Project Crossfoot
Hospital · CCN 450596

Lake Granbury Medical Center

1310 Paluxy Rd, Granbury, TX 76048 · Hood County
Part of Community Health Systems · 53 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

14 admission types 43 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
9.36×
$43.6M billed against $4.7M paid across 366 Medicare discharges; the national figure is 5.03×.
9.4%
of adults in Hood County have medical debt in collections
16.6%
uninsured in the county · state 18.8%
$82K
median household income
9.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
33.2%
obesity in the countyⓘ
12.5%
diagnosed diabetes (PLACES)
7.4%
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
101
$154,721
$15,337
10.1× st 6.7×
291
Heart failure and shock with mcc
56
$89,981
$10,484
8.6× st 5.8×
177
Respiratory infections and inflammations with mcc
33
$98,749
$13,272
7.4× st 6.1×
193
Simple pneumonia and pleurisy with mcc
30
$83,064
$10,724
7.7× st 6.5×
683
Renal failure with cc
18
$65,913
$7,666
8.6× st 5.8×
481
Hip and femur procedures except major joint with cc
17
$190,266
$17,398
10.9× st 7.3×
689
Kidney and urinary tract infections with mcc
17
$80,216
$9,479
8.5× st 5.6×
480
Hip and femur procedures except major joint with mcc
16
$236,866
$21,704
10.9× st 7.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$195,752
$16,624
11.8× st 7.9×
690
Kidney and urinary tract infections without mcc
15
$62,135
$7,130
8.7× st 5.2×
682
Renal failure with mcc
13
$96,735
$11,679
8.3× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
12
$68,541
$10,753
6.4× st 5.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
12
$76,021
$8,677
8.8× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
11
$70,128
$7,216
9.7× st 6.2×
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
5491
Level 1 Intraocular Procedures
627
$30,317
$2,089
14.5×
5431
Level 1 Nerve Procedures
100
$45,386
$1,729
26.2×
8011
Comprehensive Observation Services
74
$41,523
$2,471
16.8×
5114
Level 4 Musculoskeletal Procedures
73
$116,931
$6,388
18.3×
5115
Level 5 Musculoskeletal Procedures
71
$186,261
$11,722
15.9×
5361
Level 1 Laparoscopy and Related Services
44
$106,800
$4,926
21.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
35
$23,250
$1,464
15.9×
5465
Level 5 Neurostimulator and Related Procedures
35
$202,713
$27,952
7.3×
5462
Level 2 Neurostimulator and Related Procedures
33
$52,704
$5,838
9.0×
5183
Level 3 Vascular Procedures
33
$60,635
$2,878
21.1×
5493
Level 3 Intraocular Procedures
32
$40,706
$4,718
8.6×
5375
Level 5 Urology and Related Services
30
$98,798
$4,671
21.2×
5113
Level 3 Musculoskeletal Procedures
28
$78,506
$2,756
28.5×
5116
Level 6 Musculoskeletal Procedures
25
$177,221
$16,182
11.0×
5112
Level 2 Musculoskeletal Procedures
24
$33,064
$1,403
23.6×
5302
Level 2 Upper GI Procedures
21
$23,040
$1,718
13.4×
5492
Level 2 Intraocular Procedures
17
$40,556
$3,671
11.0×
5374
Level 4 Urology and Related Services
16
$78,547
$3,147
25.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$89,899
$3,123
28.8×
5373
Level 3 Urology and Related Services
13
$47,444
$1,726
27.5×
5191
Level 1 Endovascular Procedures
13
$45,024
$2,947
15.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
13
$35,962
$2,566
14.0×
5153
Level 3 Airway Endoscopy
11
$50,011
$1,532
32.6×
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5414
Level 4 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, 14,571 rows scanned, 2,883 distinct code–setting items kept. 1,437 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
NJX B1 SUB MTRL SBCHDRL DFCT
CPT 0707T
$77,630
$13,973
$11,086
67
clean
FNA BX W/US GDN 1ST LES
CPT 10005
$4,277
$770
$778
70
clean
DRAINAGE OF SKIN ABSCESS
CPT 10060
$15,379
$2,768
$222
70
clean
DRAINAGE OF SKIN ABSCESS
CPT 10061
$27,612
$4,970
$442
70
clean
DRAINAGE OF PILONIDAL CYST
CPT 10080
$6,884
$1,239
$763
70
clean
DRAINAGE OF PILONIDAL CYST
CPT 10081
$27,106
$4,879
$777
70
clean
REMOVE FOREIGN BODY
CPT 10120
$7,392
$1,331
$441
70
clean
REMOVE FOREIGN BODY
CPT 10121
$54,017
$9,723
$1,842
70
clean
DRAINAGE OF HEMATOMA/FLUID
CPT 10140
$35,203
$6,337
$1,795
70
clean
COMPLEX DRAINAGE, WOUND
CPT 10180
$98,478
$17,726
$3,193
70
clean
DEBRIDE SKIN/MUSCLE/BONE, FX
CPT 11012
$109,860
$19,775
$3,187
70
clean
DEBRIDE SKIN/TISSUE
CPT 11042
$2,575
$463
$451
70
clean
DEBRIDE TISSUE/MUSCLE
CPT 11043
$13,087
$2,356
$820
70
clean
DEBRIDE TISSUE/MUSCLE/BONE
CPT 11044
$29,622
$5,332
$1,832
70
clean
DBRDMT SUBQ TISS EACH ADDL
CPT 11045
$7,916
$1,425
$1,351
46
clean
DBRDMT MUSC&/FSCA EA ADDL
CPT 11046
$20,935
$3,768
$3,573
46
clean
TRIM SKIN LESION
CPT 11055
$1,212
$218
$221
70
clean
TRIM SKIN LESIONS, 2 TO 4
CPT 11056
$2,216
$399
$316
70
clean
TANGNTL BX SKIN SINGLE LES
CPT 11102
$6,187
$1,114
$438
70
clean
PUNCH BX SKIN SINGLE LESION
CPT 11104
$34,955
$6,292
$446
70
clean
PUNCH BX SKIN EA SEP/ADDL
CPT 11105
$50,378
$9,068
$9,318
43
clean
INCAL BX SKN SINGLE LES
CPT 11106
$18,887
$3,400
$803
70
clean
REMOVAL OF SKIN LESION
CPT 11401
$27,166
$4,890
$442
70
clean
REMOVAL OF SKIN LESION
CPT 11402
$1,601
$288
$720
70
clean
REMOVAL OF SKIN LESION
CPT 11403
$57,901
$10,422
$776
70
clean
REMOVAL OF SKIN LESION
CPT 11406
$82,711
$14,888
$1,842
70
clean
REMOVAL OF SKIN LESION
CPT 11420
$49,282
$8,871
$1,809
70
clean
REMOVAL OF SKIN LESION
CPT 11421
$79,916
$14,385
$776
70
clean
REMOVAL OF SKIN LESION
CPT 11422
$69,674
$12,541
$1,809
70
clean
REMOVAL OF SKIN LESION
CPT 11423
$69,674
$12,541
$1,809
70
clean
REMOVAL OF SKIN LESION
CPT 11602
$78,338
$14,101
$457
70
clean
REMOVAL OF SKIN LESION
CPT 11603
$81,988
$14,758
$776
70
clean
REMOVAL OF SKIN LESION
CPT 11606
$81,860
$14,735
$1,842
70
clean
REMOVAL OF SKIN LESION
CPT 11623
$89,453
$16,102
$1,809
70
clean
REMOVAL OF SKIN LESION
CPT 11646
$78,338
$14,101
$3,193
70
clean
DEBRIDE NAIL, 1-5
CPT 11720
$2,997
$539
$323
70
clean
REMOVAL OF NAIL PLATE
CPT 11730
$6,886
$1,239
$937
70
clean
REMOVAL OF NAIL BED
CPT 11750
$56,186
$10,113
$447
70
clean
REPAIR OF NAIL BED
CPT 11760
$35,754
$6,436
$803
70
clean
REMOVAL OF PILONIDAL LESION
CPT 11770
$55,359
$9,965
$3,193
70
clean
REMOVAL OF PILONIDAL LESION
CPT 11771
$52,060
$9,371
$3,187
70
clean
REMOVAL OF PILONIDAL LESION
CPT 11772
$69,337
$12,481
$3,193
70
clean
INSERTION DRUG DLVR IMPLANT
CPT 11981
$117,064
$21,072
$4,173
70
clean
REMOVE DRUG IMPLANT DEVICE
CPT 11982
$87,075
$15,674
$489
70
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12001
$9,870
$1,777
$602
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12002
$13,476
$2,426
$809
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12004
$14,377
$2,588
$863
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12005
$22,829
$4,109
$457
70
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12006
$19,627
$3,533
$457
70
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12007
$11,912
$2,144
$226
70
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12011
$14,674
$2,641
$880
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12013
$19,902
$3,582
$1,194
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12014
$13,403
$2,413
$804
59
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12015
$12,611
$2,270
$226
70
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12016
$32,431
$5,838
$457
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12031
$78,338
$14,101
$451
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12032
$49,287
$8,872
$460
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12034
$39,042
$7,028
$457
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12035
$145,346
$26,162
$5,215
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12042
$30,427
$5,477
$447
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12051
$3,551
$639
$451
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12052
$72,351
$13,023
$451
70
clean
LAYER CLOSURE OF WOUND(S)
CPT 12054
$7,850
$1,413
$457
70
clean
REPAIR OF WOUND OR LESION
CPT 13101
$54,188
$9,754
$821
70
clean
REPAIR OF WOUND OR LESION
CPT 13121
$25,638
$4,615
$457
70
clean
LATE CLOSURE OF WOUND
CPT 13160
$87,428
$15,737
$3,896
70
clean
SKIN TISSUE REARRANGEMENT
CPT 14040
$62,674
$11,281
$2,331
70
clean
WOUND PREP F/N/HF/G
CPT 15004
$41,361
$7,445
$460
70
clean
SKIN SPLIT GRAFT
CPT 15120
$73,811
$13,286
$4,010
70
clean
SKIN FULL GRAFT
CPT 15240
$77,164
$13,890
$2,331
70
clean
SKIN SUB GRAFT TRNK/ARM/LEG
CPT 15271
$14,124
$2,542
$950
68
clean
SKIN SUB GRAFT FACE/NK/HF/G
CPT 15275
$9,440
$1,699
$811
68
clean
MUSCLE-SKIN GRAFT, TRUNK
CPT 15734
$125,398
$22,572
$4,010
70
clean
RMV SUTURE OR STAPLE
CPT 15853
$0
$182
$138
67
clean
RMV SUTURE AND STAPL
CPT 15854
$0
—
$0
24
clean
TREATMENT OF BURN(S)
CPT 16020
$3,234
$582
$216
70
clean
TREATMENT OF BURN(S)
CPT 16025
$4,811
$866
$226
70
clean
TREATMENT OF BURN(S)
CPT 16030
$7,712
$1,388
$457
70
clean
DESTRUCT LESION, 1-14
CPT 17110
$42,328
$7,619
$3,517
59
clean
CHEMICAL CAUTERY, TISSUE
CPT 17250
$1,340
$241
$226
70
clean
DRAINAGE OF BREAST LESION
CPT 19000
$4,517
$813
$763
70
clean
EXCISION, BREAST LESION
CPT 19125
$69,304
$12,475
$4,304
70
clean
PERQ DEV BREAST 1ST US IMAG
CPT 19285
$58,337
$10,501
$7,935
68
clean
MASTECTOMY FOR GYNECOMASTIA
CPT 19300
$48,113
$8,660
$4,289
70
clean
PARTIAL MASTECTOMY
CPT 19301
$52,832
$9,510
$4,289
70
clean
MAST SIMPLE COMPLETE
CPT 19303
$86,878
$15,638
$7,300
70
clean
DEEP MUSCLE BIOPSY
CPT 20205
$83,900
$15,102
$3,193
70
clean
BONE BIOPSY, TROCAR/NEEDLE
CPT 20220
$66,776
$12,020
$1,842
70
clean
BONE BIOPSY, EXCISIONAL
CPT 20240
$76,773
$13,819
$3,193
70
clean
INJECT TENDON/LIGAMENT/CYST
CPT 20550
$112,107
$20,179
$4,022
70
clean
NJX 1/MLT TRIGGER POINT 1/2
CPT 20552
$8,318
$1,497
$334
70
clean
NJX 1/MLT TRIGGER POINTS 3/>
CPT 20553
$16,971
$3,055
$334
70
clean
DRAIN/INJECT, JOINT/BURSA
CPT 20600
$56,771
$10,219
$336
70
clean
DRAIN/INJECT, JOINT/BURSA
CPT 20605
$8,556
$1,540
$334
70
clean
DRAIN/INJECT, JOINT/BURSA
CPT 20610
$9,082
$1,635
$334
70
clean
DRAIN/INJ JOINT/BURSA W/US
CPT 20611
$7,910
$1,424
$334
70
clean
REMOVAL OF SUPPORT IMPLANT
CPT 20680
$90,993
$16,379
$3,193
70
clean
REMOVE BONE FIXATION DEVICE
CPT 20694
$45,993
$8,279
$1,808
70
clean
SPINAL BONE ALLOGRAFT
CPT 20931
$153,588
$27,646
$26,214
46
clean
ILIAC BONE GRAFT, MICROVASC
CPT 20956
$174,544
$31,418
$23,742
68
clean
ABLATE BONE TUMOR(S) PERQ
CPT 20982
$95,492
$17,189
$18,856
70
clean
MUSCULOSKELETAL SURGERY
CPT 20999
$116,216
$20,919
$13,603
58
clean
EXC FACE LES SBQ 2 CM/>
CPT 21012
$58,762
$10,577
$1,829
70
clean
CRANIO/MAXILLOFACIAL SURGERY
CPT 21299
$72,351
$13,023
$7,920
58
clean
TREATMENT OF NOSE FRACTURE
CPT 21315
$48,930
$8,807
$1,706
70
clean
TREATMENT OF NOSE FRACTURE
CPT 21320
$30,173
$5,431
$3,631
70
clean
RESET DISLOCATED JAW
CPT 21480
$13,356
$2,404
$277
70
clean
DRAIN NECK/CHEST LESION
CPT 21501
$8,870
$1,597
$3,182
70
clean
EXC NECK LES SC 3 CM/>
CPT 21552
$88,549
$15,939
$3,193
70
clean
PARTIAL REMOVAL OF STERNUM
CPT 21620
$46,573
$8,383
$6,651
70
clean
EXC BACK LES SC 3 CM/>
CPT 21931
$50,727
$9,131
$1,842
70
clean
EXC BACK TUM DEEP 5 CM/>
CPT 21933
$60,422
$10,876
$3,193
70
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22513
$96,035
$17,286
$8,160
70
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22514
$76,423
$13,756
$7,977
70
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22515
$92,619
$16,672
$17,131
43
clean
LUMBAR SPINE FUSION
CPT 22612
$153,588
$27,646
$19,421
68
clean
SPINE FUSION, EXTRA SEGMENT
CPT 22614
$205,770
$37,039
$35,121
46
clean
INSERT SPINE FIXATION DEVICE
CPT 22840
$153,588
$27,646
$26,214
46
clean
INSERT SPINE FIXATION DEVICE
CPT 22842
$205,770
$37,039
$35,121
46
clean
REMOVE SPINE FIXATION DEVICE
CPT 22850
$84,470
$15,205
$12,062
70
clean
INSJ STABLJ DEV W/O DCMPRN
CPT 22869
$119,969
$21,594
$18,763
68
clean
EXC ABD LES SC 3 CM/>
CPT 22903
$62,115
$11,181
$3,193
70
clean
ABDOMEN SURGERY PROCEDURE
CPT 22999
$150,653
$27,117
$17,619
58
clean
REMOVAL OF SHOULDER LESION
CPT 23076
$70,202
$12,636
$3,193
70
clean
S-INJ SHOULDER ARTH
CPT 23350
$1,358
$244
$1,019
129
clean
REPAIR OF TENDON(S)
CPT 23410
$125,295
$22,553
$8,160
70
clean
REPAIR OF TENDON(S)
CPT 23412
$123,643
$22,256
$8,160
70
clean
REPAIR BICEPS TENDON
CPT 23430
$98,468
$17,724
$8,160
70
clean
RECONSTRUCT SHOULDER JOINT
CPT 23472
$209,671
$37,741
$29,941
68
clean
REVIS RECONST SHOULDER JOINT
CPT 23473
$149,235
$26,862
$23,340
68
clean
TREAT CLAVICLE FRACTURE
CPT 23515
$113,669
$20,461
$8,160
68
clean
TREAT CLAVICLE DISLOCATION
CPT 23550
$104,060
$18,731
$8,160
68
clean
TREAT HUMERUS FRACTURE
CPT 23605
$13,240
$2,383
$1,785
70
clean
TREAT HUMERUS FRACTURE
CPT 23615
$193,509
$34,832
$14,426
68
clean
TREAT SHOULDER DISLOCATION
CPT 23650
$20,589
$3,706
$278
70
clean
TREAT SHOULDER DISLOCATION
CPT 23655
$20,612
$3,710
$1,785
70
clean
FIXATION OF SHOULDER
CPT 23700
$24,898
$4,482
$1,785
70
clean
DRAINAGE OF ARM LESION
CPT 23930
$64,892
$11,681
$3,193
70
clean
EXPLORE/TREAT ELBOW JOINT
CPT 24101
$83,551
$15,039
$3,697
70
clean
REMOVAL OF ELBOW BURSA
CPT 24105
$72,146
$12,986
$3,697
70
clean
PARTIAL REMOVAL OF ARM BONE
CPT 24140
$84,723
$15,250
$3,697
70
clean
PARTIAL REMOVAL OF ELBOW
CPT 24147
$82,380
$14,828
$3,697
70
clean
REPAIR ARM TENDON/MUSCLE
CPT 24341
$90,868
$16,356
$8,060
70
clean
REPAIR OF RUPTURED TENDON
CPT 24342
$139,440
$25,099
$8,199
70
clean
REPAIR ELBOW DEB/ATTCH OPEN
CPT 24359
$67,633
$12,174
$3,697
70
clean
TREAT HUMERUS FRACTURE
CPT 24516
$224,463
$40,403
$14,426
68
clean
TREAT HUMERUS FRACTURE
CPT 24535
$21,883
$3,939
$1,785
70
clean
TREAT HUMERUS FRACTURE
CPT 24546
$121,371
$21,847
$14,426
68
clean
TREAT HUMERUS FRACTURE
CPT 24579
$73,414
$13,215
$14,426
68
clean
TREAT ELBOW DISLOCATION
CPT 24640
$5,388
$970
$271
70
clean
TREAT ULNAR FRACTURE
CPT 24675
$17,926
$3,227
$1,768
70
clean
TREAT ULNAR FRACTURE
CPT 24685
$147,797
$26,603
$8,199
68
clean
INCISION OF TENDON SHEATH
CPT 25000
$92,185
$16,593
$1,820
70
clean
EXC FOREARM LES SC 3 CM/>
CPT 25071
$49,695
$8,945
$1,842
70
clean
REMOVE WRIST JOINT CARTILAGE
CPT 25107
$127,031
$22,866
$3,697
70
clean
REMOVE WRIST TENDON LESION
CPT 25111
$85,254
$15,346
$1,820
70
clean
S-INJ WRIST ARTHRO
CPT 25246
$1,358
$244
$251
43
clean
REPAIR/REVISE WRIST JOINT
CPT 25320
$102,439
$18,439
$8,160
70
clean
REVISION OF ULNA
CPT 25360
$103,047
$18,549
$8,199
70
clean
REPAIR RADIUS OR ULNA
CPT 25400
$114,974
$20,695
$8,160
68
clean
REPAIR/GRAFT RADIUS OR ULNA
CPT 25405
$153,880
$27,698
$8,199
68
clean
REPAIR WRIST JOINT(S)
CPT 25447
$119,672
$21,541
$3,697
70
clean
REMOVE WRIST JOINT IMPLANT
CPT 25449
$116,265
$20,928
$8,160
70
clean
TREAT FRACTURE OF RADIUS
CPT 25515
$153,880
$27,698
$8,199
68
clean
TREAT FRACTURE OF ULNA
CPT 25535
$98,224
$17,680
$3,520
70
clean
TREAT FRACTURE OF ULNA
CPT 25545
$98,384
$17,709
$8,160
68
clean
TREAT FRACTURE RADIUS & ULNA
CPT 25565
$26,302
$4,734
$1,785
70
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25575
$143,166
$25,770
$8,199
68
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25600
$6,254
$1,126
$278
70
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25605
$18,559
$3,341
$1,785
70
clean
PERQ SKEL FIXJ DSTL RDL FX
CPT 25606
$53,409
$9,614
$3,597
70
clean
OPTX DST RD XARTC FX/EPI SEP
CPT 25607
$113,403
$20,413
$8,160
68
clean
OPTX DST RD XART FX/EPI SEP2
CPT 25608
$102,218
$18,399
$8,160
68
clean
OPTX DST RD XART FX/EP SEP3+
CPT 25609
$107,421
$19,336
$8,160
68
clean
TREAT WRIST BONE FRACTURE
CPT 25650
$81,677
$14,702
$279
70
clean
PERQ SKEL FIX ULNAR STYLD FX
CPT 25651
$53,409
$9,614
$3,597
70
clean
OPTX ULNAR STYLOID FRACTURE
CPT 25652
$106,970
$19,255
$8,160
68
clean
FUSION/GRAFT OF WRIST JOINT
CPT 25810
$223,179
$40,172
$14,426
68
clean
FUSION OF HAND BONES
CPT 25820
$103,729
$18,671
$8,160
68
clean
FUSION, RADIOULNAR JNT/ULNA
CPT 25830
$85,365
$15,366
$7,977
70
clean
DRAINAGE OF FINGER ABSCESS
CPT 26010
$9,188
$1,654
$227
70
clean
DRAINAGE OF FINGER ABSCESS
CPT 26011
$31,602
$5,688
$1,816
70
clean
DRAIN HAND TENDON SHEATH
CPT 26020
$56,172
$10,111
$3,597
70
clean
INCISE FINGER TENDON SHEATH
CPT 26055
$46,988
$8,458
$1,808
70
clean
EXC HAND LES SC 1.5 CM/>
CPT 26111
$43,030
$7,745
$1,816
70
clean
RELEASE PALM CONTRACTURE
CPT 26121
$52,494
$9,449
$3,597
70
clean
REMOVE TENDON SHEATH LESION
CPT 26160
$51,340
$9,241
$1,820
70
clean
PARTIAL REMOVAL, FINGER BONE
CPT 26236
$80,091
$14,416
$1,820
70
clean
REPAIR FINGER/HAND TENDON
CPT 26356
$63,202
$11,376
$3,697
70
clean
REPAIR HAND TENDON
CPT 26410
$103,474
$18,625
$1,820
70
clean
REPAIR FINGER TENDON
CPT 26418
$95,233
$17,142
$1,820
70
clean
RELEASE PALM/FINGER TENDON
CPT 26440
$53,538
$9,637
$1,820
70
clean
HAND TENDON RECONSTRUCTION
CPT 26502
$199,939
$35,989
$7,557
70
clean
REVISE KNUCKLE JOINT
CPT 26530
$180,006
$32,401
$8,199
68
clean
REVISE/IMPLANT FINGER JOINT
CPT 26536
$73,849
$13,293
$8,160
68
clean
REPAIR HAND JOINT
CPT 26540
$81,045
$14,588
$3,697
70
clean
REPAIR HAND JOINT WITH GRAFT
CPT 26542
$66,353
$11,944
$3,679
68
clean
TREAT METACARPAL FRACTURE
CPT 26605
$13,267
$2,388
$278
70
clean
TREAT METACARPAL FRACTURE
CPT 26608
$63,014
$11,343
$3,697
70
clean
TREAT METACARPAL FRACTURE
CPT 26615
$88,851
$15,993
$3,697
70
clean

Showing the first 200 of 2,883 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 86341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $30
CPT 86343/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $58
CPT 86363/o
warn
mrf_negotiated_above_gross
highest negotiated rate $186 exceeds the gross charge $125
CPT 86617/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $51
CPT 86648/o
warn
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $68
CPT 86663/o
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $19
CPT 86774/o
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $66
CPT 86778/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $64
CPT 86885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $511 exceeds the gross charge $239
CPT 86886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $511 exceeds the gross charge $357
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $276
CPT C9290/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $18
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,076 exceeds the gross charge $89
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,076 exceeds the gross charge $623
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $511 exceeds the gross charge $272
CPT G0010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $70
CPT 87254/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $69
CPT 87255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $120
CPT 87338/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $47
CPT 87426/o
warn
mrf_negotiated_above_gross
highest negotiated rate $174 exceeds the gross charge $88
CPT 87506/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,297 exceeds the gross charge $926
CPT 87507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,056 exceeds the gross charge $1,379
CPT 27524/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21,777 exceeds the gross charge $11,910
CPT 87512/o
warn
mrf_negotiated_above_gross
highest negotiated rate $206 exceeds the gross charge $139
CPT 87631/o
warn
mrf_negotiated_above_gross
highest negotiated rate $703 exceeds the gross charge $634
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $152
CPT J0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $8
CPT 88172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $511 exceeds the gross charge $348
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,076 exceeds the gross charge $688
CPT 88307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,076 exceeds the gross charge $752
CPT 72202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $283
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,418 exceeds the gross charge $1,151
CPT J0630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42,278 exceeds the gross charge $15,430
CPT 88344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,076 exceeds the gross charge $693
CPT 88360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $511 exceeds the gross charge $360
CPT 88381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $292 exceeds the gross charge $149
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,850 exceeds the gross charge $4,693
CPT 11402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,125 exceeds the gross charge $1,601
CPT 91200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $710 exceeds the gross charge $612
CPT 92650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $543 exceeds the gross charge $198
CPT 92924/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34,646 exceeds the gross charge $32,738
CPT 92933/o
warn
mrf_negotiated_above_gross
highest negotiated rate $55,016 exceeds the gross charge $54,302
CPT J1561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $0
CPT 73551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $393 exceeds the gross charge $149
CPT 55700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114,230 exceeds the gross charge $41,690
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,984 exceeds the gross charge $1,541
CPT 58300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $136,432 exceeds the gross charge $49,793
CPT 29445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $839 exceeds the gross charge $298
CPT 29580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $488 exceeds the gross charge $170
CPT 74019/o
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $140
CPT J2212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $8
CPT 93797/o
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $164
CPT 59412/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,715 exceeds the gross charge $1,078
CPT J2325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,488 exceeds the gross charge $908
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29 exceeds the gross charge $0
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $689 exceeds the gross charge $207
CPT 94618/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $273
CPT 75625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $8,696
CPT 30310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,950 exceeds the gross charge $2,221
CPT 75630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $8,932
CPT J3030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,757 exceeds the gross charge $4,291
CPT 75710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $8,456
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $657 exceeds the gross charge $251
CPT 75716/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $9,247
CPT J3300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $40
CPT 75741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $9,924
CPT 94681/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $973
CPT 75743/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $9,924
CPT 94726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $458
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $9,924
CPT 75820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,922 exceeds the gross charge $4,755
CPT 94780/o
warn
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $97
CPT 75825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,776 exceeds the gross charge $7,495
CPT 95712/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $823
CPT 95713/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $823
CPT 95716/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,577 exceeds the gross charge $1,579
CPT M0249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,323 exceeds the gross charge $1,149
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $657 exceeds the gross charge $407
CPT M0250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,323 exceeds the gross charge $1,149
CPT 32557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,724 exceeds the gross charge $1,631
CPT 33016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,724 exceeds the gross charge $4,655
CPT 95907/o
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $614
CPT 95908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $614
CPT 95909/o
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $614
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $614
CPT 95911/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,120 exceeds the gross charge $614
CPT Q4125/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $7
CPT Q4126/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $286
CPT Q4128/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $149
CPT Q4186/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $367
CPT 36591/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $331
CPT S9443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $770 exceeds the gross charge $281
CPT 36592/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $336
CPT S9472/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,576 exceeds the gross charge $575
CPT S9473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,540 exceeds the gross charge $562
CPT T5999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $912 exceeds the gross charge $333
CPT U0001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $134
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $283
CPT V2785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57,888 exceeds the gross charge $21,127
CPT 37191/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,700 exceeds the gross charge $9,860
CPT 70100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $393 exceeds the gross charge $198
CPT 78802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,020 exceeds the gross charge $3,124
CPT 98970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $16
CPT 98971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $28
CPT 37221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $568,332 exceeds the gross charge $207,420
CPT 80050/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,861 exceeds the gross charge $2,504
CPT 98972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $43
CPT 37224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $218,543 exceeds the gross charge $79,760
CPT 80081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $369 exceeds the gross charge $318
CPT 99000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $11
CPT 37225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $470,609 exceeds the gross charge $171,755
CPT 80145/o
warn
mrf_negotiated_above_gross
highest negotiated rate $155 exceeds the gross charge $43
CPT 37229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $470,609 exceeds the gross charge $171,755
CPT 80159/o
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $22
CPT 80169/o
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $58
CPT 80230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $148
CPT 80280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $155 exceeds the gross charge $43
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,745 exceeds the gross charge $2,299
CPT 81335/o
warn
mrf_negotiated_above_gross
highest negotiated rate $479 exceeds the gross charge $193
CPT 81403/o
warn
mrf_negotiated_above_gross
highest negotiated rate $913 exceeds the gross charge $589
CPT 82397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $70 exceeds the gross charge $66
CPT 82542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $110
CPT 82642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $125
CPT 82653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $25
CPT 83992/o
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $155
CPT 84202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $67
CPT 85306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $72
CPT 86008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $84
CPT 86053/o
warn
mrf_negotiated_above_gross
highest negotiated rate $186 exceeds the gross charge $125
warn
mrf_rate_without_estimate
12,328 of 12,328 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 26542/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 43247/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 70496/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 86077/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 C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 9 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 26605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43248/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 70498/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 86079/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 C1778/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 26608/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43249/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 70540/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 C1780/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 26615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43255/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 70543/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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26700/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 43280/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 70544/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 C1783/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 26705/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 43281/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 70546/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 86603/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 C1785/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 26727/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43282/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 70547/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 C1786/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 26735/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43450/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 70548/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 C1788/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 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 43762/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 70549/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 C1820/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 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 43772/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 70551/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 86696/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 C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26775/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 43774/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 70552/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 86710/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 C1876/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 26842/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 44100/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 70553/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 86727/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 C1884/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 26850/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 44180/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 71045/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 86765/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 C1887/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 26860/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 44970/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 71046/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 86769/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 C1889/o
info
mrf_item_fields_vary
this code and setting cover at least 12 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 26951/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45330/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 71047/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 C1894/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 26952/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 45331/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 1,437 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 480
info
inp_charge_10x_payment
average charge $236,866 is 10.9× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $190,266 is 10.9× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $195,752 is 11.8× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $154,721 is 10.1× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Lake Granbury Medical Center — standard charges file · TX · updated 2026-04-01
    · csv-wide · 118.6M bytes · fetched 2026-08-26 · sha256 c68d41a120ed…

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.