Hospital · CCN 440058
Highpoint Health - Winchester With Ascension Saint
185 Hospital Road, Winchester, TN 37398 · Franklin County
Part of Lifepoint Health · 128 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999
13 admission types 40 outpatient services price file: ok
Billed per dollar paid, all admissions
5.33×
$16.6M billed against $3.1M paid across 293 Medicare discharges; the national figure is 5.03×.
8.4%
of adults in Franklin County have medical debt in collections
10.3%
uninsured in the county · state 11.1%
$64K
median household income
5.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
35.0%
obesity in the countyⓘ
13.9%
diagnosed diabetes (PLACES)
7.8%
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
93
$74,199
$13,956
5.3× st 4.7×
291
Heart failure and shock with mcc
26
$50,173
$10,688
4.7× st 4.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$45,942
$7,877
5.8× st 4.7×
177
Respiratory infections and inflammations with mcc
22
$67,125
$12,246
5.5× st 4.2×
193
Simple pneumonia and pleurisy with mcc
18
$64,236
$9,956
6.5× st 4.7×
280
Acute myocardial infarction, discharged alive with mcc
17
$63,109
$11,115
5.7× st 4.9×
690
Kidney and urinary tract infections without mcc
17
$37,231
$6,364
5.9× st 4.7×
689
Kidney and urinary tract infections with mcc
15
$43,399
$8,903
4.9× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
14
$31,102
$6,308
4.9× st 4.6×
309
Cardiac arrhythmia and conduction disorders with cc
13
$32,782
$6,081
5.4× st 4.4×
190
Chronic obstructive pulmonary disease with mcc
12
$54,585
$8,616
6.3× st 4.5×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$38,344
$9,276
4.1× st 4.4×
189
Pulmonary edema and respiratory failure
11
$38,060
$9,492
4.0× st 4.6×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
103
$29,411
$2,340
12.6×
5191
Level 1 Endovascular Procedures
65
$26,401
$2,708
9.7×
5431
Level 1 Nerve Procedures
49
$12,385
$1,651
7.5×
5374
Level 4 Urology and Related Services
30
$45,135
$2,936
15.4×
5115
Level 5 Musculoskeletal Procedures
25
$98,602
$11,239
8.8×
5491
Level 1 Intraocular Procedures
25
$13,952
$1,992
7.0×
5114
Level 4 Musculoskeletal Procedures
23
$57,096
$6,116
9.3×
5193
Level 3 Endovascular Procedures
20
$89,207
$9,400
9.5×
5361
Level 1 Laparoscopy and Related Services
20
$46,133
$4,933
9.4×
5113
Level 3 Musculoskeletal Procedures
18
$34,157
$2,525
13.5×
5183
Level 3 Vascular Procedures
16
$23,707
$2,589
9.2×
5112
Level 2 Musculoskeletal Procedures
16
$15,007
$1,374
10.9×
5302
Level 2 Upper GI Procedures
15
$12,331
$1,562
7.9×
5375
Level 5 Urology and Related Services
14
$49,724
$4,424
11.2×
5373
Level 3 Urology and Related Services
12
$17,170
$1,741
9.9×
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 7/11/2026, template 3.0.0, 75,221 rows scanned, 2,486 distinct code–setting items kept. 1,553 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nas
$1,540
$380
—
0
clean
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radio
$13,766
$3,400
$1,845
1
clean
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level
$51,511
$12,723
$1,202
1
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$3,658
$904
$1,202
1
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)
$34,258
$8,462
—
0
clean
Fine needle aspiration biopsy, without imaging guidance; first lesion
$1,561
$386
$335
1
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
$1,339
$331
$335
1
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple
$1,399
$345
$769
2
clean
Incision and removal of foreign body, subcutaneous tissues; simple
$1,528
$377
$769
2
clean
Incision and removal of foreign body, subcutaneous tissues; complicated
$19,858
$4,905
$2,053
2
clean
Incision and drainage of hematoma, seroma or fluid collection
$7,936
$1,960
$2,053
2
clean
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure
$18,383
$4,541
$1,693
2
clean
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone
$10,654
$2,631
$1,652
2
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
$1,294
$320
$974
2
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less
$1,935
$478
$974
2
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less
$5,158
$1,274
$1,652
2
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,072
$265
$335
1
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,946
$481
$335
1
clean
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion
$553
$137
$335
1
clean
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions
$553
$137
$335
1
clean
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
$25,865
$6,389
$335
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
$6,577
$1,624
$1,691
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
$20,302
$5,015
$1,691
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
$7,484
$1,848
$1,691
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
$20,096
$4,964
$1,731
2
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
$25,027
$6,182
$1,937
2
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$16,930
$4,182
$1,691
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$10,094
$2,493
$1,691
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
$18,911
$4,671
$1,731
2
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$24,547
$6,063
$2,102
2
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair
$25,669
$6,340
$2,102
2
clean
Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)
$7,589
$1,874
$769
2
clean
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
$9,912
$2,448
$1,691
1
clean
Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)
$14,786
$3,652
$335
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
$967
$239
$335
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
$1,973
$487
$335
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm
$2,328
$575
$974
2
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm
$3,301
$815
$974
2
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm
$2,981
$736
$974
2
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$1,656
$409
$335
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$2,167
$535
$335
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$2,157
$533
$974
2
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$1,735
$429
$974
2
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
$1,339
$331
$974
2
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
$1,925
$476
$335
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
$2,916
$720
$974
2
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
$2,557
$632
$974
2
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
$2,406
$594
$974
2
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
$2,059
$509
$335
1
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
$2,582
$638
$974
2
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$1,796
$444
$335
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$1,651
$408
$974
2
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
$18,361
$4,535
$1,768
2
clean
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
$12,194
$3,012
$1,937
2
clean
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
$39,964
$9,871
$2,053
2
clean
Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
$33,695
$8,323
$2,434
2
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$2,109
$521
$974
2
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
$3,211
$793
$1,652
2
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
$73,043
$18,042
$2,218
2
clean
Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)
$822
$203
—
0
clean
Initial treatment, first degree burn, when no more than local treatment is required
$1,249
$309
$335
1
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
$1,066
$263
$335
1
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)
$1,453
$359
$335
1
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)
$2,942
$727
$769
2
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
$8,296
$2,049
$1,693
2
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotacti
$3,988
$985
$1,772
1
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
$4,923
$1,216
$1,693
2
clean
Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions
$22,285
$5,504
$2,218
2
clean
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
$23,222
$5,736
$2,218
2
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance
$12,187
$3,010
$1,772
1
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance
$1,177
$291
$1,772
1
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance
$12,868
$3,178
$1,772
1
clean
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
$19,977
$4,934
$2,218
2
clean
Exploration of penetrating wound (separate procedure); extremity
$1,111
$274
$1,937
2
clean
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)
$16,246
$4,013
$1,447
2
clean
Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)
$18,544
$4,580
$1,937
2
clean
Removal of foreign body in muscle or tendon sheath; deep or complicated
$17,197
$4,248
$2,218
2
clean
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
$2,523
$623
$335
1
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
$1,176
$290
$335
1
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
$1,124
$278
—
0
clean
Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
$24,002
$5,929
$2,218
2
clean
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system
$10,830
$2,675
$2,405
2
clean
Bone graft, any donor area; minor or small (eg, dowel or button)
$44,044
$10,879
$2,521
2
clean
Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequ
$31,510
$7,783
$2,746
2
clean
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater
$19,971
$4,933
$2,102
2
clean
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm
$18,721
$4,624
$1,937
2
clean
Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm
$18,039
$4,456
$2,102
2
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm
$8,277
$2,045
$1,937
2
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater
$22,060
$5,449
$2,102
2
clean
Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater
$7,500
$1,853
$2,102
2
clean
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation
$32,693
$8,075
$1,845
1
clean
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation
$45,665
$11,279
$1,845
1
clean
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation
$31,508
$7,783
—
0
clean
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level
$67,559
$16,687
$1,845
1
clean
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code fo
$34,345
$8,483
$1,202
1
clean
Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater
$17,348
$4,285
$2,102
2
clean
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
$11,610
$2,868
$3,121
2
clean
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
$2,350
$580
$335
1
clean
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
$25,295
$6,248
$3,625
2
clean
Coracoacromial ligament release, with or without acromioplasty
$10,827
$2,674
$3,121
2
clean
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
$14,005
$3,459
$3,625
2
clean
Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
$127,087
$31,391
$3,823
2
clean
Open treatment of clavicular fracture, includes internal fixation, when performed
$35,361
$8,734
$3,016
2
clean
Closed treatment of greater humeral tuberosity fracture; with manipulation
$3,914
$967
$2,102
2
clean
Closed treatment of shoulder dislocation, with manipulation; without anesthesia
$3,631
$897
$769
2
clean
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
$3,274
$809
$1,731
2
clean
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater
$8,502
$2,100
$2,102
2
clean
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
$37,448
$9,250
$2,746
2
clean
Repair lateral collateral ligament, elbow, with local tissue
$21,709
$5,362
$2,521
2
clean
Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment
$17,274
$4,267
$2,521
2
clean
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
$116,108
$28,679
$3,232
2
clean
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws
$48,850
$12,066
$3,232
2
clean
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
$25,582
$6,319
$2,102
2
clean
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
$433
$107
$769
2
clean
Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation
$5,640
$1,393
$769
2
clean
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed
$28,217
$6,969
$3,016
2
clean
Incision, extensor tendon sheath, wrist (eg, de Quervains disease)
$21,865
$5,401
$2,218
2
clean
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors
$9,458
$2,336
$2,434
2
clean
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum
$9,264
$2,288
$2,434
2
clean
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon
$3,895
$962
$2,963
2
clean
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability
$3,895
$962
$2,746
2
clean
Closed treatment of radial shaft fracture; with manipulation
$16,262
$4,017
$1,447
2
clean
Open treatment of radial shaft fracture, includes internal fixation, when performed
$53,134
$13,124
$3,016
2
clean
Closed treatment of radial and ulnar shaft fractures; with manipulation
$9,906
$2,447
$1,652
2
clean
Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation
$3,941
$973
$1,768
2
clean
Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation
$10,830
$2,675
$2,218
2
clean
Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation
$47,290
$11,681
$3,390
2
clean
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments
$18,823
$4,649
$3,390
2
clean
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
$16,729
$4,132
$3,390
2
clean
Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial
$21,373
$5,279
$2,218
2
clean
Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm
$19,815
$4,894
$1,937
2
clean
Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon
$13,406
$3,311
$2,053
2
clean
Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
$22,682
$5,602
$2,053
2
clean
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal
$7,815
$1,930
$2,931
2
clean
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger
$25,135
$6,208
$2,053
2
clean
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger
$3,396
$839
$2,053
2
clean
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod
$19,966
$4,932
$2,434
2
clean
Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon
$1,194
$295
$2,269
2
clean
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint
$21,261
$5,252
$2,434
2
clean
Closed treatment of metacarpal fracture, single; with manipulation, each bone
$1,231
$304
$974
2
clean
Percutaneous skeletal fixation of metacarpal fracture, each bone
$32,461
$8,018
$2,102
2
clean
Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone
$13,312
$3,288
$3,232
2
clean
Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation
$1,196
$295
$1,447
2
clean
Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation
$21,582
$5,331
$2,102
2
clean
Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
$1,697
$419
$769
2
clean
Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each
$2,344
$579
$769
2
clean
Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each
$28,301
$6,990
$3,096
2
clean
Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each
$17,748
$4,384
$2,434
2
clean
Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each
$1,167
$288
$974
2
clean
Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each
$13,738
$3,393
$2,592
2
clean
Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
$22,745
$5,618
$2,102
2
clean
Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each
$33,462
$8,265
$2,434
2
clean
Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia
$1,222
$302
$335
1
clean
Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia
$1,871
$462
$1,937
2
clean
Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single
$39,633
$9,789
$2,102
2
clean
Arthrodesis, interphalangeal joint, with or without internal fixation
$17,968
$4,438
$2,218
2
clean
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)
$10,852
$2,680
$2,269
2
clean
Showing the first 200 of 2,486 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 86147/o
error
mrf_cash_above_gross
discounted cash price $398 exceeds gross charge $76
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $478
CPT 26742/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,167
CPT 26775/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $1,871
CPT 27560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,156
CPT 27650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,647 exceeds the gross charge $1,469
CPT 27788/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,156
MS-DRG 901/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,840 exceeds the gross charge $23,721
CPT 10081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $699
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $5,489 exceeds the gross charge $5,099
CPT 11042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,294
CPT 29260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $21
CPT 29530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $69
CPT 11760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $577
CPT 12016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,339
CPT 12020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,440
CPT 30903/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $861
CPT 13121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,845 exceeds the gross charge $597
CPT 30905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,092
CPT 62304/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $767
CPT 32554/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,389
CPT 19283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,772 exceeds the gross charge $1,177
CPT 64400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $138
CPT 20103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $1,111
CPT 20520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $904
CPT 36410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,772 exceeds the gross charge $632
CPT 64450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $862
CPT 36569/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $1,847
CPT 64484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,449
CPT 36598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $460
CPT 64490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,520
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $71
CPT 37195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,014
CPT 37607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,590 exceeds the gross charge $1,980
CPT 41800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,065
CPT 42809/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $783
CPT 43241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $1,492
CPT 24640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $433
CPT 45900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,347
MS-DRG 616/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,345 exceeds the gross charge $27,224
CPT 26418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,278 exceeds the gross charge $1,194
CPT 49440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,260 exceeds the gross charge $2,167
MS-DRG 688/i
warn
mrf_negotiated_above_gross
highest negotiated rate $10,099 exceeds the gross charge $4,883
CPT 26605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,231
CPT 26645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,691 exceeds the gross charge $1,196
CPT 49999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,590 exceeds the gross charge $968
warn
mrf_rate_without_estimate
64,898 of 64,898 percentage/algorithm rates across 2,479 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 26700/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49999/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 71111/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78445/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1740/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 742/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26725/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50590/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 71120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1742/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 743/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26727/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51102/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 71130/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78452/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1745/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 745/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26735/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78453/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 746/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78454/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1830/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 757/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26742/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51701/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 71270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78459/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 759/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26746/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51702/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 71271/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78469/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1950/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 761/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26756/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51703/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 71275/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78472/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 768/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26765/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51705/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78473/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 769/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26770/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 51715/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71551/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2357/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 776/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 51720/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71552/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78491/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 779/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26775/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72020/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78492/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2597/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 783/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26785/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52001/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72040/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78580/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2792/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 784/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26860/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72052/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78582/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2794/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 785/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26952/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52204/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 786/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27093/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 52214/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72072/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2997/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 787/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27095/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52235/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72074/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78608/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3101/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 788/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27096/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72080/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78609/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3243/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 789/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52281/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72082/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3246/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 790/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27222/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52284/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 72100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3262/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 791/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27248/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52287/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 792/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27250/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52290/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72114/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78708/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3465/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 793/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27265/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52300/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78725/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 794/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27266/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52310/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72125/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78740/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7165/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 795/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27278/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 52315/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72126/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78761/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7168/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 797/i
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27331/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52317/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72127/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78800/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7318/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 798/i
info
mrf_item_fields_vary
this code and setting cover at least 13 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 1,553 findings, errors first — every finding as JSON →
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Highpoint Health - Winchester With Ascension Saint — standard charges file · TN · updated 7/11/2026· csv-tall · 18.4M bytes · fetched 2026-08-26 · sha256 2fa236743044…
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.