Hospital · CCN 440185

Bradley Medical Center

2305 Chambliss Ave Nw, Cleveland, TN 37311 · Bradley County
Part of Community Health Systems · 176 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

40 admission types 47 outpatient services price file: ok 11 Medicare-file findings
Billed per dollar paid, all admissions
8.69×
$120.5M billed against $13.9M paid across 1,231 Medicare discharges; the national figure is 5.03×.
10.6%
of adults in Bradley County have medical debt in collections
11.2%
uninsured in the county · state 11.1%
$61K
median household income
8.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
41.5%
obesity in the countyⓘ
13.4%
diagnosed diabetes (PLACES)
7.3%
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
198
$113,931
$13,271
8.6× st 4.7×
291
Heart failure and shock with mcc
93
$67,894
$9,191
7.4× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
79
$83,540
$11,175
7.5× st 4.9×
193
Simple pneumonia and pleurisy with mcc
77
$81,849
$9,279
8.8× st 4.7×
177
Respiratory infections and inflammations with mcc
53
$73,972
$11,456
6.5× st 4.2×
885
Psychoses
49
$35,645
$9,536
3.7× st 4.0×
689
Kidney and urinary tract infections with mcc
39
$60,970
$8,358
7.3× st 4.7×
690
Kidney and urinary tract infections without mcc
32
$56,964
$6,070
9.4× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
31
$55,669
$6,046
9.2× st 5.0×
190
Chronic obstructive pulmonary disease with mcc
28
$69,718
$8,187
8.5× st 4.5×
189
Pulmonary edema and respiratory failure
27
$88,970
$9,282
9.6× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
26
$229,645
$33,123
6.9× st 4.8×
378
Gastrointestinal hemorrhage with cc
25
$79,167
$7,327
10.8× st 4.9×
480
Hip and femur procedures except major joint with mcc
24
$217,832
$19,316
11.3× st 5.1×
682
Renal failure with mcc
24
$71,605
$10,374
6.9× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
22
$97,380
$11,186
8.7× st 4.7×
603
Cellulitis without mcc
21
$49,190
$6,399
7.7× st 3.9×
377
Gastrointestinal hemorrhage with mcc
21
$132,982
$12,094
11.0× st 4.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$185,511
$13,558
13.7× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
21
$65,079
$7,245
9.0× st 5.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$187,526
$14,490
12.9× st 5.5×
683
Renal failure with cc
20
$59,532
$6,859
8.7× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
20
$53,632
$5,663
9.5× st 4.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
20
$199,260
$19,127
10.4× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
19
$59,119
$7,917
7.5× st 4.7×
481
Hip and femur procedures except major joint with cc
19
$197,903
$13,810
14.3× st 5.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
19
$111,233
$13,169
8.4× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$215,831
$13,047
16.5× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
18
$76,583
$9,103
8.4× st 4.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$81,135
$7,439
10.9× st 5.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$40,658
$5,965
6.8× st 4.6×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$70,429
$8,585
8.2× st 4.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$35,629
$4,461
8.0× st 4.5×
069
Transient ischemia without thrombolytic
12
$66,138
$6,030
11.0× st 6.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
12
$205,228
$19,451
10.6× st 6.5×
637
Diabetes with mcc
11
$71,872
$10,389
6.9× st 4.1×
194
Simple pneumonia and pleurisy with cc
11
$59,859
$6,022
9.9× st 4.6×
070
Other cerebrovascular disorders with mcc
11
$96,307
$11,844
8.1× st 3.8×
870
Septicemia or severe sepsis with mv >96 hours
11
$335,231
$49,835
6.7× st 4.6×
812
Red blood cell disorders without mcc
11
$59,868
$6,734
8.9× st 4.5×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
116
$35,574
$2,333
15.3×
5375
Level 5 Urology and Related Services
100
$54,488
$4,375
12.5×
5115
Level 5 Musculoskeletal Procedures
95
$183,569
$11,203
16.4×
5374
Level 4 Urology and Related Services
89
$45,013
$2,954
15.2×
5361
Level 1 Laparoscopy and Related Services
71
$54,293
$4,917
11.0×
5373
Level 3 Urology and Related Services
59
$34,365
$1,712
20.1×
5183
Level 3 Vascular Procedures
56
$32,894
$2,716
12.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
49
$15,958
$1,382
11.5×
5114
Level 4 Musculoskeletal Procedures
45
$116,889
$5,989
19.5×
5302
Level 2 Upper GI Procedures
34
$27,762
$1,584
17.5×
5191
Level 1 Endovascular Procedures
33
$56,775
$2,751
20.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
27
$52,514
$2,862
18.4×
5113
Level 3 Musculoskeletal Procedures
27
$49,298
$2,758
17.9×
5376
Level 6 Urology and Related Services
24
$63,343
$7,590
8.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$28,991
$2,422
12.0×
5362
Level 2 Laparoscopy and Related Services
20
$118,144
$8,770
13.5×
5192
Level 2 Endovascular Procedures
19
$57,222
$4,871
11.7×
5112
Level 2 Musculoskeletal Procedures
18
$12,833
$1,370
9.4×
5116
Level 6 Musculoskeletal Procedures
18
$264,959
$15,850
16.7×
5193
Level 3 Endovascular Procedures
15
$129,007
$9,370
13.8×
5431
Level 1 Nerve Procedures
13
$31,874
$1,645
19.4×
5464
Level 4 Neurostimulator and Related Procedures
11
$143,156
$18,599
7.7×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-01, template 3.0.0, 162,258 rows scanned, 16,067 distinct code–setting items kept. 1,442 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$749
11
clean
Liver dis 10 assays w/ash
—
—
$526
10
clean
Liver dis 10 assays w/nash
—
—
$526
10
clean
Onco prst8 3 gene ur alg
—
—
$798
13
clean
Onc mrna 5 gen rsk urthl ca
—
—
$790
11
clean
Onc mrna 5 gen recr urthl ca
—
—
$790
11
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,371
13
clean
Onc bladder mrna 209 gen alg
—
—
$3,664
13
clean
Onc thyr 10 microrna seq alg
—
—
$3,152
13
clean
Onc aml dna detcj/nondetcj
—
—
$261
13
clean
Glyca nuc mr spectrsc quan
—
—
$36
13
clean
Onc thyr dna&mrna 112 genes
—
—
$3,780
13
clean
Jak2 gene trgt seq alys
—
—
$128
13
clean
Rx metab advrs trgt seq alys
—
—
$779
13
clean
Tpmt nudt15 genes
—
—
$489
13
clean
HC NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL QSTC
$530
$318
—
0
clean
Neuro csf prion prtn qual
—
—
$568
13
clean
Trgt gen seq dna 324 genes
—
—
$3,675
13
clean
B brgdrferi antb 5 prtn igm
—
—
$18
13
clean
Ct perfusion w/contrast cbf
—
—
$529
6
clean
B brgdrferi antb 12 prtn igg
—
—
$18
13
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
13
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
13
clean
Onc brst dux carc is 12 gene
—
—
$4,067
13
clean
Onc prst8 mrna 17 gene alg
—
—
$4,067
13
clean
Bone srgry cmptr fluor image
—
—
$175
5
clean
Bone srgry cmptr ct/mri imag
—
—
$175
5
clean
Onc merkel cll carc srm quan
—
—
$339
13
clean
Onc merkel cll carc srm +/-
—
—
$339
13
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$26
13
clean
Antb tp total&rpr ia qual
—
—
$33
13
clean
Syfls tst nontreponemal antb
—
—
$19
13
clean
Candida species pnl amp prb
—
—
$150
13
clean
Perq Stent/Chest Vert Art
—
—
$1,943
9
clean
Ig paraprotein qual bld/ur
—
—
$46
13
clean
Onc lng 5 clin rsk factr alg
—
—
$3,696
13
clean
Onc mlnma prame & linc00518
—
—
$798
13
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,048
13
clean
Extracorp shockwv tx hi enrg
—
—
$416
15
clean
Hered colon ca do 15 genes
—
—
$1,796
13
clean
Neph ckd mult eclia tum nec
—
—
$998
13
clean
Touch Quant Sensory Test
—
—
$47
10
clean
Gstr emptg 7 timed brth spec
—
—
$918
13
clean
Vibrate Quant Sensory Test
—
—
$47
10
clean
Cool Quant Sensory Test
—
—
$74
10
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,027
13
clean
Heat Quant Sensory Test
—
—
$47
10
clean
Iadi 16s&18s rrna genes
—
—
$374
13
clean
HC MICROGENDX QPCR & NGS FOR INFECTION REF LAB
$355
$213
—
0
clean
Trnsplj don-drv cll-fr dna
—
—
$2,891
13
clean
Crd ceramides liq chrom plsm
—
—
$88
13
clean
Hered brst ca rltd do panel
—
—
$1,369
13
clean
Nfct bct fng prst dna >1000
—
—
$2,233
13
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$118
13
clean
Liver ds 10 biochem asy srm
—
—
$529
13
clean
Onc sld tum alys brca1 brca2
—
—
$3,182
13
clean
Cad cxr with interp
—
—
$30
4
clean
Onc solid tumor 30 prtn trgt
—
—
$1,371
13
clean
Exc rectal tumor endoscopic
—
—
$5,782
13
clean
Perq sacral augmt unilat inj
—
—
$6,911
13
clean
Perq sacral augmt bilat inj
—
—
$6,911
13
clean
Post vert arthrplst 1 lumbar
—
—
$11,793
15
clean
Nfct ds 22 trgt sars-cov-2
—
—
$429
13
clean
Neuro alzheimer cell aggregj
—
—
$2,326
13
clean
Clear eyelid gland w/heat
—
—
$208
13
clean
Neuro alzheimer quan imaging
—
—
$645
5
clean
Njx platelet plasma
—
—
$696
15
clean
ATHERECTOMY, BRACHIOCEPHALIC
$30,438
$18,263
—
0
clean
Trluml perip athrc brchiocph
—
—
$11,101
13
clean
ILIAC ATHERECTOMY WITH OR WITHOUT PTA
$55,009
$33,005
—
0
clean
Trluml perip athrc iliac art
—
—
$16,789
13
clean
Trgt gen seq alys pnl 311+
—
—
$3,675
13
clean
Nfct ds vir resp rna 3 trgt
—
—
$180
5
clean
Nfct ds vir resp rna 4 trgt
—
—
$180
5
clean
Trgt gen seq alys pnl 55-74
—
—
$5,250
13
clean
Onc thyr mut alys 10 gen&37
—
—
$1,329
13
clean
Onc sld org neo dna 505 gene
—
—
$3,066
13
clean
Implt/rpl crtd sns dev total
—
—
$11,062
4
clean
Implt/rpl crtd sns dev gen
—
—
$11,062
4
clean
Interrogate crtd sns dev
—
—
$429
2
clean
Interrogate crtd sns w/pgrmg
—
—
$429
2
clean
Perq lamot/lam lumbar
—
—
$7,962
6
clean
Tempr
—
—
$200
11
clean
Onc lung mrna quan pcr 11&3
—
—
$4,067
13
clean
Onc brst dux carc 7 proteins
—
—
$5,435
13
clean
Crd cad alys 3 prtn plsm alg
—
—
$410
13
clean
Crd cv ds aly 4 prtn plm alg
—
—
$410
13
clean
Nfct ds bct quan antmcrb sc
—
—
$8
13
clean
Ai ds sle alys 8 igg autoant
—
—
$883
13
clean
Onc cutan sq cll ca mrna 40
—
—
$8,925
13
clean
Neph rna psttrnspl perph bld
—
—
$2,783
13
clean
Trgt gen seq alys pnl 83+
—
—
$5,250
13
clean
Onc neo xome&trns seq alys
—
—
$3,610
13
clean
Tear film img uni/bi w/i&r
—
—
$47
10
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,646
13
clean
Onc plsm cell do&myeloma id
—
—
$2,557
13
clean
Onc sld tum crcg tum cl slct
—
—
$2,557
13
clean
Trnscth renal symp denrv bil
—
—
$5,213
17
clean
HC BILATERAL TRANSCATHETER RENAL SYMPATHETIC DENERVATION
$17,152
$10,291
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$798
13
clean
Onc pan ca alys mrd plasma
—
—
$3,770
13
clean
Hep nafld semiq evl 28 lipid
—
—
$832
13
clean
Psyc genom alys pnl 15 gen
—
—
$1,403
13
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,403
13
clean
Rx metab/pcx dna 25 gen alys
—
—
$779
13
clean
Rx metab/pcx dna 27gen rx ia
—
—
$779
13
clean
RSA lower extr exam
—
—
$110
10
clean
Intraop oct brst/node spec
—
—
$1,290
4
clean
Nfct ds bct/viral trail ip10
—
—
$274
13
clean
Apol1 risk variants
—
—
$144
13
clean
Onc orop 17 dna ddpcr alg
—
—
$1,890
13
clean
BIA whole body
—
—
$36
10
clean
Neuro alys b-amyl 1-42&1-40
—
—
$274
13
clean
Onc prst8 ca alys all psa
—
—
$798
13
clean
Onc lung elisa 7 autoant alg
—
—
$883
13
clean
Neurflmnt lt chn dig ia quan
—
—
$147
5
clean
Onc urthl mrna 5 gen alg
—
—
$798
13
clean
Onc bldr 10 prb bldr ca
—
—
$942
13
clean
Onc bldr 10 prb recr bldr ca
—
—
$942
13
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$942
13
clean
Onc prst8 ca img alys 128
—
—
$742
13
clean
Vis field assmnt tech suppt
—
—
$36
8
clean
Tgsap sl or neo dna523&rna55
—
—
$3,453
13
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,675
13
clean
Neu prksn msfl ?-syncln prtn
—
—
$568
13
clean
Hdr elctrnc skn surf brchytx
—
—
$406
2
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$209
13
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$877
10
clean
Mrgfus strtctc les abltj
—
—
$6,970
4
clean
Gi baret esph dna mthyln aly
—
—
$1,843
13
clean
Collagen crosslinking cornea
—
—
$2,286
13
clean
Onc prst8 mrna 18 gen dre ur
—
—
$798
13
clean
Onc brst semiq meas thym kn
—
—
$339
13
clean
Onc lung flow cytmtry 5 mrk
—
—
$798
13
clean
Neph dbtc ckd mult eclia alg
—
—
$998
13
clean
Insj/rplc cardiac modulj sys
—
—
$29,610
13
clean
HC INSERT/REPLACE CARDIAC CONTRACTILITY MODULATION SYS
$98,737
$59,242
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$3,066
13
clean
Psyc genom alys pnl 15 gen
—
—
$1,403
13
clean
Cv ds acs bld alg 5 yr score
—
—
$410
13
clean
HC TRANSURETHRAL WATERJET ABLATION OF PROSTATE
$27,741
$16,645
—
0
clean
Waterjet prostate abltj cmpl
—
—
$6,970
4
clean
Onc pan solid tum alys dna
—
—
$2,011
8
clean
Gi malabs aat calpro pncrtc
—
—
$65
13
clean
Gly rcptr alpha1 igg srm/csf
—
—
$38
13
clean
Klhl11 antb sr/csf asy qual
—
—
$38
13
clean
Onc prst8 5 dna reg mrk pcr
—
—
$798
13
clean
Rx metab advrs vrnt alys 25
—
—
$438
13
clean
Impltj synth rnfcmt abdl wal
—
—
$132
3
clean
Myocrd contrast prfuj echo
—
—
$507
4
clean
Abltj perc lxtr/perph nrv
—
—
$1,878
13
clean
Abltj perc plex/trncl nrv
—
—
$8,279
13
clean
Neurflmnt lt chn ultrsens ia
—
—
$120
8
clean
Insj impltbl glucose sensor
—
—
$3,810
13
clean
Rmvl impltbl glucose sensor
—
—
$314
13
clean
Remvl insj impltbl gluc sens
—
—
$3,810
13
clean
Insj aqueous drain dev 1st
—
—
$5,020
15
clean
Visual ep test for glaucoma
—
—
$162
10
clean
Onc sld tum bld/slv 648 gene
—
—
$4,725
13
clean
Hered prst8 ca gsap 23 genes
—
—
$1,369
13
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$765
15
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$236
5
clean
Tmvi percutaneous approach
—
—
$2,870
3
clean
HC CATH TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$61,884
$37,130
—
0
clean
Tmvi transthoracic exposure
—
—
$2,870
3
clean
Oct mid ear i&r unilateral
—
—
$47
10
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,777
8
clean
Oct mid ear i&r bilateral
—
—
$36
8
clean
Prep & cannulj cdvr don lung
—
—
$2,870
3
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$2,870
3
clean
Ev fempop artl revsc
—
—
$11,101
13
clean
Near ifr 2img mibmn glnd i&r
—
—
$96
14
clean
Pattern erg w/i&r
—
—
$201
12
clean
Esw integ wnd hlg 1st wnd
—
—
$314
13
clean
Esw integ wnd hlg ea addl
—
—
$132
3
clean
Ntrapx c ffr w/3d funcjl map
—
—
$132
3
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$6,432
$3,859
—
0
clean
Insj/rplcmt compl iims
—
—
$17,641
13
clean
Prgrmg dev eval iims ip
—
—
$58
12
clean
Interrog dev eval iims ip
—
—
$58
12
clean
Car-t cll admn autologous
—
—
$1,064
4
clean
Rf spectrsc ntraop mrgn asmt
—
—
$271
2
clean
Low-level laser therapy
—
—
$50
2
clean
Antmc guide 3d print 1st gd
—
—
$127
10
clean
Antmc guide 3d print ea addl
—
—
$50
2
clean
Evac meibomian glnd heat bi
—
—
$92
11
clean
Ttvr perq appr 1st prosth
—
—
$2,870
3
clean
Ttvr perq ea addl prosth
—
—
$132
3
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$96,207
$57,724
—
0
clean
Insj/rplcmt icds ss eltrd
—
—
$29,610
13
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$114
$68
—
0
clean
Prgrmg dev eval icds ss ip
—
—
$47
10
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$114
$68
—
0
clean
Interrog dev eval icds ss ip
—
—
$47
10
clean
Rem interrog dev icds phys
—
—
$100
2
clean
Rem interrog dev icds tech
—
—
$47
10
clean
HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$114
$68
—
0
clean
Abltj mal brst tum perq crtx
—
—
$3,729
13
clean
Elec alys cplx prgrmg iins
—
—
$120
10
clean
Hlth&wb coaching indiv 1st
—
—
$306
2
clean

Showing the first 200 of 16,067 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
14,224 of 14,224 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 33207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73050/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80367/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87590/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97802/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33208/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80368/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85007/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87591/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97803/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80370/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85014/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87593/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97804/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33215/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73080/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85018/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87594/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 98975/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33216/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73090/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80373/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85025/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87624/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 98980/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73092/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80375/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85027/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87627/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 98981/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80377/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85032/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87631/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33229/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81001/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85041/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99152/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33233/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73115/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85045/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87634/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33234/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85046/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87635/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99156/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33235/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73130/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81015/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85048/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87637/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73140/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81025/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85049/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99183/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33249/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73200/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81206/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85055/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87651/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85240/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87653/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99202/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33263/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73202/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85245/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87661/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99203/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73206/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81219/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99204/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT 73218/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81229/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85247/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99205/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT 73220/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81240/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85250/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87801/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99211/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33477/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81241/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87811/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99212/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33968/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81243/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87900/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99213/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33990/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85290/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87901/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99214/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33992/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73501/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81245/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87902/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99215/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33997/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85301/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88104/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99281/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36002/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73503/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81256/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85302/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36005/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73521/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81270/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85303/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88112/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81271/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85305/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99284/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36011/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81279/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85306/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88142/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36014/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73552/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81291/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99291/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36015/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85347/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99292/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73562/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81338/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85379/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88172/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73564/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81339/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85384/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88173/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A2011/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36215/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73590/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81376/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85390/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1849/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36225/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81381/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85397/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36245/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,442 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $81,135 is 10.9× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $66,138 is 11.0× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $205,228 is 10.6× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $185,511 is 13.7× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $132,982 is 11.0× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $79,167 is 10.8× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $215,831 is 16.5× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $217,832 is 11.3× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $197,903 is 14.3× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $199,260 is 10.4× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $187,526 is 12.9× 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. · csv-tall · 1.5M bytes · fetched 2026-08-26 · sha256 eeddfdc8a5df…

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.