Hospital · CCN 450324

Texoma Medical Center

5016 S Us Highway 75, Denison, TX 75020 · Grayson County
Part of Universal Health Services · 389 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

108 admission types 48 outpatient services price file: ok 42 Medicare-file findings
Billed per dollar paid, all admissions
9.16×
$533.4M billed against $58.2M paid across 4,632 Medicare discharges; the national figure is 5.03×.
15.2%
of adults in Grayson County have medical debt in collections
18.5%
uninsured in the county · state 18.8%
$69K
median household income
9.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
33.9%
obesity in the countyⓘ
12.5%
diagnosed diabetes (PLACES)
6.7%
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
769
$138,384
$14,442
9.6× st 6.7×
291
Heart failure and shock with mcc
243
$96,733
$10,244
9.4× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
172
$109,063
$11,581
9.4× st 6.9×
885
Psychoses
151
$42,388
$10,048
4.2× st 3.4×
193
Simple pneumonia and pleurisy with mcc
146
$88,480
$9,914
8.9× st 6.5×
689
Kidney and urinary tract infections with mcc
141
$77,269
$8,789
8.8× st 5.6×
177
Respiratory infections and inflammations with mcc
130
$96,867
$11,992
8.1× st 6.1×
682
Renal failure with mcc
103
$94,998
$11,354
8.4× st 6.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
85
$299,612
$37,474
8.0× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
84
$68,716
$6,207
11.1× st 6.2×
698
Other kidney and urinary tract diagnoses with mcc
76
$92,798
$12,130
7.7× st 6.1×
312
Syncope and collapse
73
$77,186
$6,951
11.1× st 7.1×
190
Chronic obstructive pulmonary disease with mcc
71
$74,367
$8,368
8.9× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
70
$102,870
$7,775
13.2× st 6.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
67
$148,111
$14,180
10.4× st 7.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
59
$74,309
$7,868
9.4× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
58
$65,483
$6,334
10.3× st 5.6×
069
Transient ischemia without thrombolytic
58
$85,584
$6,399
13.4× st 9.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$89,190
$9,709
9.2× st 5.7×
189
Pulmonary edema and respiratory failure
56
$97,648
$9,963
9.8× st 5.6×
683
Renal failure with cc
55
$71,480
$6,872
10.4× st 5.8×
432
Cirrhosis and alcoholic hepatitis with mcc
55
$110,168
$14,445
7.6× st 6.5×
378
Gastrointestinal hemorrhage with cc
53
$71,388
$7,546
9.5× st 6.2×
377
Gastrointestinal hemorrhage with mcc
52
$111,240
$13,080
8.5× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
52
$94,204
$9,430
10.0× st 6.6×
552
Medical back problems without mcc
50
$78,660
$7,481
10.5× st 7.0×
309
Cardiac arrhythmia and conduction disorders with cc
49
$68,604
$5,981
11.5× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
47
$80,973
$7,374
11.0× st 7.8×
690
Kidney and urinary tract infections without mcc
45
$64,918
$6,403
10.1× st 5.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
45
$84,421
$9,794
8.6× st 5.9×
481
Hip and femur procedures except major joint with cc
43
$151,428
$14,911
10.2× st 7.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
38
$166,593
$15,195
11.0× st 7.9×
637
Diabetes with mcc
36
$84,085
$10,127
8.3× st 6.5×
274
Percutaneous and other intracardiac procedures without mcc
33
$108,886
$23,118
4.7× st 9.3×
813
Coagulation disorders
31
$82,064
$11,701
7.0× st 7.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
31
$105,566
$10,678
9.9× st 6.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
31
$108,960
$12,226
8.9× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$154,751
$14,179
10.9× st 9.2×
603
Cellulitis without mcc
29
$61,051
$6,860
8.9× st 4.9×
699
Other kidney and urinary tract diagnoses with cc
27
$63,673
$8,067
7.9× st 5.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
26
$231,323
$20,889
11.1× st 8.2×
313
Chest pain
25
$53,279
$5,586
9.5× st 7.4×
305
Hypertension without mcc
25
$67,272
$6,227
10.8× st 7.4×
394
Other digestive system diagnoses with cc
24
$66,898
$7,615
8.8× st 6.4×
638
Diabetes with cc
24
$61,413
$7,414
8.3× st 4.8×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
23
$299,300
$32,226
9.3× st 5.9×
100
Seizures with mcc
23
$132,786
$13,914
9.5× st 7.0×
870
Septicemia or severe sepsis with mv >96 hours
23
$398,491
$47,151
8.5× st 7.3×
480
Hip and femur procedures except major joint with mcc
22
$190,622
$23,051
8.3× st 7.1×
884
Organic disturbances and intellectual disability
22
$81,034
$11,528
7.0× st 5.7×
178
Respiratory infections and inflammations with cc
21
$68,696
$7,579
9.1× st 5.4×
602
Cellulitis with mcc
20
$114,961
$11,709
9.8× st 5.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
19
$76,068
$7,548
10.1× st 6.8×
101
Seizures without mcc
19
$76,112
$7,120
10.7× st 6.2×
149
Dysequilibrium
19
$76,205
$5,995
12.7× st 9.1×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$71,527
$5,528
12.9× st 8.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
19
$568,039
$54,806
10.4× st 7.7×
371
Major gastrointestinal disorders and peritoneal infections with mcc
19
$107,349
$11,587
9.3× st 6.1×
194
Simple pneumonia and pleurisy with cc
19
$59,855
$6,456
9.3× st 5.7×
236
Coronary bypass without cardiac catheterization without mcc
18
$340,519
$29,688
11.5× st 7.3×
252
Other vascular procedures with mcc
18
$213,328
$25,569
8.3× st 6.7×
812
Red blood cell disorders without mcc
18
$60,229
$7,122
8.5× st 5.1×
393
Other digestive system diagnoses with mcc
18
$97,123
$11,799
8.2× st 6.4×
314
Other circulatory system diagnoses with mcc
18
$115,160
$15,355
7.5× st 6.1×
283
Acute myocardial infarction, expired with mcc
18
$124,271
$14,533
8.6× st 8.8×
389
Gastrointestinal obstruction with cc
18
$65,307
$6,254
10.4× st 5.9×
643
Endocrine disorders with mcc
18
$97,326
$12,212
8.0× st 6.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
18
$193,577
$19,725
9.8× st 7.8×
551
Medical back problems with mcc
18
$95,936
$12,455
7.7× st 7.0×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$121,384
$13,858
8.8× st 7.2×
536
Fractures of hip and pelvis without mcc
17
$64,960
$6,429
10.1× st 5.8×
388
Gastrointestinal obstruction with mcc
17
$75,006
$10,530
7.1× st 6.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
17
$85,610
$7,971
10.7× st 5.1×
329
Major small and large bowel procedures with mcc
17
$287,315
$31,007
9.3× st 6.4×
270
Other major cardiovascular procedures with mcc
16
$266,766
$36,254
7.4× st 7.6×
180
Respiratory neoplasms with mcc
16
$106,751
$13,151
8.1× st 7.4×
242
Permanent cardiac pacemaker implant with mcc
16
$174,872
$24,535
7.1× st 7.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$136,313
$16,129
8.5× st 6.7×
074
Cranial and peripheral nerve disorders without mcc
15
$122,354
$8,098
15.1× st 8.3×
811
Red blood cell disorders with mcc
15
$119,712
$11,344
10.6× st 5.9×
191
Chronic obstructive pulmonary disease with cc
15
$64,375
$5,533
11.6× st 6.1×
299
Peripheral vascular disorders with mcc
15
$77,953
$11,705
6.7× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$107,245
$8,356
12.8× st 8.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$166,527
$14,002
11.9× st 7.1×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$247,551
$20,715
12.0× st 8.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$37,073
$5,057
7.3× st 6.7×
036
Carotid artery stent procedures without cc/mcc
14
$152,917
$13,495
11.3× st 7.9×
205
Other respiratory system diagnoses with mcc
14
$101,194
$12,777
7.9× st 5.3×
300
Peripheral vascular disorders with cc
14
$67,860
$8,069
8.4× st 6.2×
199
Pneumothorax with mcc
13
$128,434
$12,227
10.5× st 8.5×
103
Headaches without mcc
13
$88,740
$7,181
12.4× st 8.4×
092
Other disorders of nervous system with cc
13
$73,743
$8,556
8.6× st 6.6×
235
Coronary bypass without cardiac catheterization with mcc
13
$422,544
$41,753
10.1× st 6.0×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
13
$75,676
$5,143
14.7× st 7.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
13
$233,439
$34,483
6.8× st 7.1×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
13
$217,130
$18,581
11.7× st 8.5×
433
Cirrhosis and alcoholic hepatitis with cc
13
$75,496
$8,170
9.2× st 6.2×
315
Other circulatory system diagnoses with cc
13
$57,001
$7,267
7.8× st 6.3×
304
Hypertension with mcc
13
$95,578
$8,915
10.7× st 6.5×
243
Permanent cardiac pacemaker implant with cc
12
$134,231
$17,400
7.7× st 7.6×
163
Major chest procedures with mcc
12
$276,074
$34,215
8.1× st 7.1×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
12
$130,775
$9,973
13.1× st 9.6×
330
Major small and large bowel procedures with cc
12
$198,331
$20,360
9.7× st 6.8×
444
Disorders of the biliary tract with mcc
11
$123,194
$11,740
10.5× st 7.1×
070
Other cerebrovascular disorders with mcc
11
$117,836
$11,695
10.1× st 5.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$66,627
$7,066
9.4× st 6.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
11
$394,800
$36,500
10.8× st 9.4×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
11
$147,401
$18,379
8.0× st 6.1×
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
377
$37,206
$2,432
15.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
240
$13,324
$1,434
9.3×
5302
Level 2 Upper GI Procedures
177
$17,493
$1,697
10.3×
5191
Level 1 Endovascular Procedures
167
$47,266
$2,913
16.2×
5183
Level 3 Vascular Procedures
154
$28,947
$2,868
10.1×
5361
Level 1 Laparoscopy and Related Services
117
$78,763
$5,080
15.5×
5154
Level 4 Airway Endoscopy
89
$44,918
$3,249
13.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
85
$23,123
$2,509
9.2×
5193
Level 3 Endovascular Procedures
82
$90,456
$9,892
9.1×
5115
Level 5 Musculoskeletal Procedures
73
$123,945
$11,828
10.5×
5182
Level 2 Vascular Procedures
69
$9,867
$1,441
6.8×
5114
Level 4 Musculoskeletal Procedures
58
$84,307
$6,173
13.7×
5431
Level 1 Nerve Procedures
55
$21,657
$1,738
12.5×
5465
Level 5 Neurostimulator and Related Procedures
51
$126,121
$26,835
4.7×
5374
Level 4 Urology and Related Services
48
$46,179
$3,137
14.7×
5194
Level 4 Endovascular Procedures
43
$112,774
$15,749
7.2×
5184
Level 4 Vascular Procedures
40
$52,095
$4,945
10.5×
5462
Level 2 Neurostimulator and Related Procedures
38
$33,369
$5,993
5.6×
5223
Level 3 Pacemaker and Similar Procedures
38
$68,233
$9,603
7.1×
5153
Level 3 Airway Endoscopy
36
$31,070
$1,527
20.3×
5375
Level 5 Urology and Related Services
35
$57,315
$4,656
12.3×
5155
Level 5 Airway Endoscopy
35
$58,549
$5,879
10.0×
5192
Level 2 Endovascular Procedures
29
$58,898
$5,144
11.5×
5313
Level 3 Lower GI Procedures
23
$18,914
$2,525
7.5×
5362
Level 2 Laparoscopy and Related Services
23
$89,328
$9,258
9.6×
5112
Level 2 Musculoskeletal Procedures
22
$23,895
$1,446
16.5×
5373
Level 3 Urology and Related Services
19
$23,216
$1,833
12.7×
5303
Level 3 Upper GI Procedures
17
$25,849
$3,446
7.5×
5165
Level 5 ENT Procedures
15
$83,504
$5,270
15.8×
5113
Level 3 Musculoskeletal Procedures
14
$53,993
$2,913
18.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$54,030
$3,113
17.4×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 1/1/2026, template 3.0.0, 63,875 rows scanned, 8,468 distinct code–setting items kept. 1,853 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT PERFUSION W/CON CBF/VOLUME
$3,903
$2,927
$1,093
11
clean
CAROTID STENT PLCMT INTL-IP
$57,244
$42,933
$7,299
16
clean
INFECT DISEAS 22 TRGT SARSCOV2
$2,021
$1,516
$708
14
clean
INJ PLATELET RICH PLASMA
$6,205
$4,654
$791
15
clean
ATHERECTOMY TRANSL BRACHIOCEPH
$42,553
$31,915
$14,169
16
clean
ATHERECTOMY TRANSLUM ILIAC RT
$52,708
$39,531
$16,894
48
clean
NFCT DS VIR RESP RNA 4 TRGT
$424
$318
$172
14
clean
TRNSCTH RENAL SYMP DENRV BIL
$13,615
$10,211
$5,405
15
clean
TCAT INS 2CHAMBR LDLS PM COMP
$83,904
$62,928
$17,095
10
clean
FNA W/IMAGING GUIDANCE
$2,692
$2,019
$595
32
clean
FNA W/US GUIDE EA ADDL
$1,257
$943
$408
24
clean
FNA W/IMAGING GUIDANCE
$1,936
$1,452
$459
48
clean
FNA W/IMAGING GUIDANCE
$2,692
$2,019
$627
48
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$436
10
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$98
6
clean
FNA W/O IMG GUIDE
$1,633
$1,225
$277
16
clean
US DRAIN ABSC HEMAT/CYST
$3,145
$2,359
$988
48
clean
PLACE SOFT TIS DEV 1ST LESION
$2,028
$1,521
$799
15
clean
Acne surgery
—
—
$229
11
clean
OB ED I&D ABSCESS SIMPLE
$1,304
$978
$224
64
clean
I&D ABSCESS CMPLEX
$1,550
$1,163
$225
48
clean
I&D PILONIDAL ABSC 450
$2,654
$1,991
$519
16
clean
I&D PILONIDAL ABSC COMP 450
$2,919
$2,189
$586
16
clean
FB REM SUBQ SIMPLE 450
$2,090
$1,568
$379
16
clean
FB REM SUBQ COMP 450
$8,112
$6,084
$2,247
16
clean
I AND D HEMATOMA
$6,846
$5,135
$1,048
48
clean
PUNCT/ASP ABCESS HEMAT CYST
$1,247
$935
$170
112
clean
I&D POSTOP INFECTION CMPLX
$6,260
$4,695
$2,761
32
clean
DEBR INFCTD SKIN UP TO 10% 450
$1,683
$1,262
$263
16
clean
DEBR INFCTD SKIN EA ADDL 10%
$706
$530
$229
12
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$788
9
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$1,069
9
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$965
9
clean
Removal of infected artificial material or mesh from abdomen
—
—
$376
9
clean
DEBR INC FB RM W/OPN FX/DIS450
$2,709
$2,032
$967
16
clean
DB INC FB RM W/OP FX SKN SQ450
$2,530
$1,898
$940
16
clean
DEB & FB RM W/OPN FX/DIS BO450
$7,249
$5,437
$2,958
16
clean
DEBRIDE SUBQ TISSUE<=20CM
$3,430
$2,573
$562
32
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$4,116
$3,087
$954
16
clean
DEBRIDE BONE<=20CM
$6,254
$4,691
$2,128
32
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$2,083
$1,562
$602
24
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$2,133
$1,600
$692
12
clean
DEBRIDE BONE EA ADDL 20CM
$5,244
$3,933
$1,329
12
clean
PARING BENIGN LES SNGL
$582
$437
$230
16
clean
PARING BENIGN LES 2-4
$554
$416
$224
16
clean
PARING BENIGN LES >4
$943
$707
$179
16
clean
TANGENTIAL BX 1 LESION
$675
$506
$156
16
clean
TANGENTIAL BX ADDL/SEP LESION
$324
$243
$105
12
clean
PUNCH BX 1 LESION
$692
$519
$168
16
clean
PUNCH BX ADDL/SEP LESION
$324
$243
$105
12
clean
INCISIONAL BX 1 LESION
$1,151
$863
$255
16
clean
INCISIONAL BX ADDL/SEP LESION
$576
$432
$187
12
clean
REM OF SKIN TAG UP TO 15 450
$706
$530
$266
16
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
—
—
$229
11
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
—
—
$229
11
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
—
—
$419
11
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$126
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$122
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$126
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$151
11
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$167
11
clean
EXC BEN LES TRK/EXT <=.5CM 450
$2,530
$1,898
$429
16
clean
EXC BEN LES TRK/EXT.6-1.0CM450
$2,530
$1,898
$440
16
clean
EXC BEN LES TRK/EXT 1.1-2CM450
$5,086
$3,815
$726
16
clean
EXCISION TRNK EXT BENIGN 2.1-3
$4,895
$3,671
$734
16
clean
EXCISION TRNK EXT BENIGN 3.1-4
$6,260
$4,695
$2,176
16
clean
EXC BEN LES TRK/EXT >4.0CM
$6,260
$4,695
$2,176
16
clean
EXC BEN LES SC/HND/FT<=0.5CM
$6,396
$4,797
$967
16
clean
EXC BEN LES SC/HND/FT.6-1CM450
$4,895
$3,671
$718
16
clean
EXC BEN LES SC/HD/FT1.1-2CM450
$4,895
$3,671
$779
16
clean
EXC BEN LES SC/HD/FT2.1-3CM450
$6,260
$4,695
$978
16
clean
EXC BEN LES SC/HD/FT3.1-4CM450
$6,260
$4,695
$2,176
16
clean
EXC BEN LES SC/HND/FT>4.0CM450
$6,260
$4,695
$2,761
16
clean
EXC BEN LES FACE <=0.5CM 450
$2,530
$1,898
$436
16
clean
EXC BENIGN LES FACE 6-1CM
$2,530
$1,898
$447
16
clean
EXC BEN LES FACE 1.1-2.0CM 450
$4,895
$3,671
$733
16
clean
EXC BEN LES FACE 2.1-3.0CM 450
$4,895
$3,671
$796
16
clean
EXC BEN LES FACE 3.1-4.0CM 450
$5,239
$3,929
$2,007
16
clean
EXC BEN LES FACE >4.0CM 450
$6,260
$4,695
$2,761
16
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$3,038
11
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$3,038
11
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$3,038
11
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$3,038
11
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
—
—
$191
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$1,798
11
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$3,038
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$1,798
11
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$3,038
11
clean
TRIM NONDYSTROPH NAILS
$244
$183
$87
16
clean
DEBR NAIL 1-5
$554
$416
$98
32
clean
DEBR NAIL 6 OR MORE
$554
$416
$98
32
clean
REMOVE NAIL PLT SNGL
$582
$437
$265
32
clean
REMOVE NAIL PLT EA ADDL
$554
$416
$201
24
clean
I&D SUBUNGUAL HEMA 450
$988
$741
$204
16
clean
EXC NAIL AND MATRIX PERM
$2,772
$2,079
$440
32
clean
REPAIR NAIL SIMPLE 450
$2,873
$2,155
$805
16
clean
Repair of fingernail or toenail bed with graft
—
—
$252
11
clean
WDGE EXC OF SKN OF NAIL FLD450
$923
$692
$393
16
clean
INJ INTO SKIN <=7 LESION
$706
$530
$266
16
clean
Injection into skin growth, more than 7 growths
—
—
$229
11
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$184
11
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$203
11
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$37
7
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$83
10
clean
Replacement of tissue expander with permanent implant
—
—
$5,266
11
clean
Placement of hormone pellet under skin
—
—
$285
10
clean
LAC REP SIM TRUNK < 2.6 450
$790
$593
$277
16
clean
LAC REP SIM TRUNK 2.6-7.5 450
$869
$652
$277
16
clean
LAC REP SIM TRUNK 7.6-12.5 450
$956
$717
$277
16
clean
LAC REP SIM TRUNK 12.6-20 450
$1,112
$834
$430
16
clean
LAC REP SIM TRUNK 20.1-30 450
$1,225
$919
$469
16
clean
LAC REP SIM TRUNK > 30 450
$738
$554
$272
16
clean
LAC REP SIM FACE EAR <2.6CM
$653
$490
$265
32
clean
LAC REP SIM FACE EAR 2.6-5 450
$982
$737
$279
16
clean
LAC REP SIM FACE EAR5.1-7.5450
$1,080
$810
$293
16
clean
LAC REP SIM FACE ER7.6-12.5450
$1,188
$891
$308
16
clean
LAC REP SIM FACE EAR12.6-20450
$1,307
$980
$489
16
clean
LAC REP SIM FACE EAR20.1-30450
$706
$530
$349
16
clean
LAC REP SIM FACE EAR >30 450
$1,683
$1,262
$320
16
clean
OB ED SIMP CLOSE WND DEHISCENC
$10,440
$7,830
$954
32
clean
WOUND DEHISCENCE W PACKING 450
$1,683
$1,262
$506
16
clean
LAC REP INT SCALP TK<2.6 450
$2,354
$1,766
$460
16
clean
LAC REP INT SCALP TK2.6-7.5450
$2,542
$1,907
$487
16
clean
LAC REP INT SCALP T7.6-12.5450
$2,730
$2,048
$618
16
clean
LAC REP INT SCALP TK12.6-20450
$3,850
$2,888
$618
16
clean
LAC REP INT SCALP TK20.1-30450
$4,235
$3,176
$954
16
clean
LAC REP INT SCALP TK >30 450
$7,234
$5,426
$2,572
16
clean
LAC REP INT FEET HAND<2.6 450
$1,112
$834
$286
16
clean
LAC REP INT FEET HAN2.6-7.5450
$2,543
$1,907
$487
16
clean
LAC REP INT FEET HAN7.6-12.450
$4,135
$3,101
$954
16
clean
LAC REP INT FEET HAN12.6-20450
$1,759
$1,319
$675
16
clean
LAC REP INT FEET HAN20.1-30450
$1,683
$1,262
$506
16
clean
LAC REP INT FEET HAN >30 450
$1,683
$1,262
$1,201
16
clean
LAC REP INT FACE EAR <2.6 450
$2,354
$1,766
$460
16
clean
LAC REP INT FACE EAR2.6-5 450
$2,542
$1,907
$487
16
clean
LAC REP INT FACE EAR5.1-7.5450
$2,730
$2,048
$490
16
clean
LAC REP INT FACE EA7.6-12.5450
$3,003
$2,252
$618
16
clean
LAC REP INT FACE EAR12.6-20450
$1,801
$1,351
$511
16
clean
LAC REP INT FACE EAR20.1-30450
$1,683
$1,262
$506
16
clean
LAC REP INT FACE EAR >30 450
$1,683
$1,262
$506
16
clean
LAC REP COMP TRUNK 1.1-2.5 450
$7,234
$5,426
$954
16
clean
LAC REP COMP TRUNK 2.6-7.5 450
$2,530
$1,898
$788
16
clean
LAC REP TRNK EA AD 5CM OR< 450
$1,683
$1,262
$546
12
clean
LAC REP COM SCLP ARM1.1-2.5
$2,104
$1,578
$773
16
clean
LAC REP COM SCALP TK2.6-7.5450
$1,883
$1,412
$721
16
clean
LAC REP COM SCALP TK + 5CM 450
$844
$633
$274
12
clean
LAC REP COM FT HAND 1.1-2.5450
$1,683
$1,262
$506
16
clean
LAC REP COM FT HAND 2.6-7.5450
$3,540
$2,655
$898
16
clean
LAC REP COM FT HAND EA ADDL5CM
$2,354
$1,766
$764
12
clean
LAC REP COM FACE EAR1.1-2.5450
$3,306
$2,480
$865
16
clean
LAC REP COM FACE EAR2.6-7.5450
$3,540
$2,655
$898
16
clean
LAC REP COM FACE EAR E+5CM 450
$1,683
$1,262
$546
12
clean
LATE CLOSURE OF WOUND COMP 450
$9,059
$6,794
$2,583
16
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$2,126
11
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$2,126
11
clean
AJ TIS TH/CH DEF M 10SQCM
$6,260
$4,695
$2,398
16
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$2,126
11
clean
TIS TRNSFR ADJ EAR/N/E/L>10SCM
$6,260
$4,695
$2,398
16
clean
ADJ TISS TSFR EY/N/E/L 10.1-30
$6,260
$4,695
$2,398
16
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$3,185
10
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$272
6
clean
Repair of tissue loss of finger or toe
—
—
$2,126
11
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
—
—
$139
7
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
—
—
$3,900
11
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
—
—
$168
7
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
—
—
$1,663
10
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
—
—
$114
6
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
—
—
$3,185
10
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
—
—
$3,185
10
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$2,126
11
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$97
7
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$2,126
11
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$87
7
clean
FL SKN GRAFT UP TO 20SQCM 450
$6,260
$4,695
$2,398
16
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$136
7
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$2,126
11
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$170
7
clean
SKIN SUB GRAFT T/ARMLEG 25CM
$8,096
$6,072
$2,572
16
clean
SKIN SUB GRAFT T/ARMLEG ADD25
$5,196
$3,897
$1,322
12
clean
SKIN SUB GRFT T/ARMLEG1ST100CM
$11,521
$8,641
$4,413
16
clean
SKIN SUB GRFT T/ARMLEG ADD100
$2,284
$1,713
$741
12
clean
SKN SUB GRFT F/N/HF/G 25CM
$8,096
$6,072
$2,572
16
clean
SKN SUB GRFT F/N/HF/G ADD25CM
$1,339
$1,004
$435
12
clean
SKN SUB GRFT F/N/HF/G 1ST100CM
$11,729
$8,797
$2,956
16
clean
SKN SUB GRFT F/N/HF/G ADD100CM
$2,185
$1,639
$709
12
clean
Creation of flap graft to trunk
—
—
$2,126
11
clean
Creation of flap graft to scalp, arms, or legs
—
—
$3,900
11
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$2,126
11
clean
Creation of flap graft to eyelids, nose, ears, lips, or mouth
—
—
$2,126
11
clean
Transfer of skin flap to trunk
—
—
$3,900
11
clean
Transfer of skin flap to scalp, arms, or legs
—
—
$2,126
11
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$2,126
11
clean
Transfer of skin flap to eyelids, nose, ears, or lips
—
—
$2,126
11
clean
Transfer of skin flap
—
—
$2,126
11
clean
Creation of flap graft to midface
—
—
$3,185
10
clean
Creation of flap graft to nose, forehead, temple, or scalp
—
—
$3,185
10
clean
MUSCLE/FASCIA FLAP-HEAD/NECK
$6,260
$4,695
$3,067
16
clean
Creation of muscle graft to trunk
—
—
$3,900
11
clean
Creation of muscle graft to arm
—
—
$2,126
11
clean
Creation of muscle graft to leg
—
—
$3,900
11
clean

Showing the first 200 of 8,468 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
469 of 1,718 comparable items (27%) 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 $4,048 exceeds the gross charge $2,692
CPT 36901/b
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 71552/b
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 82575/b
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 86645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 95929/b
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 J1450/b
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 36902/b
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 72082/b
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 82595/b
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 86658/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 95940/b
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 J1459/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 36903/b
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 72084/b
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 82626/b
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 86663/b
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 95957/b
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 J1568/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 24675/b
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 36904/b
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 72142/b
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 82656/b
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 86664/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 96105/b
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 J1580/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, max differ, so no cross-line comparison was made for this item
CPT 36908/b
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 72146/b
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 82668/b
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 86665/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 96112/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 J1596/b
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 25246/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 72147/b
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 82672/b
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 86666/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 96125/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 J1631/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 37187/b
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 72149/b
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 82677/b
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 86671/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 96360/b
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 J1642/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 37188/b
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 72190/b
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 82679/b
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 86677/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 96361/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 J1644/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 37191/b
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 72197/b
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 82693/b
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 86682/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 96365/b
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 J1650/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 72240/b
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 82710/b
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 86692/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 96366/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 J1652/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 37211/b
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 72270/b
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 86694/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 96367/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 J1720/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 37212/b
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 73000/b
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 82728/b
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 86695/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 96368/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 J1756/b
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 37220/b
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 73010/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 82731/b
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 86696/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 96369/b
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 J1805/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 37221/b
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 73020/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 82784/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 86698/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 96370/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 J1815/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 37222/b
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 73030/b
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 82785/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 86701/b
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 96371/b
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 J1836/b
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 37223/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 73040/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 82787/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 86702/b
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 96372/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 J1885/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 37224/b
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 73050/b
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 82803/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 86703/b
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 96374/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 J1920/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 37225/b
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 73060/b
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 82941/b
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 86706/b
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 96375/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 J1939/b
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 37226/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 73070/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 82945/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 86707/b
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 96376/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 J1940/b
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 37227/b
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 73080/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82947/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 86708/b
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 96409/b
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 J1953/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 37228/b
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 73085/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 82950/b
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 86709/b
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 96411/b
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 J1956/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 37229/b
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 73090/b
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 82951/b
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 86710/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 96413/b
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 J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37230/b
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 73092/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 82952/b
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 86713/b
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 96415/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 J2004/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 37231/b
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 73100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82955/b
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 86717/b
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 96417/b
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 J2020/b
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 37233/b
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 73110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82977/b
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 86720/b
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 96523/b
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 J2060/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 37237/b
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 73115/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 82985/b
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 86735/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 97010/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 J2175/b
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 37239/b
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 73120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83003/b
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 86738/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 97012/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 J2185/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, max differ, so no cross-line comparison was made for this item
CPT 37241/b
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 73130/b
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 83018/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 86747/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 97016/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 J2248/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 37242/b
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 73140/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 83020/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 86753/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 97018/b
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 J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37243/b
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 73200/b
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 83021/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 86757/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 97022/b
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 J2260/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 37244/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 73201/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 83036/b
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 86762/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 97024/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 J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37246/b
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 73202/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 83050/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 86765/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 97026/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 J2274/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 37247/b
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 73218/b
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 83051/b
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 86777/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 97032/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 J2290/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 37248/b
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 73219/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

Showing the first 200 of 1,853 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 036
info
inp_charge_10x_payment
average charge $152,917 is 11.3× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $148,111 is 10.4× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $102,870 is 13.2× the total payment
MS-DRG 066
info
inp_charge_10x_payment
average charge $75,676 is 14.7× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $85,584 is 13.4× the total payment
MS-DRG 070
info
inp_charge_10x_payment
average charge $117,836 is 10.1× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $122,354 is 15.1× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $76,112 is 10.7× the total payment
MS-DRG 103
info
inp_charge_10x_payment
average charge $88,740 is 12.4× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $76,205 is 12.7× the total payment
MS-DRG 191
info
inp_charge_10x_payment
average charge $64,375 is 11.6× the total payment
MS-DRG 199
info
inp_charge_10x_payment
average charge $128,434 is 10.5× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $568,039 is 10.4× the total payment
MS-DRG 234
info
inp_charge_10x_payment
average charge $394,800 is 10.8× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $422,544 is 10.1× the total payment
MS-DRG 236
info
inp_charge_10x_payment
average charge $340,519 is 11.5× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $80,973 is 11.0× the total payment
MS-DRG 282
info
inp_charge_10x_payment
average charge $71,527 is 12.9× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $107,245 is 12.8× the total payment
MS-DRG 304
info
inp_charge_10x_payment
average charge $95,578 is 10.7× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $67,272 is 10.8× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $68,604 is 11.5× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $77,186 is 11.1× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $231,323 is 11.1× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $154,751 is 10.9× the total payment
MS-DRG 372
info
inp_charge_10x_payment
average charge $85,610 is 10.7× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $65,307 is 10.4× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $68,716 is 11.1× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $217,130 is 11.7× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $130,775 is 13.1× the total payment
MS-DRG 444
info
inp_charge_10x_payment
average charge $123,194 is 10.5× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $151,428 is 10.2× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $247,551 is 11.9× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $166,592 is 11.0× the total payment
MS-DRG 536
info
inp_charge_10x_payment
average charge $64,960 is 10.1× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $78,660 is 10.5× the total payment
MS-DRG 605
info
inp_charge_10x_payment
average charge $76,068 is 10.1× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $65,483 is 10.3× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $71,480 is 10.4× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $64,918 is 10.1× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $119,712 is 10.6× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $166,527 is 11.9× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 47.3M bytes · fetched 2026-08-25 · sha256 445698d59005…

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.