Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rpr Smple Sclp Nck Trnk E
$225
$158
$223
2
clean
Rpr Smple Fce Ear Elid No
$266
$186
$133
1
clean
Splint Arm Short Static A
$261
$183
$131
1
clean
Venipuncture
$14
$10
$13
14
clean
Rmve Fb Ext Auditory Cana
$201
$141
$101
1
clean
Ct Head/Brain W/O
$755
$529
$691
8
clean
Ct Sinus W/O
$1,500
$1,050
$1,476
2
clean
Xr Chest 1V
$225
$158
$206
10
clean
Xr Chest Ap/Lat
$300
$210
$275
10
clean
Ribs W/ Pa Chest RT
$472
$330
$472
1
clean
Ct Chest W/O
$1,175
$823
$1,116
6
clean
Ct Chest W
$1,850
$1,295
$1,820
3
clean
Cta Chest W/Wo
$1,225
$858
$1,121
3
clean
Xr C-Spine 4-5V
$340
$238
$323
6
clean
Xr L-Spine W/Obliq 4V
$652
$456
$597
6
clean
Ct C-Spine W/O
$755
$529
$691
5
clean
Xr Shoulder 2V RT
$300
$210
$276
12
clean
Elbow 3 Views RT
$255
$179
$171
2
clean
Xr Wrist 3V RT
$300
$210
$275
3
clean
Xr Hand Min 3V RT
$300
$210
$275
3
clean
Xr Finger 2V LT
$227
$159
$209
4
clean
Xr Hip 2-3V LT
$275
$193
$252
7
clean
Xr Knee 3V LT
$325
$228
$247
12
clean
Xr Knee Comp 4V LT
$418
$293
$383
8
clean
Xr Ankle Comp Min 3V LT
$325
$228
$298
8
clean
Xr Foot Comp Min 3V LT
$300
$210
$286
8
clean
Xr Abd Compl W/Dcbts&Erc
$318
$223
$291
7
clean
Cta Abd/Pel W/ Contrast
$3,300
$2,310
$3,042
1
clean
Ct Abd/Pel W/O Contrast
$1,575
$1,103
$1,442
5
clean
Ct Abd/Pel W/ Contrast
$2,200
$1,540
$2,165
3
clean
Ct Abd/Pel W & W/O
$2,750
$1,925
$1,705
3
clean
Us Soft Tissue Head/Nck
$700
$490
$690
2
clean
Cmp Lab
$125
$88
$114
14
clean
Lipid Profile
$91
$64
$83
12
clean
Hepatitis Profile
$444
$311
$435
3
clean
Liver Panel
$93
$65
$91
3
clean
Drug Screen Profile Ua
$112
$78
$90
4
clean
Ua W/Micro
$75
$53
$68
13
clean
Urinalysis By Dip Stick
$42
$29
$38
11
clean
Hcg Qualitative Urine
$35
$25
$20
2
clean
Acth
$510
$357
$502
3
clean
Microalbumin, Random Urin
$97
$68
$95
7
clean
Alcohol Ethanol Lab
$156
$109
$154
2
clean
Afp, Serum
$200
$140
$196
1
clean
Ammonia Level
$182
$127
$178
1
clean
Amylase Serum
$69
$48
$65
4
clean
Occult Blood Stool Series
$66
$46
$60
3
clean
Vitamin D 25-Hydr Lab
$200
$140
$124
3
clean
Catecholamines
$93
$65
$91
1
clean
Cortisol, Random
$200
$140
$182
16
clean
Cpk Lab
$45
$32
$43
2
clean
Ckmb2
$146
$102
$133
8
clean
Creatinine 24Hr Urine Lab
$59
$41
$58
10
clean
Vitamin B12 Level
$105
$74
$96
9
clean
Dhea-S Lab
$95
$67
$93
3
clean
Vitamin D 1,25 Dihy Lab
$400
$280
$392
6
clean
Estradiol Serum
$267
$187
$204
2
clean
Ferritin
$172
$120
$169
7
clean
Folic Acid Level
$152
$106
$139
9
clean
Iga Lab
$99
$69
$90
1
clean
Abg Lab
$176
$123
$143
2
clean
Ggt Lab
$155
$109
$155
1
clean
Fsh Level
$209
$146
$190
1
clean
H pylori Urea breath test
$179
$125
$163
5
clean
Hemoglobin A1C
$100
$70
$91
12
clean
Insulin Level
$114
$80
$112
4
clean
Iron Binding Capacity
$113
$79
$104
8
clean
Lactate/Lactic Acid
$80
$56
$76
6
clean
Lipase Lab
$50
$35
$46
8
clean
Magnesium Serum
$50
$35
$46
10
clean
Metanepherines, Total
$168
$118
$165
1
clean
Bnp Triage
$250
$175
$228
10
clean
Phosphorus Inorganic
$78
$55
$71
1
clean
Progesterone Assay
$283
$198
$258
1
clean
Prolactin Lab
$220
$154
$208
2
clean
PSA, Total w Reflex to PSA Fre
$125
$88
$114
14
clean
A-Psa Free
$163
$114
$149
5
clean
Testosterone Total
$175
$123
$142
2
clean
T4 (Thyroxine)
$107
$75
$98
4
clean
Ft4 (Free Thyroxine)
$96
$67
$87
6
clean
Tsh Level
$115
$81
$105
11
clean
T3 Total Lab
$163
$114
$149
7
clean
Ft3 (Free T3) Lab
$245
$172
$223
7
clean
Troponin Lab
$85
$60
$77
9
clean
Uric Acid Blood
$87
$61
$82
6
clean
Manual Differential
$44
$31
$40
4
clean
Cbc W/O Differential
$45
$32
$41
4
clean
D-Dimer Lab
$91
$64
$83
9
clean
Pt/Inr Lab
$72
$50
$66
7
clean
Esr (Sed Rate)
$75
$53
$68
9
clean
Ptt Lab
$100
$70
$91
3
clean
Ana By Ifa, Igg
$46
$32
$29
5
clean
C-Reactive Protein Lab
$62
$43
$59
6
clean
Monospot Lab
$53
$37
$4
2
clean
H Pylori W/ Qw Mod
$85
$60
$15
1
clean
Anti-Microsomal Ab
$121
$85
$12
3
clean
Strep Screen Rapid
$129
$90
$99
8
clean
Rheumatioid Factor,Qual
$87
$61
$70
4
clean
Quantiferon Tb Gold
$258
$181
$244
2
clean
Mumps, Igg
$113
$79
$70
1
clean
Rsv Antigen
$368
$258
$13
2
clean
Rubella Igg
$101
$71
$63
1
clean
Rubeola Igg
$150
$105
$93
1
clean
Thyroglobin Antibody
$173
$121
$13
3
clean
Culture Blood
$75
$53
$57
4
clean
Culture Throat
$112
$78
$38
12
clean
Culture: Anaerobic Misc.
$154
$108
$140
1
clean
Culture Ua
$55
$39
$50
9
clean
Sensitivity Test Lab
$140
$98
$128
7
clean
Flu Test A&B
$20
$14
$84
3
clean
Sars Rapid Antigen Covid Ag
$150
$105
$115
10
clean
Streptococcus, Group A
$74
$52
$14
1
clean
Flu A&B Pcr Test
$200
$140
$131
6
clean
A-Influenza A
$80
$56
$76
12
clean
Pap Smear
$45
$32
$17
1
clean
General Pathology
$85
$60
$79
1
clean
Tissue pathology
$220
$154
$201
1
clean
Immunization Admin Single
$31
$22
$10
2
clean
Ekg 12 Lead Tracing Only
$165
$116
$151
11
clean
Us Transthoracic W/ Doppler
$1,375
$963
$1,353
2
clean
Dup Carotid Bilat
$1,025
$718
$1,009
1
clean
Hhn Tx Per Tx
$315
$221
$236
2
clean
Iv Inf Initial Hour
$150
$105
$142
6
clean
Iv Inf Ea Addl Hr
$75
$53
$74
2
clean
Add Seg Infuse Up To 1 Hr
$90
$63
$56
1
clean
Im/Subq Injection
$100
$70
$92
22
clean
Ivp Singl Or Initl Drug
$125
$88
$114
11
clean
Ea Addl Seq Ivp New Drug
$50
$35
$46
9
clean
Ultrasound
$42
$29
$38
1
clean
Pt -Therapeutic Exercise
$100
$70
$92
6
clean
Pt Eval Low Complexity
$225
$158
$206
3
clean
Pt Eval Mod Complexity
$225
$158
$206
6
clean
Pt Eval High Complexity
$284
$199
$201
2
clean
Pt Re-Eval
$108
$76
$99
6
clean
Phlebotomy Therapeautic
$249
$174
$228
1
clean
PF Admission Lev 2
$160
$112
$136
4
clean
PF Discharge
$110
$77
$84
1
clean
Er Level I
$250
$175
$110
1
clean
Pf Er Level 2
$210
$147
$44
2
clean
Er Level 2
$400
$280
$366
14
clean
Er Level 3
$650
$455
$595
22
clean
Pf Er Level 3
$315
$221
$75
4
clean
Pf Er Level 4
$450
$315
$127
6
clean
Er Level 4
$1,150
$805
$1,053
22
clean
Pf Er Level 5
$670
$469
$183
6
clean
Er Level 5
$1,425
$998
$1,304
22
clean
Pf Critical Care Initial Hou
$775
$543
$223
2
clean
Critical Care 1St 30-74 M
$2,000
$1,400
$1,897
2
clean
Ground Mileage
$10
$7
$11
12
clean
Als 1 Emergency Transport
$890
$623
$633
9
clean
Bls Non Emergency Transfer
$381
$267
$332
5
clean
Amb Bls Emergency Transport
$780
$546
$533
10
clean
Obs Per Hr Each
$40
$28
$37
16
clean
Morphine Sulf. Inj 4Mg/Ml
$25
$18
$7
1
clean
Metoclopramide Inj 10Mg/2Ml
$25
$18
$25
1
clean
Solu-Medrol Succ Inj 40Mg/Ml
$26
$18
$1
8
clean
Multiple sclerosis & cerebellar ataxia without complications
$848
$594
$342
1
clean
Transient ischemia
$1,025
$718
$315
1
clean
Cranial & peripheral nerve disorders without major complications
$475
$332
$336
2
clean
Concussion without complications
$1,985
$1,389
$973
1
clean
Other disorders of nervous system with complications
$2,338
$1,637
$1,174
1
clean
Other disorders of nervous system without complications
$807
$565
$401
2
clean
Headaches without major complications
$1,366
$956
$749
2
clean
Other disorders of the eye without major complications
$668
$468
$150
1
clean
Dysequilibrium
$1,486
$1,040
$820
1
clean
Otitis media & URI without major complications
$695
$487
$497
2
clean
Other ear, nose, mouth & throat diagnoses without complications
$801
$560
$251
3
clean
Dental & oral diseases without complications
$790
$553
$330
2
clean
Respiratory infections & inflammations with complications
$1,908
$1,336
$918
1
clean
Chronic Lung Disease with complications
$3,645
$2,551
$785
1
clean
Chronic Lung Disease without complications
$2,132
$1,492
$1,115
1
clean
Pneumonia without complications
$247
$173
$508
2
clean
Craniotomy for trauma [Minor Severity]
$2,066
$1,447
$963
1
clean
Craniotomy for trauma [Moderate Severity]
$2,094
$1,466
$1,208
1
clean
Craniotomy for trauma [Major Severity]
$2,208
$1,545
$551
2
clean
Craniotomy for trauma [Catastrophic Severity]
$895
$627
$439
2
clean
Other respiratory system diagnoses without major complications
$824
$576
$165
1
clean
Peripheral vascular disorders without complications
$561
$393
$240
1
clean
Atherosclerosis without major complications
$1,241
$869
$226
2
clean
Hypertension without major complications
$472
$330
$303
3
clean
Cardiac congenital & valvular disorders without major complications
$1,375
$963
$148
1
clean
Abnormal or Irregular Heartbeat without complications
$879
$615
$490
3
clean
Angina pectoris
$3,276
$2,293
$1,754
1
clean
Syncope & collapse
$760
$532
$414
2
clean
Chest pain
$2,297
$1,608
$895
2
clean
Other circulatory system diagnoses with complications
$4,880
$3,416
$1,594
1
clean
Other circulatory system diagnoses without complications
$214
$150
$73
1
clean
Major esophageal disorders with complications
$394
$276
$181
1
clean
Digestive malignancy without complications
$329
$231
$239
1
clean
Inflammatory bowel disease without complications
$256
$179
$124
1
clean
G.I. obstruction without complications
$3,462
$2,423
$1,551
1
clean
Esophagitis, gastroent & misc digest disorders with major complications
$1,894
$1,326
$446
1
clean
Stomach Disorder without complications
$1,081
$757
$667
2
clean
Other digestive system diagnoses without complications
$194
$136
$26
1
clean
Cirrhosis & alcoholic hepatitis with complications
$908
$636
$397
2
clean
Cirrhosis & alcoholic hepatitis without complications
$1,466
$1,026
$1,005
1
clean
Disorders of pancreas except malignancy without complications
$4,270
$2,989
$2,400
1
clean
Disorders of liver except malig,cirr,alc hepa without complications
$272
$190
$76
2
clean
Showing the first 200 of 249 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 97161/b
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $225
CPT A0425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,627 exceeds the gross charge $10
MS-DRG 645/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 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 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 696/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 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 776/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 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 816/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 864/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 886/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 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 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 87400/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, 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 99285/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 G0378/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 J2919/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 093/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 153/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 156/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 159/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 203/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 303/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 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 310/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 312/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 392/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 433/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 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 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 552/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 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
MS-DRG 558/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 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 603/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 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 607/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 638/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 639/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 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 644/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