Hospital · CCN 420089

East Cooper Medical Center

2000 Hospital Dr, Mount Pleasant, SC 29464 · Charleston County
Part of Tenet Healthcare · 120 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

23 admission types 42 outpatient services price file: ok 9 Medicare-file findings
Billed per dollar paid, all admissions
9.43×
$74.1M billed against $7.9M paid across 481 Medicare discharges; the national figure is 5.03×.
5.0%
of adults in Charleston County have medical debt in collections
9.7%
uninsured in the county · state 11.0%
$88K
median household income
5.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
30.0%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
5.5%
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
59
$100,558
$11,514
8.7× st 4.8×
291
Heart failure and shock with mcc
34
$62,116
$8,126
7.6× st 4.3×
460
Spinal fusion except cervical without mcc
33
$312,162
$28,378
11.0× st 5.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
31
$403,189
$39,670
10.2× st 6.1×
454
Combined anterior and posterior spinal fusion with cc
28
$459,877
$45,782
10.0× st 5.6×
552
Medical back problems without mcc
25
$50,279
$6,494
7.7× st 5.7×
177
Respiratory infections and inflammations with mcc
23
$97,980
$9,757
10.0× st 4.7×
467
Revision of hip or knee replacement with cc
22
$194,552
$27,183
7.2× st 5.2×
193
Simple pneumonia and pleurisy with mcc
22
$70,900
$8,287
8.6× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
22
$123,583
$11,697
10.6× st 6.5×
689
Kidney and urinary tract infections with mcc
21
$67,922
$7,339
9.3× st 4.3×
690
Kidney and urinary tract infections without mcc
19
$50,892
$4,481
11.4× st 4.5×
468
Revision of hip or knee replacement without cc/mcc
17
$121,364
$16,742
7.2× st 6.3×
489
Knee procedures without principal diagnosis of infection without cc/mcc
17
$81,314
$8,182
9.9× st 9.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$123,333
$13,100
9.4× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
14
$48,365
$5,108
9.5× st 5.1×
472
Cervical spinal fusion with cc
13
$259,398
$22,725
11.4× st 5.9×
682
Renal failure with mcc
12
$77,243
$9,256
8.3× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
11
$77,046
$10,165
7.6× st 5.7×
683
Renal failure with cc
11
$48,124
$4,763
10.1× st 4.5×
377
Gastrointestinal hemorrhage with mcc
11
$102,405
$11,817
8.7× st 5.0×
378
Gastrointestinal hemorrhage with cc
11
$71,037
$6,758
10.5× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
11
$229,281
$30,948
7.4× st 5.0×
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
5115
Level 5 Musculoskeletal Procedures
321
$109,880
$10,828
10.1×
5114
Level 4 Musculoskeletal Procedures
202
$60,383
$5,833
10.4×
8011
Comprehensive Observation Services
165
$29,004
$2,124
13.7×
5116
Level 6 Musculoskeletal Procedures
113
$224,304
$15,281
14.7×
5374
Level 4 Urology and Related Services
84
$25,257
$2,894
8.7×
5113
Level 3 Musculoskeletal Procedures
74
$33,282
$2,554
13.0×
5491
Level 1 Intraocular Procedures
71
$26,584
$1,988
13.4×
5465
Level 5 Neurostimulator and Related Procedures
54
$188,407
$24,393
7.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
30
$10,944
$1,065
10.3×
5415
Level 5 Gynecologic Procedures
24
$65,143
$4,007
16.3×
5431
Level 1 Nerve Procedures
21
$23,787
$1,539
15.5×
5464
Level 4 Neurostimulator and Related Procedures
21
$180,386
$15,554
11.6×
5414
Level 4 Gynecologic Procedures
18
$30,273
$2,579
11.7×
5461
Level 1 Neurostimulator and Related Procedures
18
$111,381
$2,936
37.9×
5112
Level 2 Musculoskeletal Procedures
16
$13,146
$1,318
10.0×
5361
Level 1 Laparoscopy and Related Services
16
$52,003
$4,247
12.2×
5183
Level 3 Vascular Procedures
15
$26,893
$2,750
9.8×
5375
Level 5 Urology and Related Services
13
$53,051
$3,370
15.7×
5373
Level 3 Urology and Related Services
11
$28,300
$1,758
16.1×
5362
Level 2 Laparoscopy and Related Services
11
$133,478
$8,220
16.2×
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-12, template 3.0.0, 112,065 rows scanned, 19,496 distinct code–setting items kept. 9,507 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
—
$860
31
clean
FNA BX W/US GDN 1ST LES
—
—
$1,205
21
clean
FNA BX US GUIDANCE 1ST LESION
$3,429
$820
$792
42
clean
FNA BX US GUIDANCE EA ADD LES
$2,025
—
$1,013
25
clean
FNA BX W/US GDN EA ADDL
—
—
$860
21
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$1,205
21
clean
FNA BX FLUOR GUIDANCE 1ST LES
$4,204
$820
$792
42
clean
FNA BX W/CT GDN 1ST LES
—
—
$1,205
21
clean
FNA BX CT GUIDANCE 1ST LES
$3,581
$820
$792
42
clean
FNA BX W/CT GDN EA ADDL
—
—
$860
27
clean
FNA BX W/MR GDN 1ST LES
—
$820
$792
48
clean
FNA BX W/MR GDN EA ADDL
—
—
$860
27
clean
FNA BX W/O IMG GDN 1ST LES
—
$273
$492
52
clean
IMG GID FLU COLL DRG SFT TIS
—
—
$1,205
21
clean
GUIDE CATH FLUID DRAINAG
$1,332
$799
$685
168
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
—
$1,205
21
clean
PLC SFT TISS DEV PERC 1ST+IMG
$3,581
$799
$745
42
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$860
31
clean
ACNE SURGERY
—
$176
$492
52
clean
I&D ABSCESS SIMPLE/SINGLE
—
—
$860
21
clean
I&D ABSCESS SIMP/SNGL
$621
$269
$289
42
clean
I&D ABSCESS COMP/MULTIPLE
—
—
$860
21
clean
I&D SKIN ABSCESS COMPLEX
$1,084
$269
$517
42
clean
I&D PILONIDAL CYST SIMPLE
—
$269
$689
52
clean
I&D PILONIDAL CYST COMP
—
$2,402
$822
51
clean
INC&RMVL FB SUBQ TISS SMPL
—
—
$860
18
clean
REMOVE FB SUBQ SIMPLE
$2,776
$520
$586
84
clean
INC&RMVL FB SUBQ TISS COMP
—
$3,384
$3,853
52
clean
I&D HMTMA SEROMA/FLUID COLLJ
—
—
$6,743
21
clean
I&D HEMA SEROMA FL
$2,517
$2,681
$1,575
42
clean
PNXR ASPIR ABSC HMTMA BULLA
—
—
$860
21
clean
ASP ABS/HEMAT/CYST
$1,167
$269
$395
168
clean
I&D COMPLEX PO WOUND INFCTJ
—
—
$9,903
21
clean
I&D COMPLEX DRAIN WOUND
$12,985
$4,126
$4,022
42
clean
DBRDMT ECZ/INFECTED SKIN<10%
—
$290
$492
52
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$860
31
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$8,726
27
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$8,726
27
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$8,726
27
clean
RMV PRSTC MTRL/MESH ABD WALL
—
—
$12,271
27
clean
DEBRIDE SKIN AT FX SITE
—
$854
$822
52
clean
DEBRIDE SKIN MUSC AT FX SITE
—
$854
$822
52
clean
DEB SKIN BONE AT FX SITE
—
$953
$1,534
52
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
—
—
$860
21
clean
DEBRID SUBQ 1ST 20 SQ CM OR <
$1,606
$520
$570
42
clean
DBRDMT MUSC&/FSCA 1ST 20/<
—
—
$860
21
clean
DEBRIDE MSCL/FSCA 20SQCM
$1,648
$520
$773
42
clean
DEBRIDE BONE 20SQ CM/<
$2,777
$1,539
$1,537
42
clean
DBRDMT BONE 1ST 20 SQ CM/<
—
—
$1,205
21
clean
DBRDMT SUBQ TISS EACH ADDL
—
—
$860
21
clean
DEBRIDE SUBQ EA ADD 20SQ
$1,606
—
$964
25
clean
DBRDMT MUSC&/FSCA EA ADDL
—
—
$860
21
clean
DEBRIDE MSCL/FSCA EA ADD
$1,648
—
$989
25
clean
DEBRIDE BONE EA ADD 20SQ
$1,606
—
$964
25
clean
DBRDMT BONE EACH ADDL
—
—
$860
21
clean
PARING/CUTG B9 HYPRKER LES 1
—
$176
$492
52
clean
PARNG/CUTG B9 HYPRKR LES 2-4
—
$176
$492
52
clean
PARNG/CUTG B9 HYPRKR LES >4
—
$158
$492
52
clean
TANGNTL BX SKIN SINGLE LES
—
$278
$492
52
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$860
31
clean
PUNCH BX SKIN SINGLE LESION
—
—
$860
21
clean
PUNCH BX SKIN SINGLE LESION
$1,442
$278
$395
42
clean
PUNCH BX SKIN EA SEP/ADDL
$199
—
$119
29
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$860
21
clean
INCAL BX SKN SINGLE LES
—
—
$1,205
21
clean
INCISIONAL BX SKIN SGL LES
$3,376
$278
$715
42
clean
INCAL BX SKN EA SEP/ADDL
—
—
$860
31
clean
RMVL SKIN TAGS UP TO&INC 15
—
$176
$492
52
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$860
31
clean
SHAVE SKIN LESION 0.5 CM/<
—
$176
$492
52
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$176
$492
52
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$176
$492
52
clean
SHAVE SKIN LESION >2.0 CM
—
$323
$492
52
clean
SHAVE SKIN LESION 0.5 CM/<
—
$176
$492
52
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$176
$492
52
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$158
$492
52
clean
SHAVE SKIN LESION >2.0 CM
—
$176
$492
52
clean
SHAVE SKIN LESION 0.5 CM/<
—
$158
$492
52
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$158
$492
52
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$158
$492
52
clean
SHAVE SKIN LESION >2.0 CM
—
$158
$492
52
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
$854
$822
52
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
$854
$765
52
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
$881
$822
52
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
$1,576
$909
52
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
$3,384
$3,619
52
clean
EXC TR-EXT B9+MARG >4.0 CM
—
$3,384
$3,853
52
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
$1,758
$1,534
52
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
$1,576
$909
52
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
$1,758
$1,534
52
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
$3,384
$3,619
52
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
$3,384
$3,853
52
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
$4,649
$5,657
52
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
$854
$822
52
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
$854
$822
52
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
$1,576
$909
52
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
$1,758
$1,534
52
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
$1,758
$1,534
52
clean
EXC FACE-MM B9+MARG >4 CM
—
$4,649
$5,657
52
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
$4,649
$5,657
52
clean
EXC SKN HDRDNT AX COMPLEX
—
$4,649
$5,657
52
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
$4,649
$5,657
52
clean
EXC SKN HDRDNT ING COMPLEX
—
$4,649
$5,657
52
clean
EXC SKN H/P/P/U SMPL/NTRM
—
$4,649
$5,657
52
clean
EXC SKN H/P/P/U COMPLEX
—
$4,649
$5,657
52
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
$854
$822
52
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
$854
$822
52
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
$881
$705
52
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
$1,576
$909
52
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
$1,576
$909
52
clean
EXC TR-EXT MAL+MARG >4 CM
—
$3,384
$3,853
52
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
$1,758
$1,534
52
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
$854
$822
52
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
$1,576
$909
52
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
$3,384
$1,534
52
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
$3,384
$3,853
52
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
$4,649
$5,657
52
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
$1,576
$909
52
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
$1,576
$909
52
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
$1,576
$909
52
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
$1,758
$1,534
52
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
$3,384
$3,853
52
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
$4,649
$5,657
52
clean
TRIM NAIL(S) ANY NUMBER
—
$176
$366
48
clean
DEBRIDE NAIL 1-5
—
—
$860
21
clean
DEBRIDE NAIL 1-5
$606
$176
$152
42
clean
DEBRIDE NAIL 6 OR MORE
—
$176
$294
52
clean
REMOVAL OF NAIL PLATE
—
$176
$492
52
clean
REMOVE NAIL PLATE ADD-ON
—
—
$860
31
clean
DRAIN BLOOD FROM UNDER NAIL
—
$89
$492
52
clean
REMOVAL OF NAIL BED
—
$854
$765
52
clean
BIOPSY NAIL UNIT
—
$854
$822
52
clean
REPAIR OF NAIL BED
—
$656
$722
52
clean
RECONSTRUCTION OF NAIL BED
—
$3,048
$3,759
52
clean
EXCISION OF NAIL FOLD TOE
—
$176
$492
52
clean
REMOVE PILONIDAL CYST SIMPLE
—
$4,649
$5,657
52
clean
REMOVE PILONIDAL CYST EXTEN
—
$4,649
$5,657
52
clean
REMOVE PILONIDAL CYST COMPL
—
$4,649
$5,657
52
clean
INJECT SKIN LESIONS </W 7
—
$176
$492
52
clean
INJECT SKIN LESIONS >7
—
$176
$492
52
clean
CORRECT SKIN COLOR 6.0 CM/<
—
$656
$715
48
clean
CORRECT SKN COLOR 6.1-20.0CM
—
$656
$715
48
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$860
31
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
$250
$705
48
clean
INSERT TISSUE EXPANDER(S)
—
$4,019
$6,653
52
clean
RPLCMT TISS XPNDR PERM IMPLT
—
$9,654
$10,936
52
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
$4,649
$5,409
52
clean
IMPLANT HORMONE PELLET(S)
—
$137
$492
48
clean
INSERTION DRUG DLVR IMPLANT
—
$137
$492
52
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$860
21
clean
REMOVE NON BIO IMPLANT DEVICE
$1,660
$137
$464
42
clean
REMOVE/INSERT DRUG IMPLANT
—
$137
$492
52
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
$279
$389
52
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
$279
$389
52
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
$279
$389
52
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
$279
$492
52
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
$279
$492
52
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
$250
$492
52
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
$279
$389
52
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
$279
$389
52
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
$279
$368
52
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
$279
$368
52
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
$279
$492
52
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
$279
$492
52
clean
RPR F/E/E/N/L/M >30.0 CM
—
$279
$436
52
clean
TX SUPFC WND DEHSN SMPL CLSR
—
$845
$718
52
clean
TX SUPFC WND DEHSN W/PACKING
—
$656
$511
52
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
$250
$492
52
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
$656
$492
52
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
$250
$492
52
clean
INTMD RPR S/A/T/EXT 12.6-20
—
$250
$492
52
clean
INTMD RPR S/A/T/EXT 20.1-30
—
$656
$822
52
clean
INTMD RPR S/TR/EXT >30.0 CM
—
$656
$3,759
52
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
$279
$492
52
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
$250
$492
52
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
$250
$722
52
clean
INTMD RPR N-HF/GENIT12.6-20
—
$656
$822
52
clean
INTMD RPR N-HF/GENIT20.1-30
—
$656
$822
52
clean
INTMD RPR N-HF/GENIT >30.0CM
—
$656
$3,759
52
clean
INTMD RPR FACE/MM 2.5 CM/<
—
$250
$492
52
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
$250
$492
52
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
$250
$492
52
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
$279
$492
52
clean
INTMD RPR FACE/MM 12.6-20 CM
—
$656
$640
52
clean
INTMD RPR FACE/MM 20.1-30.0
—
$732
$673
52
clean
INTMD RPR FACE/MM >30.0 CM
—
$656
$640
52
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
$845
$822
52
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
$845
$860
52
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$860
31
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
$656
$640
52
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
$656
$640
52
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$860
31
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
$656
$640
52
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
$656
$640
52
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$860
31
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
$845
$860
52
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
$845
$860
52
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$860
31
clean
SEC CLSR SURG WND/DEHSN XTN
—
$4,019
$3,853
52
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
$3,048
$3,853
52
clean

Showing the first 200 of 19,496 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 32408/b
error
mrf_cash_above_gross
discounted cash price $2,039 exceeds gross charge $1,618
CPT 10140/b
error
mrf_cash_above_gross
discounted cash price $2,681 exceeds gross charge $2,517
CPT Q9969/b
error
mrf_cash_above_gross
discounted cash price $19 exceeds gross charge $1
CPT 32551/b
error
mrf_cash_above_gross
discounted cash price $1,135 exceeds gross charge $864
CPT 47531/b
error
mrf_cash_above_gross
discounted cash price $4,563 exceeds gross charge $3,339
CPT 63650/b
error
mrf_cash_above_gross
discounted cash price $12,305 exceeds gross charge $6,976
CPT 54160/b
error
mrf_cash_above_gross
discounted cash price $4,861 exceeds gross charge $1,759
CPT 26990/b
error
mrf_cash_above_gross
discounted cash price $4,636 exceeds gross charge $1,683
CPT 48102/b
error
mrf_cash_above_gross
discounted cash price $2,039 exceeds gross charge $1,730
CPT 34421/b
error
mrf_cash_above_gross
discounted cash price $8,580 exceeds gross charge $7,571
CPT 36556/b
error
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $2,229
CPT 36569/b
error
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $2,101
CPT 36580/b
error
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $1,988
CPT 36598/b
error
mrf_cash_above_gross
discounted cash price $332 exceeds gross charge $204
CPT P9038/b
error
mrf_cash_above_gross
discounted cash price $808 exceeds gross charge $619
warn
mrf_negotiated_above_gross_systematic
140 of 575 comparable items (24%) 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 $7,646 exceeds the gross charge $2,025
warn
mrf_rate_without_estimate
356,696 of 356,696 percentage/algorithm rates across 18,375 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT J0572/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 5% of the gross charge $69
CPT J7168/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 6% of the gross charge $53
CPT 15273/b
info
mrf_cash_under_tenth_of_gross
cash price $845 is 8% of the gross charge $10,305
CPT 15277/b
info
mrf_cash_under_tenth_of_gross
cash price $845 is 8% of the gross charge $11,220
CPT J7185/b
info
mrf_cash_under_tenth_of_gross
cash price $2 is 9% of the gross charge $23
CPT Q5103/b
info
mrf_cash_under_tenth_of_gross
cash price $37 is 5% of the gross charge $793
CPT J7187/b
info
mrf_cash_under_tenth_of_gross
cash price $2 is 9% of the gross charge $26
CPT Q5104/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 9% of the gross charge $542
CPT Q5105/b
info
mrf_cash_under_tenth_of_gross
cash price $1 is 6% of the gross charge $18
CPT J7190/b
info
mrf_cash_under_tenth_of_gross
cash price $1 is 9% of the gross charge $13
CPT J0712/b
info
mrf_cash_under_tenth_of_gross
cash price $1 is 6% of the gross charge $18
CPT Q5115/b
info
mrf_cash_under_tenth_of_gross
cash price $58 is 8% of the gross charge $697
CPT J0840/b
info
mrf_cash_under_tenth_of_gross
cash price $3,362 is 8% of the gross charge $39,785
CPT J0881/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $76
CPT J0883/b
info
mrf_cash_under_tenth_of_gross
cash price $2 is 4% of the gross charge $57
CPT J0885/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 5% of the gross charge $283
CPT J0897/b
info
mrf_cash_under_tenth_of_gross
cash price $25 is 7% of the gross charge $350
CPT 32552/b
info
mrf_cash_under_tenth_of_gross
cash price $301 is 9% of the gross charge $3,488
CPT 11106/b
info
mrf_cash_under_tenth_of_gross
cash price $278 is 8% of the gross charge $3,376
CPT J1439/b
info
mrf_cash_under_tenth_of_gross
cash price $2 is 9% of the gross charge $21
CPT J1442/b
info
mrf_cash_under_tenth_of_gross
cash price $1 is 6% of the gross charge $18
CPT A9517/b
info
mrf_cash_under_tenth_of_gross
cash price $29 is 8% of the gross charge $349
CPT J9035/b
info
mrf_cash_under_tenth_of_gross
cash price $114 is 9% of the gross charge $1,225
CPT J9155/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $136
CPT J1742/b
info
mrf_cash_under_tenth_of_gross
cash price $524 is 9% of the gross charge $5,993
CPT J1750/b
info
mrf_cash_under_tenth_of_gross
cash price $24 is 7% of the gross charge $345
CPT J1950/b
info
mrf_cash_under_tenth_of_gross
cash price $821 is 8% of the gross charge $10,266
CPT J9280/b
info
mrf_cash_under_tenth_of_gross
cash price $58 is 2% of the gross charge $3,309
CPT 11982/b
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,660
CPT J9312/b
info
mrf_cash_under_tenth_of_gross
cash price $114 is 8% of the gross charge $1,517
CPT 36581/b
info
mrf_cash_under_tenth_of_gross
cash price $873 is 5% of the gross charge $18,399
CPT J2995/b
info
mrf_cash_under_tenth_of_gross
cash price $146 is 7% of the gross charge $2,011
CPT J3095/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT J3110/b
info
mrf_cash_under_tenth_of_gross
cash price $34 is 7% of the gross charge $522
CPT J3262/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 9% of the gross charge $75
CPT J0287/b
info
mrf_cash_under_tenth_of_gross
cash price $38 is 6% of the gross charge $611
CPT Q0138/b
info
mrf_cash_under_tenth_of_gross
cash price $1 is 4% of the gross charge $26
CPT J3520/b
info
mrf_cash_under_tenth_of_gross
cash price $2 is 0% of the gross charge $566
CPT 15240/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 20802/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 22207/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 24358/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 26210/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 27279/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 27880/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 29837/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 31717/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 33518/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 35211/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 37140/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 42210/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 43820/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 46257/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 49618/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 52345/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 56740/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 60225/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 62351/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 64820/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 67875/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 71550/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 76801/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 79440/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 81310/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 82554/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84410/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 86592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 87427/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88399/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 93745/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 97026/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 C9602/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 J0558/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 J3535/b
info
mrf_item_fields_vary
this code and setting cover at least 36 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q2053/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 15241/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 20805/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 22208/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 24359/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 26215/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 27280/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 27881/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 29838/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 31720/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 33519/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 35216/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 37145/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 42215/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 43825/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 46258/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 49621/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 52346/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 56800/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 60240/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 62355/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 64821/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 67880/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 71551/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 76805/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 79445/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 81311/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 82565/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84425/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 86593/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 87428/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 88720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 93750/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 97028/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 C9603/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 J0565/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 J3590/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q2054/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 15260/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 20808/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 22210/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 24360/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 26230/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 27282/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 27882/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 29840/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 31725/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 33521/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 35221/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 37160/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 42220/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 43830/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 46260/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 49622/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 52351/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 56805/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 60252/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 62360/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 64822/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 67882/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 71552/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 76811/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 79999/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 81312/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 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84430/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 86596/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 87430/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 88738/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 93799/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 97032/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 C9604/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 J7050/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT Q2055/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 15261/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 20816/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 22212/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 24361/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 26235/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 27284/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 27884/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 29843/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 31730/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 33522/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 35226/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 37180/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 42225/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 43831/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 46261/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 49623/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 52352/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 56810/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 60254/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 62361/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 64823/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 67900/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 71555/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 76813/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 80047/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 81313/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 82575/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 84431/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 86602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88740/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 93880/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 97033/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 C9605/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 J0577/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 9,507 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 177
info
inp_charge_10x_payment
average charge $97,980 is 10.0× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $71,037 is 10.5× the total payment
MS-DRG 454
info
inp_charge_10x_payment
average charge $459,877 is 10.0× the total payment
MS-DRG 455
info
inp_charge_10x_payment
average charge $403,189 is 10.2× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $312,162 is 11.0× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $123,583 is 10.6× the total payment
MS-DRG 472
info
inp_charge_10x_payment
average charge $259,398 is 11.4× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $48,124 is 10.1× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $50,892 is 11.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 216.8M bytes · fetched 2026-08-23 · sha256 e254fad681d8…

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.