Hospital · CCN 450885

Baylor Scott & White Medical Center - Centennial

12505 Lebanon Road, Frisco, TX 75035 · Collin County
Part of Baylor Scott and White Health · 118 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

28 admission types 36 outpatient services price file: ok
Billed per dollar paid, all admissions
4.15×
$29.6M billed against $7.1M paid across 642 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
112
$52,799
$14,660
3.6× st 6.7×
189
Pulmonary edema and respiratory failure
54
$58,894
$12,820
4.6× st 5.6×
689
Kidney and urinary tract infections with mcc
33
$37,703
$8,916
4.2× st 5.6×
177
Respiratory infections and inflammations with mcc
32
$48,945
$12,886
3.8× st 6.1×
291
Heart failure and shock with mcc
31
$39,758
$9,676
4.1× st 5.8×
193
Simple pneumonia and pleurisy with mcc
29
$51,463
$9,994
5.1× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
24
$34,141
$8,328
4.1× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
23
$37,863
$10,116
3.7× st 5.7×
690
Kidney and urinary tract infections without mcc
22
$24,272
$6,539
3.7× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$24,208
$7,206
3.4× st 5.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$28,991
$6,485
4.5× st 6.2×
280
Acute myocardial infarction, discharged alive with mcc
21
$61,307
$12,339
5.0× st 6.9×
071
Other cerebrovascular disorders with cc
21
$31,647
$8,206
3.9× st 5.2×
682
Renal failure with mcc
17
$46,995
$10,580
4.4× st 6.2×
312
Syncope and collapse
16
$37,829
$7,093
5.3× st 7.1×
481
Hip and femur procedures except major joint with cc
16
$76,926
$15,075
5.1× st 7.3×
190
Chronic obstructive pulmonary disease with mcc
15
$36,564
$8,977
4.1× st 4.9×
194
Simple pneumonia and pleurisy with cc
15
$23,781
$6,939
3.4× st 5.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
14
$136,634
$33,379
4.1× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$77,817
$14,736
5.3× st 7.9×
683
Renal failure with cc
13
$31,553
$6,788
4.6× st 5.8×
309
Cardiac arrhythmia and conduction disorders with cc
12
$36,865
$6,262
5.9× st 6.3×
637
Diabetes with mcc
11
$37,775
$10,482
3.6× st 6.5×
552
Medical back problems without mcc
11
$35,453
$8,230
4.3× st 7.0×
178
Respiratory infections and inflammations with cc
11
$25,643
$7,490
3.4× st 5.4×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$37,895
$9,361
4.0× st 6.6×
378
Gastrointestinal hemorrhage with cc
11
$35,137
$7,679
4.6× st 6.2×
070
Other cerebrovascular disorders with mcc
11
$39,121
$12,013
3.3× st 5.1×
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
5191
Level 1 Endovascular Procedures
199
$29,948
$2,927
10.2×
8011
Comprehensive Observation Services
115
$25,864
$2,345
11.0×
5115
Level 5 Musculoskeletal Procedures
83
$50,775
$11,706
4.3×
5193
Level 3 Endovascular Procedures
81
$86,382
$9,689
8.9×
5302
Level 2 Upper GI Procedures
43
$11,310
$1,680
6.7×
5375
Level 5 Urology and Related Services
24
$26,433
$4,656
5.7×
5374
Level 4 Urology and Related Services
23
$27,325
$3,029
9.0×
5222
Level 2 Pacemaker and Similar Procedures
19
$29,738
$7,646
3.9×
5361
Level 1 Laparoscopy and Related Services
19
$31,669
$5,192
6.1×
5114
Level 4 Musculoskeletal Procedures
18
$38,089
$6,438
5.9×
5112
Level 2 Musculoskeletal Procedures
16
$11,425
$1,446
7.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
15
$12,526
$1,459
8.6×
5184
Level 4 Vascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5224
Level 4 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 csv-tall, last updated 2026-06-29, template 3.0.0, 1,884,243 rows scanned, 6,504 distinct code–setting items kept. 3,166 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL
$646
$387
$720
92
clean
HC REF MAYO, NSFIB NASH FIBROTEST
$1,258
$755
$663
46
clean
HC REF JAK2 EXON 12 MUT DETECT B
$912
$547
$194
92
clean
HC REF FOCUSED PHARMGENOM PANEL
$1,250
$750
$779
46
clean
HC TPMT NUDT15 GENES
$1,085
$651
$592
92
clean
HC NEURO CSF PRION PROTEIN QUALITATIVE
$1,690
$1,014
$818
46
clean
HC TRGT GEN SEQ DNA 324 GENES
$4,200
$2,520
$3,675
92
clean
HC CEREBRAL PERFUSION ANALYSIS CT W/CNTRST
$2,462
$1,477
$1,601
30
clean
COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON FLUOROSCOPIC IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,896
3
clean
COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON CT/MRI IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$1,896
3
clean
HC REF ARUP, MERKEL CELL CARCINOMA 3005986
$853
$512
$438
92
clean
HC PLACE XCRAN CAROTID ARTERY STENT - INT VSL
$15,029
$9,018
$8,273
58
clean
HC REF MICROGENDX, UROKEY, UROKEY TEST SERVICE
$888
$533
$408
138
clean
HC REF KARIUS LAB KARIUS SPECTRUM
$5,000
$3,000
$2,366
46
clean
EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)
—
—
$6,830
29
clean
HC PERCUTANEOUS SACRAL AUGMENTATION (UNILATERAL INJECTIONS)
$9,653
$5,792
$6,841
46
clean
HC PERCUTANEOUS SACRAL AUGMENTATION (BILATERAL INJECTIONS)
$11,860
$7,116
$7,654
46
clean
HC BIOFIRE RESPIRATORY PANEL, NFCT DS 22 TRGT SARS-COV-2
$319
$191
$417
46
clean
HC INJECT PLATELET RICH PLASMA
$1,915
$1,149
$671
75
clean
HC HCTRLML PERIP ATHRC
$31,083
$18,650
$19,336
135
clean
HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$175
$105
$101
31
clean
HC PGDX ELIOTM TISSUE, COMPLETE
$5,886
$3,532
$3,342
46
clean
HC IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$83,197
$49,918
$49,918
29
clean
HC CVRX BATTERY CHANGE
$56,978
$34,187
$35,435
62
clean
HC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,257
$7,954
$9,143
52
clean
HC TRNSCTH RNL SYMP DNRV PERC BI
$22,858
$13,715
$8,548
45
clean
HC REF QUEST, 11786 BETA-AMYLOID 42/40 RATIO, PLASMA
$1,125
$675
$619
31
clean
HC NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM
$521
$313
$297
46
clean
HC INFECTIOUS DISEASE BV/VAGINITIS, CANDIDA, TV AMP PRB
$285
$171
$165
31
clean
HC REF MAYO, AMYR BETA-AMYLOID RATIO CSF
$1,903
$1,142
$415
46
clean
HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$78,876
$47,326
$39,667
88
clean
HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$387
$232
$89
44
clean
HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$484
$290
$89
44
clean
HC REF MAYO, MALP MALABSORPTION EVALUATION PANEL, FECES
$1,750
$1,050
$132
45
clean
HC REF MAYO, GLYCC GLYCINE RECEPTOR ALPHA 1 IGG, CSF
$1,250
$750
$38
180
clean
HC REF MAYO, COMP MDC2 CPT 0432U
$0
$0
$38
180
clean
HC MYOCRD CONTRAST PRFUJ ECHO
$3,971
$2,383
$2,303
30
clean
HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE
$3,595
$2,157
$2,267
44
clean
HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV
$12,357
$7,414
$8,816
44
clean
HC THH ONLY - TMVI PERCUTANEOUS APPROACH
$52,987
$31,792
$25,964
56
clean
HC TMVI TRANSTHORACIC EXPOSURE
$25,524
$15,314
$12,507
28
clean
HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$32,702
$19,621
$15,716
44
clean
HC PATTERN ERG W/I&R
$975
$585
$415
46
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$10,547
$6,328
$5,959
24
clean
HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION
$4,511
$2,706
$2,616
31
clean
HC TTVR PERQ APPR 1ST PROSTH
$38,150
$22,890
$17,556
28
clean
HC TTVR PERQ EA ADDL PROSTH
$29,152
$17,491
$14,284
28
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$65,590
$39,354
$36,956
46
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$69
$42
$40
46
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$69
$42
$40
46
clean
HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
$6,008
$3,605
$4,130
44
clean
HC R-T FLUOR WOUND IMG 1ST SITE
$595
$357
$327
92
clean
HC IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
$18,193
$10,916
$11,212
44
clean
HC REM OCT RTA TECHL SHCT MIN 8
$73
$44
$45
31
clean
HC REM MNTR PULM FLU MNTR SETUP
$234
$140
$141
30
clean
HC REM MNTR PULM FLU MNTR ALYS
$73
$44
$44
30
clean
HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$52,962
$31,777
$39,721
44
clean
HC AUTO QUAN&CHARAC CORONARY PLAQ DATA PREP&TRNSMIS
$150
$90
$95
30
clean
HC AUTO QUAN&CHARAC CORONARY PLAQ COMPUTERIZED ALYS
$1,831
$1,098
$1,190
31
clean
HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS)
$11,370
$6,822
$6,595
45
clean
HC TRANSCATHETER TRICUSPID VALVE IMPLANT
$57,037
$34,222
$21,994
28
clean
HC QUAN MR ALYS TISS COMPOSITION W/MRI SINGLE ORGAN
$2,053
$1,232
$1,129
46
clean
HC TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS
$6,208
$3,725
$5,386
44
clean
HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN
$2,874
$1,724
$1,863
44
clean
HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN
$25,001
$15,001
$17,501
44
clean
HC BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP
$76
$46
$44
45
clean
HC NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$5,785
$3,471
$3,721
44
clean
HC DIGITIZATION SURG PATH II
$18
$11
$12
30
clean
HC DIGITIZATION SURG PATH III
$16
$9
$11
30
clean
HC DIGITIZATION SURG PATH IV
$16
$10
$11
30
clean
HC DIGITIZATION SURG PATH V
$17
$10
$12
30
clean
HC DIGITIZATION SPECIAL STAIN GRP I MICRO
$17
$10
$12
30
clean
HC DIGITIZATION SPECIAL STAIN GRP II NON MICRO/ENZYME/CYTO/HISTO
$17
$10
$12
30
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, 1ST AB STAIN
$16
$10
$11
30
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA ADD AB STAIN
$17
$10
$12
30
clean
HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA MULTIPLEX AB STAIN
$16
$10
$11
30
clean
HC DIGITIZATION MORPH/TUMOR HISTO, QUANT/SEMIQUANT PER SPECIMEN, EA PROCEDURE, MANUAL
$17
$10
$12
30
clean
HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC
$246
$148
$160
44
clean
HC MOTR COG VR GAIT TRAIN EA 15
$176
$106
$114
31
clean
HC TCAT INS 2CHMBR LDLS PM CMPL
$35,754
$21,452
$20,317
45
clean
HC TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT
$36,440
$21,864
$23,462
46
clean
HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM
$69
$42
$40
46
clean
HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
$35,754
$21,452
$23,351
46
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ
$16
$10
$10
30
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ
$16
$10
$10
30
clean
HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA INTERPJ&REPRT
$16
$10
$10
30
clean
HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN
$16
$10
$10
30
clean
HC FNA BX W/O GDN, EA ADDL
$351
$211
$211
30
clean
HC FNA BX W/US GDN 1ST LES
$2,545
$1,527
$1,255
92
clean
HC FNA BX W/US GDN EA ADDL
$1,720
$1,032
$1,033
30
clean
HC FNA BX W/FLUOR GDN 1ST LES
$1,803
$1,082
$964
46
clean
HC FNA BX W/CT GDN 1ST LES
$2,880
$1,728
$1,420
46
clean
HC FNA BX W/CT GDN EA ADDL
$965
$579
$580
30
clean
HC FNA W/O IMAGE GUIDANCE
$913
$548
$502
92
clean
HC IMG GUIDE FLUID COLLECT DRAIN BY CATH - SOFT TISSUE
$3,783
$2,270
$1,761
92
clean
HC PLCMT DEV SOFT TISS - 1ST LESION
$2,101
$1,260
$1,078
46
clean
HC PLCMT DEV SOFT TISS - EACH ADD LESION
$1,464
$878
$880
30
clean
HC DRAINAGE OF SKIN ABSCESS - SIMPLE
$994
$597
$301
124
clean
HC DRAINAGE OF SKIN ABSCESS - COMPLEX
$1,305
$783
$611
124
clean
HC DRAINAGE OF PILONIDAL CYST - SIMPLE
$1,480
$888
$834
92
clean
HC DRAINAGE OF PILONIDAL CYST - COMPLICATED
$3,653
$2,192
$1,730
92
clean
HC REMOVE FOREIGN BODY SIMPLE
$1,165
$699
$515
124
clean
HC REMOVE FOREIGN BODY COMPLICATED
$5,350
$3,210
$2,638
92
clean
HC I&D HEMATOMA/SEROMA/FLUID
$5,086
$3,052
$2,092
124
clean
HC PUNCTURE/DRAIN/ASPERATE ABSCESS/LESION
$1,075
$645
$575
92
clean
HC I&D COMPLEX PO INFECTION
$6,410
$3,846
$3,526
125
clean
HC DEBRIDE INF SKIN UP TO 10%
$1,004
$602
$534
46
clean
HC DEBRIDE NECROTIC SKIN/TISSUE ABD WALL
$4,750
$2,850
$2,855
30
clean
HC DEBRIDE FX - SKIN/SUBQ TISSUE
$2,881
$1,729
$1,421
46
clean
HC DEBRIDE FX - SKIN/SUBQ MUSCLE & BONE
$3,624
$2,175
$2,830
124
clean
HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS
$1,686
$1,012
$674
124
clean
HC DEBRIDE SUBCUT TISSUE/MUSCLE - 1ST 20 SQ CM OR LESS
$2,255
$1,353
$1,110
124
clean
HC DEBRIDE BONE - 1ST 20 SQ CM OR LESS
$4,919
$2,951
$2,425
124
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM
$1,525
$915
$948
58
clean
HC DEBRIDE SUBCUT TISSUE/MUSCLE - EA ADD 20 SQ CM
$1,546
$927
$896
55
clean
HC DEBRIDE BONE - EA ADD 20 SQ CM
$2,897
$1,738
$1,741
30
clean
HC PAR/CUT BENIGN HYPERKERATOTIC LESION - SNGLE
$477
$286
$258
46
clean
HC TRIM SKIN LESIONS - 2-4
$472
$283
$257
46
clean
HC TRIM SKIN LESIONS - >4
$431
$259
$239
46
clean
HC TANGNTL BX SKIN SINGLE LES
$448
$269
$332
124
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$394
$236
$245
75
clean
HC PUNCH BX SKIN SINGLE LESION
$842
$505
$463
124
clean
HC PUNCH BX SKIN EA SEP/ADDL
$379
$227
$235
75
clean
HC INCISIONAL BIOPSY SKIN SINGLE LESION
$1,076
$646
$753
110
clean
HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$333
$200
$207
53
clean
HC REMOVE SKIN TAGS - 1-15 LESIONS
$531
$319
$262
121
clean
HC SHV 1 LES S/H/F/G 0.5 CM OR LESS
$387
$232
$224
46
clean
HC SHAVE SKIN LESION >2.0CM
$618
$371
$417
46
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
32
clean
HC EXC TR-EXT B9+MARG 0.6 - 1.0 CM
$1,179
$708
$513
78
clean
HC EXC TR-EXT B9+MARG 2
$2,443
$1,466
$895
78
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,858
33
clean
HC EXC TR-EXT B9+MARG >
$6,431
$3,859
$2,416
79
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$1,742
32
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$747
32
clean
HC EXC H-F-NK-SP B9+MAR - 1.1 - 2.0 CM
$2,772
$1,663
$1,742
124
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$1,742
32
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
33
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$747
32
clean
HC EXC FACE-MM B9+MARG - 0.6 - 1.0 CM
$1,271
$763
$747
46
clean
HC EXCISE LESION FACE 1.1-2 CM
$2,264
$1,358
$1,124
46
clean
HC EXC FACE-MM B9+MARG - 2.1 - 3.0 CM
$3,435
$2,061
$1,940
46
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$429
32
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$825
32
clean
HC EXC H-F-NK-SP MLG+MA - 0.5CM OR LESS
$1,640
$984
$1,181
46
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$3,268
33
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$1,742
32
clean
HC TRIM NONDYSTRIPHIC NAIL
$213
$128
$105
92
clean
HC DEBRIDE NAIL, 1-5
$311
$187
$111
121
clean
HC DEBRIDE NAIL, >6
$334
$200
$154
46
clean
HC NAIL PLATE AVULSION/SIMPLE/SINGLE
$663
$398
$312
121
clean
HC NAIL AVULSION, EA ADD NAIL PLATE
$408
$245
$237
55
clean
HC DRAIN BLOOD UNDER NAIL
$317
$190
$172
92
clean
HC REMOVAL OF NAIL BED - COMPLEX
$1,693
$1,016
$611
156
clean
BIOPSY OF NAIL UNIT (EG, PLATE, BED, MATRIX, HYPONYCHIUM, PROXIMAL AND LATERAL NAIL FOLDS) (SEPARATE PROCEDURE)
—
—
$747
32
clean
HC REPAIR NAIL BAD
$1,685
$1,011
$909
124
clean
HC RECONSTRUCT NAIL BED W/GRAF
$3,444
$2,066
$2,176
46
clean
HC EXCISION OF NAIL FOLD, TOE
$8,518
$5,111
$3,493
46
clean
EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
—
—
$3,268
33
clean
HC INJECT INTO SKIN LES
$398
$239
$228
46
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
—
—
$7,654
33
clean
REMOVAL OF TISSUE EXPANDER WITHOUT INSERTION OF IMPLANT
—
—
$3,268
33
clean
INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADABLE, NON-BIODEGRADABLE)
—
—
$140
32
clean
HC REMOVE DRUG IMPLANT
$452
$271
$431
124
clean
REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
—
—
$471
32
clean
HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM
$806
$484
$333
121
clean
HC SIMPLE REPAIR WOUND 2.6-7.5 CM
$801
$481
$395
92
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 7.6-12.5 CM
$948
$569
$457
92
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 12.6-20 CM
$1,241
$745
$616
46
clean
HC SIMPLE REPAIR WOUND - NON-FACE, 20.1-30 CM
$1,624
$974
$800
46
clean
HC REPAIR SIMPLE SUPERFICIAL WOUND > 30CM
$1,635
$981
$670
46
clean
HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM
$754
$452
$372
92
clean
HC SIMPLE REPAIR WOUND 2.6-5 CM
$862
$517
$425
92
clean
HC SIMPLE REPAIR WOUND 5.1-7.5 CM
$1,074
$644
$500
46
clean
HC SIMPLE REPAIR WOUND - FACE, 7.6-12.5 CM
$989
$593
$476
46
clean
HC SIMPLE REPAIR WOUND - FACE, 12.6-20 CM
$1,459
$875
$719
46
clean
HC SIMPLE REPAIR WOUND - FACE, 20.1-30 CM
$941
$565
$516
46
clean
HC SIMPLE RPR FACE > 30CM
$982
$589
$473
46
clean
HC TREAT SUPERFICIAL WOUND
$2,775
$1,665
$1,368
92
clean
HC TREAT WOUND DEHISC W/PACK
$1,502
$901
$741
46
clean
HC REPAIR INTERIOR WOUND < 2.5 CM
$1,176
$706
$515
124
clean
HC REPAIR INTERIOR WOUND 2.6-7.5 CM
$1,358
$815
$672
92
clean
HC REPAIR INTERIOR WOUND 7.6-12.5 CM
$1,503
$902
$674
124
clean
HC REPAIR INTERIOR WOUND 12.6-20CM
$1,808
$1,085
$885
46
clean
HC REPAIR INTERIOR WOUND 20.1-30 CM
$1,992
$1,195
$1,046
46
clean
HC REPAIR INTERNAL SCALP > 30 CM
$3,539
$2,123
$2,176
46
clean
HC REPAIR INTERNAL WOUND < 2.5 CM
$1,069
$642
$490
78
clean
HC REPAIR INTERNAL WOUND 2.6-7.5 CM
$1,257
$754
$490
78
clean
HC REPAIR INTERNAL WOUND 7.6-12.5 CM
$1,199
$720
$780
46
clean
HC REP/LAYER NON-TRUNK, 12.6 - 20.0 CM
$1,709
$1,025
$938
46
clean
HC INTERMEDIATE REPAIR NON TRUNK
$1,428
$857
$828
46
clean
HC INTMD RPR NONTRUNK >30CM
$6,256
$3,753
$3,113
46
clean
HC REP/LAYER FACE, 2.5 CM OR LESS
$1,179
$707
$611
92
clean
HC REPAIR INTERNAL WOUND 2.6-5 CM
$1,268
$761
$630
46
clean
HC REPAIR INTERNAL WOUND 5.1-7.5 CM
$1,465
$879
$722
46
clean
HC REPAIR INTERNAL WOUND 7.6-12.5CM
$1,536
$922
$757
46
clean
HC LAYER CLOSURE OF WOUND(S)
$1,770
$1,062
$873
46
clean
HC INTMD RPR FACE 20.1-30CM
$2,528
$1,517
$1,088
46
clean
HC INTMD RPR FACE > 30CM
$617
$370
$417
46
clean
HC CMPLX RPR TRUNK 1.1-2.5CM
$2,380
$1,428
$1,182
46
clean

Showing the first 200 of 6,504 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,600 of 3,922 comparable items (41%) 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 $3,871 exceeds the gross charge $1,258
warn
mrf_rate_without_estimate
36,350 of 36,350 percentage/algorithm rates across 1,642 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 34848/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 50389/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 80323/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 82642/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 86658/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 90849/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 J9017/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 25660/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 71100/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 80325/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 82652/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 90853/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 J9022/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 25675/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 50390/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 71101/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 80326/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 82653/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 86665/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 J9025/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 26010/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 80332/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 82657/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 86666/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 90999/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 J9033/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 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 80335/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 86668/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 J9035/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 80338/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 82670/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 86682/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 91038/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 99070/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 J9040/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 11043/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 35226/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 50431/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 80339/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 82671/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 differ, so no cross-line comparison was made for this item
CPT 86684/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 J9045/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 11044/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 80342/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 82681/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 86687/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 J9047/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 26410/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 50432/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 80345/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 82710/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 86688/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 J9050/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 11045/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 80347/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 82725/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 86689/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 99170/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 J9055/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 26418/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 50433/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 80348/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 82728/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 86694/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 J9075/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 80349/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 82746/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 86695/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 99199/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 J9100/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 50435/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 80353/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 82747/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 86696/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 J9145/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 50436/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 80354/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 86698/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 differ, so no cross-line comparison was made for this item
CPT J9150/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 80355/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 86703/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 J9153/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 36002/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 50590/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 80356/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 82784/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 86704/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 J9171/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 11106/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 36010/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 80358/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 82785/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 86706/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 J9176/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 26746/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 36015/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 80359/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 82787/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 86708/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 J9177/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 11107/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 36218/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 80360/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 86711/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 J9178/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 26755/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 36222/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 80361/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 86713/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 92511/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J9181/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 11200/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 36224/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 80364/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 86727/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 J9190/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, max differ, so no cross-line comparison was made for this item
CPT 26770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 36225/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 80365/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 82945/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 86735/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 J9201/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 36226/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 82947/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 86753/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 J9202/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 73060/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 80368/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 82955/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 86757/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 differ, so no cross-line comparison was made for this item
CPT J9206/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 11401/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 36227/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 51040/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 73070/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 80369/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 82962/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 86762/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 J9207/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 26989/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 73080/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 80372/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 82977/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 86765/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 J9208/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 11403/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 36228/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 51700/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 80375/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 82978/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 86768/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 differ, so no cross-line comparison was made for this item
CPT J9209/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 11406/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 51702/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 73090/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 80377/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 83001/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 86769/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92612/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J9211/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 27043/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 36251/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 51703/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 83002/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 86774/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 J9214/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 11422/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 36252/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 51705/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 73100/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 83006/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 differ, so no cross-line comparison was made for this item
CPT 86777/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 J9217/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 73110/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 83010/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 86778/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 J9220/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 27093/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 51720/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 86780/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 A2004/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 J9228/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 36299/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 51798/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 81003/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 83018/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 86787/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 A2006/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 differ, so no cross-line comparison was made for this item
CPT J9260/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 11719/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 27096/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 36415/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 73130/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 81005/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 83020/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 86788/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

Showing the first 200 of 3,166 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 · 513.8M bytes · fetched 2026-08-23 · sha256 5939bc0b2156…

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.