Hospital · CCN 450644

Hca Houston Healthcare West

12141 Richmond Ave, Houston, TX 77082 · Harris County
Part of HCA Healthcare · 223 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

20 admission types 44 outpatient services price file: ok 2 Medicare-file findings

Billed per dollar paid, all admissions

8.23×

$79.4M billed against $9.6M paid across 527 Medicare discharges; the national figure is 5.03×.

5.1%

of adults in Harris County have medical debt in collections

22.2%

uninsured in the county · state 18.8%

$72K

median household income

6.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (38 in the inpatient or outpatient file)ⓘ

37.3%

obesity in the countyⓘ

13.2%

diagnosed diabetes (PLACES)

5.4%

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

134

$172,734

$19,753

8.7× st 6.7×

291

Heart failure and shock with mcc

$100,961

$13,391

7.5× st 5.8×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$89,608

$13,541

6.6× st 5.7×

193

Simple pneumonia and pleurisy with mcc

$124,020

$14,373

8.6× st 6.5×

177

Respiratory infections and inflammations with mcc

$114,366

$17,001

6.7× st 6.1×

682

Renal failure with mcc

$125,029

$15,445

8.1× st 6.2×

683

Renal failure with cc

$83,372

$10,359

8.0× st 5.8×

870

Septicemia or severe sepsis with mv >96 hours

$344,561

$52,551

6.6× st 7.3×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$388,392

$37,993

10.2× st 6.9×

280

Acute myocardial infarction, discharged alive with mcc

$139,604

$16,263

8.6× st 6.9×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$104,249

$11,967

8.7× st 5.8×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$93,510

$9,361

10.0× st 5.6×

690

Kidney and urinary tract infections without mcc

$64,255

$9,975

6.4× st 5.2×

698

Other kidney and urinary tract diagnoses with mcc

$155,327

$16,522

9.4× st 6.1×

208

Respiratory system diagnosis with ventilator support <=96 hours

$175,885

$24,673

7.1× st 7.8×

101

Seizures without mcc

$67,161

$11,102

6.0× st 6.2×

637

Diabetes with mcc

$104,715

$14,939

7.0× st 6.5×

189

Pulmonary edema and respiratory failure

$107,343

$12,725

8.4× st 5.6×

274

Percutaneous and other intracardiac procedures without mcc

$336,286

$29,178

11.5× st 9.3×

064

Intracranial hemorrhage or cerebral infarction with mcc

$178,036

$19,153

9.3× st 7.3×

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

$44,016

$2,539

17.3×

5114

Level 4 Musculoskeletal Procedures

$130,407

$6,634

19.7×

5183

Level 3 Vascular Procedures

$64,147

$2,956

21.7×

5113

Level 3 Musculoskeletal Procedures

$87,717

$3,001

29.2×

5213

Level 3 Electrophysiologic Procedures

$360,489

$21,966

16.4×

5191

Level 1 Endovascular Procedures

$49,418

$3,026

16.3×

5361

Level 1 Laparoscopy and Related Services

$82,505

$5,350

15.4×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$22,215

$1,504

14.8×

5375

Level 5 Urology and Related Services

$96,646

$4,798

20.1×

5232

Level 2 ICD and Similar Procedures

$282,644

$30,415

9.3×

5193

Level 3 Endovascular Procedures

$140,272

$10,192

13.8×

5374

Level 4 Urology and Related Services

$56,743

$3,233

17.6×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5331

Complex GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5303

Level 3 Upper GI Procedures

—

5302

Level 2 Upper GI Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5362

Level 2 Laparoscopy and Related Services

—

5116

Level 6 Musculoskeletal Procedures

—

5373

Level 3 Urology and Related Services

—

5212

Level 2 Electrophysiologic Procedures

—

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5462

Level 2 Neurostimulator and Related Procedures

—

5184

Level 4 Vascular Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5115

Level 5 Musculoskeletal Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5192

Level 2 Endovascular Procedures

—

5194

Level 4 Endovascular Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5378

Level 8 Urology and Related Services

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-05-14, template 3.0.0, 274,096 rows scanned, 17,991 distinct code–setting items kept. 13,914 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported

CPT 0001U

—

$1,548

173

clean

Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo

CPT 0002M

—

$2,071

154

clean

CPT 0003M

—

$2,071

154

clean

Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score

CPT 0005U

—

$3,127

187

clean

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo

CPT 0012M

—

$1,695

171

clean

CPT 0013M

—

$1,695

171

clean

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster

CPT 0015M

—

$2,023

171

clean

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b

CPT 0016M

—

$5,409

171

clean

Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy

CPT 0018U

—

$6,695

171

clean

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo

CPT 0023U

—

$534

173

clean

Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative

CPT 0024U

—

$76

171

clean

Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result ("Positive, high probability of

CPT 0026U

—

$8,028

171

clean

JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15

CPT 0027U

—

$272

171

clean

Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)

CPT 0029U

—

$1,655

171

clean

TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)

CPT 0034U

—

$1,040

171

clean

Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative

CPT 0035U

—

$1,206

171

clean

Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit

CPT 0037U

—

$7,805

175

clean

Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM

CPT 0041U

—

$38

171

clean

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and m

CPT 0042T

—

$1,203

clean

Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG

CPT 0042U

—

$38

171

clean

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

CPT 0043U

—

$33

171

clean

Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG

CPT 0044U

—

$33

171

clean

Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm

CPT 0045U

—

$8,637

171

clean

Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor

CPT 0047U

—

$8,637

171

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

CPT 0054T

—

$2,017

146

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

CPT 0055T

—

$2,017

146

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

CPT 0058U

—

$720

171

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative

CPT 0059U

—

$720

171

clean

Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis

CPT 0061U

—

$56

171

clean

Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative

CPT 0064U

—

$67

173

clean

Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR)

CPT 0065U

—

$39

173

clean

Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species

CPT 0068U

—

$307

173

clean

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel

CPT 0075T

—

$10,740

125

clean

Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype

CPT 0077U

—

$86

173

clean

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet

CPT 0080U

—

$7,850

171

clean

Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es)

CPT 0089U

—

$1,695

171

clean

Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori

CPT 0090U

—

$4,349

171

clean

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

CPT 0101T

—

$5,951

133

clean

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San

CPT 0101U

—

$3,498

171

clean

Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI

CPT 0105U

—

$2,119

171

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation

CPT 0106T

—

$108

clean

Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat

CPT 0106U

—

$1,355

173

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation

CPT 0107T

—

$108

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia

CPT 0108T

—

$178

clean

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-

CPT 0108U

—

$7,673

171

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia

CPT 0109T

—

$108

clean

Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene

CPT 0112U

—

$552

171

clean

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f

CPT 0118U

—

$7,225

171

clean

Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events

CPT 0119U

—

$130

171

clean

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A

CPT 0129U

—

$2,803

171

clean

Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens

CPT 0152U

—

$3,296

171

clean

Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results

CPT 0164U

—

$174

171

clean

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili

CPT 0166U

—

$1,123

171

clean

Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a

CPT 0172U

—

$4,697

173

clean

Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil

CPT 0174T

—

$66

clean

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che

CPT 0174U

—

$2,023

171

clean

Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)

CPT 0184T

—

$4,690

237

clean

Daily hospital management of epidural or subarachnoid continuous drug administration

CPT 01996

—

$4,690

clean

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w

CPT 0200T

—

$6,800

133

clean

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when

CPT 0201T

—

$6,800

133

clean

Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i

CPT 0202T

—

$5,841

211

clean

Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua

CPT 0202U

$1,100

$417

150

clean

Neurology Alzheimer Disease Cell Aggregation

CPT 0206U

—

$3,434

171

clean

Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral

CPT 0207T

—

$1,899

182

clean

Neurology Alzheimer Disease Quantitative Imaging

CPT 0207U

—

$792

171

clean

Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed

CPT 0232T

—

$2,181

221

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel

CPT 0237T

—

$4,690

237

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel

CPT 0238T

$35,665

$5,520

276

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec

CPT 0239U

—

$7,525

173

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra

CPT 0242U

—

$7,750

173

clean

Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna

CPT 0245U

—

$3,563

171

clean

Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden

CPT 0250U

—

$7,070

173

clean

Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programmin

CPT 0266T

—

$11,636

clean

Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed)

CPT 0268T

—

$12,167

clean

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde

CPT 0275T

—

$8,778

clean

Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)

CPT 0278T

—

$1,120

clean

Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb

CPT 0288U

—

$6,003

171

clean

Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo

CPT 0295U

—

$7,803

171

clean

Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD

CPT 0308U

—

$606

171

clean

Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported

CPT 0309U

—

$606

171

clean

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi

CPT 0311U

—

$17

173

clean

Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl

CPT 0312U

—

$1,807

171

clean

Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm

CPT 0315U

—

$8,500

clean

Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection

CPT 0320U

—

$2,650

clean

Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang

CPT 0326U

—

$5,000

clean

Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation

CPT 0329U

—

$3,438

clean

Tear film imaging, unilateral or bilateral, with interpretation and report

CPT 0330T

—

$114

clean

Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,

CPT 0334U

—

$7,805

171

clean

Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19

CPT 0337U

—

$2,435

clean

Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark

CPT 0338U

—

$2,435

clean

Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r

CPT 0339T

—

$4,988

219

clean

Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a

CPT 0339U

—

$3,127

171

clean

Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p

CPT 0340U

—

$8,742

171

clean

Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato

CPT 0344U

—

$792

clean

Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0345U

—

$2,071

171

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes

CPT 0347U

—

$2,071

171

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes

CPT 0348U

—

$1,438

171

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions

CPT 0349U

—

$1,438

171

clean

Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)

CPT 0350T

—

$322

123

clean

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative

CPT 0351T

—

$8,013

clean

Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor

CPT 0351U

—

$404

173

clean

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred

CPT 0352T

—

$2,186

clean

Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate

CPT 0352U

—

$636

clean

Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte

CPT 0353U

—

$313

clean

Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants

CPT 0355U

—

$137

clean

Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence

CPT 0356U

—

$1,800

clean

Bioelectrical impedance analysis whole body composition assessment, with interpretation and report

CPT 0358T

—

$74

clean

Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative

CPT 0358U

—

$261

clean

Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer

CPT 0359U

—

$783

110

clean

Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy

CPT 0360U

—

$866

110

clean

Neurofilament light chain, digital immunoassay, plasma, quantitative

CPT 0361U

—

$4,690

clean

Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking

CPT 0363U

—

$783

110

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer

CPT 0365U

—

$897

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer

CPT 0366U

—

$897

clean

Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1

CPT 0375U

—

$897

clean

Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta

CPT 0376U

—

$706

clean

Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical suppor

CPT 0379T

—

$108

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange

CPT 0379U

—

$3,289

clean

Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f

CPT 0388U

—

$3,500

clean

Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative

CPT 0393U

—

$541

clean

High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed

CPT 0394T

—

$1,602

clean

Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative

CPT 0394U

—

$199

clean

High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed

CPT 0395T

—

$2,614

clean

Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when

CPT 0398T

—

$9,875

clean

Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer

CPT 0398U

—

$1,755

clean

Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed

CPT 0402T

—

$2,727

237

clean

Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer

CPT 0403U

—

$760

clean

Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression

CPT 0404U

—

$323

clean

Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer

CPT 0406U

—

$760

clean

Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas

CPT 0407U

—

$950

clean

Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator

CPT 0408T

—

$15,976

138

clean

Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite

CPT 0409U

—

$2,920

clean

Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0411U

—

$1,336

clean

Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5

CPT 0415U

—

$391

clean

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including

CPT 0417T

—

$117

clean

Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable cardiac contractility modulation syste

CPT 0418T

—

$117

clean

Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or

CPT 0421T

—

$2,832

169

clean

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D

CPT 0422U

—

$1,943

clean

Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative

CPT 0430U

—

$62

clean

Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative

CPT 0431U

—

$37

clean

Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative

CPT 0432U

—

$37

clean

Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer

CPT 0433U

—

$760

clean

Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes

CPT 0434U

—

$417

clean

Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure)

CPT 0437T

—

$2,099

144

clean

Myocardial contrast perfusion echocardiography, at rest or with stress, for assessment of myocardial ischemia or viability (List separately in addition to code for primary procedure)

CPT 0439T

—

$313

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve

CPT 0441T

—

$2,992

221

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)

CPT 0442T

—

$4,690

221

clean

Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid

CPT 0443U

—

$116

clean

Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training

CPT 0446T

—

$2,299

221

clean

Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision

CPT 0447T

—

$2,181

221

clean

Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation

CPT 0448T

—

$2,299

221

clean

Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device

CPT 0449T

—

$4,690

221

clean

Visual evoked potential, testing for glaucoma, with interpretation and report

CPT 0464T

—

$386

clean

Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68

CPT 0473U

—

$4,500

clean

Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array

CPT 0475U

—

$1,304

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children

CPT 0479T

—

$2,181

213

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther

CPT 0480T

—

$2,181

156

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed

CPT 0483T

—

$10,964

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)

CPT 0484T

—

$10,964

clean

Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral

CPT 0485T

—

$114

clean

Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc

CPT 0485U

—

$3,649

clean

Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral

CPT 0486T

—

$114

clean

Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio

CPT 0494T

—

$10,740

109

clean

Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu

CPT 0495T

—

$9,457

clean

Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso

CPT 0505T

—

$4,690

213

clean

Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or bilateral, with interpretation and report

CPT 0507T

—

$187

clean

Electroretinography (ERG) with interpretation and report, pattern (PERG)

CPT 0509T

—

$163

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound

CPT 0512T

—

$2,428

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure)

CPT 0513T

—

$1,702

clean

Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp

CPT 0523T

—

$1,702

clean

Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system

CPT 0525T

—

$5,143

213

clean

Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report

CPT 0528T

—

$101

clean

Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report

CPT 0529T

—

$101

clean

Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report

CPT 0546T

—

$142

clean

Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional

CPT 0552T

—

$2,631

clean

Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide

CPT 0561T

—

$125

clean

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

CPT 0562T

—

$77

clean

Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral

CPT 0563T

—

$2,017

213

clean

Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis

CPT 0569T

—

$9,913

clean

Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)

CPT 0570T

—

$9,913

clean

Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre

CPT 0571T

—

$4,742

205

clean

Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with iterative adjustment of the implantable device to test the function of the de

CPT 0575T

—

$101

clean

Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care p

CPT 0576T

—

$101

clean

Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualifi

CPT 0578T

—

$101

clean

Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, t

CPT 0579T

—

$101

clean

Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral

CPT 0581T

—

$4,197

213

clean

Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wi

CPT 0590T

—

$316

clean

Health and well-being coaching face-to-face; individual, initial assessment

CPT 0591T

—

$81

clean

Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes

CPT 0592T

—

$165

clean

Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)

CPT 0598T

—

$595

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous

CPT 0600T

—

$4,690

213

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open

CPT 0601T

—

$4,690

213

clean

Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su

CPT 0605T

—

$84

clean

Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture,

CPT 0607T

—

$374

clean

Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture,

CPT 0608T

—

$117

clean

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens

CPT 0616T

—

$4,690

clean

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens

CPT 0617T

—

$4,690

clean

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with secondary intraocular lens placement or intraocular lens exchange

CPT 0618T

—

$4,690

clean

Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed

CPT 0619T

—

$3,486

153

clean

Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul

CPT 0620T

—

$4,690

213

clean

Showing the first 200 of 17,991 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

281 of 1,476 comparable items (19%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,330 exceeds the gross charge $1,100

warn

mrf_rate_without_estimate

23,241 of 23,241 percentage/algorithm rates across 4,768 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 0193U/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0387T/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0579U/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 10140/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 15366/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20551/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 21600/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 23700/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 25628/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27080/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27648/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 28675/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31300/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33016/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33777/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35485/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36600/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 39010/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43234/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 44377/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 47146/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 49655/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 52277/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 55650/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58554/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61590/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 63280/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64907/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 67999/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72114/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76511/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78496/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81187/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81525/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 83661/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 85520/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 87637/o

info

mrf_item_fields_vary

this code and setting cover at least 3 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 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 93594/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 99292/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT C1813/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 E0217/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT E1221/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT G0384/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J0897/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J2403/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J7355/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J9394/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q4147/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q5108/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 138/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 439/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 776/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0194U/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0387U/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0580T/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 10160/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 15400/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20552/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 21601/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 23800/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 25630/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27086/o

info

mrf_item_fields_vary

this code and setting cover at least 5 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 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 28705/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31320/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33017/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33778/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35490/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36620/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 39200/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43235/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 44378/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 47147/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 49656/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 52281/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 55680/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58555/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61591/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 63281/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64910/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 68020/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72120/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76512/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78499/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81188/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81528/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 83662/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 85525/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 86860/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 87640/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 90472/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 93595/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT E0225/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT E1222/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT G0390/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J0898/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J2404/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 J7356/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J9395/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q4148/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q5110/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 139/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 440/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 779/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0195T/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0388T/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0580U/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 10180/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 15401/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20553/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 21602/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 23802/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 25635/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27087/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27652/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 28715/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31360/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33018/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33779/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35491/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36625/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 39220/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43236/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 44379/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 47300/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 49657/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 52282/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 55700/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58558/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61592/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 63282/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64911/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 68040/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72125/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76513/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78579/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81189/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81529/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 83663/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 85530/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 87641/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 93596/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 99406/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT C1819/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT E0235/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT E1223/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT G0399/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J0899/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J2405/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 J7402/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J9400/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q4149/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT Q5111/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 140/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 441/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 783/i

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0195U/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0388U/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 0581T/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 1020T/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 15420/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20555/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 21603/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 23900/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 25645/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27090/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27654/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 28725/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31365/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33019/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33780/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35492/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36640/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 39400/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43237/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 44380/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 47350/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 49659/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 52283/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 55705/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58559/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61595/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 63283/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64912/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 68100/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72126/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76514/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78580/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81190/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81535/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 83664/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 85536/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 86870/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 87650/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 90480/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 93597/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 86 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 13,914 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 274

info

inp_charge_10x_payment

average charge $336,286 is 11.5× the total payment

MS-DRG 853

info

inp_charge_10x_payment

average charge $388,392 is 10.2× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them

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)
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)
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
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)
Hca Houston Healthcare West — standard charges file · TX · updated 2026-05-14
· json · 668.5M bytes · fetched 2026-08-24 · sha256 337dc493e50f…

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.