Hospital · CCN 450771

Texas Health Presbyterian Hospital Plano

6200 W Parker Rd, Plano, TX 75093 · Collin County
Part of Texas Health Resources · 307 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

93 admission types 48 outpatient services price file: ok
Billed per dollar paid, all admissions
4.78×
$204.5M billed against $42.8M paid across 3,045 Medicare discharges; the national figure is 5.03×.
4.5%
of adults in Collin County have medical debt in collections
10.6%
uninsured in the county · state 18.8%
$120K
median household income
7.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (14 in the inpatient or outpatient file)ⓘ
32.3%
obesity in the countyⓘ
9.5%
diagnosed diabetes (PLACES)
4.3%
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
396
$68,983
$15,141
4.6× st 6.7×
291
Heart failure and shock with mcc
144
$52,049
$10,400
5.0× st 5.8×
177
Respiratory infections and inflammations with mcc
116
$64,314
$12,806
5.0× st 6.1×
481
Hip and femur procedures except major joint with cc
74
$79,799
$16,897
4.7× st 7.3×
698
Other kidney and urinary tract diagnoses with mcc
72
$66,109
$13,577
4.9× st 6.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
70
$43,094
$8,801
4.9× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
67
$36,336
$6,941
5.2× st 6.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
67
$82,555
$15,782
5.2× st 7.3×
689
Kidney and urinary tract infections with mcc
66
$46,472
$9,173
5.1× st 5.6×
193
Simple pneumonia and pleurisy with mcc
64
$49,804
$10,403
4.8× st 6.5×
682
Renal failure with mcc
64
$53,058
$11,718
4.5× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
63
$53,218
$10,907
4.9× st 5.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
56
$51,449
$9,137
5.6× st 6.9×
690
Kidney and urinary tract infections without mcc
54
$33,795
$7,380
4.6× st 5.2×
603
Cellulitis without mcc
53
$33,620
$8,127
4.1× st 4.9×
683
Renal failure with cc
51
$35,539
$8,437
4.2× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
45
$143,530
$33,783
4.2× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
38
$34,630
$6,890
5.0× st 5.6×
378
Gastrointestinal hemorrhage with cc
38
$43,408
$8,129
5.3× st 6.2×
552
Medical back problems without mcc
36
$39,187
$8,006
4.9× st 7.0×
189
Pulmonary edema and respiratory failure
36
$47,499
$10,164
4.7× st 5.6×
330
Major small and large bowel procedures with cc
36
$85,836
$17,870
4.8× st 6.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
35
$87,746
$16,543
5.3× st 7.9×
377
Gastrointestinal hemorrhage with mcc
34
$75,198
$15,399
4.9× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
32
$55,044
$10,267
5.4× st 6.6×
389
Gastrointestinal obstruction with cc
31
$37,719
$7,484
5.0× st 5.9×
274
Percutaneous and other intracardiac procedures without mcc
30
$88,030
$24,847
3.5× st 9.3×
467
Revision of hip or knee replacement with cc
29
$133,974
$24,244
5.5× st 9.4×
178
Respiratory infections and inflammations with cc
29
$38,088
$8,035
4.7× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$93,874
$19,904
4.7× st 9.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
28
$84,633
$18,150
4.7× st 7.1×
085
Traumatic stupor and coma <1 hour with mcc
28
$79,410
$16,232
4.9× st 6.4×
025
Craniotomy and endovascular intracranial procedures with mcc
28
$147,690
$29,921
4.9× st 7.4×
194
Simple pneumonia and pleurisy with cc
28
$40,132
$8,033
5.0× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
26
$60,805
$10,951
5.6× st 5.9×
305
Hypertension without mcc
25
$45,422
$6,571
6.9× st 7.4×
331
Major small and large bowel procedures without cc/mcc
25
$74,382
$15,623
4.8× st 6.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
25
$142,071
$33,880
4.2× st 7.1×
483
Major joint or limb reattachment procedures of upper extremities
25
$114,215
$20,650
5.5× st 9.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
24
$87,496
$14,167
6.2× st 7.7×
812
Red blood cell disorders without mcc
24
$48,116
$8,062
6.0× st 5.1×
086
Traumatic stupor and coma <1 hour with cc
23
$47,785
$11,528
4.1× st 5.8×
100
Seizures with mcc
23
$56,713
$16,411
3.5× st 7.0×
468
Revision of hip or knee replacement without cc/mcc
22
$91,462
$19,335
4.7× st 9.0×
280
Acute myocardial infarction, discharged alive with mcc
21
$58,519
$14,067
4.2× st 6.9×
637
Diabetes with mcc
21
$57,614
$10,737
5.4× st 6.5×
312
Syncope and collapse
21
$45,684
$8,133
5.6× st 7.1×
309
Cardiac arrhythmia and conduction disorders with cc
20
$34,753
$7,652
4.5× st 6.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
20
$110,211
$15,080
7.3× st 7.1×
480
Hip and femur procedures except major joint with mcc
20
$122,989
$20,588
6.0× st 7.1×
329
Major small and large bowel procedures with mcc
19
$181,990
$52,480
3.5× st 6.4×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
19
$116,313
$18,008
6.5× st 8.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
19
$79,878
$14,839
5.4× st 7.9×
811
Red blood cell disorders with mcc
19
$57,680
$10,973
5.3× st 5.9×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$39,691
$9,105
4.4× st 5.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
18
$89,748
$20,887
4.3× st 7.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
18
$31,000
$5,602
5.5× st 6.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$55,025
$11,881
4.6× st 6.5×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$40,463
$7,248
5.6× st 7.9×
087
Traumatic stupor and coma <1 hour without cc/mcc
17
$40,356
$7,492
5.4× st 7.5×
190
Chronic obstructive pulmonary disease with mcc
17
$50,902
$8,858
5.7× st 4.9×
314
Other circulatory system diagnoses with mcc
16
$59,406
$14,942
4.0× st 6.1×
101
Seizures without mcc
16
$47,419
$7,333
6.5× st 6.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$66,412
$15,475
4.3× st 5.9×
699
Other kidney and urinary tract diagnoses with cc
16
$37,121
$8,944
4.2× st 5.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
15
$190,922
$38,493
5.0× st 7.9×
235
Coronary bypass without cardiac catheterization with mcc
15
$191,275
$46,784
4.1× st 6.0×
394
Other digestive system diagnoses with cc
15
$39,703
$7,807
5.1× st 6.4×
551
Medical back problems with mcc
14
$60,630
$12,731
4.8× st 7.0×
602
Cellulitis with mcc
14
$46,895
$10,937
4.3× st 5.5×
948
Signs and symptoms without mcc
14
$35,969
$7,290
4.9× st 5.4×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
14
$48,450
$15,185
3.2× st 9.0×
083
Traumatic stupor and coma >1 hour with cc
13
$48,787
$10,900
4.5× st 6.0×
472
Cervical spinal fusion with cc
13
$86,348
$27,477
3.1× st 7.2×
580
Other skin, subcutaneous tissue and breast procedures with cc
13
$73,930
$15,018
4.9× st 8.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$119,878
$21,220
5.6× st 8.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
13
$39,010
$9,317
4.2× st 6.7×
638
Diabetes with cc
12
$31,718
$8,290
3.8× st 4.8×
870
Septicemia or severe sepsis with mv >96 hours
12
$269,620
$52,322
5.2× st 7.3×
390
Gastrointestinal obstruction without cc/mcc
12
$26,025
$5,946
4.4× st 5.7×
164
Major chest procedures with cc
12
$124,840
$18,560
6.7× st 7.7×
482
Hip and femur procedures except major joint without cc/mcc
12
$52,863
$12,113
4.4× st 8.2×
243
Permanent cardiac pacemaker implant with cc
12
$86,405
$16,735
5.2× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
12
$134,684
$25,279
5.3× st 8.2×
184
Major chest trauma with cc
12
$52,346
$9,883
5.3× st 6.1×
643
Endocrine disorders with mcc
12
$65,650
$12,537
5.2× st 6.8×
917
Poisoning and toxic effects of drugs with mcc
11
$41,852
$14,025
3.0× st 5.2×
057
Degenerative nervous system disorders without mcc
11
$73,084
$10,406
7.0× st 5.9×
281
Acute myocardial infarction, discharged alive with cc
11
$41,126
$7,491
5.5× st 7.8×
071
Other cerebrovascular disorders with cc
11
$52,431
$8,098
6.5× st 5.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$74,818
$23,323
3.2× st 6.7×
478
Biopsies of musculoskeletal system and connective tissue with cc
11
$98,364
$16,954
5.8× st 8.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
11
$149,058
$42,477
3.5× st 7.5×
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
488
$23,668
$2,443
9.7×
5115
Level 5 Musculoskeletal Procedures
295
$65,541
$11,759
5.6×
5361
Level 1 Laparoscopy and Related Services
155
$34,227
$5,140
6.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
116
$9,470
$1,447
6.5×
5302
Level 2 Upper GI Procedures
115
$11,752
$1,700
6.9×
5213
Level 3 Electrophysiologic Procedures
95
$93,733
$21,319
4.4×
5191
Level 1 Endovascular Procedures
71
$21,803
$2,937
7.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
51
$23,422
$2,517
9.3×
5375
Level 5 Urology and Related Services
48
$18,512
$4,657
4.0×
5114
Level 4 Musculoskeletal Procedures
44
$40,364
$6,438
6.3×
5193
Level 3 Endovascular Procedures
43
$64,044
$9,893
6.5×
5362
Level 2 Laparoscopy and Related Services
39
$57,651
$9,259
6.2×
5116
Level 6 Musculoskeletal Procedures
38
$68,815
$16,735
4.1×
5374
Level 4 Urology and Related Services
36
$15,812
$3,137
5.0×
5183
Level 3 Vascular Procedures
35
$13,491
$2,803
4.8×
5155
Level 5 Airway Endoscopy
33
$41,939
$5,862
7.2×
5182
Level 2 Vascular Procedures
32
$5,965
$1,441
4.1×
5223
Level 3 Pacemaker and Similar Procedures
28
$52,366
$9,603
5.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
25
$25,017
$3,113
8.0×
5373
Level 3 Urology and Related Services
22
$11,302
$1,833
6.2×
5194
Level 4 Endovascular Procedures
16
$80,518
$15,749
5.1×
5154
Level 4 Airway Endoscopy
16
$23,244
$3,370
6.9×
5184
Level 4 Vascular Procedures
15
$32,489
$4,946
6.6×
5153
Level 3 Airway Endoscopy
15
$13,227
$1,527
8.7×
5415
Level 5 Gynecologic Procedures
13
$23,290
$4,202
5.5×
5416
Level 6 Gynecologic Procedures
13
$35,322
$6,800
5.2×
5303
Level 3 Upper GI Procedures
12
$19,772
$3,446
5.7×
5113
Level 3 Musculoskeletal Procedures
11
$28,627
$2,913
9.8×
5431
Level 1 Nerve Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal 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-tall, last updated 2026-04-21, template 3.0.0, 7,366,704 rows scanned, 15,954 distinct code–setting items kept. 8,625 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$756
10
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$529
10
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$529
10
clean
ONCO PRST8 3 GENE UR ALG
—
—
$798
10
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$798
10
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$798
10
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,371
10
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,664
10
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,152
10
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$261
10
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$36
10
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,780
10
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$128
10
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$779
10
clean
TPMT NUDT15 GENES
—
—
$489
10
clean
RT-QULC R1
$544
$326
$546
74
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,675
10
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$18
10
clean
CT PERFUSION W/CONTRAST CBF
$3,362
$2,017
$1,222
27
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$18
10
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$16
10
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$16
10
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$4,067
10
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$4,067
10
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$1,247
3
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$1,247
3
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$339
10
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$339
10
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$26
10
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$33
10
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$19
10
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$150
10
clean
SP TRANS PLCMT VERT STENT INIT
$19,287
$11,572
$9,750
34
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$46
10
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,696
10
clean
ONC MLNMA PRAME & LINC00518
—
—
$798
10
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$2,048
10
clean
ESW MUSCSKEL SYS NOS
—
—
$275
17
clean
HERED COLON CA DO 15 GENES
—
—
$1,831
10
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$998
10
clean
TOUCH QUANT SENSORY TEST
—
—
$39
10
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$918
10
clean
VIBRATE QUANT SENSORY TEST
—
—
$39
10
clean
COOL QUANT SENSORY TEST
—
—
$62
10
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,198
10
clean
HEAT QUANT SENSORY TEST
—
—
$39
10
clean
IADI 16S&18S RRNA GENES
—
—
$374
10
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,891
10
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$88
10
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,369
10
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$2,233
10
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$118
10
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$529
10
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,182
10
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,371
10
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$6,708
17
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$7,654
17
clean
SP SACROPLASTY BILAT
$10,474
$6,284
$7,519
37
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$13,413
17
clean
NFCT DS 22 TRGT SARS-COV-2
—
—
$438
10
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,326
10
clean
CLEAR EYELID GLAND W/HEAT
—
—
$140
17
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$537
10
clean
NJX PLATELET PLASMA
—
—
$494
17
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$12,756
17
clean
ATHERECTOMY ILIAC ARTERY EACH
$29,320
$17,592
$19,336
74
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,675
10
clean
Outpatient Services
—
—
$150
10
clean
Outpatient Services
—
—
$150
10
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,250
10
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,329
10
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$3,066
10
clean
APC Grouped Procedures
—
—
$36,602
7
clean
APC Grouped Procedures
—
—
$36,602
7
clean
APC Grouped Procedures
—
—
$15,619
7
clean
TEMPR
—
—
$143
17
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$4,067
10
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,707
10
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$410
10
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$410
10
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
10
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$883
10
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,925
10
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,783
10
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,250
10
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,610
10
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$39
10
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,675
10
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,557
10
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,557
10
clean
TRNSCTH RENAL SYMP DENRV BIL
—
—
$6,289
17
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$798
10
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,770
10
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$832
10
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,403
10
clean
Outpatient Services
—
—
$98
10
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,403
10
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$779
10
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$779
10
clean
RSA LOWER EXTR EXAM
—
—
$92
10
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$274
10
clean
Outpatient Services
—
—
$150
10
clean
Outpatient Services
—
—
$74
10
clean
APOL1 RISK VARIANTS
—
—
$144
10
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,890
10
clean
BIA WHOLE BODY
—
—
$31
10
clean
BETA-AMYLOID RATIO (1-42/1-40) CSF AMYR MAYO R2
$1,735
$1,041
$602
37
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$798
10
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$883
10
clean
Outpatient Services
—
—
$122
10
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$798
10
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$942
10
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$942
10
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$942
10
clean
ONC PRST8 CA IMG ALYS 128
—
—
$742
10
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$39
10
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,453
10
clean
Outpatient Services
—
—
$438
10
clean
ONC NONSM CLL LNG CA 37 GEN
—
—
$3,675
10
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$568
10
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$209
10
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
—
$735
10
clean
Outpatient Surgery Grouper
—
—
$14,351
1
clean
GI BARET ESPH DNA MTHYLN ALY
—
—
$1,843
10
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$2,508
17
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$798
10
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$339
10
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$798
10
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$998
10
clean
INSJ/RPLC CARDIAC MODULJ SYS
—
—
$34,685
17
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$3,066
10
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,403
10
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$410
10
clean
PRGRMG EVAL CARDIAC MODULJ
—
—
$39
10
clean
INTERRO EVAL CARDIAC MODULJ
—
—
$39
10
clean
APC Grouped Procedures
—
—
$17,117
7
clean
ONC PAN SOLID TUM ALYS DNA
—
—
$2,040
10
clean
GI MALABS AAT CALPRO PNCRTC
—
—
$65
10
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
—
$38
10
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
—
$38
10
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$798
10
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$438
10
clean
IMPLTJ SYNTH RNFCMT ABDL WAL
—
—
$1,247
3
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$2,161
17
clean
ABLTJ PERC PLEX/TRNCL NRV
—
—
$9,697
17
clean
NEURFLMNT LT CHN ULTRSENS IA
—
—
$122
10
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$4,179
17
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$222
17
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$4,179
17
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$5,880
17
clean
VISUAL EP TEST FOR GLAUCOMA
—
—
$136
10
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,725
10
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,369
10
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$780
17
clean
FXJL ABL LSR EA ADDL 100SQCM
—
—
$1,247
3
clean
TMVI PERCUTANEOUS APPROACH
—
—
$7,273
7
clean
TMVI TRANSTHORACIC EXPOSURE
—
—
$7,273
7
clean
OCT MID EAR I&R UNILATERAL
—
—
$39
10
clean
ONC SOL TUM CFDNA&RNA NGS GM
—
—
$3,832
10
clean
OCT MID EAR I&R BILATERAL
—
—
$39
10
clean
PREP & CANNULJ CDVR DON LUNG
—
—
$7,273
7
clean
MNTR CDVR DON LNG 1ST 2 HRS
—
—
$7,273
7
clean
EV FEMPOP ARTL REVSC
—
—
$12,756
17
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$62
10
clean
PATTERN ERG W/I&R
—
—
$228
10
clean
ESW INTEG WND HLG 1ST WND
—
—
$212
13
clean
ESW INTEG WND HLG EA ADDL
—
—
$1,247
3
clean
NTRAPX C FFR W/3D FUNCJL MAP
$9,862
$5,917
$5,181
23
clean
INSJ/RPLCMT COMPL IIMS
—
—
$20,317
17
clean
PRGRMG DEV EVAL IIMS IP
—
—
$39
10
clean
INTERROG DEV EVAL IIMS IP
—
—
$39
10
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$140
10
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$62
10
clean
TTVR PERQ APPR 1ST PROSTH
—
—
$7,273
7
clean
TTVR PERQ EA ADDL PROSTH
—
—
$7,273
7
clean
INSJ/RPLCMT ICDS SS ELTRD
—
—
$35,000
17
clean
PRGRMG DEV EVAL ICDS SS IP
—
—
$39
10
clean
INTERROG DEV EVAL ICDS SS IP
—
—
$39
10
clean
REM INTERROG DEV ICDS TECH
—
—
$39
10
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
—
$4,130
17
clean
ELEC ALYS CPLX PRGRMG IINS
—
—
$100
10
clean
R-T FLUOR WOUND IMG 1ST SITE
—
—
$228
10
clean
ABLT IRE 1+ O/T LV/PRST8 PRQ
—
—
$11,212
17
clean
ABLTJ IRE 1+TUMORS OPEN
—
—
$11,212
17
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$756
10
clean
Outpatient Surgery Grouper
—
—
$4,013
1
clean
Outpatient Surgery Grouper
—
—
$9,883
1
clean
Outpatient Surgery Grouper
—
—
$9,883
1
clean
APC Grouped Procedures
—
—
$6,494
7
clean
EVASC VEN ARTLZ TIBL/PRNL VN
—
—
$45,132
17
clean
PERQ NJX ALGC FLUOR LMBR 1ST
—
—
$14,187
17
clean
PERQ NJX ALGC FLUOR LMBR EA
—
—
$1,247
3
clean
PERQ NJX ALGC CT LMBR 1ST
—
—
$14,187
17
clean
CT BREAST W/3D BI C-/C+
—
—
$368
10
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
—
$39
10
clean
TCAT RMVL/DBLK ICAR MAS PERQ
—
—
$6,346
17
clean
TTVI/RPLCMT W/PRSTC VLV PERQ
—
—
$7,273
7
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
—
$2,120
17
clean
QUAN MR TIS WO MRI 1ORGN
—
—
$981
10
clean
QUAN MR TISS W/MRI 1ORGN
—
—
$981
10
clean

Showing the first 200 of 15,954 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,586 of 2,621 comparable items (61%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $4,220 exceeds the gross charge $1,134
warn
mrf_rate_without_estimate
794,238 of 794,238 percentage/algorithm rates across 2,720 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 0588T/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 11424/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 15736/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 20700/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 22100/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 24149/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 25675/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 27049/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 27596/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 28344/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 30430/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 33572/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 35276/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 37184/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 41870/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 43645/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 45550/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 49405/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 51585/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 54500/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 58554/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 61596/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 64405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 65865/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 69320/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 84480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88249/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 differ, so no cross-line comparison was made for this item
CPT 93970/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C7565/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 J2260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0594T/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 11426/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 15738/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 20701/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 22101/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 24150/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 25676/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 27050/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 27598/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 28345/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 30435/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 32561/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 33600/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 35281/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 41872/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 43647/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 45560/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 51590/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 54505/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 58555/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 61597/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 64408/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 65870/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 84481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88261/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 differ, so no cross-line comparison was made for this item
CPT J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 11 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 Q4100/o
info
mrf_item_fields_vary
this code and setting cover at least 99 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 0596T/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 15740/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 20702/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 22102/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 24152/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 27052/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 28360/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 30450/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 32562/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 33602/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 35286/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 41874/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 43648/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 45562/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 49406/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 51595/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 54512/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 58558/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 61598/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 64415/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 differ, so no cross-line comparison was made for this item
CPT 65875/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 69399/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 88262/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, max differ, so no cross-line comparison was made for this item
CPT A4455/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 C8003/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 J2274/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, max differ, so no cross-line comparison was made for this item
CPT 0597T/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 11440/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 15750/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 20703/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 22103/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 24155/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 25680/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 27054/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 27599/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 30460/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 32601/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 33606/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 35301/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 41899/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 43651/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 45563/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 51596/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 54520/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 58559/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 61600/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 65880/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 69420/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 84484/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, max differ, so no cross-line comparison was made for this item
CPT 94003/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 differ, so no cross-line comparison was made for this item
CPT A4565/o
info
mrf_item_fields_vary
this code and setting cover at least 11 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 C8914/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2300/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, max differ, so no cross-line comparison was made for this item
CPT Q4102/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 differ, so no cross-line comparison was made for this item
CPT 0600T/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 15756/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 20704/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 22110/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 24160/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 25685/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 27057/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 27600/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 28400/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 30462/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 32604/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 33608/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 35302/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 37191/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 43652/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 45800/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 49407/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 51597/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 54522/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 58560/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 61601/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 64417/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 65900/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 69421/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 84520/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, max differ, so no cross-line comparison was made for this item
CPT 88264/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 differ, so no cross-line comparison was made for this item
CPT A4605/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 J2305/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, max differ, so no cross-line comparison was made for this item
CPT Q4104/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 0601T/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 11441/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 15757/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 20705/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 22112/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 24164/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 27059/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 27601/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 28405/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 30465/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 32606/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 33610/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 35303/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 37192/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 42000/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 43653/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 45805/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 49411/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 54530/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 58561/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 61605/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 65920/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 69424/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 84560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88271/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4623/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 J2310/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 differ, so no cross-line comparison was made for this item
CPT Q4105/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 differ, so no cross-line comparison was made for this item
CPT 0613T/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 11442/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 15758/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 20802/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 22114/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 25690/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 27060/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 27602/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 28406/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 30468/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 32607/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 33611/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 35304/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 42100/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 43659/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 45820/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 49412/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 51600/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 54535/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 58562/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 61606/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 64420/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 65930/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 69433/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 88273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A4628/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 C8928/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 differ, so no cross-line comparison was made for this item
CPT J2353/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, max differ, so no cross-line comparison was made for this item
CPT Q4106/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 differ, so no cross-line comparison was made for this item
CPT 0614T/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

Showing the first 200 of 8,625 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 1,953.2M bytes · fetched 2026-08-23 · sha256 c7079eaf7c2b…

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.