $435,302 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)
- Grand Strand Regional Medical Center — standard charges file · SC · updated 2024-10-01· json · 442.4M bytes · fetched 2026-08-24 · sha256 e956ebffb405…
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.