Service
Code
Listed
Cash
Negotiated
Rates
Checks
I&D Abscess Smple/Single
$342
$257
$278
1
clean
Rpr Smple Sclp Nck Trnk E
$225
$169
$183
1
clean
Rpr Smple Fce Ear Elid No
$266
$200
$109
1
clean
Pf Intubation Endotrachel Em
$275
$206
$150
1
clean
Intubate Et Tube Emergenc
$283
$212
$407
2
clean
Venipuncture
$14
$11
$11
7
clean
Cath Foley Temp Simple
$200
$150
$150
1
clean
Ct Head/Brain W/O
$1,500
$1,125
$1,112
4
clean
Ct Sinus W/O
$1,500
$1,125
$1,174
2
clean
Xr Chest 1V
$225
$169
$166
7
clean
Xr Chest Ap/Lat
$300
$225
$224
4
clean
Ribs W/ Pa Chest LT
$472
$354
$384
1
clean
Ct Chest W/O
$1,550
$1,163
$1,159
1
clean
Ct Chest W
$1,850
$1,388
$1,385
3
clean
Xr C-Spine 2-3V
$272
$204
$222
2
clean
Xr L-Spine 2-3V
$350
$263
$272
2
clean
Ct C-Spine W/O
$1,550
$1,163
$1,159
4
clean
Ct L-Spine W/O
$1,600
$1,200
$1,194
1
clean
Xr Pelvis 1V
$300
$225
$191
2
clean
Ct Pelvis W/O
$1,575
$1,181
$1,283
1
clean
Xr Shoulder 2V RT
$300
$225
$224
10
clean
Xr Humerus 2V LT
$272
$204
$221
1
clean
Xr Elbow 2V LT
$227
$170
$109
1
clean
Elbow 3 Views RT
$255
$191
$189
4
clean
Xr Wrist 3V RT
$300
$225
$224
6
clean
Xr Hand Min 3V RT
$300
$225
$223
6
clean
Xr Finger 2V LT
$227
$170
$110
4
clean
Ct Upr Ext W/O RT
$1,560
$1,170
$132
2
clean
Xr Knee 1/2V RT
$221
$166
$165
6
clean
Xr Knee 3V LT
$325
$244
$151
6
clean
Xr Leg 2V LT
$286
$215
$208
1
clean
Xr Ankle Comp Min 3V LT
$325
$244
$239
3
clean
Xr Foot 2V RT
$220
$165
$76
2
clean
Xr Foot Comp Min 3V RT
$300
$225
$225
3
clean
Xr Toes 2V LT
$242
$182
$145
2
clean
Ct Lwr Ext W/O RT
$1,550
$1,163
$1,180
8
clean
CT angio LE RT
$2,583
$1,937
$2,103
2
clean
Ct Abd/Pel W/O Contrast
$1,575
$1,181
$1,281
4
clean
Ct Abd/Pel W/ Contrast
$1,468
$1,101
$1,090
4
clean
Ct Abd/Pel W & W/O
$2,750
$2,063
$2,024
1
clean
Us Pelvic, Non-Ob
$683
$512
$69
1
clean
Ct Qct Bmd Survey
$222
$167
$195
2
clean
Bmp
$225
$169
$168
3
clean
Cmp Lab
$259
$194
$193
12
clean
Lipid Profile
$150
$113
$111
8
clean
Hepatitis Profile
$444
$333
$331
1
clean
Liver Panel
$93
$70
$69
2
clean
Acetaminophen Level
$176
$132
$131
1
clean
Drug Screen Profile Ua
$112
$84
$83
4
clean
Ua W/Micro
$75
$56
$56
10
clean
Hcg Qualitative Urine
$35
$26
$27
2
clean
Microalbumin, Random Urin
$97
$73
$72
8
clean
Alcohol Ethanol Lab
$156
$117
$116
2
clean
Ammonia Level
$182
$137
$136
2
clean
Occult Blood Stool Series
$66
$50
$51
2
clean
Vitamin D 25-Hydr Lab
$225
$169
$167
8
clean
Calcium Total
$55
$41
$45
1
clean
Cortisol, Random
$200
$150
$105
1
clean
Cpk Lab
$100
$75
$74
3
clean
Creatinine 24Hr Urine Lab
$75
$56
$61
7
clean
Vitamin B12 Level
$150
$113
$41
3
clean
Dhea-S Lab
$95
$71
$99
1
clean
Ferritin
$172
$129
$93
4
clean
Folic Acid Level
$152
$114
$124
1
clean
Venous Blood Gas
$275
$206
$205
1
clean
Hemoglobin A1C
$100
$75
$74
8
clean
Iron Serum
$80
$60
$62
2
clean
Iron Binding Capacity
$113
$85
$84
3
clean
Lactate/Lactic Acid
$80
$60
$59
6
clean
Ldh Lab
$100
$75
$74
1
clean
Lipase Lab
$75
$56
$56
7
clean
Magnesium Serum
$115
$86
$85
7
clean
Bnp Triage
$250
$188
$185
6
clean
Pth Intact
$300
$225
$223
2
clean
PSA, Total w Reflex to PSA Fre
$150
$113
$112
4
clean
Thiamine Level
$165
$124
$134
1
clean
T4 (Thyroxine)
$107
$80
$80
3
clean
Ft4 (Free Thyroxine)
$125
$94
$93
4
clean
Tsh Level
$175
$131
$130
8
clean
T3 Total Lab
$163
$122
$121
3
clean
Ft3 (Free T3) Lab
$245
$184
$182
4
clean
Reverse T3
$129
$97
$96
3
clean
Troponin Lab
$200
$150
$149
5
clean
Uric Acid Blood
$87
$65
$65
3
clean
Hcg Qualitative Serum
$169
$127
$124
2
clean
D-Dimer Lab
$175
$131
$137
3
clean
Pt/Inr Lab
$90
$68
$67
7
clean
Esr (Sed Rate)
$75
$56
$56
7
clean
Ptt Lab
$100
$75
$74
5
clean
Ana By Ifa, Igg
$46
$35
$15
3
clean
C-Reactive Protein Lab
$100
$75
$74
5
clean
Monospot Lab
$53
$40
$23
2
clean
Cd4 Panel
$280
$210
$209
1
clean
Anti-Microsomal Ab
$121
$91
$83
1
clean
Strep Screen Rapid
$129
$97
$96
6
clean
Rheumatioid Factor,Qual
$87
$65
$68
2
clean
Rpr Confirmation Fta-Abs
$44
$33
$6
1
clean
Epstein-Barr Virus
$50
$38
$19
1
clean
H. Pylori Antibodies Igg
$150
$113
$112
3
clean
Hiv Ab Screen
$180
$135
$76
2
clean
Rsv Antigen
$368
$276
$272
2
clean
Rpr Lab
$161
$121
$19
1
clean
Rh Typing Chrg
$120
$90
$45
2
clean
Culture Blood
$200
$150
$149
4
clean
Aerobic Identification
$75
$56
$26
3
clean
Culture Ua
$100
$75
$74
4
clean
Sensitivity Test Lab
$140
$105
$104
6
clean
Hiv P24 Antigen/Ab W/ Reflex
$100
$75
$34
1
clean
Rapid Covid/Flu W/ Qw
$105
$79
$78
1
clean
Chlamydia Dna Probe
$170
$128
$126
2
clean
Chlamydia Trach Amp Probe
$383
$287
$50
1
clean
Pcr Covid And Flu
$300
$225
$223
3
clean
Rsv, Covid, And Flu
$525
$394
$386
9
clean
Immunization Admin Single
$31
$23
$41
3
clean
Ekg 12 Lead Tracing Only
$165
$124
$124
7
clean
Hhn Tx Per Tx
$315
$236
$236
3
clean
Iv Inf Initial Hour
$150
$113
$112
3
clean
Iv Inf Ea Addl Hr
$75
$56
$57
2
clean
Add Seg Infuse Up To 1 Hr
$90
$68
$67
2
clean
Im/Subq Injection
$100
$75
$75
6
clean
Ivp Singl Or Initl Drug
$125
$94
$96
6
clean
Ea Addl Seq Ivp New Drug
$50
$38
$39
5
clean
Pt -Therapeutic Exercise
$77
$58
$58
5
clean
Gait Training
$100
$75
$78
2
clean
Pt-Manual Therapy
$100
$75
$75
4
clean
Pt Eval Low Complexity
$225
$169
$168
5
clean
Pt Eval Mod Complexity
$225
$169
$168
3
clean
Pt Eval High Complexity
$284
$213
$213
1
clean
Pt Re-Eval
$108
$81
$80
3
clean
Pt -Therapeutic Activities
$105
$79
$82
4
clean
Er Level I
$250
$188
$155
1
clean
Pf Er Level 2
$210
$158
$45
1
clean
Er Level 2
$400
$300
$175
4
clean
Pf Er Level 3
$315
$236
$75
1
clean
Er Level 3
$600
$450
$449
20
clean
Er Level 4
$900
$675
$674
18
clean
Pf Er Level 4
$450
$338
$128
3
clean
Pf Er Level 5
$670
$503
$185
2
clean
Er Level 5
$1,300
$975
$973
18
clean
Pf Critical Care Initial Hou
$775
$581
$226
1
clean
Critical Care 1St 30-74 M
$2,000
$1,500
$1,592
2
clean
ETC02 Detector
$35
$26
$26
2
clean
Oxygen & Devices
$85
$64
$63
2
clean
Ground Mileage
$10
$8
$10
9
clean
Als 1 Emergency Transport
$890
$668
$648
6
clean
Bls Non Emergency Transfer
$381
$286
$289
2
clean
Amb Bls Emergency Transport
$780
$585
$584
5
clean
Als Level 2 Transport
$940
$705
$692
1
clean
Psa Scrn/Ultrasensative
$200
$150
$155
2
clean
Orphenadrine Inj 60Mg/2Ml
$62
$47
$46
1
clean
Zosyn Inj 4.5 Gm/Vial
$23
$18
$16
4
clean
Promethzine 50mg/ml ampul
$25
$19
$9
1
clean
Cranial & peripheral nerve disorders without major complications
$1,364
$1,023
$1,461
2
clean
Concussion without complications
$668
$501
$738
2
clean
Other disorders of nervous system without complications
$1,570
$1,178
$1,290
1
clean
Headaches without major complications
$2,465
$1,849
$2,700
2
clean
Other disorders of the eye without major complications
$5,620
$4,215
$3,201
2
clean
Dysequilibrium
$3,178
$2,384
$2,801
1
clean
Otitis media & URI without major complications
$1,549
$1,162
$1,241
3
clean
Other ear, nose, mouth & throat diagnoses without complications
$5,869
$4,402
$2,498
2
clean
Respiratory infections & inflammations with complications
$2,414
$1,810
$2,173
1
clean
Respiratory infections & inflammations without complications
$984
$738
$621
3
clean
Chronic Lung Disease without complications
$3,268
$2,451
$1,610
2
clean
Pneumonia with complications
$2,513
$1,885
$2,261
1
clean
Pneumonia without complications
$1,350
$1,013
$1,302
2
clean
Craniotomy for trauma [Major Severity]
$891
$668
$686
1
clean
Craniotomy for trauma [Catastrophic Severity]
$1,861
$1,396
$1,442
2
clean
Other respiratory system diagnoses without major complications
$3,070
$2,303
$2,285
2
clean
Acute myocardial infarction, discharged alive with complications
$4,126
$3,094
$3,698
1
clean
Acute myocardial infarction, discharged alive without complications
$2,419
$1,814
$2,177
1
clean
Peripheral vascular disorders without complications
$1,141
$855
$992
1
clean
Hypertension with major complications
$5,962
$4,472
$4,590
1
clean
Hypertension without major complications
$1,351
$1,013
$993
2
clean
Abnormal or Irregular Heartbeat without complications
$1,069
$802
$1,424
2
clean
Angina pectoris
$3,392
$2,544
$2,691
2
clean
Chest pain
$2,659
$1,995
$2,350
2
clean
Other circulatory system diagnoses without complications
$529
$396
$291
1
clean
Major gastrointestinal disorders & peritoneal infections without complications
$1,639
$1,229
$1,475
1
clean
Digestive malignancy without complications
$3,132
$2,349
$2,818
1
clean
G.I. hemorrhage without complications
$1,511
$1,134
$2,603
2
clean
G.I. obstruction with complications
$3,085
$2,314
$2,777
1
clean
Stomach Disorder without complications
$2,590
$1,943
$1,730
3
clean
Other digestive system diagnoses without complications
$1,772
$1,329
$1,547
1
clean
Cirrhosis & alcoholic hepatitis without complications
$526
$395
$405
1
clean
Disorders of liver except malig,cirr,alc hepa without complications
$419
$314
$632
2
clean
Disorders of the biliary tract with complications
$3,679
$2,759
$2,833
1
clean
Disorders of the biliary tract without complications
$3,820
$2,865
$3,285
1
clean
Connective tissue disorders with complications
$1,337
$1,003
$1,203
1
clean
Connective tissue disorders without complications
$756
$567
$318
3
clean
Head trauma w coma >1 hr or hemorrhage [Moderate Severity]
$1,679
$1,259
$934
4
clean
Head trauma w coma >1 hr or hemorrhage [Catastrophic Severity]
$1,811
$1,358
$1,049
2
clean
Signs & symptoms of musculoskeletal system & connective tissue without major complications
$731
$549
$559
2
clean
Tendonitis, myositis & bursitis without major complications
$454
$341
$351
3
clean
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Minor Severity]
$220
$165
$468
2
clean
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity]
$1,213
$910
$871
3
clean
Other musculoskeletal system & connective tissue diagnoses without complications
$1,863
$1,397
$1,144
2
clean
Malignant breast disorders without complications
$403
$303
$277
1
clean
Infection of the skin
$341
$256
$307
1
clean
Trauma to the skin, subcut tiss & breast without major complications
$2,623
$1,967
$1,337
3
clean
Showing the first 200 of 242 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 31500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $606 exceeds the gross charge $283
CPT 81001/b
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $75
CPT 82627/b
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $95
CPT 85025/b
warn
mrf_negotiated_above_gross
highest negotiated rate $583 exceeds the gross charge $71
CPT 87186/b
warn
mrf_negotiated_above_gross
highest negotiated rate $412 exceeds the gross charge $140
CPT 90471/b
warn
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $31
CPT 93005/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,350 exceeds the gross charge $165
CPT 96375/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $50
CPT A0425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,544 exceeds the gross charge $10
MS-DRG 558/i
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
MS-DRG 561/i
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
MS-DRG 563/i
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
MS-DRG 566/i
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
MS-DRG 605/i
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
MS-DRG 607/i
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
MS-DRG 639/i
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
MS-DRG 641/i
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
MS-DRG 642/i
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
MS-DRG 645/i
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
MS-DRG 684/i
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
MS-DRG 690/i
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
MS-DRG 696/i
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
MS-DRG 726/i
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
MS-DRG 761/i
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
MS-DRG 812/i
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
MS-DRG 866/i
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
MS-DRG 880/i
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
MS-DRG 914/i
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
MS-DRG 916/i
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
MS-DRG 948/i
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
MS-DRG 950/i
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
MS-DRG 951/i
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 82570/b
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 99283/b
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 99284/b
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 J2543/b
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
MS-DRG 074/i
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
MS-DRG 090/i
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
MS-DRG 103/i
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
MS-DRG 125/i
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
MS-DRG 153/i
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
MS-DRG 156/i
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
MS-DRG 179/i
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
MS-DRG 192/i
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
MS-DRG 195/i
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
MS-DRG 204/i
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
MS-DRG 206/i
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
MS-DRG 305/i
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
MS-DRG 310/i
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
MS-DRG 311/i
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
MS-DRG 313/i
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
MS-DRG 379/i
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
MS-DRG 392/i
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
MS-DRG 443/i
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
MS-DRG 547/i
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
MS-DRG 552/i
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
MS-DRG 554/i
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
MS-DRG 556/i
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