Hospital · CCN 440039

Vanderbilt University Medical Center

1211 Medical Center Drive, Nashville, TN 37232 · Davidson County
Part of Vanderbilt Health · 1,084 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

257 admission types 67 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
4.50×
$1,338.4M billed against $297.1M paid across 9,486 Medicare discharges; the national figure is 5.03×.
5.9%
of adults in Davidson County have medical debt in collections
12.7%
uninsured in the county · state 11.1%
$80K
median household income
5.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (8 in the inpatient or outpatient file)ⓘ
32.3%
obesity in the countyⓘ
11.2%
diagnosed diabetes (PLACES)
5.1%
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
423
$113,990
$26,873
4.2× st 4.7×
274
Percutaneous and other intracardiac procedures without mcc
313
$119,616
$29,307
4.1× st 6.5×
291
Heart failure and shock with mcc
182
$75,047
$20,090
3.7× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
169
$89,020
$24,149
3.7× st 4.7×
699
Other kidney and urinary tract diagnoses with cc
159
$50,774
$13,944
3.6× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
117
$101,519
$23,686
4.3× st 5.2×
280
Acute myocardial infarction, discharged alive with mcc
114
$112,739
$25,720
4.4× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
111
$301,655
$65,294
4.6× st 4.8×
177
Respiratory infections and inflammations with mcc
110
$92,368
$24,387
3.8× st 4.2×
025
Craniotomy and endovascular intracranial procedures with mcc
108
$223,925
$48,368
4.6× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
103
$72,779
$18,776
3.9× st 4.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
99
$127,300
$31,599
4.0× st 5.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
99
$153,489
$43,429
3.5× st 5.9×
652
Kidney transplant
98
$556,601
$59,241
9.4× st 9.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
98
$59,093
$16,404
3.6× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
93
$47,567
$12,496
3.8× st 5.0×
309
Cardiac arrhythmia and conduction disorders with cc
91
$34,387
$10,714
3.2× st 4.4×
314
Other circulatory system diagnoses with mcc
85
$97,002
$28,614
3.4× st 3.9×
683
Renal failure with cc
85
$42,174
$13,949
3.0× st 4.4×
330
Major small and large bowel procedures with cc
78
$131,074
$27,631
4.7× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
78
$42,554
$12,103
3.5× st 4.6×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
78
$231,128
$63,483
3.6× st 5.9×
682
Renal failure with mcc
78
$72,211
$20,607
3.5× st 4.5×
189
Pulmonary edema and respiratory failure
77
$111,820
$19,772
5.7× st 4.6×
193
Simple pneumonia and pleurisy with mcc
69
$61,272
$17,340
3.5× st 4.7×
057
Degenerative nervous system disorders without mcc
68
$66,034
$19,021
3.5× st 4.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
67
$69,333
$14,306
4.8× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
65
$61,972
$12,896
4.8× st 5.6×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
65
$263,367
$53,944
4.9× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
65
$177,506
$33,913
5.2× st 6.5×
377
Gastrointestinal hemorrhage with mcc
65
$115,053
$26,482
4.3× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
64
$95,195
$19,231
5.0× st 5.6×
329
Major small and large bowel procedures with mcc
63
$223,998
$53,878
4.2× st 4.6×
082
Traumatic stupor and coma >1 hour with mcc
61
$126,438
$27,291
4.6× st 5.0×
394
Other digestive system diagnoses with cc
61
$44,134
$12,987
3.4× st 4.3×
460
Spinal fusion except cervical without mcc
60
$196,525
$37,713
5.2× st 4.5×
552
Medical back problems without mcc
59
$62,973
$14,052
4.5× st 4.9×
811
Red blood cell disorders with mcc
59
$111,760
$25,688
4.4× st 5.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
58
$114,683
$20,232
5.7× st 7.4×
690
Kidney and urinary tract infections without mcc
58
$41,258
$11,758
3.5× st 4.7×
919
Complications of treatment with mcc
57
$101,454
$27,093
3.7× st 5.3×
481
Hip and femur procedures except major joint with cc
56
$157,819
$24,624
6.4× st 5.5×
164
Major chest procedures with cc
56
$111,845
$27,397
4.1× st 4.8×
812
Red blood cell disorders without mcc
55
$54,947
$14,424
3.8× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
55
$70,049
$18,177
3.9× st 4.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
55
$107,456
$25,685
4.2× st 3.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
55
$31,064
$8,972
3.5× st 4.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
53
$383,525
$88,913
4.3× st 5.7×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
53
$1,038,351
$228,040
4.6× st 5.3×
378
Gastrointestinal hemorrhage with cc
53
$57,561
$14,127
4.1× st 4.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
51
$117,289
$25,384
4.6× st 5.0×
101
Seizures without mcc
51
$74,762
$16,063
4.7× st 5.0×
312
Syncope and collapse
50
$55,146
$12,805
4.3× st 5.1×
253
Other vascular procedures with cc
50
$139,725
$29,084
4.8× st 4.7×
964
Other multiple significant trauma with cc
49
$82,515
$21,029
3.9× st 4.3×
315
Other circulatory system diagnoses with cc
49
$54,534
$13,745
4.0× st 4.5×
086
Traumatic stupor and coma <1 hour with cc
48
$58,447
$14,561
4.0× st 4.6×
432
Cirrhosis and alcoholic hepatitis with mcc
48
$94,539
$27,017
3.5× st 4.0×
273
Percutaneous and other intracardiac procedures with mcc
46
$237,059
$47,308
5.0× st 6.8×
920
Complications of treatment with cc
46
$47,510
$14,658
3.2× st 4.1×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
46
$296,286
$64,133
4.6× st 4.3×
551
Medical back problems with mcc
45
$94,480
$22,723
4.2× st 4.7×
194
Simple pneumonia and pleurisy with cc
45
$33,792
$11,141
3.0× st 4.6×
252
Other vascular procedures with mcc
45
$215,753
$46,990
4.6× st 4.6×
308
Cardiac arrhythmia and conduction disorders with mcc
45
$63,280
$16,747
3.8× st 4.4×
603
Cellulitis without mcc
44
$41,588
$13,550
3.1× st 3.9×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
42
$71,709
$20,753
3.5× st 4.4×
083
Traumatic stupor and coma >1 hour with cc
42
$81,706
$18,655
4.4× st 5.8×
689
Kidney and urinary tract infections with mcc
42
$78,460
$19,358
4.1× st 4.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
41
$121,855
$26,022
4.7× st 5.1×
657
Kidney and ureter procedures for neoplasm with cc
40
$109,739
$19,779
5.5× st 5.0×
271
Other major cardiovascular procedures with cc
39
$163,611
$36,881
4.4× st 5.0×
327
Stomach, esophageal and duodenal procedures with cc
39
$132,391
$29,405
4.5× st 4.5×
908
Other o.r. procedures for injuries with cc
39
$107,374
$24,034
4.5× st 4.2×
435
Malignancy of hepatobiliary system or pancreas with mcc
38
$84,425
$22,991
3.7× st 4.8×
472
Cervical spinal fusion with cc
38
$143,715
$27,686
5.2× st 4.4×
393
Other digestive system diagnoses with mcc
38
$83,507
$22,224
3.8× st 4.4×
184
Major chest trauma with cc
38
$60,219
$14,351
4.2× st 4.8×
300
Peripheral vascular disorders with cc
37
$50,122
$15,038
3.3× st 3.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
37
$89,645
$20,728
4.3× st 4.6×
389
Gastrointestinal obstruction with cc
37
$45,315
$12,457
3.6× st 4.4×
236
Coronary bypass without cardiac catheterization without mcc
37
$225,167
$43,020
5.2× st 6.2×
092
Other disorders of nervous system with cc
36
$93,956
$22,816
4.1× st 4.3×
454
Combined anterior and posterior spinal fusion with cc
36
$311,623
$63,656
4.9× st 5.1×
001
Heart transplant or implant of heart assist system with mcc
35
$1,635,954
$271,453
6.0× st 6.4×
235
Coronary bypass without cardiac catheterization with mcc
35
$348,354
$67,519
5.2× st 5.7×
205
Other respiratory system diagnoses with mcc
35
$83,444
$23,071
3.6× st 3.7×
190
Chronic obstructive pulmonary disease with mcc
34
$54,461
$15,389
3.5× st 4.5×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
33
$57,487
$15,835
3.6× st 6.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
33
$207,014
$50,264
4.1× st 4.3×
026
Craniotomy and endovascular intracranial procedures with cc
33
$157,188
$33,673
4.7× st 4.7×
371
Major gastrointestinal disorders and peritoneal infections with mcc
33
$119,801
$29,853
4.0× st 3.9×
281
Acute myocardial infarction, discharged alive with cc
32
$59,594
$13,379
4.5× st 5.7×
660
Kidney and ureter procedures for non-neoplasm with cc
32
$79,783
$16,759
4.8× st 4.0×
658
Kidney and ureter procedures for neoplasm without cc/mcc
32
$97,819
$17,598
5.6× st 4.7×
054
Nervous system neoplasms with mcc
32
$98,340
$21,298
4.6× st 5.2×
326
Stomach, esophageal and duodenal procedures with mcc
31
$279,746
$63,298
4.4× st 4.7×
638
Diabetes with cc
31
$46,049
$13,178
3.5× st 4.5×
328
Stomach, esophageal and duodenal procedures without cc/mcc
31
$70,073
$16,353
4.3× st 4.1×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
31
$128,872
$29,085
4.4× st 4.5×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
31
$52,001
$14,795
3.5× st 3.7×
243
Permanent cardiac pacemaker implant with cc
31
$109,037
$23,394
4.7× st 5.7×
948
Signs and symptoms without mcc
30
$52,573
$13,205
4.0× st 4.1×
056
Degenerative nervous system disorders with mcc
30
$117,123
$32,066
3.7× st 3.6×
085
Traumatic stupor and coma <1 hour with mcc
30
$100,629
$26,870
3.7× st 4.4×
862
Postoperative and post-traumatic infections with mcc
30
$107,843
$26,461
4.1× st 4.4×
480
Hip and femur procedures except major joint with mcc
30
$193,260
$36,704
5.3× st 5.1×
406
Pancreas, liver and shunt procedures with cc
29
$156,165
$30,795
5.1× st 5.8×
091
Other disorders of nervous system with mcc
29
$129,891
$29,835
4.4× st 4.0×
963
Other multiple significant trauma with mcc
29
$169,393
$40,534
4.2× st 3.9×
270
Other major cardiovascular procedures with mcc
29
$291,154
$56,968
5.1× st 5.7×
907
Other o.r. procedures for injuries with mcc
29
$148,078
$38,967
3.8× st 4.1×
299
Peripheral vascular disorders with mcc
28
$104,872
$22,330
4.7× st 4.2×
331
Major small and large bowel procedures without cc/mcc
28
$88,626
$19,362
4.6× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$197,619
$39,486
5.0× st 5.2×
467
Revision of hip or knee replacement with cc
28
$180,041
$34,069
5.3× st 5.7×
659
Kidney and ureter procedures for non-neoplasm with mcc
27
$154,216
$32,121
4.8× st 4.0×
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
27
$351,906
$80,102
4.4× st 4.4×
005
Liver transplant with mcc or intestinal transplant
26
$886,706
$133,939
6.6× st 6.6×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
26
$70,657
$29,623
2.4× st 3.0×
165
Major chest procedures without cc/mcc
26
$89,296
$19,763
4.5× st 5.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
26
$155,836
$25,799
6.0× st 5.5×
863
Postoperative and post-traumatic infections without mcc
25
$35,841
$13,387
2.7× st 3.5×
375
Digestive malignancy with cc
25
$46,303
$15,291
3.0× st 4.0×
374
Digestive malignancy with mcc
25
$116,550
$26,228
4.4× st 4.2×
163
Major chest procedures with mcc
25
$231,720
$57,174
4.1× st 3.7×
947
Signs and symptoms with mcc
25
$97,180
$21,900
4.4× st 4.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
25
$98,620
$19,594
5.0× st 5.2×
317
Concomitant left atrial appendage closure and cardiac ablation
25
$232,126
$56,560
4.1× st 5.3×
178
Respiratory infections and inflammations with cc
25
$51,292
$14,626
3.5× st 3.7×
433
Cirrhosis and alcoholic hepatitis with cc
24
$47,484
$14,533
3.3× st 3.6×
196
Interstitial lung disease with mcc
24
$115,400
$28,426
4.1× st 4.0×
519
Back and neck procedures except spinal fusion with cc
24
$128,884
$22,458
5.7× st 4.0×
372
Major gastrointestinal disorders and peritoneal infections with cc
24
$42,237
$15,808
2.7× st 3.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
24
$71,923
$16,683
4.3× st 4.4×
176
Pulmonary embolism without mcc
23
$45,947
$11,374
4.0× st 4.6×
100
Seizures with mcc
23
$126,431
$24,357
5.2× st 4.9×
183
Major chest trauma with mcc
23
$87,336
$21,464
4.1× st 4.6×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
23
$106,558
$26,076
4.1× st 4.4×
074
Cranial and peripheral nerve disorders without mcc
23
$50,823
$15,592
3.3× st 4.5×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
22
$293,739
$57,321
5.1× st 5.4×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
22
$148,500
$37,755
3.9× st 3.9×
917
Poisoning and toxic effects of drugs with mcc
22
$126,371
$26,840
4.7× st 4.3×
650
Kidney transplant with hemodialysis with mcc
22
$590,477
$49,427
11.9× st 9.3×
180
Respiratory neoplasms with mcc
22
$99,580
$22,999
4.3× st 5.1×
254
Other vascular procedures without cc/mcc
22
$114,860
$19,321
5.9× st 5.5×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
22
$235,241
$47,884
4.9× st 4.3×
957
Other o.r. procedures for multiple significant trauma with mcc
22
$387,466
$81,547
4.8× st 4.5×
813
Coagulation disorders
22
$87,220
$19,028
4.6× st 5.3×
405
Pancreas, liver and shunt procedures with mcc
22
$297,843
$64,246
4.6× st 4.6×
269
Aortic and heart assist procedures except pulsation balloon without mcc
22
$186,145
$39,404
4.7× st 5.6×
199
Pneumothorax with mcc
22
$104,647
$24,144
4.3× st 5.2×
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
21
$246,090
$46,984
5.2× st 5.2×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
21
$471,262
$105,087
4.5× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$63,684
$13,727
4.6× st 4.6×
644
Endocrine disorders with cc
21
$44,969
$14,739
3.1× st 3.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
20
$119,081
$21,064
5.7× st 4.4×
607
Minor skin disorders without mcc
20
$44,461
$13,507
3.3× st 3.4×
673
Other kidney and urinary tract procedures with mcc
20
$107,814
$40,336
2.7× st 3.2×
438
Disorders of pancreas except malignancy with mcc
20
$62,360
$21,281
2.9× st 3.3×
439
Disorders of pancreas except malignancy with cc
20
$53,874
$13,041
4.1× st 4.4×
834
Acute leukemia with mcc
20
$230,616
$72,272
3.2× st 6.5×
229
Other cardiothoracic procedures without mcc
19
$155,944
$31,109
5.0× st 4.8×
242
Permanent cardiac pacemaker implant with mcc
19
$162,912
$38,915
4.2× st 5.5×
870
Septicemia or severe sepsis with mv >96 hours
19
$306,744
$69,370
4.4× st 4.6×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
19
$221,200
$58,319
3.8× st 5.6×
292
Heart failure and shock with cc
19
$49,463
$13,038
3.8× st 3.7×
007
Lung transplant
19
$1,380,345
$264,648
5.2× st 5.2×
141
Major head and neck procedures with cc
19
$136,559
$26,090
5.2× st 5.2×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
19
$88,334
$23,002
3.8× st 3.7×
654
Major bladder procedures with cc
19
$173,299
$29,502
5.9× st 5.0×
444
Disorders of the biliary tract with mcc
19
$81,921
$21,536
3.8× st 5.0×
621
O.r. procedures for obesity without cc/mcc
19
$75,490
$17,477
4.3× st 4.3×
614
Adrenal and pituitary procedures with cc/mcc
18
$142,122
$31,288
4.5× st 4.5×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
18
$205,038
$70,691
2.9× st 2.7×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
18
$296,658
$61,610
4.8× st 5.0×
388
Gastrointestinal obstruction with mcc
18
$68,696
$20,315
3.4× st 4.4×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
18
$149,473
$27,562
5.4× st 5.4×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
18
$490,860
$138,159
3.6× st 4.2×
206
Other respiratory system diagnoses without mcc
18
$89,164
$15,282
5.8× st 5.9×
356
Other digestive system o.r. procedures with mcc
18
$182,429
$49,390
3.7× st 4.2×
305
Hypertension without mcc
18
$47,700
$12,777
3.7× st 5.0×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
18
$83,612
$16,046
5.2× st 4.2×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
17
$127,605
$27,275
4.7× st 4.5×
501
Soft tissue procedures with cc
17
$117,707
$26,176
4.5× st 4.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
17
$204,837
$45,062
4.5× st 4.9×
840
Lymphoma and non-acute leukemia with mcc
17
$147,477
$39,469
3.7× st 6.1×
032
Ventricular shunt procedures with cc
16
$130,754
$30,146
4.3× st 4.3×
814
Reticuloendothelial and immunity disorders with mcc
16
$87,097
$26,176
3.3× st 3.3×
313
Chest pain
16
$48,734
$10,862
4.5× st 6.1×
166
Other respiratory system o.r. procedures with mcc
16
$205,413
$45,709
4.5× st 3.8×
637
Diabetes with mcc
16
$66,855
$17,988
3.7× st 4.1×
228
Other cardiothoracic procedures with mcc
16
$302,595
$58,058
5.2× st 4.7×
200
Pneumothorax with cc
16
$64,463
$14,476
4.5× st 6.0×
336
Peritoneal adhesiolysis with cc
15
$122,465
$25,078
4.9× st 4.6×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
15
$107,050
$28,583
3.7× st 5.8×
283
Acute myocardial infarction, expired with mcc
15
$218,137
$37,693
5.8× st 5.4×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
15
$171,406
$39,380
4.4× st 4.3×
880
Acute adjustment reaction and psychosocial dysfunction
15
$61,900
$14,133
4.4× st 4.4×
445
Disorders of the biliary tract with cc
15
$54,405
$14,887
3.7× st 5.1×
468
Revision of hip or knee replacement without cc/mcc
15
$130,132
$26,264
5.0× st 5.4×
580
Other skin, subcutaneous tissue and breast procedures with cc
15
$100,767
$20,251
5.0× st 5.0×
466
Revision of hip or knee replacement with mcc
15
$242,287
$51,582
4.7× st 6.0×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
15
$238,101
$56,600
4.2× st 4.6×
390
Gastrointestinal obstruction without cc/mcc
15
$29,606
$8,858
3.3× st 4.1×
643
Endocrine disorders with mcc
15
$90,275
$25,850
3.5× st 4.6×
039
Extracranial procedures without cc/mcc
15
$79,062
$13,855
5.7× st 5.3×
084
Traumatic stupor and coma >1 hour without cc/mcc
14
$47,773
$10,840
4.4× st 5.5×
038
Extracranial procedures with cc
14
$120,502
$19,506
6.2× st 5.3×
354
Hernia procedures except inguinal and femoral with cc
14
$97,381
$20,378
4.8× st 4.8×
304
Hypertension with mcc
14
$89,083
$18,036
4.9× st 4.6×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
14
$286,345
$55,202
5.2× st 5.9×
958
Other o.r. procedures for multiple significant trauma with cc
14
$170,130
$43,914
3.9× st 3.5×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
13
$39,144
$22,054
1.8× st 2.5×
884
Organic disturbances and intellectual disability
13
$62,698
$21,765
2.9× st 3.6×
014
Allogeneic bone marrow transplant
13
$219,827
$161,818
1.4× st 5.9×
885
Psychoses
13
$81,358
$24,207
3.4× st 4.0×
029
Spinal procedures with cc or spinal neurostimulators
13
$204,666
$38,202
5.4× st 5.4×
142
Major head and neck procedures without cc/mcc
13
$105,232
$18,918
5.6× st 5.6×
579
Other skin, subcutaneous tissue and breast procedures with mcc
13
$140,826
$32,124
4.4× st 4.4×
602
Cellulitis with mcc
13
$58,274
$18,895
3.1× st 3.7×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
13
$84,785
$16,008
5.3× st 6.0×
167
Other respiratory system o.r. procedures with cc
13
$70,987
$20,019
3.5× st 5.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
13
$71,610
$13,583
5.3× st 4.5×
536
Fractures of hip and pelvis without mcc
13
$84,129
$12,521
6.7× st 3.9×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
13
$204,114
$50,940
4.0× st 7.6×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
13
$91,349
$22,180
4.1× st 5.3×
036
Carotid artery stent procedures without cc/mcc
13
$83,625
$18,251
4.6× st 4.9×
264
Other circulatory system o.r. procedures
13
$189,685
$42,650
4.4× st 4.7×
011
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
12
$336,839
$68,760
4.9× st 4.9×
815
Reticuloendothelial and immunity disorders with cc
12
$59,471
$13,845
4.3× st 4.3×
145
Other ear, nose, mouth and throat o.r. procedures without cc/mcc
12
$61,744
$13,381
4.6× st 4.6×
436
Malignancy of hepatobiliary system or pancreas with cc
12
$56,354
$16,376
3.4× st 5.0×
935
Non-extensive burns
12
$94,360
$26,870
3.5× st 3.5×
207
Respiratory system diagnosis with ventilator support >96 hours
12
$348,805
$70,815
4.9× st 3.2×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$296,247
$70,714
4.2× st 5.6×
478
Biopsies of musculoskeletal system and connective tissue with cc
12
$107,757
$26,850
4.0× st 4.6×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
12
$84,242
$20,990
4.0× st 4.0×
866
Viral illness without mcc
12
$44,445
$12,884
3.5× st 3.4×
033
Ventricular shunt procedures without cc/mcc
12
$73,368
$15,303
4.8× st 4.8×
867
Other infectious and parasitic diseases diagnoses with mcc
12
$200,778
$48,203
4.2× st 2.1×
071
Other cerebrovascular disorders with cc
12
$60,458
$16,102
3.8× st 3.9×
042
Peripheral, cranial nerve and other nervous system procedures without cc/mcc
12
$98,172
$17,702
5.5× st 5.5×
385
Inflammatory bowel disease with mcc
11
$97,490
$24,964
3.9× st 3.9×
841
Lymphoma and non-acute leukemia with cc
11
$107,862
$23,348
4.6× st 5.0×
483
Major joint or limb reattachment procedures of upper extremities
11
$145,839
$24,118
6.0× st 4.9×
215
Other heart assist system implant
11
$501,222
$127,678
3.9× st 3.6×
277
Cardiac defibrillator implant without mcc
11
$226,760
$51,167
4.4× st 4.0×
656
Kidney and ureter procedures for neoplasm with mcc
11
$165,016
$43,604
3.8× st 3.8×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
11
$182,297
$37,130
4.9× st 3.6×
153
Otitis media and uri without mcc
11
$43,529
$10,570
4.1× st 4.1×
146
Ear, nose, mouth and throat malignancy with mcc
11
$96,618
$30,646
3.2× st 3.2×
577
Skin graft except for skin ulcer or cellulitis with cc
11
$223,465
$35,490
6.3× st 6.3×
144
Other ear, nose, mouth and throat o.r. procedures with cc
11
$76,585
$19,467
3.9× st 3.9×
545
Connective tissue disorders with mcc
11
$143,973
$34,264
4.2× st 4.2×
125
Other disorders of the eye without mcc
11
$45,398
$11,829
3.8× st 3.2×
103
Headaches without mcc
11
$44,152
$12,018
3.7× st 4.3×
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
5372
Level 2 Urology and Related Services
1,907
$8,675
$532
16.3×
5373
Level 3 Urology and Related Services
813
$17,506
$1,258
13.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
763
$12,474
$1,084
11.5×
5302
Level 2 Upper GI Procedures
704
$12,917
$1,548
8.3×
8011
Comprehensive Observation Services
673
$24,552
$2,245
10.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
570
$15,543
$2,304
6.7×
5191
Level 1 Endovascular Procedures
569
$27,623
$2,653
10.4×
5213
Level 3 Electrophysiologic Procedures
505
$122,896
$19,548
6.3×
5183
Level 3 Vascular Procedures
504
$19,247
$2,562
7.5×
5374
Level 4 Urology and Related Services
412
$28,658
$2,176
13.2×
5375
Level 5 Urology and Related Services
409
$36,095
$3,006
12.0×
5431
Level 1 Nerve Procedures
389
$18,064
$960
18.8×
5154
Level 4 Airway Endoscopy
370
$28,862
$3,064
9.4×
5153
Level 3 Airway Endoscopy
321
$10,492
$1,181
8.9×
5115
Level 5 Musculoskeletal Procedures
316
$56,154
$6,948
8.1×
5193
Level 3 Endovascular Procedures
299
$68,861
$8,874
7.8×
5114
Level 4 Musculoskeletal Procedures
263
$48,202
$4,636
10.4×
5165
Level 5 ENT Procedures
253
$47,150
$4,766
9.9×
5113
Level 3 Musculoskeletal Procedures
236
$29,056
$2,017
14.4×
5182
Level 2 Vascular Procedures
210
$10,693
$1,319
8.1×
5361
Level 1 Laparoscopy and Related Services
192
$43,489
$4,771
9.1×
5465
Level 5 Neurostimulator and Related Procedures
192
$103,783
$25,007
4.2×
5362
Level 2 Laparoscopy and Related Services
183
$78,629
$8,522
9.2×
5492
Level 2 Intraocular Procedures
178
$32,035
$3,323
9.6×
5155
Level 5 Airway Endoscopy
168
$39,986
$5,639
7.1×
5184
Level 4 Vascular Procedures
165
$30,162
$3,796
7.9×
5112
Level 2 Musculoskeletal Procedures
161
$15,415
$1,111
13.9×
5462
Level 2 Neurostimulator and Related Procedures
151
$36,611
$3,070
11.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
141
$50,457
$5,314
9.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
139
$29,280
$2,815
10.4×
5223
Level 3 Pacemaker and Similar Procedures
126
$58,577
$8,789
6.7×
5192
Level 2 Endovascular Procedures
122
$43,542
$4,689
9.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
104
$28,946
$2,978
9.7×
5232
Level 2 ICD and Similar Procedures
98
$138,033
$26,629
5.2×
5116
Level 6 Musculoskeletal Procedures
90
$99,982
$8,954
11.2×
5163
Level 3 ENT Procedures
89
$8,458
$1,175
7.2×
5166
Cochlear Implant Procedure
89
$109,490
$27,343
4.0×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
86
$25,189
$1,880
13.4×
5222
Level 2 Pacemaker and Similar Procedures
84
$40,015
$6,980
5.7×
5313
Level 3 Lower GI Procedures
77
$20,186
$2,223
9.1×
5414
Level 4 Gynecologic Procedures
72
$24,444
$2,431
10.1×
5164
Level 4 ENT Procedures
65
$27,640
$2,409
11.5×
5464
Level 4 Neurostimulator and Related Procedures
65
$76,472
$16,138
4.7×
5194
Level 4 Endovascular Procedures
62
$89,971
$14,412
6.2×
5331
Complex GI Procedures
61
$29,537
$4,539
6.5×
5376
Level 6 Urology and Related Services
56
$54,868
$6,517
8.4×
5491
Level 1 Intraocular Procedures
56
$24,124
$1,896
12.7×
5378
Level 8 Urology and Related Services
51
$88,628
$13,067
6.8×
5224
Level 4 Pacemaker and Similar Procedures
43
$98,294
$16,107
6.1×
5303
Level 3 Upper GI Procedures
37
$26,500
$3,203
8.3×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
33
$43,063
$3,231
13.3×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
31
$59,637
$7,702
7.7×
5627
Level 7 Radiation Therapy
27
$40,999
$6,508
6.3×
5415
Level 5 Gynecologic Procedures
25
$52,571
$3,763
14.0×
5416
Level 6 Gynecologic Procedures
22
$62,933
$6,120
10.3×
5493
Level 3 Intraocular Procedures
20
$46,572
$4,375
10.6×
5231
Level 1 ICD and Similar Procedures
17
$89,253
$19,652
4.5×
5212
Level 2 Electrophysiologic Procedures
16
$65,880
$6,241
10.6×
5461
Level 1 Neurostimulator and Related Procedures
15
$26,107
$2,844
9.2×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
12
$108,770
$14,684
7.4×
5432
Level 2 Nerve Procedures
12
$40,775
$5,567
7.3×
5471
Implantation of Drug Infusion Device
11
$79,891
$11,624
6.9×
5377
Level 7 Urology and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via vumc.org/cms-hpt.txt, the file itself ↗ read as json, last updated 2025-10-01, template 3.0.0, 96,417 rows scanned, 10,851 distinct code–setting items kept. 12,101 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC NASH FIBROSURE-LABCORP
$1,927
$1,041
$636
78
clean
ANESTH,SALIVARY GLAND W/BX
$781
$421
$43
34
clean
ANESTH,CLEFT LIP REPAIR
$937
$506
$43
34
clean
ANESTH,BLEPHAROPLASTY
$781
$421
$43
34
clean
ANESTH,ELECTROSHOCK/ ECT
$624
$337
$43
34
clean
ANESTH,EAR SURGERY
$781
$421
$43
34
clean
ANESTH,EAR EXAM
$624
$337
$43
34
clean
ANESTH,TYMPANOTOMY
$624
$337
$43
34
clean
ANESTH,PROCEDURES ON EYE
$781
$421
$43
34
clean
ANESTH, LENS SURGERY
$624
$337
$43
34
clean
ANESTH,CORNEAL TRANSPLANT
$937
$506
$43
34
clean
ANESTH, VITREORETINAL SURG
$937
$506
$43
34
clean
ANESTH,IRIDECTOMY
$937
$506
$43
34
clean
ANESTH,EYE EXAM
$624
$337
$43
34
clean
ANESTH,NOSE,SINUS SURGERY
$781
$421
$43
34
clean
ANESTH,NOSE,RADICAL SINUS SURGERY
$1,093
$590
$43
34
clean
ANESTH,BIOPSY OF NOSE
$624
$337
$43
34
clean
ANESTH,PROCEDURE ON MOUTH
$781
$421
$43
34
clean
ANESTH,CLEFT PALATE REPAIR
$937
$506
$43
34
clean
ANESTH,EXCIS RETROPHARYNG TUMOR
$937
$506
$43
34
clean
ANESTH,FACIAL BONE SURGERY
$781
$421
$43
34
clean
ANESTH,OPEN HEAD SURGERY
$1,717
$927
$43
34
clean
ANESTH,SKULL SURG SUBDUR TAP
$781
$421
$43
34
clean
ANESTH,HEAD VESSEL SURGERY
$2,342
$1,264
$43
34
clean
ANESTH,SPECIAL HEAD SURGERY
$2,029
$1,096
$43
34
clean
ANESTH,INTRACRAN PROC; CSF SHUNT PROC
$1,561
$843
$43
34
clean
ANESTH,INTRACRAN NERVE COAGULATN
$937
$506
$43
34
clean
HC THYROSEQ - CBL PATH (ONC THYR DNA&MRNA 112 GENES)
$5,820
$3,143
$3,905
78
clean
ANESTH,SKIN SURG HEAD/NECK
$781
$421
$43
34
clean
ANESTH,NECK ORG PROC; NOS, AGE 1 YR/OLD
$937
$506
$43
34
clean
ANESTH,NEEDLE BX THYROID
$468
$253
$43
34
clean
HC THIOPURINE METHYLTRANS(TPMT)&NIDUX HYDROLASE (NUDT15) GENO-(MAYO)
$653
$353
$489
78
clean
ANESTH,NECK VESSEL SURGERY NOS
$1,561
$843
$43
34
clean
ANESTH,NECK VESSEL SURG SIMPL LIGAT
$781
$421
$43
34
clean
ANESTH,SKIN SURG THORAX/EXTR
$468
$253
$43
34
clean
ANESTH,SURG BREAST RECONSTRUCTIVE
$781
$421
$43
34
clean
ANESTH,SURG BREAST RAD MASTEC
$781
$421
$43
34
clean
ANESTH,SURG BREAST RAD MAST W NODE
$2,029
$1,096
$43
34
clean
ANESTH,CORRECT HEART RHYTHM
$624
$337
$43
34
clean
CERBRAL PERFUSION STUDY, CT W/ CONTRAST
$981
$530
$383
148
clean
ANESTH,SURG CLAVICLE/SCAPULA
$781
$421
$43
34
clean
ANESTH,CLAVICLE BIOPSY
$468
$253
$43
34
clean
ANESTH,PARTIAL RIB RESECTN
$937
$506
$43
34
clean
ANESTH,CHEST WALL REPAIR
$1,561
$843
$43
34
clean
ANESTH,ESOPHAGEAL SURGERY
$2,342
$1,264
$43
34
clean
ANESTH,CHEST PROC CLOSED,NOS
$937
$506
$43
34
clean
ANESTH,CHEST PLEURAL BIOPSY
$624
$337
$43
34
clean
ANESTH,MEDIASTINOSCOPY
$1,249
$674
$43
34
clean
ANESTH, CHEST PARTITION VIEW
$1,717
$927
$43
34
clean
ANESTH,PACEMAKER INSERTION
$624
$337
$43
34
clean
ANESTH,CENTRL VASCULAR ACCESS
$624
$337
$43
34
clean
ANESTH,CARDIOVERTER/DEFIB
$1,093
$590
$43
34
clean
ANESTH,CARD ELECTROPHYS PROC
$1,561
$843
$43
34
clean
ANESTH,TRACHEOBRONCHIAL RECONSTRUCT
$2,810
$1,517
$43
34
clean
ANESTH,THORACOTOMY PROC, W/1 LUNG VENT
$2,342
$1,264
$43
34
clean
ANESTH,TRACH,BRONCHI INTRATHOR SURG
$2,654
$1,433
$43
34
clean
COMPUTER-ASSIST MUSCSKEL NAVIG, ORTHO PROC, FLUORO
$486
$262
$292
102
clean
ANESTH,STERNAL DEBRIDEMENT
$1,561
$843
$43
34
clean
COMPUTER-ASSIST MUSCSKEL NAVIG, ORTHO PROC, CT/MRI
$486
$262
$292
102
clean
ANESTH,OPEN HEART,PUMP+HYPOTHERM
$3,903
$2,107
$43
34
clean
ANESTH,DIRECT CABG W/O PUMP OXYGENATOR
$3,903
$2,107
$43
34
clean
HC ANTI MERKEL CELL PANEL - UNIV OF WASHINGTON
$5,334
$2,880
$549
78
clean
HC ANTI MERKEL VIRAL CAPSID - UNI OF WASHINGTON
$5,334
$2,880
$549
78
clean
ANESTH,CERV SPINE,CORD SURGERY
$1,561
$843
$43
34
clean
ANESTH,THOR SPINE,CORD SURGERY
$1,561
$843
$43
34
clean
ANESTH,TRANSTHORACIC SPINE SURG W/O 1 LUNG VENT
$2,029
$1,096
$43
34
clean
ANESTH,TRANSTHORACIC SPINE SURG W/ 1 LUNG VENT
$2,342
$1,264
$43
34
clean
ANESTH,LUMBAR SPINE,CORD SURGERY
$1,249
$674
$43
34
clean
ANESTH,LUMBAR PUNCTURE
$624
$337
$43
34
clean
ANESTH,CLOSED MANIPULATION, SPINE C/T/L
$468
$253
$43
34
clean
ANESTH,EXTENSIVE SPINE,CORD PROCED
$2,029
$1,096
$43
34
clean
ANESTH,ABD WALL,UPER ANTER,SURG
$624
$337
$43
34
clean
ANESTH,FOR LIVER BIOPSY
$624
$337
$43
34
clean
ANESTH,ABD WALL,UPPER POST,SURG
$781
$421
$43
34
clean
ANESTHESIA UPPER GI ENDOSCOPIC PX NOS
$781
$421
$44
32
clean
ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP
$937
$506
$42
28
clean
ANESTH,REPAIR UPPER ABD HERNIA NOS
$624
$337
$43
34
clean
ANESTH,REPAIR UP HERNIA LUMBAR/VENTR
$937
$506
$43
34
clean
ANESTH,REPAIR UP HERNIA OMPHALOCELE
$1,093
$590
$43
34
clean
ANESTH,REPAIR UP HERNIA DIAPHRAGM
$1,093
$590
$43
34
clean
HC PL STNT T/C X-VERT/IN-CAROT IN
$15,337
$8,282
$4,448
74
clean
ANESTH,MAJOR ABD BLOOD VESSEL REPAIR
$2,342
$1,264
$43
34
clean
ANESTH,SURG UPPER ABDOMEN
$1,093
$590
$43
34
clean
ANESTH,GASTRIC RESTRICT, MORBID OBESITY
$1,717
$927
$43
34
clean
ANESTH,ABD WALL,LOWER ANT,SURG
$624
$337
$43
34
clean
ANESTH,FAT LAYER REMOVAL
$781
$421
$43
34
clean
ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS
$624
$337
$42
28
clean
ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC
$624
$337
$42
28
clean
ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX
$781
$421
$42
28
clean
ANESTH,ABD WALL,LOWER POST,SURG
$781
$421
$43
34
clean
ANESTH,REPAIR LO ABD HERNIA NOS
$624
$337
$43
34
clean
ANESTH,REPAIR LO HERNIA VENTR/INCIS
$937
$506
$43
34
clean
ANESTH,REP LO ABD HERN NOS, PREM <50 WKS
$937
$506
$43
34
clean
ANESTH,SURG LOWER ABDOMEN
$937
$506
$43
34
clean
ANESTH,TUBAL LIGATION/TRANSECTION
$937
$506
$43
34
clean
ANESTH,SURG LOW ABD,EXTRAPERINTONEAL
$937
$506
$43
34
clean
ANESTH,KIDNEY,PROX URETER SURG
$1,093
$590
$43
34
clean
ANESTH,REMOVAL OF PROSTATE
$1,093
$590
$43
34
clean
ANESTH,BLADDER STONE SURG
$781
$421
$43
34
clean
ANESTH,KID STONE DESTRUCT+WATER BATH
$1,093
$590
$43
34
clean
ANESTH,KID STONE DESTRUCT
$781
$421
$43
34
clean
ANESTH,MAJOR LOW ABD VESSEL SURG
$2,342
$1,264
$43
34
clean
ANESTH,ANORECTAL SURGERY
$781
$421
$43
34
clean
ANESTH,REMOVAL OF VULVA
$624
$337
$43
34
clean
ANESTH,TRANSURETHRAL SURG,NOS
$468
$253
$43
34
clean
ANESTH,XURETHRAL BLADDER TUMOR SURG
$781
$421
$43
34
clean
ANESTH,XURETHRAL REMOVAL OF PROSTATE
$781
$421
$43
34
clean
ANESTH,POST XURETHRAL BLEEDING CONTR
$781
$421
$43
34
clean
ANESTH,STONE RMVOVAL
$781
$421
$43
34
clean
ANESTH,MALE GENITALIA SURGERY
$468
$253
$43
34
clean
ANESTH,VASECTOMY, UNILAT/BILAT
$468
$253
$43
34
clean
ANESTH,SPERM DUCT SURGERY
$937
$506
$43
34
clean
ANESTH,TESTIS EXPLORATION
$624
$337
$43
34
clean
ANESTH,RADICAL REMV TESTIS,INGUINAL
$624
$337
$43
34
clean
ANESTH,RADICAL REMV TESTIS,ABDOMINAL
$937
$506
$43
34
clean
ANESTH,TESTIS SUSPENSION
$624
$337
$43
34
clean
ANESTH,INSERT PENIS PROSTHESIS
$624
$337
$43
34
clean
ANESTH,VAGINAL PROCEDURES
$468
$253
$43
34
clean
ANESTH,COLPOT,VAGINECT,COLPORR,URETH PRO
$624
$337
$43
34
clean
ANESTH,VAGINAL HYSTERECTOMY
$937
$506
$43
34
clean
ANESTH,REPAIR OF CERVIX
$624
$337
$43
34
clean
ANESTH,HYSTEROSCOPY/VAG BX
$624
$337
$43
34
clean
EXTRACORP SHOCKWAVE, MUSC/SKEL, HIGH ENERGY, NOS
—
—
$9,432
12
clean
ANESTH,BONE MARROW ASP/BX ILIAC CRST
$781
$421
$43
34
clean
ANESTH,BONY PELVIS SURGERY
$937
$506
$43
34
clean
ANESTH,BODY CAST PROCEDURE
$468
$253
$43
34
clean
ANESTH,PUBIS,SACROILIAC OPEN PROC
$624
$337
$43
34
clean
ANESTH,PUBIS,SACROILIAC CLOSED PROC
$1,249
$674
$43
34
clean
ANESTH, FX REPAIR, PELVIS
$1,873
$1,012
$43
34
clean
ANESTH,HIP JOINT PROCEDURE
$624
$337
$43
34
clean
ANESTH,ARTHROSCOPY OF HIP
$624
$337
$43
34
clean
ANESTH,HIP JOINT SURGERY
$937
$506
$43
34
clean
ANESTH,TOTAL HIP ARTHROPLASTY
$1,249
$674
$43
34
clean
ANESTH,REVISE TOTAL HIP ARTHROPLASTY
$1,561
$843
$43
34
clean
ANESTH,CLOSED PROC UPPER 2/3 FEMUR
$624
$337
$43
34
clean
ANESTH,OPEN PROC UPPER 2/3 FEMUR
$937
$506
$43
34
clean
ANESTH,UPPER LEG SURGERY
$624
$337
$43
34
clean
ANESTH,UPPER LEG VEINS SURG
$468
$253
$43
34
clean
ANESTH,THIGH ARTERIES SURG
$1,249
$674
$43
34
clean
ANESTH,KNEE AREA SURGERY
$624
$337
$43
34
clean
ANESTH,LOWER 1/3 FEMUR,CLOSED PROC
$624
$337
$43
34
clean
ANESTH,LOWER 1/3 FEMUR,OPEN PROC
$781
$421
$43
34
clean
ANESTH,KNEE JOINT,CLOSED PROCEDURE
$468
$253
$43
34
clean
ANESTH,DX ARTHROSCOPIC PROC KNEE JOINT
$468
$253
$43
34
clean
ANESTH,UPPER LEG,CLOSED PROCEDURE
$468
$253
$43
34
clean
ANESTH,UPPER LEG,OPEN PROCEDURE
$624
$337
$43
34
clean
ANESTH,KNEE JOINT; NOS
$624
$337
$43
34
clean
ANESTH,TOTAL KNEE ARTHROPLASTY
$1,093
$590
$43
34
clean
ANESTH,KNEE JOINT CASTING
$468
$253
$43
34
clean
ANESTH,KNEE VEINS SURGERY
$468
$253
$43
34
clean
ANESTH,KNEE AV FISTULA VESSEL SURG
$937
$506
$43
34
clean
ANESTH,KNEE ARTERIES SURG
$1,249
$674
$43
34
clean
ANESTH,LOWER LEG,CLOSED PROCEDURE
$468
$253
$43
34
clean
ANESTH,ARTHROSCOP PROC,ANKLE &/OR FOOT
$468
$253
$43
34
clean
ANESTH,LOWER LEG,OPEN SURGERY
$468
$253
$43
34
clean
ANESTH,ACHILLES TENDON SURG
$781
$421
$43
34
clean
ANESTH,GASTROCNEMIUS SURGERY
$781
$421
$43
34
clean
ANESTH,LOWER LEG BONE SURG
$468
$253
$43
34
clean
ANESTH,RADICAL LEG RESECTION
$624
$337
$43
34
clean
ANESTH,LOWER LEG BONE REVISION
$624
$337
$43
34
clean
ANESTH,ANKLE REPLACEMENT
$1,093
$590
$43
34
clean
ANESTH,LOWER LEG CASTING
$468
$253
$43
34
clean
ANESTH,LOWER LEG ARTERIES SURG
$1,249
$674
$43
34
clean
ANESTH,LOWER LEG VEIN SURG,NOS
$468
$253
$43
34
clean
ANESTH,LOWER LEG VEIN THROMBECTOMY
$781
$421
$43
34
clean
HC NFCT DS DNA UNTRGT NGNRJ SEQ MISC REF-KARIUS
$4,768
$2,575
$2,381
78
clean
ANESTH,SURGERY OF SHOULDER
$781
$421
$43
34
clean
ANESTH,SHOULDER,CLOSED PROCEDURE
$624
$337
$43
34
clean
ANESTH,DX ARTHROSC PROC,SHOULDER JOINT
$624
$337
$43
34
clean
ANESTH,SHOULDER JOINT,NOS
$781
$421
$43
34
clean
ANESTH,SHOULDER REPLACEMENT
$1,561
$843
$43
34
clean
ANESTH,SHOULDER ARTERY SURG,NOS
$937
$506
$43
34
clean
ANESTH,SHOULDER VEIN SURG
$624
$337
$43
34
clean
ANESTH,ELBOW AREA SURGERY
$468
$253
$43
34
clean
ANESTH,UPPERARM TENDON SURG
$781
$421
$43
34
clean
ANESTH,UPPERARM TENDON REVISN SURG
$781
$421
$43
34
clean
ANESTH,BICEPS TENDON REPAIR
$781
$421
$43
34
clean
ANESTH,ARM/ELBOW BONES,CLOSED PROC
$468
$253
$43
34
clean
ANESTH,DX ARTHROSCOPIC PROC ELBOW JOINT
$468
$253
$43
34
clean
ANESTH,ELBOW,NOS
$624
$337
$43
34
clean
ANESTH,HUMERUS SURGERY
$781
$421
$43
34
clean
ANESTH,HUMERUS REPAIR
$781
$421
$43
34
clean
ANESTH,HUMERAL LESION SURG
$781
$421
$43
34
clean
ANESTH,ELBOW REPLACEMENT
$1,093
$590
$43
34
clean
ANESTH,UPPERARM ARTERY SURG
$937
$506
$43
34
clean
ANESTH,UPPERARM EMBOLECTOMY
$937
$506
$43
34
clean
ANESTH,UPPER ARM VEIN SURG
$468
$253
$43
34
clean
ANESTH,UPPER ARM VEIN REPAIR
$624
$337
$43
34
clean
ANESTH,LOWER ARM SURGERY
$468
$253
$43
34
clean
ANESTH,FOREARM BONES,CLOSED PROC
$468
$253
$43
34
clean
ANESTH,DX ARTHROSCOPIC PROC WRIST
$468
$253
$43
34
clean
ANESTH,DISTAL RADIUS/ULNA WRIST/HAND,NOS
$468
$253
$43
34
clean
ANESTH,WRIST REPLACEMENT
$937
$506
$43
34
clean
ANESTH,LOWER ARM ARTERY SURG
$937
$506
$43
34
clean
ANESTH,LOWER ARM EMBOLECTOMY
$937
$506
$43
34
clean
ANESTH,LOWER ARM,VASC SHUNT SURG
$937
$506
$43
34
clean
RECTAL TUMOR EXCISION, TRANSANAL ENDOSCOPIC MICROSURGICAL, FULL THICK
$2,385
$1,288
$1,431
108
clean
ANESTH,LOWER ARM VEIN SURG
$468
$253
$43
34
clean
ANESTH,LOWER ARM VEIN REPAIR
$624
$337
$43
34
clean
ANESTH,LOWER ARM CASTING
$468
$253
$43
34
clean

Showing the first 200 of 10,851 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
2,913 of 6,511 comparable items (45%) 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. a negotiated rate of $12,888 is above the file's own maximum $5,820
error
mrf_negotiated_below_min_systematic
2,047 of 6,757 comparable items (30%) 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. a negotiated rate of $0 is below the file's own minimum $503
warn
mrf_negotiated_above_gross_systematic
2,950 of 5,083 comparable items (58%) 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 $12,888 exceeds the gross charge $5,820
warn
mrf_rate_without_estimate
12,622 of 12,622 percentage/algorithm rates across 1,121 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 14000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 16020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26587/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31287/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 62284/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64632/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73552/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77061/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90632/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92603/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94618/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97033/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0571/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8507/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 14001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 16025/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20982/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31288/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73560/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77062/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80186/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90633/b
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 92604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94619/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97034/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0572/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8509/b
info
mrf_item_fields_vary
this code and setting cover at least 33 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 14020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 16030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20983/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27780/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33286/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36584/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51701/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73562/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77063/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80187/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86644/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90636/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94621/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C9364/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0574/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7186/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 V5160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 14021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 16035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51702/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73564/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77065/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87491/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90647/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A0427/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0583/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7187/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5171/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21554/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51703/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73565/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77066/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90648/b
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 92607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94626/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97110/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0584/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7189/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5172/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0795T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14041/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21555/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36589/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51705/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64640/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77067/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80189/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90651/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92608/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94640/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0585/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7192/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8606/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5181/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0796T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36590/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51710/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64642/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73590/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77071/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84481/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87496/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 92609/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94642/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97113/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0587/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7194/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0797T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14061/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17106/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27786/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64643/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73592/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77072/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90653/b
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 92610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94644/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97116/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0594/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7195/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8609/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5211/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0798T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17107/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27788/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31295/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64644/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73600/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77073/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90656/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97124/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A0434/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0595/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7197/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8610/b
info
mrf_item_fields_vary
this code and setting cover at least 30 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5212/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0799T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14302/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21011/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31296/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73610/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77074/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84484/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87498/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90661/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92612/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94660/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97129/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7198/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8612/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V5213/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0800T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 21012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27808/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31297/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36595/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 45300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64646/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73615/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77075/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94664/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0613/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 12,101 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 650
info
inp_charge_10x_payment
average charge $590,477 is 11.9× 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. found via cms-hpt.txt · json · 1,867.9M bytes · fetched 2026-08-22 · sha256 7e380a2c4355…

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.