Hospital · CCN 450862

St Luke's The Woodlands Hospital

17200 St Luke's Way, The Woodlands, TX 77384 · Montgomery County
Part of CommonSpirit Health · 220 beds · 1
Secondary flow 30% to <50% to a larger urbanized area of 50,000 and greater

55 admission types 39 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
6.78×
$128.3M billed against $18.9M paid across 1,377 Medicare discharges; the national figure is 5.03×.
4.9%
of adults in Montgomery County have medical debt in collections
15.5%
uninsured in the county · state 18.8%
$93K
median household income
8.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
31.8%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
5.3%
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
189
$99,752
$15,095
6.6× st 6.7×
291
Heart failure and shock with mcc
119
$65,738
$10,182
6.5× st 5.8×
177
Respiratory infections and inflammations with mcc
64
$67,891
$12,355
5.5× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
41
$62,334
$10,394
6.0× st 5.7×
274
Percutaneous and other intracardiac procedures without mcc
39
$252,855
$25,874
9.8× st 9.3×
193
Simple pneumonia and pleurisy with mcc
35
$65,365
$10,579
6.2× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
34
$59,595
$8,271
7.2× st 5.8×
189
Pulmonary edema and respiratory failure
34
$60,539
$10,288
5.9× st 5.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
32
$102,666
$14,134
7.3× st 7.3×
690
Kidney and urinary tract infections without mcc
32
$52,443
$6,631
7.9× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
30
$46,944
$6,866
6.8× st 6.2×
698
Other kidney and urinary tract diagnoses with mcc
30
$85,810
$12,930
6.6× st 6.1×
682
Renal failure with mcc
29
$76,968
$11,404
6.7× st 6.2×
689
Kidney and urinary tract infections with mcc
28
$60,276
$8,911
6.8× st 5.6×
603
Cellulitis without mcc
26
$34,440
$8,186
4.2× st 4.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
26
$371,692
$53,989
6.9× st 7.5×
312
Syncope and collapse
26
$52,298
$7,521
7.0× st 7.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
25
$54,540
$8,627
6.3× st 6.9×
378
Gastrointestinal hemorrhage with cc
22
$50,316
$8,492
5.9× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
22
$79,471
$10,255
7.8× st 5.9×
552
Medical back problems without mcc
21
$75,946
$8,879
8.6× st 7.0×
377
Gastrointestinal hemorrhage with mcc
20
$115,261
$14,804
7.8× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$65,725
$9,687
6.8× st 6.6×
389
Gastrointestinal obstruction with cc
19
$54,629
$6,666
8.2× st 5.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$228,201
$35,825
6.4× st 6.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$141,370
$14,047
10.1× st 9.2×
683
Renal failure with cc
17
$48,412
$7,618
6.4× st 5.8×
305
Hypertension without mcc
16
$45,327
$6,564
6.9× st 7.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$50,331
$6,382
7.9× st 5.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$96,775
$16,118
6.0× st 6.7×
811
Red blood cell disorders with mcc
15
$72,074
$11,017
6.5× st 5.9×
812
Red blood cell disorders without mcc
15
$42,135
$7,578
5.6× st 5.1×
039
Extracranial procedures without cc/mcc
15
$53,065
$9,225
5.8× st 8.2×
638
Diabetes with cc
14
$46,109
$7,878
5.9× st 4.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
14
$317,668
$63,542
5.0× st 7.7×
280
Acute myocardial infarction, discharged alive with mcc
14
$99,297
$11,863
8.4× st 6.9×
025
Craniotomy and endovascular intracranial procedures with mcc
13
$192,687
$31,285
6.2× st 7.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$57,313
$10,870
5.3× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$33,533
$5,492
6.1× st 6.7×
394
Other digestive system diagnoses with cc
13
$53,948
$7,851
6.9× st 6.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$74,932
$9,170
8.2× st 8.5×
194
Simple pneumonia and pleurisy with cc
12
$49,865
$7,118
7.0× st 5.7×
699
Other kidney and urinary tract diagnoses with cc
12
$41,716
$8,113
5.1× st 5.2×
314
Other circulatory system diagnoses with mcc
12
$55,432
$14,213
3.9× st 6.1×
196
Interstitial lung disease with mcc
12
$63,527
$13,342
4.8× st 6.4×
300
Peripheral vascular disorders with cc
12
$58,277
$8,828
6.6× st 6.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
12
$356,065
$34,908
10.2× st 7.1×
432
Cirrhosis and alcoholic hepatitis with mcc
12
$132,355
$15,567
8.5× st 6.5×
637
Diabetes with mcc
12
$70,653
$10,746
6.6× st 6.5×
313
Chest pain
11
$46,080
$6,375
7.2× st 7.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$167,577
$20,354
8.2× st 8.2×
329
Major small and large bowel procedures with mcc
11
$228,462
$37,576
6.1× st 6.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$51,264
$9,108
5.6× st 5.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$107,081
$16,111
6.6× st 7.9×
271
Other major cardiovascular procedures with cc
11
$159,441
$25,272
6.3× 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
430
$32,099
$2,533
12.7×
5191
Level 1 Endovascular Procedures
180
$32,413
$2,978
10.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
55
$16,657
$1,504
11.1×
5193
Level 3 Endovascular Procedures
48
$85,895
$10,192
8.4×
5361
Level 1 Laparoscopy and Related Services
38
$32,832
$5,257
6.2×
5213
Level 3 Electrophysiologic Procedures
37
$196,243
$21,480
9.1×
5375
Level 5 Urology and Related Services
37
$35,421
$4,591
7.7×
5302
Level 2 Upper GI Procedures
36
$12,795
$1,764
7.3×
5183
Level 3 Vascular Procedures
34
$32,292
$2,843
11.4×
5223
Level 3 Pacemaker and Similar Procedures
31
$78,498
$9,894
7.9×
5182
Level 2 Vascular Procedures
27
$12,547
$1,441
8.7×
5194
Level 4 Endovascular Procedures
27
$96,465
$10,277
9.4×
5362
Level 2 Laparoscopy and Related Services
25
$41,029
$9,222
4.4×
5192
Level 2 Endovascular Procedures
24
$56,977
$5,124
11.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$44,817
$2,635
17.0×
5114
Level 4 Musculoskeletal Procedures
19
$49,798
$6,634
7.5×
5374
Level 4 Urology and Related Services
18
$21,706
$3,233
6.7×
5232
Level 2 ICD and Similar Procedures
15
$253,409
$30,414
8.3×
5113
Level 3 Musculoskeletal Procedures
15
$26,883
$3,001
9.0×
5224
Level 4 Pacemaker and Similar Procedures
15
$128,140
$18,027
7.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$47,517
$6,047
7.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
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 2026-02-28, template 3.0.0, 45,651 rows scanned, 9,248 distinct code–setting items kept. 1,894 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT CEREBRAL PERFUSION ANS
$351
$123
$246
37
clean
HC PLACE STENT/CHEST VRT ART
$17,960
$6,286
$6,286
39
clean
HC LAB KARIUS TEST
$5,494
$1,923
$3,022
52
clean
HC TRLUML PERIP ATHRC BRCHOCPH
$15,517
$5,431
$10,707
64
clean
HC TRLUML PERIP ATHRC ILIAC ART
$17,726
$6,204
$12,408
64
clean
COVID/FLU A/B TRIPLEX
$726
$254
$370
34
clean
HC LAB NFCT DS VIR RESP RNA 4 TRGT
$709
$248
$362
34
clean
HC TCATH RENAL SYMP DENERV BILAT
$17,151
$6,003
$6,244
62
clean
HC INSJ/RPLC CARDIAC MODULJ SYS
$40,721
$14,252
$28,505
63
clean
HC PRGRMG EVAL CARDIAC MODULJ
$445
$156
$100
52
clean
HC INTERRO EVAL CARDIAC MODULJ
$411
$144
$62
55
clean
HC TMVI PERCUTANEOUS APPROACH
$35,401
$12,390
$11,045
38
clean
HC EV FEMPOP ARTL REVAS
$25,515
$8,930
$11,643
62
clean
HC TTVR PERQ APPR 1ST PROSTH
$28,357
$9,925
$9,003
38
clean
HC TTVR PERQ EA ADDL PROSTH
$14,177
$4,962
$4,735
38
clean
HC PERQ BRST TUMR CRYOTHRPY/UNI
$10,700
$3,745
$4,425
54
clean
HC EVASC VEN ARTLZ TIBL/PRNL VN
$67,996
$23,799
$35,057
62
clean
HC TCAT RMVL/DBLK ICAR MAS PERQ
$19,662
$6,882
$10,028
28
clean
HC TTVI/RPLCMT W/PRSTC VLV PERQ
$25,629
$8,970
$13,071
28
clean
HC QUAN MR ALYS TISS W/O MRI
$2,350
$823
$1,346
32
clean
HC QUAN MR ALYS TISS W/MRI
$4,616
$1,616
$2,392
32
clean
HC SCALP COOL PLMT MNTR RMVL
$203
$71
$122
22
clean
HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN
$43,822
$15,338
$22,349
28
clean
HC QMRCP W/DX MRI SAME ANATOMY
$4,511
$1,579
$2,374
32
clean
HC INSTLJ FECAL MICROBIOTA SSP
$3,749
$1,312
$2,156
22
clean
HC TCAT INS 2CHMBR LDLS PM CMPL
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 2CHMBR LDLS PM RA
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 2CHMBR LDLS PM RV
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 1CHMBR LDLS PM RA
$45,904
$16,066
$23,411
28
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$2,075
6
clean
HC ASPIRATION FINE NEEDLE 10005
$5,229
$1,830
$846
72
clean
HC FNA W/US EA ADD LESION
$3,190
$1,117
$1,994
28
clean
HC FNA W/FLUORO 1ST LESION
$2,824
$988
$769
72
clean
HC FINE NEEDLE ASPIRAT DEEP TISS
$4,079
$1,428
$846
148
clean
HC FNA W/CT EA ADD LESION
$1,412
$494
$918
32
clean
HC FNA W/MR 1ST LESION
$1,412
$494
$776
76
clean
HC FNA W/MR EA ADD LESION
$1,412
$494
$966
32
clean
HC FNA W/O IMAGING GND 1ST LES
$628
$220
$400
77
clean
HC IMAGE GUIDED CATH PLACEMENT
$1,677
$587
$788
75
clean
HC PERQ DEV SOFT TISS 1ST IMAG
$3,350
$1,173
$1,172
56
clean
HC PERQ DEV SOFT TISS ADD IMAG
$2,354
$824
$1,530
29
clean
ACNE SURGERY
—
—
$253
37
clean
HC I&D ABSC SIMPL OR SGL
$339
$119
$203
79
clean
HC I&D ABSCESS COMPL/MULTI
$1,057
$370
$497
79
clean
HC I&D PILONIDAL CYST SIMPLE
$755
$264
$529
79
clean
HC I&D PILONIDAL CYST COMPLC
$2,520
$882
$775
79
clean
HC INC&REMV FOREIGN BODY SMPL
$858
$300
$412
79
clean
REMOVE FOREIGN BODY
—
—
$1,639
59
clean
HC I&D HEMATOMA FLUID
$2,700
$945
$1,623
79
clean
HC I&D PUNCTURE ASPIRATION
$492
$172
$335
79
clean
COMPLEX DRAINAGE WOUND
—
—
$2,867
59
clean
HC DEBR EXZ/INF SKIN TO 10%
$1,480
$518
$656
79
clean
HC DEBR EXZ/INF SKIN EA AD+10%
$184
$64
$101
52
clean
DEBRIDE GENITALIA PERINEUM
—
—
$2,430
15
clean
DEBRIDE ABDOM WALL
—
—
$2,430
15
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$2,430
15
clean
REMOVE MESH FROM ABD WALL
—
—
$2,430
15
clean
DEBRIDE SKIN AT FX SITE
—
—
$754
59
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$754
59
clean
HC DEB SKIN BONE AT FX SITE
$6,694
$2,343
$2,867
79
clean
HC DEB SQ TISS IST 20SQCM/<
$2,223
$778
$600
79
clean
HC DEB MUSC/FASC 20SQCM/<
$5,649
$1,977
$920
79
clean
HC DEB BONE 20SQCM/<
$8,443
$2,955
$1,785
79
clean
HC DEB SQ TISS ADD 20SQCM<
$960
$336
$624
40
clean
HC DEB MUSC/FAS + 20SQCM<
$1,968
$689
$1,279
40
clean
HC DEB BONE(5) ADDL 20SQCM
$3,487
$1,220
$2,092
40
clean
HC PARE BENIGN LESION;SGL
$417
$146
$271
62
clean
HC PARE BENIGN LESION;2-4 LES
$590
$207
$316
62
clean
HC PARE BENIGN LESION;>4 LES
$772
$270
$269
79
clean
HC TANGNTL BX SKIN SINGLE LES
$817
$286
$213
76
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$475
$166
$309
37
clean
HC PUNCH BX SKIN SINGLE LESION
$1,013
$355
$406
76
clean
HC PUNCH BX SKIN EA SEP/ADDL
$553
$194
$359
37
clean
HC INCAL BX SKIN SINGLE LES
$1,222
$428
$628
76
clean
HC INCAL BX SKIN EA SEP/ADDL
$663
$232
$431
37
clean
HC REM SKIN TAGS <=15 LESIONS
$212
$74
$159
79
clean
REMOVE SKIN TAGS ADD-ON
—
—
$2,430
7
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$412
37
clean
HC SHAVE SKIN LES 6-10MM T/A/L
$411
$144
$267
60
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$253
37
clean
SHAVE SKIN LESION >2.0 CM
—
—
$440
37
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$253
37
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$253
37
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$199
54
clean
SHAVE SKIN LESION >2.0 CM
—
—
$440
37
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$199
54
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$199
54
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$400
54
clean
SHAVE SKIN LESION >2.0 CM
—
—
$400
54
clean
HC EXC TR-EXT B9+MARG 0.5CM/<
$1,175
$411
$719
79
clean
HC EXC TR-EXT B9+MARG 0.6-1 CM
$965
$338
$454
79
clean
HC EXC SKIN BENING 1.1-2CM T/L/A
$1,402
$491
$771
79
clean
HC EXC TR-EXT B9+MARG 2.1-3CM
$1,680
$588
$790
79
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$1,623
59
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$1,639
59
clean
HC EXC H-F-NK-SP B9+MARG 0.5/<
$3,881
$1,358
$1,676
79
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$705
56
clean
HC EXC H-F-NK-SP B9+MARG 1.1-2
$4,869
$1,704
$1,736
79
clean
HC EXC H-F-NK-SP B9+MARG 2.1-3
$5,621
$1,967
$1,785
79
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$1,639
59
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$2,867
59
clean
HC EXC FACE-MM B9+MARG 0.5CM/<
$995
$348
$697
79
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$705
56
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$705
56
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$1,623
56
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$1,623
59
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$705
56
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$705
56
clean
HC EXC TR-EXT MAL+MARG 1.1-2 CM
$928
$325
$440
79
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$705
56
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$754
59
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$1,639
59
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$1,623
56
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$705
56
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$705
56
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$1,070
56
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$1,639
59
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$2,867
59
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$705
56
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$705
56
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$705
56
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$1,623
56
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$1,639
59
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$2,867
59
clean
HC TRIM NAILS ED
$98
$34
$61
77
clean
HC DEBRIDE NAIL 1-5
$108
$38
$75
62
clean
HC DEBRIDE NAIL 6 OR >
$166
$58
$94
62
clean
HC AVULSION OF SGL NAIL PLATE
$406
$142
$223
79
clean
REMOVE NAIL PLATE ADD-ON
—
—
$2,430
9
clean
HC EVAC SUBUNGUAL HEMATOMA
$250
$88
$140
79
clean
HC REMOVAL OF NAIL BED
$1,082
$379
$509
79
clean
BIOPSY NAIL UNIT
—
—
$705
56
clean
HC REPAIR NAIL BED
$628
$220
$441
79
clean
RECONSTRUCTION OF NAIL BED
—
—
$1,340
56
clean
HC WEDGE EXC NAIL FOLD
$844
$295
$440
79
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$2,867
59
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$2,867
59
clean
REMOVE PILONIDAL CYST COMPL
—
—
$2,867
59
clean
HC INJECT SKIN LESIONS </W 7
$449
$157
$292
62
clean
INJECT SKIN LESIONS >7
—
—
$269
39
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$613
56
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$613
56
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$2,430
9
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$613
54
clean
INSERT TISSUE EXPANDER(S)
—
—
$3,667
59
clean
REPLACE TISSUE EXPANDER
—
—
$6,021
59
clean
REMOVE TISSUE EXPANDER(S)
—
—
$2,867
59
clean
IMPLANT HORMONE PELLET(S)
—
—
$454
39
clean
HC INSERTION DRUG DLVR IMPLANT
$301
$105
$158
79
clean
HC REMOVE DRUG IMPLANT DEVICE
$978
$342
$454
79
clean
HC REMOVE/INSERT DRUG IMPLANT
$940
$329
$442
79
clean
HC REPAIR SIMSCLP 2.5CM/<
$1,035
$362
$299
79
clean
HC REPAIR SIM SCLP 2.6-7.5CM
$1,356
$475
$299
77
clean
HC REPAIR SIM SCLP 7.6-12.5CM
$1,698
$594
$300
79
clean
HC REPAIR SIM SCLP 12.6-20CM
$2,174
$761
$600
79
clean
HC REPAIR SIM SCLP 20.1-30CM
$2,660
$931
$600
79
clean
HC REPAIR SIM SCLP>30CM
$3,312
$1,159
$300
79
clean
HC REPAIR SIM FACE 2.5CM/<
$1,116
$391
$299
77
clean
HC REPAIR SIM FACE 2.6-5CM
$1,161
$406
$299
77
clean
HC REPAIR SIM FACE 5.1-7.5CM
$1,496
$524
$300
79
clean
HC REPAIR SIM FACE 7.6-12.5CM
$1,887
$660
$299
79
clean
HC REPAIR SIM FACE 12.6-20CM
$2,556
$895
$600
79
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$428
59
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$213
59
clean
HC REPAIR SIM WND DEHISC
$672
$235
$613
79
clean
HC REPAIR SIM WND DEHIS W PACK
$445
$156
$400
79
clean
HC REPAIR INT SCLP 2.5CM /<
$4,245
$1,486
$540
79
clean
HC REPAIR INT SCLP 2.6-7.5CM
$5,306
$1,857
$540
79
clean
HC REPAIR INT SCLP 7.6-12.5CM
$5,731
$2,006
$600
79
clean
HC REPAIR INT SCLP 12.6-20CM
$6,686
$2,340
$600
79
clean
HC REPAIR INT SCLP 20.1-30CM
$7,800
$2,730
$920
79
clean
HC REPAIR INT WND S/TR/EXT 30.0+CM
$9,074
$3,176
$2,327
79
clean
HC REPAIR INT N-HF/GN <2.5CM/<
$384
$134
$288
79
clean
HC REPAIR INT N-HF/GN2.6-7.5CM
$532
$186
$372
79
clean
HC REPAIR INT N-HF/GN7.6-12.5CM
$1,405
$492
$773
79
clean
HC REPAIR INT N-HF/GN12.6-20CM
$1,405
$492
$773
79
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$625
59
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$1,832
59
clean
HC REPAIR INT FACE 2.5CM/<
$2,854
$999
$540
79
clean
HC REPAIR INT FACE 2.6-5CM
$3,357
$1,175
$540
79
clean
HC REPAIR INT FACE 5.1-7.5CM
$3,626
$1,269
$540
79
clean
HC REPAIR INT FACE 7.6-12.5 CM
$3,693
$1,293
$600
79
clean
HC REPAIR INT FACE 12.6-20CM
$5,070
$1,775
$600
79
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$428
59
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$428
59
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$656
59
clean
HC REPAIR COMP TRNK 2.6-7.5CM
$1,480
$518
$814
79
clean
HC REPAIR COMP TRNK ADDL 5 CM/<
$488
$171
$268
52
clean
HC REPAIR COMP S/A/L 1.1-2.5CM
$1,839
$644
$864
79
clean
HC REPAIR COMP S/A/L 2.6-7.5CM
$2,041
$714
$876
79
clean
HC REPAIR COMP S/A/L EA 5CM/<
$191
$67
$105
52
clean
HC REPAIR COMP FACE 1.1-2.5CM
$466
$163
$400
79
clean
HC REPAIR COMP FACE 2.6-7.5CM
$1,480
$518
$814
79
clean

Showing the first 200 of 9,248 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 239/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $26,828
MS-DRG 240/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $15,939
MS-DRG 241/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $8,752
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $3,358 is below the file's own minimum $18,398
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $3,358 is below the file's own minimum $12,559
MS-DRG 252/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $18,594
MS-DRG 253/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $14,098
MS-DRG 254/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $9,979
MS-DRG 255/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $14,423
MS-DRG 256/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $9,694
MS-DRG 257/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $5,585
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $15,392
MS-DRG 259/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $10,022
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $18,470
MS-DRG 261/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $10,739
MS-DRG 262/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $8,793
MS-DRG 263/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $14,760
MS-DRG 264/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $18,926
MS-DRG 280/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,426
MS-DRG 281/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,738
MS-DRG 282/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,730
MS-DRG 283/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $11,035
MS-DRG 284/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,811
MS-DRG 285/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,891
MS-DRG 288/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $15,013
MS-DRG 289/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,094
MS-DRG 290/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,031
MS-DRG 291/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,701
MS-DRG 292/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,428
MS-DRG 293/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,826
MS-DRG 294/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,307
MS-DRG 295/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,062
MS-DRG 296/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,411
MS-DRG 297/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,624
MS-DRG 298/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,121
MS-DRG 299/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,304
MS-DRG 300/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,501
MS-DRG 301/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,670
MS-DRG 302/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,976
MS-DRG 303/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,460
MS-DRG 304/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,035
MS-DRG 305/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,861
MS-DRG 306/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $8,688
MS-DRG 307/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,762
MS-DRG 308/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,194
MS-DRG 309/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,803
MS-DRG 310/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,881
MS-DRG 311/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,593
MS-DRG 312/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,479
MS-DRG 313/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,670
MS-DRG 314/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $12,050
MS-DRG 315/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,946
MS-DRG 316/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,513
MS-DRG 402/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $21,064
MS-DRG 426/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $54,700
MS-DRG 427/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $37,415
MS-DRG 428/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $29,222
MS-DRG 429/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $43,759
MS-DRG 430/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $29,050
MS-DRG 447/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $35,375
MS-DRG 448/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $21,942
MS-DRG 450/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $27,408
MS-DRG 451/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $16,829
MS-DRG 453/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $103,861
MS-DRG 454/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $69,101
MS-DRG 455/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $54,320
MS-DRG 456/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $44,418
MS-DRG 457/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $30,428
MS-DRG 458/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $23,143
MS-DRG 459/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $75,251
MS-DRG 460/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $42,725
MS-DRG 461/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $32,464
MS-DRG 462/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $15,691
MS-DRG 463/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $28,694
MS-DRG 464/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,125
MS-DRG 465/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,911
MS-DRG 466/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $27,123
MS-DRG 467/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $18,568
MS-DRG 468/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $14,458
MS-DRG 469/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $17,766
MS-DRG 470/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $10,677
MS-DRG 471/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $25,907
MS-DRG 472/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $15,862
MS-DRG 473/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $13,147
MS-DRG 474/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $23,998
MS-DRG 475/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $12,070
MS-DRG 476/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $6,975
MS-DRG 477/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $18,639
MS-DRG 478/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $12,999
MS-DRG 479/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,115
MS-DRG 480/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,086
MS-DRG 481/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,648
MS-DRG 482/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,144
MS-DRG 483/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $14,073
MS-DRG 485/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $17,513
MS-DRG 486/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,883
MS-DRG 487/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $9,112
MS-DRG 488/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,086
MS-DRG 489/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $7,361
MS-DRG 492/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $19,214
MS-DRG 493/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $13,319
MS-DRG 494/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,676
MS-DRG 498/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $13,954
MS-DRG 499/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $6,963
MS-DRG 500/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $17,253
MS-DRG 501/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,160
MS-DRG 502/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,174
MS-DRG 503/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $14,578
MS-DRG 504/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,008
MS-DRG 505/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,008
MS-DRG 506/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,697
MS-DRG 507/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,947
MS-DRG 508/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $7,628
MS-DRG 509/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,017
MS-DRG 510/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $15,662
MS-DRG 511/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,065
MS-DRG 512/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,254
MS-DRG 513/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,730
MS-DRG 514/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $6,239
MS-DRG 515/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,862
MS-DRG 516/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,324
MS-DRG 517/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,664
MS-DRG 518/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $19,382
MS-DRG 519/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,120
MS-DRG 520/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $8,359
MS-DRG 789/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $10,252
MS-DRG 790/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $31,481
MS-DRG 791/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $21,821
MS-DRG 792/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $13,568
MS-DRG 793/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $22,387
MS-DRG 794/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $8,579
MS-DRG 795/i
error
mrf_negotiated_below_min
a negotiated rate of $440 is below the file's own minimum $2,038
MS-DRG 876/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $21,153
MS-DRG 880/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $5,927
MS-DRG 881/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $5,699
MS-DRG 882/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $5,944
MS-DRG 883/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,515
MS-DRG 884/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $9,574
MS-DRG 885/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $8,238
MS-DRG 886/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,221
MS-DRG 887/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $7,110
MS-DRG 894/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $4,212
MS-DRG 895/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $8,434
MS-DRG 896/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,140
MS-DRG 897/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $5,535
MS-DRG 945/i
error
mrf_negotiated_below_min
a negotiated rate of $814 is below the file's own minimum $8,837
MS-DRG 946/i
error
mrf_negotiated_below_min
a negotiated rate of $814 is below the file's own minimum $6,736
warn
mrf_negotiated_above_gross_systematic
1,133 of 2,892 comparable items (39%) 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 $2,156 exceeds the gross charge $351
warn
mrf_rate_without_estimate
117,165 of 117,165 percentage/algorithm rates across 5,762 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 90675/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9586/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 J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9370/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 90677/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 A9589/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 J1110/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 J9380/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 90686/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 B4087/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 J1120/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9390/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 90694/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 C1062/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 J1160/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 90714/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 C1602/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 J1165/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, max differ, so no cross-line comparison was made for this item
CPT L1830/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 90715/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 C1605/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 J1170/o
info
mrf_item_fields_vary
this code and setting cover at least 44 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 L3670/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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 2416 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1171/o
info
mrf_item_fields_vary
this code and setting cover at least 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 L3908/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 90732/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 C1714/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1190/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 L3929/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 90734/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 J1200/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, max differ, so no cross-line comparison was made for this item
CPT L8509/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 C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 29 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 J1205/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 L8606/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 90744/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 C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 37 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 J1230/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 L8610/o
info
mrf_item_fields_vary
this code and setting cover at least 25 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 90746/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 C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1245/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 L8613/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90750/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 73 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 J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8614/o
info
mrf_item_fields_vary
this code and setting cover at least 25 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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 37 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 J1260/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

Showing the first 200 of 1,894 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 267
info
inp_charge_10x_payment
average charge $356,065 is 10.2× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $141,370 is 10.1× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 239.3M bytes · fetched 2026-08-23 · sha256 15e07f9aaeb6…

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.