Hospital · CCN 450029

Laredo Medical Center

1700 East Saunders, Laredo, TX 78044 · Webb County
Part of Community Health Systems · 296 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

42 admission types 43 outpatient services price file: ok 5 Medicare-file findings
Billed per dollar paid, all admissions
7.74×
$151.0M billed against $19.5M paid across 1,354 Medicare discharges; the national figure is 5.03×.
13.7%
of adults in Webb County have medical debt in collections
27.1%
uninsured in the county · state 18.8%
$58K
median household income
7.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
42.1%
obesity in the countyⓘ
16.1%
diagnosed diabetes (PLACES)
5.8%
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
356
$129,599
$17,122
7.6× st 6.7×
291
Heart failure and shock with mcc
102
$86,045
$11,586
7.4× st 5.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
78
$65,254
$9,894
6.6× st 5.8×
690
Kidney and urinary tract infections without mcc
71
$54,812
$8,694
6.3× st 5.2×
193
Simple pneumonia and pleurisy with mcc
61
$111,422
$12,298
9.1× st 6.5×
689
Kidney and urinary tract infections with mcc
41
$78,607
$10,411
7.6× st 5.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
41
$325,151
$40,494
8.0× st 6.9×
177
Respiratory infections and inflammations with mcc
37
$118,652
$18,472
6.4× st 6.1×
378
Gastrointestinal hemorrhage with cc
31
$69,291
$9,731
7.1× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$89,602
$11,433
7.8× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$83,880
$12,857
6.5× st 5.7×
683
Renal failure with cc
27
$52,521
$10,314
5.1× st 5.8×
432
Cirrhosis and alcoholic hepatitis with mcc
25
$91,223
$16,741
5.4× st 6.5×
698
Other kidney and urinary tract diagnoses with mcc
24
$79,307
$13,580
5.8× st 6.1×
481
Hip and femur procedures except major joint with cc
24
$252,987
$17,604
14.4× st 7.3×
280
Acute myocardial infarction, discharged alive with mcc
22
$123,751
$13,531
9.1× st 6.9×
638
Diabetes with cc
21
$64,940
$8,466
7.7× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
20
$51,101
$7,425
6.9× st 6.2×
682
Renal failure with mcc
19
$65,140
$12,223
5.3× st 6.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
19
$97,935
$15,781
6.2× st 7.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$60,824
$7,481
8.1× st 5.6×
194
Simple pneumonia and pleurisy with cc
16
$61,341
$9,222
6.7× st 5.7×
637
Diabetes with mcc
15
$128,101
$13,325
9.6× st 6.5×
312
Syncope and collapse
14
$74,281
$8,395
8.8× st 7.1×
190
Chronic obstructive pulmonary disease with mcc
14
$67,730
$9,928
6.8× st 4.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$282,904
$37,778
7.5× st 5.9×
305
Hypertension without mcc
13
$61,688
$7,514
8.2× st 7.4×
699
Other kidney and urinary tract diagnoses with cc
13
$70,674
$9,106
7.8× st 5.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$278,132
$18,243
15.2× st 7.9×
252
Other vascular procedures with mcc
12
$205,341
$28,363
7.2× st 6.7×
253
Other vascular procedures with cc
12
$309,689
$27,377
11.3× st 6.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$39,283
$6,188
6.3× st 6.7×
394
Other digestive system diagnoses with cc
12
$41,862
$8,784
4.8× st 6.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$194,213
$18,025
10.8× st 7.1×
281
Acute myocardial infarction, discharged alive with cc
11
$79,595
$9,115
8.7× st 7.8×
300
Peripheral vascular disorders with cc
11
$52,585
$9,608
5.5× st 6.2×
603
Cellulitis without mcc
11
$50,440
$8,797
5.7× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$89,909
$10,046
9.0× st 6.6×
314
Other circulatory system diagnoses with mcc
11
$138,642
$17,226
8.0× st 6.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$198,780
$15,830
12.6× st 9.2×
433
Cirrhosis and alcoholic hepatitis with cc
11
$57,277
$9,979
5.7× st 6.2×
069
Transient ischemia without thrombolytic
11
$68,047
$8,122
8.4× st 9.5×
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
234
$38,236
$2,364
16.2×
5115
Level 5 Musculoskeletal Procedures
48
$222,392
$11,061
20.1×
5114
Level 4 Musculoskeletal Procedures
39
$136,862
$6,115
22.4×
5113
Level 3 Musculoskeletal Procedures
34
$66,070
$2,758
24.0×
5302
Level 2 Upper GI Procedures
31
$17,195
$1,660
10.4×
5183
Level 3 Vascular Procedures
30
$49,500
$2,730
18.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
30
$23,547
$1,415
16.6×
5361
Level 1 Laparoscopy and Related Services
26
$71,994
$5,035
14.3×
5375
Level 5 Urology and Related Services
24
$75,324
$4,365
17.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$57,743
$3,019
19.1×
5184
Level 4 Vascular Procedures
17
$88,703
$4,795
18.5×
5431
Level 1 Nerve Procedures
16
$31,797
$1,601
19.9×
5373
Level 3 Urology and Related Services
15
$70,232
$1,778
39.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
14
$38,790
$2,480
15.6×
5182
Level 2 Vascular Procedures
12
$18,373
$1,398
13.1×
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-04-01, template 3.0.0, 44,776 rows scanned, 3,545 distinct code–setting items kept. 1,708 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BONE SRGRY CMPTR CT/MRI IMAG
$257,543
$61,810
$27,672
49
clean
COVID19 NFCT DS22TRG
$2,088
$501
$689
66
clean
NJX PLATELET PLASMA
$100,979
$24,235
$7,301
84
clean
NJX B1 SUB MTRL SBCHDRL DFCT
$79,987
$19,197
$6,574
82
clean
FNA BX W/US GDN 1ST LES
$7,088
$1,701
$721
85
clean
FNA BX W/CT GDN 1ST LES
$12,042
$2,890
$735
85
clean
FNA BX W/O IMG GDN 1ST LES
$17,666
$4,240
$418
85
clean
IR-CATH FLUID DRAIN
$2,293
$550
$728
85
clean
DRAINAGE OF SKIN ABSCESS
$20,017
$4,804
$206
85
clean
DRAINAGE OF SKIN ABSCESS
$9,052
$2,173
$418
85
clean
DRAINAGE OF PILONIDAL CYST
$10,174
$2,442
$721
85
clean
REMOVE FOREIGN BODY
$25,926
$6,222
$418
85
clean
DRAINAGE OF HEMATOMA/FLUID
$45,808
$10,994
$1,709
85
clean
PUNCTURE DRAINAGE OF LESION
$9,719
$2,332
$418
85
clean
DBRDMT SKIN ABDOMINAL WALL
$48,678
$11,683
$4,905
56
clean
DEBRIDE SKIN/MUSCLE/BONE, FX
$92,057
$22,094
$3,005
85
clean
DEBRIDE SKIN/TISSUE
$34,508
$8,282
$422
85
clean
DEBRIDE TISSUE/MUSCLE
$26,188
$6,285
$760
85
clean
DEBRIDE TISSUE/MUSCLE/BONE
$18,815
$4,516
$1,665
85
clean
DBRDMT SUBQ TISS EACH ADDL
$6,933
$1,664
$716
54
clean
DBRDMT MUSC&/FSCA EA ADDL
$17,554
$4,213
$1,812
54
clean
DBRDMT BONE EACH ADDL
$18,229
$4,375
$1,881
54
clean
TRIM SKIN LESION
$7,845
$1,883
$415
85
clean
REMOVAL OF SKIN TAGS
$34,499
$8,280
$1,774
85
clean
SHAVE SKIN LESION
$18,162
$4,359
$776
85
clean
REMOVAL OF SKIN LESION
$42,126
$10,110
$735
85
clean
REMOVAL OF SKIN LESION
$29,358
$7,046
$418
85
clean
REMOVAL OF SKIN LESION
$29,137
$6,993
$728
85
clean
REMOVAL OF SKIN LESION
$28,271
$6,785
$728
85
clean
REMOVAL OF SKIN LESION
$37,726
$9,054
$1,714
85
clean
REMOVAL OF SKIN LESION
$45,641
$10,954
$1,714
85
clean
REMOVAL OF SKIN LESION
$42,982
$10,316
$1,698
85
clean
REMOVAL OF SKIN LESION
$31,139
$7,473
$728
85
clean
REMOVAL OF SKIN LESION
$58,165
$13,960
$1,714
85
clean
REMOVAL OF SKIN LESION
$39,182
$9,404
$1,698
85
clean
REMOVAL OF SKIN LESION
$36,231
$8,695
$1,714
85
clean
REMOVAL OF SKIN LESION
$74,981
$17,995
$3,064
85
clean
REMOVAL OF SKIN LESION
$23,088
$5,541
$728
85
clean
REMOVAL OF SKIN LESION
$27,581
$6,619
$728
85
clean
REMOVAL OF SKIN LESION
$37,114
$8,907
$728
85
clean
REMOVAL OF SKIN LESION
$17,796
$4,271
$1,682
85
clean
REMOVAL, SWEAT GLAND LESION
$38,054
$9,133
$3,005
85
clean
REMOVAL OF SKIN LESION
$38,487
$9,237
$421
85
clean
REMOVAL OF SKIN LESION
$22,894
$5,495
$728
85
clean
REMOVAL OF SKIN LESION
$74,694
$17,927
$735
85
clean
REMOVAL OF NAIL PLATE
$12,286
$2,949
$632
85
clean
REMOVE NAIL PLATE, ADD-ON
$26,737
$6,417
$2,735
54
clean
DRAIN BLOOD FROM UNDER NAIL
$6,873
$1,649
$353
85
clean
REMOVAL OF NAIL BED
$3,725
$894
$414
85
clean
REPAIR OF NAIL BED
$46,654
$11,197
$767
85
clean
REMOVAL OF PILONIDAL LESION
$44,499
$10,680
$3,015
85
clean
REMOVAL OF PILONIDAL LESION
$42,241
$10,138
$3,005
85
clean
REMOVAL OF PILONIDAL LESION
$58,726
$14,094
$3,064
85
clean
REPAIR SUPERFICIAL WOUND(S)
$8,340
$2,002
$441
78
clean
REPAIR SUPERFICIAL WOUND(S)
$16,421
$3,941
$869
78
clean
REPAIR SUPERFICIAL WOUND(S)
$17,180
$4,123
$909
78
clean
REPAIR SUPERFICIAL WOUND(S)
$17,909
$4,298
$418
85
clean
REPAIR SUPERFICIAL WOUND(S)
$11,300
$2,712
$598
78
clean
REPAIR SUPERFICIAL WOUND(S)
$19,605
$4,705
$1,037
78
clean
REPAIR SUPERFICIAL WOUND(S)
$35,251
$8,460
$1,865
78
clean
REPAIR SUPERFICIAL WOUND(S)
$19,501
$4,680
$208
85
clean
CLOSURE OF SPLIT WOUND
$39,027
$9,367
$767
85
clean
LAYER CLOSURE OF WOUND(S)
$37,399
$8,976
$418
85
clean
LAYER CLOSURE OF WOUND(S)
$31,274
$7,506
$418
85
clean
LAYER CLOSURE OF WOUND(S)
$46,646
$11,195
$422
85
clean
LAYER CLOSURE OF WOUND(S)
$50,995
$12,239
$422
85
clean
LAYER CLOSURE OF WOUND(S)
$40,236
$9,657
$765
85
clean
LAYER CLOSURE OF WOUND(S)
$31,941
$7,666
$418
85
clean
LAYER CLOSURE OF WOUND(S)
$47,646
$11,435
$767
85
clean
LAYER CLOSURE OF WOUND(S)
$39,947
$9,587
$421
85
clean
LAYER CLOSURE OF WOUND(S)
$27,762
$6,663
$418
85
clean
LAYER CLOSURE OF WOUND(S)
$28,727
$6,894
$418
85
clean
REPAIR OF WOUND OR LESION
$96,727
$23,215
$3,787
85
clean
REPAIR WOUND/LESION ADD-ON
$35,404
$8,497
$3,567
54
clean
REPAIR OF WOUND OR LESION
$27,645
$6,635
$422
85
clean
LATE CLOSURE OF WOUND
$29,315
$7,036
$3,667
85
clean
SKIN TISSUE REARRANGEMENT
$48,519
$11,644
$2,142
85
clean
SKIN TISSUE REARRANGEMENT
$68,491
$16,438
$2,176
85
clean
WOUND PREP TRK/ARM/LEG
$67,698
$16,247
$1,411
85
clean
WOUND PREP F/N/HF/G
$85,093
$20,422
$589
85
clean
SKIN SPLIT GRAFT
$38,403
$9,217
$2,142
85
clean
SKIN SPLIT GRAFT ADD-ON
$38,403
$9,217
$3,975
54
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$53,086
$12,741
$1,411
83
clean
SKIN SUB GRAFT FACE/NK/HF/G
$62,004
$14,881
$767
83
clean
MUSCLE-SKIN GRAFT, TRUNK
$147,428
$35,383
$6,153
85
clean
GRFG AUTOL SOFT TISS DIR EXC
$38,603
$9,265
$3,678
85
clean
ACELLULAR DERM MATRIX IMPLT
$147,670
$35,441
$14,508
54
clean
REMOVAL OF SUTURES
$37,634
$9,032
$2,101
85
clean
RMV SUTURE OR STAPLE
$579
$139
$116
200
clean
RMV SUTURE AND STAPL
$579
$139
$61
150
clean
INITIAL TREATMENT OF BURN(S)
$4,513
$1,083
$353
85
clean
TREATMENT OF BURN(S)
$4,047
$971
$206
85
clean
TREATMENT OF BURN(S)
$3,538
$849
$208
85
clean
TREATMENT OF BURN(S)
$11,249
$2,700
$418
85
clean
DESTRUCT LESION, 1-14
$26,606
$6,385
$1,408
78
clean
DESTRUCT LESION, 15 OR MORE
$32,959
$7,910
$464
85
clean
CHEMICAL CAUTERY, TISSUE
$6,975
$1,674
$383
85
clean
SKIN TISSUE PROCEDURE
$96,441
$23,146
$7,283
77
clean
BX BREAST 1ST LESION US IMAG
$10,756
$2,582
$1,714
85
clean
BIOPSY OF BREAST
$24,397
$5,855
$1,682
85
clean
BIOPSY OF BREAST
$29,492
$7,078
$4,051
85
clean
REMOVAL OF BREAST LESION
$34,595
$8,303
$4,051
85
clean
EXCISION, BREAST LESION
$48,791
$11,710
$4,051
85
clean
PARTIAL MASTECTOMY
$57,291
$13,750
$4,051
85
clean
P-MASTECTOMY W/LN REMOVAL
$75,067
$18,016
$6,871
85
clean
MAST SIMPLE COMPLETE
$77,102
$18,504
$6,670
85
clean
MAST RADICAL
$86,461
$20,751
$8,494
54
clean
MAST MOD RAD
$96,619
$23,188
$8,805
85
clean
DEEP MUSCLE BIOPSY
$36,019
$8,645
$3,005
85
clean
NEEDLE BIOPSY, MUSCLE
$35,252
$8,461
$1,682
85
clean
BONE BIOPSY, TROCAR/NEEDLE
$21,881
$5,251
$1,665
85
clean
INJECT SINUS TRACT FOR X-RAY
$3,053
$733
$337
50
clean
REMOVAL OF FOREIGN BODY
$32,831
$7,880
$1,698
85
clean
THER INJECTION CARP TUNNEL
$26,192
$6,286
$316
85
clean
INJECT TENDON/LIGAMENT/CYST
$36,921
$8,861
$316
85
clean
NJX 1/MLT TRIGGER POINT 1/2
$10,211
$2,451
$316
85
clean
DRAIN/INJECT, JOINT/BURSA
$34,661
$8,319
$316
85
clean
S-JOINT ASP-INJ IM
$1,305
$313
$526
170
clean
DRAIN/INJECT, JOINT/BURSA
$85,182
$20,444
$319
85
clean
US-DRN INJ MAJR JT W
$2,802
$672
$319
84
clean
REMOVAL OF SUPPORT IMPLANT
$33,715
$8,092
$1,714
85
clean
REMOVAL OF SUPPORT IMPLANT
$79,272
$19,025
$3,064
85
clean
APPLY BONE FIXATION DEVICE
$70,191
$16,846
$14,653
83
clean
REMOVE BONE FIXATION DEVICE
$106,719
$25,613
$4,330
85
clean
MNL PREP&INSJ DP RX DLVR DEV
$116,421
$27,941
$11,910
50
clean
CPTR-ASST DIR MS PX
$217,109
$52,106
$22,211
50
clean
MUSCULOSKELETAL SURGERY
$35,647
$8,555
$2,000
77
clean
EXC FACE LES SC <2 CM
$61,155
$14,677
$1,714
85
clean
EXC FACE LES SBQ 2 CM/>
$35,819
$8,597
$1,698
85
clean
TREATMENT OF NOSE FRACTURE
$31,329
$7,519
$3,331
85
clean
TREAT LOWER JAW FRACTURE
$63,302
$15,192
$6,144
83
clean
RESET DISLOCATED JAW
$23,393
$5,614
$254
85
clean
DRAIN NECK/CHEST LESION
$41,519
$9,965
$3,005
85
clean
BIOPSY OF NECK/CHEST
$12,681
$3,043
$1,714
85
clean
EXC NECK LES SC 3 CM/>
$35,260
$8,462
$3,015
85
clean
EXC NECK TUM DEEP 5 CM/>
$38,091
$9,142
$3,015
85
clean
REMOVE LESION, NECK/CHEST
$38,091
$9,142
$3,005
85
clean
REMOVE LESION, BACK OR FLANK
$31,057
$7,454
$1,714
85
clean
EXC BACK LES SC 3 CM/>
$32,918
$7,900
$1,714
85
clean
EXC BACK TUM DEEP < 5 CM
$27,854
$6,685
$3,015
85
clean
EXC BACK TUM DEEP 5 CM/>
$38,389
$9,213
$3,015
85
clean
PERQ VERTEBRAL AUGMENTATION
$65,804
$15,793
$7,460
85
clean
EXC ABD LES SC 3 CM/>
$40,424
$9,702
$3,015
85
clean
DRAIN SHOULDER BURSA
$67,829
$16,279
$3,064
85
clean
EXC SHOULDER LES SC 3 CM/>
$31,886
$7,653
$1,714
85
clean
REMOVAL OF SHOULDER LESION
$32,486
$7,797
$3,005
85
clean
REMOVE SHOULDER BONE, PART
$167,819
$40,277
$6,912
85
clean
S-INJ SHOULDER ARTH
$3,921
$941
$2,065
100
clean
REPAIR OF TENDON(S)
$174,917
$41,980
$7,531
85
clean
REPAIR OF TENDON(S)
$160,809
$38,594
$7,531
85
clean
REPAIR OF SHOULDER
$160,223
$38,454
$7,531
85
clean
RECONSTRUCT SHOULDER JOINT
$299,217
$71,812
$28,135
83
clean
TREAT CLAVICLE FRACTURE
$117,806
$28,273
$7,531
83
clean
TREAT HUMERUS FRACTURE
$159,787
$38,349
$13,867
83
clean
TREAT SHOULDER DISLOCATION
$19,887
$4,773
$260
85
clean
FIXATION OF SHOULDER
$89,240
$21,418
$1,858
85
clean
DRAINAGE OF ARM LESION
$61,250
$14,700
$3,064
85
clean
EXPLORATORY ELBOW SURGERY
$94,337
$22,641
$3,451
85
clean
EXC ARM/ELBOW LES SC 3 CM/>
$32,905
$7,897
$3,015
85
clean
EX ARM/ELBOW TUM DEEP 5 CM/>
$43,339
$10,401
$3,015
85
clean
REMOVE ARM/ELBOW LESION
$60,137
$14,433
$1,742
85
clean
REMOVE ARM/ELBOW LESION
$51,001
$12,240
$3,015
85
clean
REMOVAL OF ELBOW BURSA
$46,192
$11,086
$3,386
85
clean
S-INJ ELBOW ARTHRO
$3,921
$941
$432
50
clean
MNPJ ELBOW UNDER ANES
$22,193
$5,326
$1,669
85
clean
REPAIR OF RUPTURED TENDON
$101,146
$24,275
$7,531
85
clean
REPR ELBOW LAT LIGMNT W/TISS
$69,292
$16,630
$3,780
85
clean
REPLACE ELBOW JOINT
$453,129
$108,751
$21,147
83
clean
RECONSTRUCT HEAD OF RADIUS
$432,490
$103,798
$18,384
83
clean
REVISE RECONST ELBOW JOINT
$153,301
$36,792
$14,101
83
clean
TREAT HUMERUS FRACTURE
$21,326
$5,118
$1,621
85
clean
TREAT HUMERUS FRACTURE
$13,238
$3,177
$1,621
85
clean
TREAT HUMERUS FRACTURE
$350,325
$84,078
$14,822
83
clean
TREAT ELBOW DISLOCATION
$83,997
$20,159
$282
85
clean
TREAT ELBOW DISLOCATION
$69,292
$16,630
$1,858
85
clean
TREAT ELBOW DISLOCATION
$8,102
$1,944
$254
85
clean
TREAT RADIUS FRACTURE
$294,531
$70,687
$15,041
83
clean
TREAT ULNAR FRACTURE
$21,426
$5,142
$1,621
85
clean
TREAT ULNAR FRACTURE
$208,982
$50,156
$8,774
83
clean
UPPER ARM/ELBOW SURGERY
$124,110
$29,786
$9,370
77
clean
INCISION OF TENDON SHEATH
$32,440
$7,786
$1,669
85
clean
REMOVE WRIST TENDON LESION
$37,193
$8,926
$1,669
85
clean
REMOVAL OF WRIST BONE
$52,985
$12,716
$3,396
85
clean
PARTIAL REMOVAL OF RADIUS
$49,813
$11,955
$3,396
85
clean
S-INJ WRIST ARTHRO
$3,923
$942
$432
50
clean
REPAIR FOREARM TENDON/MUSCLE
$83,084
$19,940
$3,451
85
clean
REPAIR RADIUS OR ULNA
$173,204
$41,569
$7,531
83
clean
REPAIR/GRAFT RADIUS OR ULNA
$189,046
$45,371
$8,263
83
clean
REPAIR RADIUS & ULNA
$299,858
$71,966
$12,539
83
clean
REPAIR/GRAFT RADIUS & ULNA
$163,627
$39,271
$7,531
83
clean
REPAIR WRIST JOINT(S)
$90,379
$21,691
$3,451
85
clean
TREAT FRACTURE OF RADIUS
$8,921
$2,141
$1,621
85
clean
TREAT FRACTURE OF RADIUS
$119,214
$28,611
$7,531
83
clean
TREAT FRACTURE OF ULNA
$81,536
$19,569
$282
85
clean
TREAT FRACTURE OF ULNA
$118,104
$28,345
$7,531
83
clean
TREAT FRACTURE RADIUS & ULNA
$23,003
$5,521
$1,621
85
clean
TREAT FRACTURE RADIUS & ULNA
$318,811
$76,515
$12,891
83
clean
TREAT FRACTURE RADIUS/ULNA
$175,491
$42,118
$7,531
83
clean
TREAT FRACTURE RADIUS/ULNA
$23,312
$5,595
$1,632
85
clean
PERQ SKEL FIXJ DSTL RDL FX
$54,334
$13,040
$3,396
85
clean

Showing the first 200 of 3,545 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $10,467
CPT J1212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,723 exceeds the gross charge $434
CPT 75736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $10,467
CPT 93610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,021 exceeds the gross charge $5,569
CPT 59412/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,479 exceeds the gross charge $3,320
CPT J1410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $901 exceeds the gross charge $637
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,295 exceeds the gross charge $5,899
CPT 62273/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,631 exceeds the gross charge $924
CPT 75893/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $10,467
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,295 exceeds the gross charge $5,087
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $307 exceeds the gross charge $271
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $307 exceeds the gross charge $271
CPT J2186/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5 exceeds the gross charge $3
CPT J2506/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $202
CPT J2760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $967 exceeds the gross charge $679
CPT 96420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $763 exceeds the gross charge $583
CPT J3300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $38
CPT 97606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $939 exceeds the gross charge $774
CPT J9042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $617 exceeds the gross charge $428
CPT 49441/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,434 exceeds the gross charge $2,446
CPT 49451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,096 exceeds the gross charge $1,223
CPT 49452/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,096 exceeds the gross charge $1,223
CPT J9202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,788 exceeds the gross charge $1,400
CPT 80159/o
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $43
CPT 81305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $403 exceeds the gross charge $376
CPT 81311/o
warn
mrf_negotiated_above_gross
highest negotiated rate $680 exceeds the gross charge $474
CPT J9349/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $16
CPT 86581/o
warn
mrf_negotiated_above_gross
highest negotiated rate $154 exceeds the gross charge $67
CPT C8937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,007 exceeds the gross charge $126
CPT C9507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $947
CPT L2280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,197 exceeds the gross charge $1,108
CPT C9602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42,355 exceeds the gross charge $40,619
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $307 exceeds the gross charge $86
CPT P9011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $358 exceeds the gross charge $273
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $828 exceeds the gross charge $218
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $257
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $513
CPT P9612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $19
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,191 exceeds the gross charge $847
CPT Q4128/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $281
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,862 exceeds the gross charge $1,460
CPT 33285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,120 exceeds the gross charge $14,269
CPT 88331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $208
CPT J0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $9
CPT 88348/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,862 exceeds the gross charge $1,664
CPT 36002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,449 exceeds the gross charge $1,144
CPT 88361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $828 exceeds the gross charge $620
CPT J0558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $24
CPT 36555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,295 exceeds the gross charge $2,051
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $4,687
CPT 36563/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $8,247
CPT 36565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,295 exceeds the gross charge $6,129
CPT 36580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,637 exceeds the gross charge $3,004
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,328 exceeds the gross charge $970
CPT 58345/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,479 exceeds the gross charge $3,664
CPT 92973/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,699 exceeds the gross charge $1,052
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,637 exceeds the gross charge $2,929
CPT J0896/o
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $46
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $307 exceeds the gross charge $237
CPT J1162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,884 exceeds the gross charge $5,572
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,857 exceeds the gross charge $10,467
warn
mrf_rate_without_estimate
17,722 of 17,722 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 26540/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 36833/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 58662/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 75710/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93455/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 J1190/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26545/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 36901/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 58670/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 75716/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93456/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 J1200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26548/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 36902/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 58671/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 93457/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 26605/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 36904/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 58999/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 75726/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93458/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1212/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 26608/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 36905/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 59020/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 75731/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 93459/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 J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26615/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 37183/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 59025/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 75733/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1265/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26641/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 37191/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59151/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93461/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1301/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 26727/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 37193/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59160/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 75736/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 93503/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 J1308/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26735/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 37195/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 59320/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 75741/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 J1327/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26742/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 37197/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 75743/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 93610/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 26756/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 37236/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 59412/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 75809/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 93798/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 J1410/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 26765/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 37248/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 59812/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 75820/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 93799/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1430/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 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 37607/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 59820/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 75822/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93880/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1442/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 26785/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 38221/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 59821/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 75825/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 93882/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1447/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 26951/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 38222/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 60100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 75827/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 93922/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1450/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26990/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 38500/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 60220/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 75831/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 93923/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1451/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 27033/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 38505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 60240/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75833/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 93925/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1459/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27045/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 38510/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 62270/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 93926/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1561/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27062/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 38525/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 75860/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 93930/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1566/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 27093/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, max differ, so no cross-line comparison was made for this item
CPT 40490/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 62273/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 75891/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 93931/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1568/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27130/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 40520/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 62282/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 93970/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1569/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27252/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 40808/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 62302/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 75893/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 93971/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1580/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27257/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 40812/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 62303/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93975/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1596/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27265/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 41100/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 62304/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 75898/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 93976/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27266/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 41112/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 62305/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,708 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 253
info
inp_charge_10x_payment
average charge $309,689 is 11.3× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $198,780 is 12.6× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $252,987 is 14.4× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $278,132 is 15.2× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $194,213 is 10.8× 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-wide · 271.5M bytes · fetched 2026-08-26 · sha256 14f1166134bf…

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.