Hospital · CCN 450209

Northwest Texas Hospital

1501 S Coulter St, Amarillo, TX 79106 · Potter County
Part of Universal Health Services · 328 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

50 admission types 44 outpatient services price file: ok 11 Medicare-file findings
Billed per dollar paid, all admissions
8.75×
$218.8M billed against $25.0M paid across 1,564 Medicare discharges; the national figure is 5.03×.
17.5%
of adults in Potter County have medical debt in collections
22.9%
uninsured in the county · state 18.8%
$51K
median household income
6.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
41.8%
obesity in the countyⓘ
15.3%
diagnosed diabetes (PLACES)
7.2%
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
257
$170,068
$17,577
9.7× st 6.7×
885
Psychoses
212
$68,008
$13,000
5.2× st 3.4×
291
Heart failure and shock with mcc
86
$125,298
$12,348
10.1× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
68
$353,375
$38,967
9.1× st 6.9×
280
Acute myocardial infarction, discharged alive with mcc
55
$118,051
$13,999
8.4× st 6.9×
193
Simple pneumonia and pleurisy with mcc
54
$120,627
$12,533
9.6× st 6.5×
682
Renal failure with mcc
39
$106,873
$13,242
8.1× st 6.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
33
$155,803
$16,178
9.6× st 9.2×
177
Respiratory infections and inflammations with mcc
27
$109,241
$13,572
8.0× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
27
$87,563
$11,786
7.4× st 5.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$100,020
$10,304
9.7× st 5.8×
637
Diabetes with mcc
26
$117,974
$13,423
8.8× st 6.5×
689
Kidney and urinary tract infections with mcc
25
$94,739
$11,231
8.4× st 5.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
25
$186,492
$17,699
10.5× st 7.9×
377
Gastrointestinal hemorrhage with mcc
24
$139,015
$16,066
8.7× st 7.1×
698
Other kidney and urinary tract diagnoses with mcc
24
$149,911
$14,715
10.2× st 6.1×
481
Hip and femur procedures except major joint with cc
24
$179,683
$16,775
10.7× st 7.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
23
$196,137
$24,593
8.0× st 8.2×
480
Hip and femur procedures except major joint with mcc
23
$247,757
$23,372
10.6× st 7.1×
309
Cardiac arrhythmia and conduction disorders with cc
23
$68,194
$8,244
8.3× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$161,018
$17,112
9.4× st 7.3×
683
Renal failure with cc
23
$75,055
$9,389
8.0× st 5.8×
378
Gastrointestinal hemorrhage with cc
22
$71,017
$9,889
7.2× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
22
$95,474
$10,267
9.3× st 6.9×
069
Transient ischemia without thrombolytic
21
$100,279
$8,540
11.7× st 9.5×
189
Pulmonary edema and respiratory failure
21
$115,778
$11,415
10.1× st 5.6×
312
Syncope and collapse
19
$83,738
$9,130
9.2× st 7.1×
274
Percutaneous and other intracardiac procedures without mcc
19
$146,151
$26,447
5.5× st 9.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
18
$77,580
$8,526
9.1× st 6.2×
330
Major small and large bowel procedures with cc
17
$180,595
$18,565
9.7× st 6.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$86,963
$8,456
10.3× st 5.6×
690
Kidney and urinary tract infections without mcc
15
$64,476
$8,640
7.5× st 5.2×
281
Acute myocardial infarction, discharged alive with cc
15
$68,621
$9,429
7.3× st 7.8×
552
Medical back problems without mcc
15
$90,176
$10,023
9.0× st 7.0×
536
Fractures of hip and pelvis without mcc
15
$63,321
$8,532
7.4× st 5.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$144,413
$19,754
7.3× st 6.7×
329
Major small and large bowel procedures with mcc
14
$304,124
$32,634
9.3× st 6.4×
603
Cellulitis without mcc
13
$89,017
$9,525
9.3× st 4.9×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$221,411
$21,743
10.2× st 8.1×
190
Chronic obstructive pulmonary disease with mcc
13
$82,895
$10,956
7.6× st 4.9×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$353,541
$33,447
10.6× st 8.5×
082
Traumatic stupor and coma >1 hour with mcc
12
$181,441
$18,282
9.9× st 6.0×
870
Septicemia or severe sepsis with mv >96 hours
12
$438,627
$47,643
9.2× st 7.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$57,793
$6,685
8.6× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$233,350
$18,661
12.5× st 7.1×
163
Major chest procedures with mcc
11
$313,900
$39,598
7.9× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$81,942
$11,588
7.1× st 6.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$88,646
$12,834
6.9× st 6.5×
314
Other circulatory system diagnoses with mcc
11
$157,694
$17,338
9.1× st 6.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$63,606
$9,038
7.0× st 6.6×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5191
Level 1 Endovascular Procedures
111
$30,423
$2,777
11.0×
5193
Level 3 Endovascular Procedures
71
$76,852
$9,428
8.2×
8011
Comprehensive Observation Services
67
$49,932
$2,350
21.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
53
$21,025
$1,317
16.0×
5183
Level 3 Vascular Procedures
47
$39,439
$2,719
14.5×
5192
Level 2 Endovascular Procedures
27
$50,918
$4,813
10.6×
5194
Level 4 Endovascular Procedures
24
$123,368
$15,186
8.1×
5361
Level 1 Laparoscopy and Related Services
21
$63,475
$4,817
13.2×
5362
Level 2 Laparoscopy and Related Services
18
$86,130
$8,172
10.5×
5114
Level 4 Musculoskeletal Procedures
18
$96,652
$6,207
15.6×
5213
Level 3 Electrophysiologic Procedures
16
$174,355
$19,374
9.0×
5112
Level 2 Musculoskeletal Procedures
15
$31,625
$1,395
22.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$43,906
$3,002
14.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
15
$40,305
$2,466
16.3×
5184
Level 4 Vascular Procedures
14
$50,816
$4,509
11.3×
5302
Level 2 Upper GI Procedures
13
$19,659
$1,550
12.7×
5153
Level 3 Airway Endoscopy
12
$18,933
$1,473
12.9×
5415
Level 5 Gynecologic Procedures
12
$49,997
$4,316
11.6×
5414
Level 4 Gynecologic Procedures
11
$44,135
$2,713
16.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
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 1/1/2026, template 3.0.0, 128,134 rows scanned, 8,976 distinct code–setting items kept. 1,950 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT PERFUSION W/CON CBF/VOLUME
$3,235
$1,294
$699
11
clean
PERC SACROPLASTY UNI 1>NEEDLES
$5,577
$2,231
$5,359
12
clean
INFECT DISEAS 22 TRGT SARSCOV2
$1,389
$556
$455
24
clean
ATHERECTOMY TRANSL BRACHIOCEPH
$52,018
$20,807
$13,674
24
clean
ATHERECTOMY TRANSLUM ILIAC LT
$40,014
$16,006
$19,737
48
clean
NFCT DS VIR RESP RNA 4 TRGT
$524
$210
$206
24
clean
IMPLT/RPL CRTD SNS DEV TOTAL
$4,647
$1,859
$3,833
10
clean
TRNSCTH RENAL SYMP DENRV BIL
$10,081
$4,032
$5,853
10
clean
IDV VR TECH ASSIST ADD+ TURNER
$110
$44
$47
22
clean
TCAT INS 2CHMBR LDLS PM RA W/G
$34,364
$13,746
$9,278
7
clean
TCATH INRT SR LDLESS PACER RA
$37,130
$14,852
$10,025
7
clean
QUAN MRI ALYS BRAIN W/DX MRI
$3,538
$1,415
$955
7
clean
FNA W/IMAGING GUIDANCE
$1,166
$466
$689
50
clean
FNA W/US GUIDE EA ADDL
$849
$340
$406
18
clean
BX LUNG/MED NDL PERC RT
$4,899
$1,960
$826
20
clean
FNA W/IMAGING GUIDANCE
$10,027
$4,011
$1,271
30
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$298
3
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$397
2
clean
FNA W/O IMAGING GUIDANCE
$251
$100
$125
20
clean
CT DRAIN ABSC HEMAT/CYST
$9,815
$3,926
$1,235
30
clean
ACNE SURGERY
$582
$233
$157
20
clean
I&D ABSCESS SINGLE
$1,673
$669
$201
50
clean
I&D ABSCESS CMPL/MULTI
$2,144
$858
$300
40
clean
I&D PILONIDAL ABSCESS
$2,124
$850
$496
20
clean
I&D PILONIDAL ABSCESS COMPLX
$2,124
$850
$598
20
clean
FB SUBQ REMOVAL SIMPLE
$493
$197
$261
30
clean
INCISION/REMOV FB SUBQ CMPLX
$5,429
$2,172
$1,690
20
clean
I AND D HEMATOMA
$11,117
$4,447
$1,358
40
clean
PUNCT/ASP ABCESS HEMAT CYST
$8,254
$3,302
$203
70
clean
I&D POSTOP INFECTION CMPLX
$5,719
$2,288
$2,030
30
clean
DEBR INFCTD SKIN UP TO 10% 450
$2,624
$1,050
$334
10
clean
DEBR INFCTD SKIN EA ADDL 10%
$1,785
$714
$482
9
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$1,042
2
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$1,123
2
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$1,093
2
clean
Removal of infected artificial material or mesh from abdomen
—
—
$3,235
2
clean
DEBR INC FB RM W/OPN FX/DIS450
$4,283
$1,713
$923
10
clean
DEB & FB RM W/OPN FX/DIS BO450
$2,782
$1,113
$1,106
10
clean
DEBRIDE SUBQ TISSUE<=20CM
$2,806
$1,122
$547
20
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$3,367
$1,347
$737
10
clean
DEBRIDE BONE<=20CM
$8,722
$3,489
$1,664
20
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$2,385
$954
$644
9
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$2,806
$1,122
$734
9
clean
DEBRIDE BONE EA ADDL 20CM
$6,105
$2,442
$1,343
9
clean
PARING BENIGN LES SNGL
$1,241
$496
$335
9
clean
PARING BENIGN LES 2-4
$1,170
$468
$316
9
clean
PARING BENIGN LES >4
$933
$373
$184
10
clean
TANGENTIAL BX 1 LESION
$684
$274
$186
20
clean
TANGENTIAL BX ADDL/SEP LESION
$88
$35
$42
18
clean
PUNCH BX 1 LESION
$684
$274
$225
20
clean
PUNCH BX ADDL/SEP LESION
$83
$33
$40
18
clean
INCISIONAL BX 1 LESION
$1,220
$488
$286
29
clean
INCISIONAL BX ADDL/SEP LESION
$146
$58
$70
18
clean
POLYDACTYL LIGATION FINGER/TOE
$757
$303
$167
44
clean
REM SKIN TAGS ADD ON <10
$61
$24
$16
9
clean
SHAVE LESION T/A/L <=0.5
$124
$50
$33
29
clean
SHAVE LES T/A/L .6-1.CM
$182
$73
$49
11
clean
SHAVE LES T/A/L 1.1-2CM
$222
$89
$60
9
clean
SHAVE LES T/A/L >2.CM
$262
$105
$71
11
clean
SHAVE LES S/N/H/F/G.5CM<
$146
$58
$39
9
clean
SHAVE LES S/N/H/F/G.6-1.CM
$213
$85
$58
9
clean
SHAV LES S/N/H/F/G 1.1-2.CM
$242
$97
$86
13
clean
SHAVE LES S/N/H/F/G >2.CM
$283
$113
$76
9
clean
SHAVE LES F/E/N/L .5CM<
$157
$63
$83
13
clean
SHAVE LES F/E/N/L .6-1.CM
$229
$92
$86
13
clean
SHAVE LES F/E/N/L 1.1-2.CM
$257
$103
$103
13
clean
SHAVE LES F/E/N/L >2.CM
$349
$140
$124
13
clean
EXC TR-EXT BENIGN .5CM<
$252
$101
$153
20
clean
EXC BEN LES T/A/L .6-1.CM
$328
$131
$187
20
clean
EXC BEN LES T/A/L 1.1-2.CM
$384
$154
$259
30
clean
EXC BENIGN LES T/A/L/ 2.1-3CM
$371
$148
$210
30
clean
EXC BEN LES T/A/L 3.1-4.CM
$517
$207
$429
10
clean
EXC BEN LES TRK/EXT >4.0CM
$4,028
$1,611
$871
30
clean
EXC LESION 0.5CM OR LESS
$337
$135
$149
30
clean
EXC LESION 0.6-1CM
$450
$180
$168
20
clean
EXC B LES S/N/EX G 1.1-2.CM
$436
$174
$274
30
clean
EXC B LES S/N/EX G 2.1-3.CM
$463
$185
$244
20
clean
EXC B LES S/N/EX G 3.1-4.CM
$604
$242
$459
10
clean
EXC B LES S/N/EX G >4.CM
$895
$358
$664
10
clean
EXC FACE-MM BENIGN .5 CM<
$338
$135
$175
20
clean
EXC FACE-MM BENIGN .6-1.CM
$430
$172
$192
20
clean
EXC FACE-MM BENIGN 1.1-2.CM
$481
$192
$189
10
clean
EXC FACE-MM BENIGN 2.1-3CM
$604
$242
$222
10
clean
EXC FACE-MM BENIGN 3.1-4.CM
$790
$316
$519
10
clean
EXC FACE-MM BENIGN >4CM
$1,084
$434
$759
10
clean
EXC HIDRAD AXILLRY SIMP/INTRM
$6,173
$2,469
$1,775
10
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$943
3
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$943
3
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$943
3
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$943
3
clean
EXC TR-EXT MAL+MARG .5<CM
$336
$134
$130
13
clean
EXC TR-EXT MAL+MARG .6-1CM
$287
$115
$242
20
clean
EXC TR-EXT MAL+MARG 1.1-2CM
$470
$188
$274
20
clean
EXC TR-EXT MAL+MARG 2.1-3CM
$518
$207
$303
20
clean
EXC TR-EXT MAL+MARG 3.1-4CM
$567
$227
$481
20
clean
EXC TR-EXT MAL+MARG>4 CM
$785
$314
$750
20
clean
EXC H/F/NK/SP MAL+MARG.5<
$316
$126
$160
10
clean
EXC S/N/H/F/G MAL+MARG .6-1
$437
$175
$205
10
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
$510
$204
$181
19
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
$620
$248
$339
20
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
$726
$290
$563
13
clean
EXC S/N/H/F/G MAL+MRG >4 CM
$1,011
$404
$809
13
clean
EXC F/E/E/N/L MAL+MRG .5<CM
$355
$142
$174
10
clean
EXC F/E/E/N/L MAL+MRG .6-1
$542
$217
$228
10
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
$634
$254
$257
10
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
$747
$299
$291
10
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
$967
$387
$563
13
clean
EXC F/E/E/N/L MAL+MRG >4 CM
$1,418
$567
$943
13
clean
TRIM NONDYSTROPH NAILS
$595
$238
$161
9
clean
DEBR NAIL 1-5
$1,117
$447
$274
18
clean
DEBR NAIL 6 OR MORE
$1,329
$532
$359
9
clean
REMOVE NAIL PLT SNGL
$1,788
$715
$393
27
clean
REMOVE NAIL PLT EA ADDL
$880
$352
$238
9
clean
EVAC SU HEMATOMA
$274
$110
$97
27
clean
EXC NAIL/MATRIX PART/COMP
$970
$388
$254
40
clean
REPAIR NAIL SIMPLE 450
$2,200
$880
$453
10
clean
Repair of fingernail or toenail bed with graft
—
—
$172
3
clean
WEDGE EXC SKIN NAIL FOLD
$448
$179
$159
27
clean
Injection into skin growth, more than 7 growths
—
—
$385
2
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$126
3
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$139
3
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$379
2
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$57
3
clean
Replacement of tissue expander with permanent implant
—
—
$3,598
3
clean
Placement of hormone pellet under skin
—
—
$389
2
clean
INSERT DRUG DELIVERY IMPLANT
$428
$171
$275
29
clean
REMOVE DRUG IMPLANT DEVICE
$1,210
$484
$430
39
clean
REMOVE/REINSERT DRUG IMPLANT
$1,210
$484
$327
29
clean
LAC REP SIM TRK/EXT <2.6CM
$1,074
$430
$339
27
clean
LAC REP SIM TRK/EXT 2.6-7.5CM
$1,597
$639
$379
27
clean
LAC REP SIM TRUNK 7.6-12.5 450
$1,722
$689
$465
9
clean
LAC REP SIM TRUNK 12.6-20 450
$2,938
$1,175
$579
10
clean
LAC REP SIM TRUNK 20.1-30 450
$3,826
$1,530
$623
10
clean
LAC REP SIM TRUNK > 30 450
$4,142
$1,657
$496
10
clean
LAC REP SIM FACE EAR <2.6 450
$1,331
$532
$359
9
clean
LAC REP SIM FACE EAR 2.6-5 450
$1,538
$615
$415
9
clean
LAC REP SIM FACE EAR5.1-7.5450
$2,498
$999
$674
9
clean
LAC REP SIM FACE ER7.6-12.5450
$3,219
$1,288
$483
10
clean
LAC REP SIM FACE EAR12.6-20450
$4,070
$1,628
$623
10
clean
LAC REP SIM FACE EAR20.1-30450
$3,126
$1,250
$600
10
clean
LAC REP SIM FACE EAR >30 450
$2,937
$1,175
$452
10
clean
SIMP CLOSE-WOUND DEHISCENCE450
$1,654
$662
$505
10
clean
WOUND DEHISCENCE W PACKING 450
$1,686
$674
$441
10
clean
LAC REP INT SCALP TK<2.6 450
$2,349
$940
$488
10
clean
LAC REP INT SCALP TK2.6-7.5450
$2,876
$1,150
$572
10
clean
LAC REP INT SCALP T7.6-12.5450
$3,164
$1,266
$604
10
clean
LAC REP INT SCALP TK12.6-20450
$3,610
$1,444
$623
10
clean
LAC REP INT SCALP TK20.1-30450
$3,941
$1,576
$770
10
clean
LAC REP INT SCALP TK >30 450
$5,400
$2,160
$1,571
10
clean
LAC REP INT FEET HAND<2.6 450
$1,673
$669
$410
10
clean
LAC REP INT FEET HAN2.6-7.5450
$2,382
$953
$514
10
clean
LAC REP INT FEET HAN7.6-12.450
$3,270
$1,308
$727
10
clean
LAC REP INT FEET HAN12.6-20450
$3,114
$1,246
$710
10
clean
LAC REP INT FEET HAN20.1-30450
$850
$340
$287
10
clean
LAC REP INT FEET HAN >30 450
$4,038
$1,615
$1,329
10
clean
LAC REP INT FACE EAR <2.6 450
$1,749
$700
$431
10
clean
LAC REP INT FACE EAR2.6-5 450
$1,947
$779
$468
10
clean
LAC REP INT FACE EAR5.1-7.5450
$2,310
$924
$510
10
clean
LAC REP INT FACE EA7.6-12.5450
$3,610
$1,444
$623
10
clean
LAC REP INT FACE EAR12.6-20450
$3,495
$1,398
$623
10
clean
LAC REP INT FACE EAR20.1-30450
$801
$320
$278
10
clean
LAC REP INT FACE EAR >30 450
$4,038
$1,615
$623
10
clean
LAC REP COMP TRUNK 1.1-2.5 450
$1,654
$662
$505
10
clean
LAC REP COMP TRUNK 2.6-7.5 450
$5,909
$2,364
$770
10
clean
LAC REP TRNK EA AD 5CM OR< 450
$1,079
$432
$291
9
clean
LAC REP COM S/TRK/EXT1.1-2.5CM
$1,574
$630
$423
20
clean
LAC REP COM S/TRK/EXT2.6-7.5CM
$3,022
$1,209
$734
19
clean
LAC REP COM SCALP TK + 5CM 450
$4,019
$1,608
$884
9
clean
LAC REP COM FT HAND 1.1-2.5450
$3,247
$1,299
$613
10
clean
LAC REP COM FT HAND 2.6-7.5450
$5,748
$2,299
$770
10
clean
LAC REP COM FT HAND EA ADDL5CM
$3,849
$1,540
$847
9
clean
LAC REP COM FACE EAR1.1-2.5450
$2,769
$1,108
$672
10
clean
LAC REP COM FACE EAR2.6-7.5450
$6,013
$2,405
$770
10
clean
LAC REP COM FACE EAR E+5CM 450
$1,148
$459
$310
9
clean
SECONDARY WOUND CLOSURE
$5,059
$2,024
$1,440
20
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$820
3
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$820
3
clean
AJ TIS TH/CH DEF M 10SQCM
$5,400
$2,160
$1,571
10
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$820
3
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$1,687
3
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$451
2
clean
Repair of tissue loss of finger or toe
—
—
$820
3
clean
SURG PREP TRNK/ARM/LG 100SQCM
$6,241
$2,496
$1,794
10
clean
SURG PREP HD/H/FT/GEN 100SQCM
$6,241
$2,496
$770
10
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$410
2
clean
EPIDM AUTOGRF T/ARMLEG <=100CM
$8,919
$3,568
$2,152
10
clean
EPIDM AUTOGRF T/ARMLEG >100CM
$629
$252
$170
9
clean
EPIDM AUTOGRF FC/NK 1ST100SQCM
$6,323
$2,529
$1,818
10
clean
EPIDM AUTOGRF FC/NK ADD100SQCM
$629
$252
$170
9
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
—
—
$1,687
3
clean
Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$419
2
clean
Deep layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$820
3
clean
Deep layer self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area of infants and children, or less
—
—
$402
2
clean
Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$1,687
3
clean
Tissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
—
—
$1,687
3
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$820
3
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$397
2
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$820
3
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$394
2
clean
FL SKN GRAFT UP TO 20SQCM 450
$4,014
$1,606
$1,325
10
clean

Showing the first 200 of 8,976 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
236 of 1,845 comparable items (13%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $10,831 exceeds the gross charge $5,577
CPT 0234T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36218/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, max differ, so no cross-line comparison was made for this item
CPT 80047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90474/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 1740 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 J3030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0235T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64555/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 80048/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90480/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0237T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36222/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64561/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 80050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT 90632/b
info
mrf_item_fields_vary
this code and setting cover at least 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 C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 46 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 J3095/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0238T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36223/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, max differ, so no cross-line comparison was made for this item
CPT 80051/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85335/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, max differ, so no cross-line comparison was made for this item
CPT 90636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1780/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36224/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, max differ, so no cross-line comparison was made for this item
CPT 64575/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 80053/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85347/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, max differ, so no cross-line comparison was made for this item
CPT 90648/b
info
mrf_item_fields_vary
this code and setting cover at least 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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 213 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 J3230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64580/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 80055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85362/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90649/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1782/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3243/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, max differ, so no cross-line comparison was made for this item
CPT 0770T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36226/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80061/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90651/b
info
mrf_item_fields_vary
this code and setting cover at least 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 C1784/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 0771T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36227/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, max differ, so no cross-line comparison was made for this item
CPT 64585/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 80069/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85380/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90656/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, max differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 67 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3260/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0772T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64590/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 80074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90661/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 47 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3285/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, max differ, so no cross-line comparison was made for this item
CPT 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36245/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64595/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 80076/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85397/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90670/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, max differ, so no cross-line comparison was made for this item
CPT C1787/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3301/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, max differ, so no cross-line comparison was made for this item
CPT 10006/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80156/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85460/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, max differ, so no cross-line comparison was made for this item
CPT 90671/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36247/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, max differ, so no cross-line comparison was made for this item
CPT 64605/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 80157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85520/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, max differ, so no cross-line comparison was made for this item
CPT 90672/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 65 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3370/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36248/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, max differ, so no cross-line comparison was made for this item
CPT 64610/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 80158/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90674/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3410/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 36251/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, max differ, so no cross-line comparison was made for this item
CPT 64612/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 80162/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85576/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90675/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1814/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3411/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36253/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64616/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 80164/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, max differ, so no cross-line comparison was made for this item
CPT 85597/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1815/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3430/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10061/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, max differ, so no cross-line comparison was made for this item
CPT 64620/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80170/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, max differ, so no cross-line comparison was made for this item
CPT 85598/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90681/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1817/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3471/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64633/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 80175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85610/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, max differ, so no cross-line comparison was made for this item
CPT 90685/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1820/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3475/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90686/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1821/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, max differ, so no cross-line comparison was made for this item
CPT J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10120/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, max differ, so no cross-line comparison was made for this item
CPT 36415/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 64635/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 80178/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85651/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90696/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1830/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3485/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36416/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64636/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, max differ, so no cross-line comparison was made for this item
CPT 80184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90700/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, max differ, so no cross-line comparison was made for this item
CPT C1831/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3489/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, max differ, so no cross-line comparison was made for this item
CPT 10160/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90707/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, max differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 169 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 J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10180/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64680/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80195/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90713/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 207 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 J3590/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, max differ, so no cross-line comparison was made for this item
CPT 80197/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90714/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1877/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80198/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85732/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, max differ, so no cross-line comparison was made for this item
CPT 90715/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, max differ, so no cross-line comparison was made for this item
CPT C1878/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, max differ, so no cross-line comparison was made for this item
CPT J7050/b
info
mrf_item_fields_vary
this code and setting cover at least 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 11102/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 64999/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, max differ, so no cross-line comparison was made for this item
CPT 80200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86000/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 90716/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11103/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 36514/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86003/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90723/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 72 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7100/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, max differ, so no cross-line comparison was made for this item
CPT 11104/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36555/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, max differ, so no cross-line comparison was made for this item
CPT 80202/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86021/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90732/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7120/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, max differ, so no cross-line comparison was made for this item
CPT 11105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,950 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 069
info
inp_charge_10x_payment
average charge $100,279 is 11.7× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $115,778 is 10.1× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $125,298 is 10.1× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $353,541 is 10.6× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $247,757 is 10.6× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $179,683 is 10.7× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $221,411 is 10.2× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $186,492 is 10.5× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $86,963 is 10.3× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $149,911 is 10.2× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $233,350 is 12.5× 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 · 72.8M bytes · fetched 2026-08-26 · sha256 daeffc002873…

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.