Hospital · CCN 470005

Rutland Regional Medical Center

160 Allen St, Rutland, VT 05701 · Rutland County
Part of Rutland Regional Health Services · 142 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

46 admission types 39 outpatient services price file: ok
Billed per dollar paid, all admissions
4.57×
$53.0M billed against $11.6M paid across 1,328 Medicare discharges; the national figure is 5.03×.
—
of adults in Rutland County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.3%
uninsured in the county · state 4.9%
$63K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
35.5%
obesity in the countyⓘ
10.3%
diagnosed diabetes (PLACES)
7.5%
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
162
$48,473
$12,198
4.0× st 3.8×
189
Pulmonary edema and respiratory failure
135
$36,303
$7,352
4.9× st 4.2×
291
Heart failure and shock with mcc
94
$30,449
$6,818
4.5× st 3.7×
885
Psychoses
76
$76,419
$19,137
4.0× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
56
$36,553
$5,182
7.1× st 4.1×
177
Respiratory infections and inflammations with mcc
40
$44,093
$9,707
4.5× st 3.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
39
$27,434
$6,828
4.0× st 5.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
34
$16,383
$3,544
4.6× st 3.7×
309
Cardiac arrhythmia and conduction disorders with cc
33
$21,770
$4,584
4.7× st 3.6×
481
Hip and femur procedures except major joint with cc
31
$61,132
$11,626
5.3× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
31
$39,468
$7,717
5.1× st 4.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$34,204
$6,503
5.3× st 5.3×
378
Gastrointestinal hemorrhage with cc
29
$32,612
$6,575
5.0× st 3.7×
193
Simple pneumonia and pleurisy with mcc
29
$33,991
$6,921
4.9× st 3.6×
603
Cellulitis without mcc
26
$23,710
$5,862
4.0× st 3.8×
690
Kidney and urinary tract infections without mcc
25
$23,111
$4,892
4.7× st 4.5×
312
Syncope and collapse
24
$26,011
$4,593
5.7× st 5.6×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
23
$27,283
$8,389
3.3× st 2.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
22
$22,160
$4,241
5.2× st 4.4×
881
Depressive neuroses
21
$27,071
$8,317
3.3× st 3.5×
308
Cardiac arrhythmia and conduction disorders with mcc
19
$31,180
$8,170
3.8× st 3.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$13,732
$3,095
4.4× st 4.6×
689
Kidney and urinary tract infections with mcc
18
$35,134
$6,271
5.6× st 5.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
18
$34,870
$6,186
5.6× st 4.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$60,124
$11,989
5.0× st 4.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$81,914
$17,993
4.6× st 4.3×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$33,237
$6,998
4.8× st 4.8×
812
Red blood cell disorders without mcc
14
$48,272
$7,488
6.4× st 4.8×
683
Renal failure with cc
14
$36,128
$6,749
5.4× st 4.0×
682
Renal failure with mcc
14
$47,075
$7,613
6.2× st 5.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$39,099
$12,033
3.2× st 4.3×
699
Other kidney and urinary tract diagnoses with cc
14
$27,845
$4,543
6.1× st 4.9×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
14
$77,664
$23,876
3.3× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
13
$132,606
$23,617
5.6× st 3.2×
883
Disorders of personality and impulse control
13
$51,684
$14,784
3.5× st 3.5×
811
Red blood cell disorders with mcc
13
$46,144
$10,757
4.3× st 4.3×
951
Other factors influencing health status
13
$15,897
$4,269
3.7× st 5.4×
377
Gastrointestinal hemorrhage with mcc
13
$49,138
$8,282
5.9× st 5.2×
394
Other digestive system diagnoses with cc
13
$31,898
$5,689
5.6× st 4.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
12
$39,834
$4,921
8.1× st 6.5×
389
Gastrointestinal obstruction with cc
12
$40,556
$5,126
7.9× st 5.1×
178
Respiratory infections and inflammations with cc
12
$32,045
$4,947
6.5× st 5.2×
101
Seizures without mcc
12
$30,199
$4,777
6.3× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
12
$28,215
$11,011
2.6× st 3.8×
638
Diabetes with cc
11
$27,087
$5,747
4.7× st 4.5×
694
Urinary stones without mcc
11
$28,479
$4,913
5.8× st 5.8×
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
5372
Level 2 Urology and Related Services
363
$2,027
$328
6.2×
5115
Level 5 Musculoskeletal Procedures
295
$42,729
$7,060
6.1×
8011
Comprehensive Observation Services
233
$14,999
$1,375
10.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
199
$6,606
$836
7.9×
5373
Level 3 Urology and Related Services
167
$7,082
$960
7.4×
5491
Level 1 Intraocular Procedures
165
$8,908
$1,377
6.5×
5431
Level 1 Nerve Procedures
115
$7,844
$1,109
7.1×
5374
Level 4 Urology and Related Services
81
$21,804
$1,852
11.8×
5114
Level 4 Musculoskeletal Procedures
75
$28,167
$3,918
7.2×
5183
Level 3 Vascular Procedures
68
$10,562
$1,572
6.7×
5113
Level 3 Musculoskeletal Procedures
65
$14,536
$1,834
7.9×
5116
Level 6 Musculoskeletal Procedures
65
$76,080
$8,448
9.0×
5361
Level 1 Laparoscopy and Related Services
60
$21,241
$3,815
5.6×
5112
Level 2 Musculoskeletal Procedures
53
$5,683
$950
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
53
$15,531
$1,763
8.8×
5375
Level 5 Urology and Related Services
49
$19,232
$2,980
6.5×
5302
Level 2 Upper GI Procedures
46
$10,968
$827
13.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
30
$15,549
$1,930
8.1×
5182
Level 2 Vascular Procedures
28
$3,703
$805
4.6×
5376
Level 6 Urology and Related Services
27
$47,391
$4,878
9.7×
5414
Level 4 Gynecologic Procedures
20
$11,384
$1,109
10.3×
5154
Level 4 Airway Endoscopy
19
$17,446
$2,262
7.7×
5153
Level 3 Airway Endoscopy
16
$4,904
$991
4.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
16
$30,431
$3,807
8.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$17,320
$1,243
13.9×
5163
Level 3 ENT Procedures
12
$2,795
$596
4.7×
5164
Level 4 ENT Procedures
11
$10,867
$1,567
6.9×
5432
Level 2 Nerve Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via www.rrmc.org/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 3/31/2026, template 3.0.0, 20,611 rows scanned, 4,643 distinct code–setting items kept. 2,079 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
ARC Molecular HEA RBC Panel
$986
$888
—
0
clean
TPMT and NUDT15 Genotype, B-Mayo
$713
$641
—
0
clean
Albumin, 24 Hr U-Mayo
$242
$217
—
0
clean
Platelet Rich Plasma Injection
$476
$428
$65
5
clean
MR QUANTITATIVE TISSUE ANALYSIS 0649T
$2,563
$2,307
—
0
clean
FNA Biopsy each addtl lesion
$244
$220
$62
19
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$444
$400
$154
56
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion
$304
$274
$72
19
clean
IR FNA Biopsy Inc Guid 1st Lesion - 10007
$2,154
$1,939
$723
6
clean
CT FNA Biopsy Inc Guid 1st Lesion - 10009
$2,272
$2,045
$723
6
clean
CT FNA Biopsy Inc Guid ea add Lesion - 10010
$431
$388
—
0
clean
MR FNA Biopsy Inc Guid 1st Lesion - 10011
$2,154
$1,939
$723
6
clean
MR FNA Biopsy Inc Guid ea add Lesion - 10012
$431
$388
—
0
clean
Fine needle aspiration; without imaging guidance
$382
$344
$116
44
clean
Image guided fluid collection by catheter
$837
$753
$723
56
clean
Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive
$518
$466
$653
37
clean
Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive
$259
$233
$63
19
clean
10040 ACNE SURGERY
$349
$314
$122
50
clean
10060 I&D ABSCESS, SIMPLE
$363
$327
$141
88
clean
10061 I&D ABSCESS, COMPLEX
$704
$634
$235
69
clean
10080 I&D PILONIDAL CYST, SIMPLE
$399
$359
$250
50
clean
Incision & Drainage, Pilonidal Cyst; Complicated
$688
$619
$211
19
clean
10120 REMOVAL OF FOREIGN BODY, SIMPLE
$368
$331
$180
88
clean
10121 REMOVAL OF FOREIGN BODY SUBQ/COMPLICATED
$801
$721
$328
69
clean
10140 DRAINAGE OF HEMATOMA/FLUID
$455
$410
$176
106
clean
10160 ASPIRATION OF ABSCESS/CYST
$359
$323
$148
81
clean
Incision And Drainage, Complex, Postoperative Wound Infection
$664
$598
$278
25
clean
Debridement
$178
$160
$65
50
clean
11010 DEBRIDEMENT AT SITE OF OPEN FX/DISL
$1,159
$1,043
$364
63
clean
Debridement including Removal foreign material at open fracture
$1,478
$1,330
$391
38
clean
11012 DEBRIDEMENT INCL REM OF FOREIGN MAT AT OPEN
$2,058
$1,852
$566
63
clean
11042 DEBRIDE, SUBQ TISSUE (INCLUDES EPIDERMIS)
$240
$216
$62
107
clean
Removal Of Dead Or Diseased Skin, Fat Layers Below The Skin And Muscle
$911
$820
$300
63
clean
11044 DEBRIDE; SKIN/SUBQ TISSUE <20SQ CM
$1,180
$1,062
$396
69
clean
Debridement Subcutaneous Tissue: Each Additional 20SQ CM
$91
$82
$26
38
clean
DEBRIDEMENT MUSCLE AND/OR FASCIA EACH ADDITIONAL 20SQ CM
$297
$267
$55
38
clean
Debridement,bone,each add'l 20 sq cm
$493
$444
$96
19
clean
11055 CHG PARING/CUTTING BENIGN HYPERKERATOTIC
$121
$109
$71
69
clean
11056 PARING/CUTTING OF BENIGN HYPERKERATOT
$153
$138
$81
69
clean
Tangential biopsy of skin; single lesion
$201
$181
$127
25
clean
Tangential biopsy of skin; each additional lesion
$116
$104
$33
19
clean
11104 PUNCH BX OF SKIN FIRST LESION
$253
$228
$152
75
clean
Punch biopsy skin each addtl lesion
$137
$123
$39
38
clean
11106 INSCISIONAL BIOPSY OF SKIN LESION
$308
$277
$184
69
clean
Incisional biopsy of skin; each additional lesion
$165
$149
$46
19
clean
11200 REMOVAL OF SKIN TAGS & W/15
$236
$212
$100
94
clean
Removal of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Each Additional 10 Lesions, or Part
$88
$79
$22
57
clean
11300 SHAVING EPIDERMAL/DERMAL LESION, S
$153
$138
$108
50
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms or Legs; Lesion Diameter 0.6 to 1
$257
$231
$131
25
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms or Legs; Lesion Diameter 1.1 to 2.
$314
$283
$117
44
clean
Shave skin lesion > 2.0 cm
$359
$323
$159
25
clean
11305 SHAVING EPIDERMAL/DERMAL LESION, SINGL
$207
$186
$113
69
clean
Shave skin lesion 0.6-1.0 cm
$276
$248
$74
63
clean
Shave skin lesion 1.1-2.0 cm
$345
$311
$88
19
clean
Shave excision of vulvar condolomya
$419
$377
$156
25
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Face, Ears, Eyelids, Nose, Lips, Mucous Membra
$230
$207
$121
50
clean
Shaving of Epidermal or Dermal Lesion, Single Lesion, Face, Ears, Eyelids, Nose, Lips, Mucous Membra
$316
$284
$148
50
clean
SHAVE LESION > 2.0 CM
$486
$437
$188
25
clean
Exc Tr-Ext B9Marg 0.5 < Cm_11400
$303
$273
$95
63
clean
Exc Tr-Ext B9Marg 0.6-1 Cm 11401
$375
$338
$149
44
clean
Excision benign lesion (trunk/arm/leg) 1.1-2 cm
$425
$383
$168
44
clean
Excision, Benign Lesion Including Margins, Except Skin Tag, Trunk, Arms Or Legs; Excised Diameter 2.
$542
$488
$177
63
clean
Excision benign lesion (trunk/arm/leg) 3.1-4 cm
$623
$561
$226
44
clean
11406 EXC TR-EXT B9MARG > 4.0 CM
$771
$694
$294
88
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 0.5 cm or less
$300
$270
$102
38
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 0.6-1.0 cm
$494
$445
$162
44
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 1.1-2.0 cm
$437
$393
$187
44
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 2.1-3.0 cm
$608
$547
$195
38
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia) 3.1-4.0 cm
$608
$547
$224
57
clean
Excision benign lesion (scalp/neck/hand/feet/genitalia)over 4.0 cm
$1,177
$1,059
$341
38
clean
11440 EXC BENIGN LESION INCLUDE MARGINS, EXC S
$303
$273
$167
69
clean
Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Face, Ea
$442
$398
$180
44
clean
Exc Face-Mm B9Marg 1.1-2 Cm_11442
$521
$469
$202
44
clean
Exc Face-Mm B9Marg 2.1-3 Cm_11443
$691
$622
$222
38
clean
Exc Face-Mm B9Marg 3.1-4 Cm_11444
$946
$851
$284
38
clean
Excise Benign Lesion > 4.0 Cm_11446
$1,423
$1,281
$402
38
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Axillary; With Simple Or Intermediate Rep
$833
$750
$293
101
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Axillary; With Complex Repair
$1,304
$1,174
$387
19
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Inguinal; With Simple Or Intermediate Rep
$874
$787
$426
44
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Inguinal; With Complex Repair
$1,304
$1,174
$394
19
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Perianal, Perineal, Or Umbilical; With Si
$1,097
$987
$458
63
clean
Excision Of Skin And Subcutaneous Tissue For Hidradenitis, Perianal, Perineal, Or Umbilical; With Co
$1,442
$1,298
$419
19
clean
PFC EXC MALG LESIO ARMS/LEGS >.5CM 11600
$488
$439
$142
38
clean
PFC Excise Malg Lesion 0.6-1.0 Cm 11601
$604
$544
$184
38
clean
PFC Exc Tr-Ext Mlgmarg 1.1-2 Cm 11602
$664
$598
$203
57
clean
PFC Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter 2.1 To 3.0
$831
$748
$241
57
clean
Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter 3.1 To 4.0
$934
$841
$264
38
clean
Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter Over 4.0 Cm
$1,489
$1,340
$391
57
clean
EXCISION MALIGNANT LESION 0.5CM OR LESS
$472
$425
$145
57
clean
EXCISION MALIGNANT LESION S/N/H/F/G .06-1.0 CM
$598
$538
$211
44
clean
Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter
$708
$637
$215
38
clean
Exc H-F-Nk-Sp Mlgmarg 2.1-3_11623
$918
$826
$264
38
clean
PFC Excision/Removal Malignant Lesion 3.1 to 4.0cm 11624
$1,084
$976
$300
38
clean
Excision, malignant lesion incl margins, scalp, neck, hands, feet, genitalia; excised diameter over
$1,324
$1,192
$374
38
clean
Excision malignant lesion, face, ears, eyelids, nose, lips; lesion diameter 0.5
$509
$458
$181
44
clean
Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 0.6
$634
$571
$199
38
clean
Exc Face-Mm Maligmarg 1.1-2 11642
$769
$692
$234
57
clean
EXC. MALG LESION 2.1-3 CM
$1,023
$921
$292
38
clean
Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; Excised Diameter 3.1
$1,285
$1,157
$410
44
clean
PFC EXC. MALIGNANT LESION INCLUDING MARGINS FACE,EARS,EYELIDS,NOSE,LIPS GREATER THAN 4.0 CM 11646
$1,877
$1,689
$511
38
clean
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$51
$46
$22
25
clean
11720 DEBRIDEMENT OF NAIL(S); 1 TO 5
$92
$83
$36
50
clean
DEBRDEMENT NAIL ANY METHOD 6 OR MORE
$165
$149
$53
25
clean
11730 AVULSION NAIL PLATE, SINGLE
$316
$284
$123
69
clean
11732 AVULSION OF NAIL PLATE, PARTIAL/COMPLETE
$127
$114
$40
57
clean
11740 DRAIN BLOOD UNDER FINGER/TOE
$79
$71
$57
44
clean
Removal Of Nail Bed 11750
$719
$647
$224
44
clean
Biopsy Of Nail Unit (Eg, Plate, Bed, Matrix, Hyponychium, Proximal And Lateral Nail Folds)
$240
$216
$111
19
clean
11760 REPAIR OF NAIL BED
$493
$444
$232
44
clean
Reconstruction Of Nail Bed With Graft
$946
$851
$256
19
clean
11765 WEDGE EXCISION OF SKIN OF NAIL
$210
$189
$155
101
clean
Excision Of Pilonidal Cyst Or Sinus; Simple
$786
$707
$353
63
clean
Excision Of Pilonidal Cyst Or Sinus; Extensive
$1,791
$1,612
$641
44
clean
Excision Of Pilonidal Cyst Or Sinus; Complicated
$2,166
$1,949
$681
38
clean
11900 INJ/INTRALESIONAL; UP TO AND INCL 7 LESIONS
$149
$134
$41
88
clean
Injection, intralesional; more than 7 lesions
$243
$219
$79
25
clean
Implant hormone pellet(s)
$426
$383
$135
25
clean
Admin/Implant AMB Charge
$444
$400
$132
69
clean
Removal, Non-Biodegradable Drug Delivery Implant
$534
$481
$196
44
clean
Removal and Reinsertion of Contraceptive capsules
$989
$890
$295
63
clean
12001 WOUND REPAIR, SIMPLE
$242
$218
$198
94
clean
12002 WOUND REPAIR, SIMPLE
$328
$295
$175
88
clean
12004 WOUND REPAIR, SIMPLE
$574
$517
$188
44
clean
12005 REPAIR SUPERFICIAL WOUNDS 12.6 CM TO 20.0 CM
$719
$647
$259
44
clean
12006 SIMPLE REPAIR SCALP 20.1 CM TO 30.0C CM
$688
$619
$324
44
clean
12007 Simple repair scalp, trunk, extremity >30cm
$833
$750
$309
69
clean
12011 WOUND REPAIR, SIMPLE
$308
$277
$204
69
clean
12013 WOUND REPAIR, SIMPLE
$518
$466
$180
44
clean
12014 REPAIR SUPERFICIAL WOUND(S)
$622
$560
$196
44
clean
12015 REPAIR SUPERFICIAL WOUNDS
$782
$704
$234
44
clean
12016 SIMP REPAIR OF SUPERFIC WNDS OF FACE/EARS
$965
$869
$340
44
clean
12017 REPAIR FACE WOUNDS; 20.1-30.0 CM
$940
$846
$347
44
clean
12018 SIMPLE REPAIR OF SUPERFIC WNDS OF FACE/EARS
$942
$848
$376
44
clean
12020 CLOSURE OF SPLIT WOUND
$782
$704
$338
82
clean
Treatment Of Superficial Wound Dehiscence; With Packing
$556
$500
$173
19
clean
12031 WOUND CLOSURE
$518
$466
$236
82
clean
12032 WOUND CLOSURE
$738
$664
$294
82
clean
12034 INTMD WND REPAIR S/TR/EXT
$753
$678
$356
107
clean
12035 INTMD WND REPAIR S/TR/EXT
$980
$882
$410
88
clean
12036 INTRMD REPAIR SCALP/AXILLAE/TRUNK
$1,223
$1,101
$506
88
clean
12037 RPR INTRMD SCALP/TRUNK/EXTREM; >30.0CM
$1,316
$1,184
$568
44
clean
12041 INTRMD RPR HANDS 2.5CM OR LESS
$726
$653
$273
63
clean
12042 INTMD WND REPAIR N-HG/GENIT
$709
$638
$332
63
clean
12044 RPR/INTRMD/WOUNDS OF NECK/HANDS/FEET
$918
$826
$399
63
clean
12045 REPAIR INTMD N/H/F/XTRNL GENT 12.6-20 CM
$1,141
$1,027
$476
44
clean
12046 INTRMD REP, N/H/F/G; 20.1-30.0CM
$1,112
$1,001
$576
44
clean
Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External Genitalia; Over 30.0 Cm
$764
$688
$402
19
clean
12051 WOUND CLOSURE
$661
$595
$312
63
clean
12052 WOUND CLOSURE
$709
$638
$332
63
clean
12053 INTMD WND REPAIR FACE/MM
$820
$738
$383
63
clean
12054 RPR, INTRMD, WOUNDS OF FACE/EARS/EYELIDS
$876
$788
$346
82
clean
12055 RPR, INTRMD, FACE/EARS/EYELIDS/NOSE
$1,385
$1,247
$410
69
clean
Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; 20.1 Cm To
$1,698
$1,528
$431
19
clean
Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.0 C
$1,044
$940
$495
19
clean
Repair Cmplx Trunk 1.1 - 2.5Cm_13100
$952
$857
$300
38
clean
13101 COMPLEX REPAIR TRUNK 2.6-7.5 CM
$1,048
$943
$465
69
clean
13102 COMPLEX REPAIR TRUNK ADD'L 5CM
$373
$336
$97
57
clean
13120 CMPLX RPR S/A/L 1.1-2.5 CM
$929
$836
$405
82
clean
13121 RPR, COMPLEX, SC/ARM/LEG; 2.6-7.5CM
$1,140
$1,026
$499
126
clean
13122 RPR COMPLEX SCALP/ARMS/LEGS EA. ADDL 5CM
$430
$387
$111
57
clean
Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands And/Or Feet; 1.1 Cm
$1,378
$1,240
$410
25
clean
13132 CHG RPR, COMPLEX, FOREHEAD, CHEEKS
$792
$713
$619
44
clean
13133 CHG EA. ADDL 5CM OR LESS
$357
$321
$173
38
clean
13151 RPR COMPLEX EYELIDS,NOSE,EARS AND/
$1,284
$1,156
$495
63
clean
13152 RPR COMPLEX EYELIDS,NOSE,EARS, AND
$1,760
$1,584
$629
44
clean
13153 RPR COMPLEX EYELIDS,NOSE,EARS, AND
$683
$615
$187
38
clean
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated
$3,546
$3,191
$947
38
clean
Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10 Sq Cm Or Less
$1,909
$1,718
$634
82
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK DEFECT 10.1 SQ CMTO 30.0 CM
$2,532
$2,279
$841
63
clean
Adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/Or Legs; Defect 10 Sq Cm Or Less
$1,398
$1,258
$761
44
clean
Adjacent tissue transfer/ 10.1 cm to 30.0 sq cm
$2,661
$2,395
$938
19
clean
Adjacent Tissue Transfer Or Rearrangement, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia,
$2,475
$2,228
$826
63
clean
Adjacent tissue transfer, defect 10.1sq cm to 30.0sq cm
$3,116
$2,804
$1,021
19
clean
14060 TISS. TRANS. E/N/E/L; 10CM OR LESS
$2,527
$2,274
$906
69
clean
adjacent tissue transfer or rearrangement, eyelid,nose,ears and or lips; defect 10.1 sqcm to 3.0 sq
$3,495
$3,146
$1,089
19
clean
ADJACENT TISSUE TRANSFER OR RE-ARRANGEMENT, ANY AREA-DEFECT 30.1 SQ CM TO 60.0 SQ CM
$3,650
$3,285
$1,086
38
clean
Adjacent tissue transfer or rearrangement, any area; each addit. 30 Sq cm
$1,021
$919
$222
38
clean
Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds, Burn Eschar, Or Scar
$1,094
$985
$292
38
clean
Surgical Preparation or Creation of Recipient Site by Excision of Open Wounds, Burn Eschar, or Scar
$240
$216
$59
38
clean
15004 SURG PREP RECIP SITE F/S/H/F 1ST 100SQCM
$1,372
$1,235
$365
63
clean
Harvest Of Skin For Tissue Cultured Skin Autograft, 100 Sq Cm Or Less
$598
$538
$165
19
clean
Pinch Graft, Single Or Multiple, To Cover Small Ulcer, Tip Of Digit, Or Other Minimal Open Area (Exc
$1,525
$1,373
$555
19
clean
Split-Thickness Autograft, Trunk, Arms, Legs; First 100 Sq Cm Or Less, Or 1% Of Body Area Of Infants
$2,917
$2,625
$906
57
clean
Split-Thickness Autograft, Trunk, Arms, Legs; Each Additional 100 Sq Cm, Or Each Additional 1% Of Bo
$517
$465
$145
38
clean
15115 EPIDERMAL AUTOGRAFT F/S/H/F 1ST 100SQCM
$3,353
$3,018
$928
44
clean
Split-Thickness Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet,
$3,281
$2,953
$995
38
clean
Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Scalp, Arms, And/Or Legs; 20 Sq
$1,758
$1,582
$787
19
clean
FT/GRAFT FR W/DIR CLSR DONOR SITE EA ADDL 20 CM
$362
$326
$95
19
clean
Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Forehead, Cheeks, Chin, Mouth, N
$3,171
$2,854
$1,007
19
clean
Skin full graft een & lips
$3,187
$2,868
$1,094
19
clean
APPLICATION SKIN SUBSITUTE GRAFT TO TRUNK, ARMS,LEGS, TOTAL WOUND SURFACE AREA UP TO 100SQ CM, FIRS
$433
$390
$128
63
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK,ARMS, LEGS, EACH ADDITIONAL 25 SQ CM WOUND AREA
$94
$85
$25
38
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK,ARMS,LEGS,TOTAL WOUND FIRST 100 SQ CM
$1,011
$910
$303
63
clean
APPLICATION SKIN SUBSTITUTE GRAFT TO TRUNK ARMS, LEGS-EACH ADDITIONAL 100 SQ CM
$230
$207
$65
57
clean
Application of skin graft to extremities, wound surface up to 100sq cm
$501
$451
$168
44
clean
Transfer pedicle flap, any location
$1,452
$1,307
$491
38
clean
ENT_MUSC MYO/FSCQ FLAP HEAD & NECK NAMED VASC PEDCL
$4,774
$4,297
$1,260
76
clean
Muscle, myocutaneous, or fasciocutaneous flap; trunk
$5,714
$5,143
$1,719
38
clean
Musc myocutaneous/fasciocutaneous flap UXTR
$5,188
$4,669
$1,482
38
clean
Muscle, Myocutaneous, Or Fasciocutaneous Flap; Lower Extremity
$4,963
$4,467
$1,615
38
clean

Showing the first 200 of 4,643 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 27267/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,333 exceeds the gross charge $656
CPT J9280/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $23
CPT 33229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,593 exceeds the gross charge $11,797
CPT 33249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32,939 exceeds the gross charge $31,041
CPT 33264/b
warn
mrf_negotiated_above_gross
highest negotiated rate $32,939 exceeds the gross charge $21,519
CPT 52007/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,091 exceeds the gross charge $869
CPT 52204/b
warn
mrf_negotiated_above_gross
highest negotiated rate $945 exceeds the gross charge $745
CPT 52224/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,867 exceeds the gross charge $1,165
CPT 95976/b
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $222
CPT Q2049/b
warn
mrf_negotiated_above_gross
highest negotiated rate $424 exceeds the gross charge $246
CPT 0481T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $390 exceeds the gross charge $238
CPT 22513/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,603 exceeds the gross charge $2,550
CPT 22514/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,571 exceeds the gross charge $2,362
CPT 85097/b
warn
mrf_negotiated_above_gross
highest negotiated rate $834 exceeds the gross charge $550
CPT 52317/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,002 exceeds the gross charge $1,931
CPT 22554/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,795 exceeds the gross charge $664
CPT 52441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,538 exceeds the gross charge $1,218
CPT 52442/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,151 exceeds the gross charge $308
CPT Q5120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $347 exceeds the gross charge $340
CPT 36425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $410 exceeds the gross charge $102
CPT 23044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,137 exceeds the gross charge $851
CPT 36557/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $3,829
CPT 36563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $1,795
CPT 97607/b
warn
mrf_negotiated_above_gross
highest negotiated rate $271 exceeds the gross charge $239
CPT 97810/b
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $31
CPT 97811/b
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $31
CPT 97813/b
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $31
CPT 97814/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $31
CPT 54680/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $961
CPT 36595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,234 exceeds the gross charge $1,741
CPT 36596/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,596 exceeds the gross charge $1,413
CPT 86860/b
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $161
CPT 99050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $26
CPT 86921/b
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $98
CPT 37184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $18,448 exceeds the gross charge $18,264
CPT 37200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $2,326
CPT 37211/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $3,845
CPT 23525/b
warn
mrf_negotiated_above_gross
highest negotiated rate $722 exceeds the gross charge $561
CPT 99384/b
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $84
CPT 99385/b
warn
mrf_negotiated_above_gross
highest negotiated rate $197 exceeds the gross charge $96
CPT 99386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $119
CPT 99387/b
warn
mrf_negotiated_above_gross
highest negotiated rate $257 exceeds the gross charge $143
CPT 99394/b
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $60
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $834 exceeds the gross charge $677
CPT 99395/b
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $72
CPT 24065/b
warn
mrf_negotiated_above_gross
highest negotiated rate $441 exceeds the gross charge $333
CPT 99396/b
warn
mrf_negotiated_above_gross
highest negotiated rate $195 exceeds the gross charge $84
CPT 99397/b
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $96
CPT 99401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $43
CPT 24160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,538 exceeds the gross charge $2,308
CPT 58291/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,119 exceeds the gross charge $1,650
CPT 58353/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,194 exceeds the gross charge $1,077
CPT 58543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,406 exceeds the gross charge $1,253
CPT 58553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,899 exceeds the gross charge $1,501
CPT 92081/b
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $38
CPT 58563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,491 exceeds the gross charge $1,846
CPT 58565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,185 exceeds the gross charge $2,113
CPT 75605/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,554 exceeds the gross charge $4,860
CPT 75898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,234 exceeds the gross charge $788
CPT G0402/b
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $50
CPT 43220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,625 exceeds the gross charge $628
CPT 43249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,550 exceeds the gross charge $868
CPT 92595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $503 exceeds the gross charge $51
CPT 44386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $457
CPT 44401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,083 exceeds the gross charge $1,384
CPT 44407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $566 exceeds the gross charge $553
CPT 44408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $476 exceeds the gross charge $445
CPT 44500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $963 exceeds the gross charge $570
CPT 15786/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $186
CPT 45340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $690 exceeds the gross charge $542
CPT 15833/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,066 exceeds the gross charge $172
CPT 45346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,011 exceeds the gross charge $900
CPT 45349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $282
CPT 45388/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,184 exceeds the gross charge $1,679
CPT J1364/b
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $73
CPT 46604/b
warn
mrf_negotiated_above_gross
highest negotiated rate $736 exceeds the gross charge $308
CPT 46917/b
warn
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $581
CPT 19281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,665 exceeds the gross charge $366
CPT 47383/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,994 exceeds the gross charge $2,616
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,626 exceeds the gross charge $1,591
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,626 exceeds the gross charge $2,876
CPT 47556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10,696 exceeds the gross charge $1,603
CPT 94610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $209 exceeds the gross charge $148
CPT 31574/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,262 exceeds the gross charge $740
CPT 64595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $534 exceeds the gross charge $512
CPT 94668/b
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $94
CPT J7324/b
warn
mrf_negotiated_above_gross
highest negotiated rate $136 exceeds the gross charge $130
CPT 31627/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,472 exceeds the gross charge $576
CPT J7327/b
warn
mrf_negotiated_above_gross
highest negotiated rate $728 exceeds the gross charge $721
CPT 32400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,665 exceeds the gross charge $1,557
CPT 95044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $46
warn
mrf_rate_without_estimate
218,739 of 218,739 percentage/algorithm rates across 4,643 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 20985/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, max differ, so no cross-line comparison was made for this item
CPT 27266/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 33210/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 50961/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 64999/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83970/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 95813/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 J9263/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 21011/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 33213/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 51050/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, max differ, so no cross-line comparison was made for this item
CPT 65205/b
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 83986/b
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 95816/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 J9267/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 21012/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 27299/b
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 33214/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 51102/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 65210/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 84080/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 95819/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 21013/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 27301/b
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 33215/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 51600/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 65220/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 84100/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 95822/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 J9299/b
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 21014/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 27305/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, max differ, so no cross-line comparison was made for this item
CPT 33216/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 51610/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 65222/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 84105/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 95860/b
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 J9303/b
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 21315/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 27307/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, max differ, so no cross-line comparison was made for this item
CPT 33228/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 51700/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 65430/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 84133/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 95861/b
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 J9305/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 21320/b
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 27310/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, max differ, so no cross-line comparison was made for this item
CPT 51701/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 65435/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 84153/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 95863/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 J9308/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 21336/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, max differ, so no cross-line comparison was made for this item
CPT 27323/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 33233/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 51702/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 65600/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 84155/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 95864/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 J9312/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 21346/b
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 27327/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 33234/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 51703/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 65800/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 84156/b
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 95870/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 J9354/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 21440/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 27328/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, max differ, so no cross-line comparison was made for this item
CPT 51705/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 65855/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 84165/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 95873/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 L0120/b
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 21451/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 27331/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, max differ, so no cross-line comparison was made for this item
CPT 51710/b
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 66761/b
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 84166/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 95874/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 L1832/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 21480/b
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 27337/b
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 33285/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 51720/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 66821/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 84300/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 95885/b
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 L3650/b
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 21550/b
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 27339/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, max differ, so no cross-line comparison was made for this item
CPT 33285/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 51728/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 67228/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 84311/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 95886/b
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 L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 17 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 21552/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, max differ, so no cross-line comparison was made for this item
CPT 27350/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, max differ, so no cross-line comparison was made for this item
CPT 33286/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 51741/b
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 67700/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 84376/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 95887/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 L8606/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 21554/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, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,079 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. found via cms-hpt.txt · csv-wide · 33.6M bytes · fetched 2026-08-22 · sha256 8c25b8b9a501…

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.