Hospital · CCN 450484

Woodland Heights Medical Center

505 South John Redditt Drive, Lufkin, TX 75904 · Angelina County
Part of Community Health Systems · 145 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

39 admission types 50 outpatient services price file: ok 9 Medicare-file findings
Billed per dollar paid, all admissions
9.29×
$106.9M billed against $11.5M paid across 1,115 Medicare discharges; the national figure is 5.03×.
8.4%
of adults in Angelina County have medical debt in collections
19.6%
uninsured in the county · state 18.8%
$57K
median household income
7.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
40.8%
obesity in the countyⓘ
14.9%
diagnosed diabetes (PLACES)
7.9%
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
222
$111,069
$14,143
7.9× st 6.7×
291
Heart failure and shock with mcc
118
$68,217
$9,032
7.6× st 5.8×
177
Respiratory infections and inflammations with mcc
87
$88,088
$11,207
7.9× st 6.1×
190
Chronic obstructive pulmonary disease with mcc
43
$62,557
$7,713
8.1× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
37
$55,651
$5,742
9.7× st 6.2×
378
Gastrointestinal hemorrhage with cc
36
$67,674
$6,903
9.8× st 6.2×
689
Kidney and urinary tract infections with mcc
32
$74,844
$8,105
9.2× st 5.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
31
$72,025
$7,235
10.0× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
27
$103,131
$10,515
9.8× st 6.9×
690
Kidney and urinary tract infections without mcc
26
$55,987
$5,865
9.5× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
24
$73,061
$9,138
8.0× st 5.7×
698
Other kidney and urinary tract diagnoses with mcc
21
$65,670
$10,646
6.2× st 6.1×
812
Red blood cell disorders without mcc
21
$60,313
$6,526
9.2× st 5.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$49,992
$5,689
8.8× st 5.6×
377
Gastrointestinal hemorrhage with mcc
20
$100,159
$12,167
8.2× st 7.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
20
$271,745
$30,553
8.9× st 6.9×
481
Hip and femur procedures except major joint with cc
18
$241,415
$13,943
17.3× st 7.3×
193
Simple pneumonia and pleurisy with mcc
18
$75,081
$9,363
8.0× st 6.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$279,158
$14,228
19.6× st 7.9×
682
Renal failure with mcc
17
$89,106
$10,156
8.8× st 6.2×
039
Extracranial procedures without cc/mcc
17
$154,724
$8,497
18.2× st 8.2×
312
Syncope and collapse
17
$54,708
$6,247
8.8× st 7.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
16
$293,426
$12,647
23.2× st 9.2×
309
Cardiac arrhythmia and conduction disorders with cc
16
$50,984
$5,456
9.3× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$89,743
$9,312
9.6× st 6.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$79,727
$7,769
10.3× st 6.9×
683
Renal failure with cc
15
$47,349
$6,496
7.3× st 5.8×
313
Chest pain
15
$43,511
$5,306
8.2× st 7.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$89,877
$11,367
7.9× st 7.3×
305
Hypertension without mcc
13
$39,136
$6,391
6.1× st 7.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$40,576
$4,172
9.7× st 6.7×
069
Transient ischemia without thrombolytic
12
$81,990
$5,930
13.8× st 9.5×
178
Respiratory infections and inflammations with cc
12
$54,149
$6,960
7.8× st 5.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$92,445
$7,661
12.1× st 8.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$195,473
$17,796
11.0× st 7.8×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
11
$143,698
$9,226
15.6× st 9.6×
274
Percutaneous and other intracardiac procedures without mcc
11
$216,436
$21,815
9.9× st 9.3×
603
Cellulitis without mcc
11
$54,086
$6,389
8.5× st 4.9×
202
Bronchitis and asthma with cc/mcc
11
$55,924
$6,838
8.2× st 6.7×
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
171
$30,244
$2,364
12.8×
5374
Level 4 Urology and Related Services
132
$87,627
$2,990
29.3×
5191
Level 1 Endovascular Procedures
85
$63,383
$2,808
22.6×
5361
Level 1 Laparoscopy and Related Services
48
$95,470
$4,791
19.9×
5375
Level 5 Urology and Related Services
45
$81,739
$4,490
18.2×
5182
Level 2 Vascular Procedures
36
$19,744
$1,390
14.2×
5113
Level 3 Musculoskeletal Procedures
36
$67,301
$2,809
24.0×
5115
Level 5 Musculoskeletal Procedures
35
$374,755
$11,406
32.9×
5114
Level 4 Musculoskeletal Procedures
33
$159,675
$6,207
25.7×
5183
Level 3 Vascular Procedures
26
$73,452
$2,682
27.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
22
$27,750
$1,407
19.7×
5431
Level 1 Nerve Procedures
17
$47,086
$1,675
28.1×
5112
Level 2 Musculoskeletal Procedures
17
$40,217
$1,395
28.8×
5194
Level 4 Endovascular Procedures
16
$308,058
$15,186
20.3×
5373
Level 3 Urology and Related Services
16
$50,989
$1,679
30.4×
5193
Level 3 Endovascular Procedures
15
$242,072
$9,539
25.4×
5192
Level 2 Endovascular Procedures
15
$103,969
$4,959
21.0×
5153
Level 3 Airway Endoscopy
12
$39,671
$1,382
28.7×
5223
Level 3 Pacemaker and Similar Procedures
12
$145,744
$9,260
15.7×
5116
Level 6 Musculoskeletal Procedures
11
$380,510
$16,137
23.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
11
$65,642
$3,002
21.9×
5213
Level 3 Electrophysiologic Procedures
11
$288,676
$20,557
14.0×
5376
Level 6 Urology and Related Services
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-04-01, template 3.0.0, 14,795 rows scanned, 2,838 distinct code–setting items kept. 1,259 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
WATERJET PROSTATE ABLTJ CMPL
$114,495
$20,609
$12,743
38
clean
NJX B1 SUB MTRL SBCHDRL DFCT
$158,247
$28,484
$16,774
58
clean
FNA BX W/US GDN 1ST LES
$39,219
$7,059
$713
62
clean
FNA BX W/US GDN EA ADDL
$41,306
$7,435
$5,168
34
clean
DRAINAGE OF SKIN ABSCESS
$8,848
$1,593
$202
62
clean
DRAINAGE OF SKIN ABSCESS
$7,443
$1,340
$405
62
clean
DRAINAGE OF PILONIDAL CYST
$8,459
$1,523
$700
62
clean
DRAINAGE OF PILONIDAL CYST
$22,911
$4,124
$706
62
clean
REMOVE FOREIGN BODY
$4,833
$870
$402
62
clean
DRAINAGE OF HEMATOMA/FLUID
$78,382
$14,109
$1,659
62
clean
DEBRIDE SKIN/MUSCLE/BONE, FX
$72,185
$12,993
$2,895
62
clean
DEBRIDE TISSUE/MUSCLE
$61,716
$11,109
$744
62
clean
DBRDMT MUSC&/FSCA EA ADDL
$61,716
$11,109
$6,869
38
clean
REMOVAL OF SKIN TAGS
$45,821
$8,248
$4,857
62
clean
SHAVE SKIN LESION
$72,447
$13,040
$202
62
clean
REMOVAL OF SKIN LESION
$58,047
$10,449
$409
62
clean
REMOVAL OF SKIN LESION
$51,080
$9,194
$713
62
clean
REMOVAL OF SKIN LESION
$44,216
$7,959
$713
62
clean
REMOVAL OF SKIN LESION
$47,233
$8,502
$1,703
62
clean
REMOVAL OF SKIN LESION
$44,229
$7,961
$1,659
62
clean
REMOVAL OF SKIN LESION
$55,108
$9,919
$713
62
clean
REMOVAL OF SKIN LESION
$41,931
$7,548
$1,659
62
clean
REMOVAL OF SKIN LESION
$54,424
$9,796
$1,659
62
clean
REMOVAL OF SKIN LESION
$49,323
$8,878
$2,871
62
clean
REMOVAL OF SKIN LESION
$127,596
$22,967
$713
62
clean
REMOVAL OF SKIN LESION
$55,557
$10,000
$713
62
clean
REMOVAL OF SKIN LESION
$53,424
$9,616
$713
62
clean
REMOVAL OF SKIN LESION
$88,853
$15,994
$1,659
62
clean
REMOVAL, SWEAT GLAND LESION
$47,378
$8,528
$2,871
62
clean
REMOVAL OF SKIN LESION
$72,665
$13,080
$1,703
62
clean
REMOVAL OF SKIN LESION
$82,405
$14,833
$1,703
62
clean
REMOVAL OF SKIN LESION
$87,461
$15,743
$713
62
clean
REMOVAL OF SKIN LESION
$60,071
$10,813
$713
62
clean
REMOVAL OF SKIN LESION
$87,461
$15,743
$713
62
clean
REMOVAL OF NAIL PLATE
$12,926
$2,327
$525
62
clean
DRAIN BLOOD FROM UNDER NAIL
$5,257
$946
$266
62
clean
REPAIR OF NAIL BED
$43,776
$7,880
$742
62
clean
REMOVAL OF PILONIDAL LESION
$60,552
$10,899
$2,895
62
clean
REMOVAL OF PILONIDAL LESION
$55,209
$9,938
$2,871
62
clean
REMOVE DRUG IMPLANT DEVICE
$96,690
$17,404
$449
62
clean
REMOVE/INSERT DRUG IMPLANT
$58,224
$10,480
$449
62
clean
REPAIR SUPERFICIAL WOUND(S)
$7,422
$1,336
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$10,054
$1,810
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$10,367
$1,866
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$8,988
$1,618
$408
62
clean
REPAIR SUPERFICIAL WOUND(S)
$9,422
$1,696
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$16,107
$2,899
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$23,619
$4,251
$328
54
clean
REPAIR SUPERFICIAL WOUND(S)
$19,642
$3,536
$202
62
clean
REPAIR SUPERFICIAL WOUND(S)
$62,614
$11,270
$409
62
clean
LAYER CLOSURE OF WOUND(S)
$37,926
$6,827
$408
62
clean
LAYER CLOSURE OF WOUND(S)
$27,730
$4,991
$405
62
clean
LAYER CLOSURE OF WOUND(S)
$64,412
$11,594
$409
62
clean
LAYER CLOSURE OF WOUND(S)
$6,933
$1,248
$402
62
clean
LAYER CLOSURE OF WOUND(S)
$9,742
$1,753
$405
62
clean
LAYER CLOSURE OF WOUND(S)
$21,523
$3,874
$405
62
clean
LAYER CLOSURE OF WOUND(S)
$19,294
$3,473
$408
62
clean
SKIN TISSUE REARRANGEMENT
$51,597
$9,287
$2,073
62
clean
SKIN TISSUE REARRANGEMENT
$88,647
$15,956
$2,073
62
clean
SKIN TISSUE REARRANGEMENT
$67,798
$12,204
$2,073
62
clean
SKIN FULL GRAFT
$88,853
$15,994
$2,073
62
clean
SKIN FULL GRAFT
$91,709
$16,508
$2,073
62
clean
SKIN SUB GRAFT FACE/NK/HF/G
$114,212
$20,558
$742
59
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$114,212
$20,558
$12,712
38
clean
GRFG AUTOL SOFT TISS DIR EXC
$117,730
$21,191
$3,672
62
clean
EXCISE EXCESSIVE SKIN TISSUE
$51,419
$9,255
$5,450
62
clean
RMV SUTURE OR STAPLE
$441
$79
$110
101
clean
DESTRUCT LESION, 1-14
$42,473
$7,645
$389
54
clean
DRAINAGE OF BREAST LESION
$5,549
$999
$706
62
clean
BX BREAST 1ST LESION US IMAG
$14,111
$2,540
$1,646
62
clean
REMOVAL OF BREAST LESION
$61,364
$11,045
$3,870
62
clean
EXCISION, BREAST LESION
$71,263
$12,827
$3,870
62
clean
PARTIAL MASTECTOMY
$84,640
$15,235
$3,902
62
clean
P-MASTECTOMY W/LN REMOVAL
$88,741
$15,973
$6,617
62
clean
MAST SIMPLE COMPLETE
$99,815
$17,967
$6,564
62
clean
MAST MOD RAD
$134,264
$24,167
$14,232
62
clean
NJX 1/MLT TRIGGER POINT 1/2
$32,805
$5,905
$309
62
clean
S-JOINT ASP-INJ SM
$979
$176
$303
62
clean
S-JOINT ASP-INJ IM
$660
$119
$303
124
clean
DRAIN/INJECT, JOINT/BURSA
$16,490
$2,968
$308
62
clean
REMOVAL OF SUPPORT IMPLANT
$67,335
$12,120
$2,895
62
clean
REMOVAL OF BONE FOR GRAFT
$467,493
$84,149
$12,487
62
clean
EXC FACE TUM DEEP 2 CM/>
$63,725
$11,471
$2,918
62
clean
EAR CARTILAGE GRAFT
$79,855
$14,374
$5,899
62
clean
TREATMENT OF NOSE FRACTURE
$40,247
$7,244
$1,600
62
clean
TREATMENT OF NOSE FRACTURE
$51,955
$9,352
$3,277
62
clean
TREAT NASAL SEPTAL FRACTURE
$75,266
$13,548
$3,261
62
clean
EXC NECK LES SC 3 CM/>
$51,130
$9,203
$2,918
62
clean
REMOVE LESION, NECK/CHEST
$62,374
$11,227
$1,659
62
clean
REMOVE LESION, NECK/CHEST
$108,889
$19,600
$2,895
62
clean
EXC BACK LES SC 3 CM/>
$145,580
$26,204
$1,712
62
clean
EXC ABD LES SC 3 CM/>
$55,458
$9,982
$2,918
62
clean
EXC SHOULDER LES SC 3 CM/>
$43,681
$7,863
$1,712
62
clean
S-INJ SHOULDER ARTH
$2,860
$515
$1,539
68
clean
INCISION OF TENDON & MUSCLE
$211,676
$38,102
$7,231
62
clean
REPAIR OF TENDON(S)
$215,640
$38,815
$7,231
62
clean
REPAIR BICEPS TENDON
$282,005
$50,761
$7,896
62
clean
RECONSTRUCT SHOULDER JOINT
$377,706
$67,987
$40,037
59
clean
TREAT CLAVICLE FRACTURE
$135,746
$24,434
$7,173
59
clean
TREAT HUMERUS FRACTURE
$202,677
$36,482
$12,674
59
clean
TREAT SHOULDER DISLOCATION
$12,551
$2,259
$248
62
clean
TREAT SHOULDER DISLOCATION
$12,457
$2,242
$1,589
62
clean
FIXATION OF SHOULDER
$172,447
$31,040
$4,471
62
clean
EXC ARM/ELBOW LES SC 3 CM/>
$38,941
$7,009
$2,918
62
clean
REMOVE ARM/ELBOW LESION
$52,753
$9,495
$1,659
62
clean
REMOVAL OF ELBOW BURSA
$73,027
$13,145
$3,261
62
clean
REPAIR OF BICEPS TENDON
$405,216
$72,939
$10,946
62
clean
REPAIR OF RUPTURED TENDON
$141,990
$25,558
$7,173
62
clean
REPAIR OF HUMERUS
$206,993
$37,259
$12,674
59
clean
TREAT HUMERUS FRACTURE
$164,546
$29,618
$12,674
59
clean
TREAT HUMERUS FRACTURE
$239,523
$43,114
$12,674
59
clean
TREAT HUMERUS FRACTURE
$55,557
$10,000
$7,173
62
clean
TREAT HUMERUS FRACTURE
$99,007
$17,821
$12,674
59
clean
TREAT ELBOW DISLOCATION
$11,950
$2,151
$248
62
clean
TREAT ULNAR FRACTURE
$130,558
$23,500
$7,173
59
clean
INCISION OF TENDON SHEATH
$49,279
$8,870
$1,658
62
clean
REMOVE WRIST TENDON LESION
$51,123
$9,202
$1,658
62
clean
REPAIR WRIST JOINT(S)
$81,791
$14,722
$3,375
62
clean
TREAT FRACTURE OF ULNA
$170,398
$30,672
$4,248
62
clean
TREAT FRACTURE RADIUS & ULNA
$29,865
$5,376
$1,589
62
clean
TREAT FRACTURE RADIUS/ULNA
$117,527
$21,155
$7,173
59
clean
TREAT FRACTURE RADIUS/ULNA
$17,640
$3,175
$1,589
62
clean
PERQ SKEL FIXJ DSTL RDL FX
$54,414
$9,795
$3,234
62
clean
OPTX DST RD XARTC FX/EPI SEP
$132,313
$23,816
$7,173
59
clean
OPTX DST RD XART FX/EPI SEP2
$134,487
$24,208
$7,173
59
clean
OPTX DST RD XART FX/EP SEP3+
$159,378
$28,688
$7,173
59
clean
TREAT WRIST BONE FRACTURE
$136,187
$24,514
$3,435
62
clean
OPTX ULNAR STYLOID FRACTURE
$151,850
$27,333
$7,173
59
clean
FOREARM OR WRIST SURGERY
$65,922
$11,866
$3,296
53
clean
DRAINAGE OF FINGER ABSCESS
$6,543
$1,178
$202
62
clean
INCISE FINGER TENDON SHEATH
$46,141
$8,305
$1,648
62
clean
RELEASE PALM CONTRACTURE
$73,969
$13,314
$3,261
62
clean
REMOVE TENDON SHEATH LESION
$47,790
$8,602
$1,648
62
clean
REPAIR FINGER TENDON
$72,185
$12,993
$1,648
62
clean
TREAT METACARPAL FRACTURE
$10,553
$1,900
$248
62
clean
TREAT METACARPAL FRACTURE
$71,362
$12,845
$3,261
62
clean
TREAT METACARPAL FRACTURE
$86,866
$15,636
$3,331
62
clean
TREAT KNUCKLE DISLOCATION
$5,246
$944
$248
62
clean
TREAT FINGER FRACTURE, EACH
$76,732
$13,812
$3,287
62
clean
TREAT FINGER FRACTURE, EACH
$73,794
$13,283
$3,261
62
clean
TREAT FINGER FRACTURE, EACH
$40,798
$7,344
$3,234
62
clean
TREAT FINGER DISLOCATION
$18,590
$3,346
$248
62
clean
REMOVAL OF HIP BONE LESION
$370,969
$66,774
$10,098
62
clean
S-INJ HIP ARTHRO
$1,525
$275
$209
34
clean
TOTAL HIP REPLACEMENT
$355,591
$64,006
$37,693
59
clean
TREAT THIGH FRACTURE
$136,466
$24,564
$14,468
62
clean
TREAT THIGH FRACTURE
$243,661
$43,859
$25,828
59
clean
TREAT HIP DISLOCATION
$45,599
$8,208
$1,615
62
clean
PELVIS/HIP JOINT SURGERY
$58,464
$10,524
$2,923
53
clean
REMOVAL OF THIGH LESION
$44,782
$8,061
$1,659
62
clean
EXC THIGH/KNEE LES SC 3 CM/>
$49,424
$8,896
$2,918
62
clean
REMOVAL OF KNEECAP BURSA
$51,840
$9,331
$3,234
62
clean
REMOVE FEMUR LESION
$63,246
$11,384
$3,242
62
clean
REMOVE FEMUR LESION/GRAFT
$296,675
$53,401
$8,191
59
clean
PARTIAL REMOVAL, LEG BONE(S)
$77,327
$13,919
$3,287
62
clean
REPAIR OF KNEECAP TENDON
$121,825
$21,928
$7,173
62
clean
REPAIR OF THIGH MUSCLE
$100,123
$18,022
$7,173
62
clean
LENGTHENING OF THIGH TENDON
$416,415
$74,955
$11,124
59
clean
LENGTHENING OF THIGH TENDONS
$472,146
$84,986
$12,602
62
clean
REPAIR OF KNEE LIGAMENT
$103,263
$18,587
$7,173
62
clean
LATERAL RETINACULAR RELEASE
$100,123
$18,022
$3,287
62
clean
INCISION OF KNEE JOINT
$466,463
$83,963
$11,958
62
clean
TOTAL KNEE REPLACEMENT
$407,946
$73,430
$43,242
59
clean
TREATMENT OF THIGH FRACTURE
$132,989
$23,938
$14,802
59
clean
TREAT KNEE FRACTURE
$172,659
$31,079
$18,302
59
clean
TREAT KNEECAP DISLOCATION
$13,464
$2,423
$248
62
clean
FIXATION OF KNEE JOINT
$44,219
$7,959
$1,602
62
clean
LEG SURGERY PROCEDURE
$14,862
$2,675
$458
53
clean
REMOVE/GRAFT LEG BONE LESION
$433,767
$78,078
$11,549
59
clean
REPAIR ACHILLES TENDON
$179,667
$32,340
$7,173
59
clean
RELEASE OF LOWER LEG TENDON
$407,540
$73,357
$10,500
62
clean
REVISION OF LOWER LEG TENDON
$374,980
$67,496
$9,694
62
clean
REVISION OF CALF TENDON
$132,462
$23,843
$3,265
62
clean
REPAIR OF ANKLE LIGAMENT
$169,529
$30,515
$7,173
59
clean
TREATMENT OF TIBIA FRACTURE
$10,680
$1,922
$1,615
62
clean
TREATMENT OF TIBIA FRACTURE
$255,294
$45,953
$12,674
59
clean
TREATMENT OF ANKLE FRACTURE
$99,363
$17,885
$7,173
62
clean
TREATMENT OF ANKLE FRACTURE
$12,364
$2,225
$248
62
clean
TREATMENT OF ANKLE FRACTURE
$13,531
$2,436
$1,589
62
clean
TREATMENT OF ANKLE FRACTURE
$129,795
$23,363
$7,173
59
clean
TREATMENT OF ANKLE FRACTURE
$14,995
$2,699
$1,589
62
clean
TREATMENT OF ANKLE FRACTURE
$189,655
$34,138
$7,173
59
clean
TREATMENT OF ANKLE FRACTURE
$163,292
$29,393
$7,173
59
clean
TREAT LOWER LEG JOINT
$212,592
$38,266
$7,173
59
clean
INCISION OF FOOT FASCIA
$44,711
$8,048
$3,234
62
clean
EXC FOOT/TOE TUM DEP 1.5CM/>
$49,536
$8,917
$2,895
62
clean
REMOVAL OF FOOT LESION
$58,599
$10,548
$1,658
62
clean
REMOVAL OF FOOT LESION
$39,401
$7,092
$1,658
62
clean
REMOVAL OF TOE LESIONS
$42,797
$7,704
$1,658
62
clean
REMOVAL OF FOOT LESION
$61,524
$11,074
$3,234
62
clean
REMOVAL OF TOE LESIONS
$50,068
$9,012
$1,658
62
clean
PART REMOVAL OF METATARSAL
$103,156
$18,568
$3,261
62
clean
PART REMOVAL OF METATARSAL
$133,540
$24,037
$3,261
62
clean
REMOVAL OF HEEL BONE
$91,095
$16,397
$3,261
62
clean
REMOVAL OF HEEL SPUR
$121,612
$21,890
$3,261
62
clean
PART REMOVAL OF ANKLE/HEEL
$190,053
$34,210
$3,287
62
clean
PARTIAL REMOVAL OF FOOT BONE
$48,197
$8,675
$3,234
62
clean
PARTIAL REMOVAL OF TOE
$47,650
$8,577
$3,261
62
clean
REMOVAL OF FOOT FOREIGN BODY
$21,183
$3,813
$711
62
clean
REPAIR OF FOOT TENDON
$66,244
$11,924
$3,261
62
clean

Showing the first 200 of 2,838 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 88361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $509
CPT J0630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,666 exceeds the gross charge $955
CPT 88374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $766 exceeds the gross charge $627
CPT 90375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $560 exceeds the gross charge $236
CPT 90675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $640 exceeds the gross charge $520
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,850 exceeds the gross charge $3,886
CPT 92607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $168
CPT 92608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $214 exceeds the gross charge $168
CPT 92609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $214 exceeds the gross charge $168
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $689 exceeds the gross charge $348
CPT J2760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $841 exceeds the gross charge $628
CPT 93503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,232 exceeds the gross charge $8,209
CPT 93566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,232 exceeds the gross charge $7,751
CPT 93567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,232 exceeds the gross charge $7,829
CPT 93568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,232 exceeds the gross charge $2,910
CPT J7500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $14
CPT 94640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $225
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $197
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $188
CPT 75625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,233 exceeds the gross charge $8,761
CPT 75716/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,233 exceeds the gross charge $8,761
CPT 75820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,027 exceeds the gross charge $3,963
CPT 75827/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,027 exceeds the gross charge $3,786
CPT 97763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $214 exceeds the gross charge $207
CPT 99284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,510 exceeds the gross charge $3,107
CPT A9572/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,002 exceeds the gross charge $3,137
CPT 33289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57,628 exceeds the gross charge $28,206
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $138
CPT 20600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,491 exceeds the gross charge $979
CPT 78802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,671 exceeds the gross charge $3,803
CPT 80155/o
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $91
CPT 81301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $885 exceeds the gross charge $873
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $208
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $274
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $314
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $311
CPT 87483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,175 exceeds the gross charge $1,106
CPT 87502/o
warn
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $194
CPT 87506/o
warn
mrf_negotiated_above_gross
highest negotiated rate $668 exceeds the gross charge $529
CPT 87631/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $265
CPT 87632/o
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $477
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $494
CPT 88344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $503
CPT J0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $9
warn
mrf_rate_without_estimate
6,935 of 6,935 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 26765/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45385/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72132/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72133/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88361/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27065/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72141/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88365/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27130/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72142/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0618/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27235/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88368/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27245/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46255/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72147/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 6 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 27266/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72148/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88374/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0675/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27299/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72149/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88377/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0687/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27327/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46280/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72156/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89240/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46320/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72157/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90371/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27340/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72158/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0712/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27355/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27357/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72190/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0840/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46947/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72191/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27380/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46999/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72192/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90675/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0841/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27385/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72193/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90935/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0883/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27393/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47379/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72194/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90945/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0885/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27394/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47562/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72195/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 91035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47563/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72196/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92507/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1162/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27425/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49082/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72197/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92523/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1163/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27435/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92526/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1171/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1212/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27514/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 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 27536/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49322/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1265/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49329/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92920/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1308/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92924/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1327/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27599/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92928/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1410/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27637/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49553/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73040/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92930/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49591/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92933/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27680/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92937/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1459/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27685/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49593/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73070/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92943/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1568/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27687/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49594/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73080/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92945/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1596/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27695/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49595/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73090/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92950/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,259 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $154,724 is 18.2× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $79,727 is 10.3× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $81,990 is 13.8× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $195,473 is 11.0× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $92,445 is 12.1× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $293,426 is 23.2× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $143,698 is 15.6× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $241,415 is 17.3× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $279,158 is 19.6× 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 · 96.7M bytes · fetched 2026-08-26 · sha256 b0e967c83e85…

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.