Hospital · CCN 470012

Southwestern Vermont Medical Center

100 Hospital Drive, Bennington, VT 05201 · Bennington County
Part of Dartmouth-Hitchcock · 53 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

23 admission types 30 outpatient services price file: ok
Billed per dollar paid, all admissions
3.36×
$16.2M billed against $4.8M paid across 622 Medicare discharges; the national figure is 5.03×.
—
of adults in Bennington County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.2%
uninsured in the county · state 4.9%
$67K
median household income
3.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
30.5%
obesity in the countyⓘ
10.0%
diagnosed diabetes (PLACES)
7.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
116
$34,744
$10,732
3.2× st 3.8×
291
Heart failure and shock with mcc
68
$22,196
$8,484
2.6× st 3.7×
189
Pulmonary edema and respiratory failure
67
$21,637
$7,220
3.0× st 4.2×
177
Respiratory infections and inflammations with mcc
54
$27,172
$9,337
2.9× st 3.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
30
$24,831
$7,040
3.5× st 4.1×
683
Renal failure with cc
25
$25,028
$4,642
5.4× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
24
$28,567
$6,384
4.5× st 5.3×
682
Renal failure with mcc
21
$21,711
$6,594
3.3× st 5.2×
603
Cellulitis without mcc
19
$16,841
$4,709
3.6× st 3.8×
309
Cardiac arrhythmia and conduction disorders with cc
17
$15,694
$4,497
3.5× st 3.6×
690
Kidney and urinary tract infections without mcc
17
$20,195
$5,043
4.0× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
16
$31,368
$8,017
3.9× st 4.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
15
$9,888
$4,443
2.2× st 3.7×
481
Hip and femur procedures except major joint with cc
14
$47,942
$10,364
4.6× st 4.7×
389
Gastrointestinal obstruction with cc
14
$20,969
$4,231
5.0× st 5.1×
378
Gastrointestinal hemorrhage with cc
14
$20,236
$4,486
4.5× st 3.7×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$25,868
$4,813
5.4× st 3.7×
280
Acute myocardial infarction, discharged alive with mcc
14
$24,930
$7,123
3.5× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$50,735
$15,187
3.3× st 4.9×
193
Simple pneumonia and pleurisy with mcc
13
$21,580
$4,714
4.6× st 3.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$25,151
$6,673
3.8× st 4.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$15,183
$7,947
1.9× st 2.9×
194
Simple pneumonia and pleurisy with cc
11
$19,036
$5,347
3.6× st 3.5×
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
171
$742
$447
1.7×
8011
Comprehensive Observation Services
161
$17,465
$1,485
11.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
128
$4,006
$949
4.2×
5115
Level 5 Musculoskeletal Procedures
111
$42,104
$8,811
4.8×
5431
Level 1 Nerve Procedures
80
$6,579
$934
7.0×
5361
Level 1 Laparoscopy and Related Services
74
$19,599
$3,482
5.6×
5113
Level 3 Musculoskeletal Procedures
39
$14,382
$1,920
7.5×
5373
Level 3 Urology and Related Services
32
$4,595
$1,233
3.7×
5414
Level 4 Gynecologic Procedures
31
$8,948
$2,008
4.5×
5183
Level 3 Vascular Procedures
30
$12,976
$1,318
9.8×
5114
Level 4 Musculoskeletal Procedures
28
$26,040
$3,909
6.7×
5112
Level 2 Musculoskeletal Procedures
28
$5,711
$878
6.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
28
$11,597
$1,880
6.2×
5374
Level 4 Urology and Related Services
27
$16,369
$2,568
6.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
25
$17,836
$2,143
8.3×
5302
Level 2 Upper GI Procedures
24
$5,141
$950
5.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
19
$28,481
$3,798
7.5×
5182
Level 2 Vascular Procedures
19
$4,586
$866
5.3×
5223
Level 3 Pacemaker and Similar Procedures
18
$20,628
$5,663
3.6×
5153
Level 3 Airway Endoscopy
15
$8,009
$798
10.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
11
$18,696
$2,716
6.9×
5375
Level 5 Urology and Related Services
11
$15,768
$2,935
5.4×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 1/1/2025, template 2.0.0, 22,631 rows scanned, 9,532 distinct code–setting items kept. 2,921 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CEREBRAL PERFUSION ANALYSIS CT
$345
$242
—
0
clean
LAB-RESP VIRUSES 12-25
$423
$296
$417
16
clean
POC COVID19+FLU+RSV
$280
$196
$143
41
clean
LAB-MEMED BV
$548
$384
$261
16
clean
FINE NEEDLE ASPIRATION EA ADD'L
$104
$73
$49
32
clean
FINE NEEDLE ASPIRATION W/U.S.
$1,019
$713
$100
68
clean
THYROID FNA BIOPSY W/ US GUIDANCE
$260
$182
$125
32
clean
THYROID FNA BIOPSY W/ US GUIDANCE EA ADD'L LESION
$120
$84
$56
32
clean
FNA BX W/US GDN EA ADDL-PHY
$120
$84
$45
36
clean
FNA WITH IMAGE GUIDANCE
$854
$597
$719
16
clean
FINE NEEDLE ASPIRATION W/CT
$2,634
$1,844
$719
16
clean
FNA BX W/ CT GUIDANCE EA ADD'L
$1,394
$976
—
0
clean
FINE NEEDLE ASPIRATION
$334
$233
$71
52
clean
FINE NEEDLE ASPIRATION
$334
$233
$133
56
clean
US SOFT TISSUE DRAINAGE W/CATH
$2,063
$1,444
$719
32
clean
CT GUIDE SOFT TISSUE DEVICE PL
$1,599
$1,119
$719
16
clean
PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; FIRST LESION
$783
$548
$334
33
clean
ACNE SURGERY
$226
$158
$115
46
clean
INCS/DR FURUNCLE
$292
$204
$106
88
clean
INC & DRAINAGE ABSCESS SIMPLE
$249
$174
$149
56
clean
I&D ABSCESS COMPLEX/MULTI PBP
$424
$296
$254
56
clean
I&D ABSCESS COMPLEX/MULTI ERP
$405
$284
$203
52
clean
INCS/DR PILONIDAL CYST, SIMPLE
$261
$182
$247
56
clean
INCS/DR PILONIDAL CYST, SIMPLE
$263
$184
$117
52
clean
I&D PARONYCHIA COMP/MULTIP
$455
$319
$194
52
clean
INCISION & DRAINAGE, PILON
$960
$672
$328
46
clean
INCISION & REMOVAL F.B.SKIN1
$391
$274
$186
56
clean
I&REMOVE FB SUBCUT, SIMPLE
$200
$140
$115
52
clean
REMOVE F/B COMPLICATED ST1
$609
$426
$337
56
clean
I&REMOVE FB SUBCUT, COMPLEX
$405
$284
$214
52
clean
I & D HEMATOMA
$200
$140
$138
52
clean
HEMATOMA I&D SIMPLE ST1
$349
$244
$167
46
clean
PUNCTURE DRAINAGE OF LESION
$271
$190
$171
56
clean
PUNCTURE ASPIR ABSCESS
$175
$123
$112
156
clean
INCISION AND DRAINAGE, COMPLEX, POSTOPER
$541
$379
$257
46
clean
COMPLEX DRAINAGE, WOUND
$495
$347
$246
68
clean
WOUND DEBRIDEMEN/INFECTED SKIN
$284
$199
$70
56
clean
DBRDMT X10SV ECZMT/INFCT S
$50
$35
$25
36
clean
DEBRIDE; SKIN/SUBQ TISS/MU
$1,295
$906
$505
36
clean
DEBRIDE; SKIN/SUBQ TISS/MU
$1,710
$1,197
$678
68
clean
DEBRIDE; SKIN/SUBQ TISS/MU
$1,601
$1,121
$620
36
clean
REMOVAL PROSHETIC METERIAL/MESH
$616
$431
$238
68
clean
DEBRIDEMENT INCL REMOVAL OF FOREIGN MATE
$1,102
$771
$412
36
clean
Debride skin with FX
$1,003
$702
$719
16
clean
DBRDMT W/RMVL FM FX&/DISLC
$1,180
$826
$462
36
clean
DEBRIDEMENT SKIN,SUB TISSUE,MUSCLE,BONE
$1,586
$1,110
$598
36
clean
DEBRIDEMENT OPEN FRACTURE
$1,004
$703
$499
52
clean
DEBRID/SUBQ TISSUE 1ST 20cm>
$217
$152
$65
52
clean
DEBRIDEMENT SKIN & SUB TISSUE
$174
$122
$152
56
clean
DEBRIDEMENT;SKIN, SUBCUTANEOUS TISSUE, A
$515
$360
$303
56
clean
Debride tissue/muscle
$604
$422
$625
16
clean
DEBRIDEMENT;SKIN, SUBCUTANEOUS TISSUE, M
$814
$570
$401
56
clean
DEBRIDE TISSUE/MUSCLE/BONE
$495
$347
$288
52
clean
DEBRID/SUBQ TISSUE EA ADD 20CM
$73
$51
$22
36
clean
DBRDMT SUBCUTANEOUS TISSUE
$73
$51
$37
36
clean
DBRDMT M&/F EA ADDL 20 SQ
$122
$86
$67
36
clean
DEBRIDEMENT MUS/FAC EA AD 20CM
$197
$138
—
0
clean
DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM
$250
$175
$110
36
clean
TRIM SKIN LESION
$113
$79
$70
56
clean
PARING/CUTTING BENIGN LESION
$76
$53
$20
52
clean
TRIM SKIN LESION 2-4
$134
$94
$81
56
clean
PARING/CUTTING, BENIGN HYP
$155
$108
$88
46
clean
TANGENTIAL BIOPSY OF SKIN
$229
$160
$35
36
clean
TANGENTIAL BIOPSY OF SKIN
$229
$160
$119
52
clean
TANGENTIAL BIOPSY SKIN EA ADD'L
$104
$73
$47
32
clean
PUNCH BIOPSY OF SKIN
$253
$177
$177
62
clean
PUNCH BIOPSY SKIN EA ADD'L
$120
$84
$56
32
clean
INCISIONAL BIOPSY OF SKIN
$306
$214
$178
52
clean
INCISIONAL BIOPSY SKIN EA ADD'L
$145
$102
$66
32
clean
SKIN TAG EXCIS UP TO 15 ST1
$185
$129
$111
56
clean
SKIN TAG REMOVAL
$230
$161
$85
52
clean
SKIN TAG EXCIS EACH ADD 10
$95
$66
$17
36
clean
SHAVE SKIN LESION
$154
$107
$110
56
clean
SHAVE SKIN LESION
$183
$128
$47
36
clean
SHAVE SKIN LESION
$208
$146
$133
56
clean
SHAVED BIOPSY TRUNK EXT 1-2 CM
$249
$174
$153
56
clean
SHAVE SKIN LESION OVER 2CM
$295
$206
$175
56
clean
SHAVE SKIN LESION
$158
$110
$115
56
clean
SHAVING EPID LESION 0.6-1.0
$218
$152
$135
56
clean
SHAV EPID/DERM LESION 1.1-2.0
$253
$177
$155
56
clean
SHAVING SKIN LESION, SCALP
$278
$194
$143
46
clean
SHAVING OF EPIDERMAL LESION
$192
$134
$126
56
clean
SHAVING LESION 0.6 UP TO 1.0
$238
$167
$150
56
clean
SHAVE LESION 1.1 TO 2.0 CM
$289
$202
$171
56
clean
SHAVING SKIN LESION, FACE/
$335
$234
$178
46
clean
EXC BENIGN LESION 0.5CM LESS
$839
$587
$719
16
clean
EXCIS.BENIGN LSN TRNK/ARM/LEG
$447
$313
$159
56
clean
EXCIS BENGN T/A/L/ 6-1.0
$472
$330
$147
88
clean
EXCISION LESION .6 TO 1.CM
$263
$184
$119
52
clean
EXCIS BENGN T/A/L/1.1-2C
$481
$337
$211
56
clean
EXCISED DIAMETER 1.1 TO 2.0 CM
$271
$190
$131
52
clean
EXC TR-EXT B9+MARG 2.1-3CM
$517
$362
$242
56
clean
EXC BENIGN 3.1 TO 4.0 CM TRUNK
$798
$558
$275
56
clean
EXC LESION EXTREMITY OVER4.0CM
$1,460
$1,022
$298
78
clean
EAC OF SKIN LESION 4.0
$3,204
$2,242
$1,655
16
clean
EXCIS.BN LSN SCALP/NK/HD/FT/GE
$714
$500
$156
56
clean
EXC.OF SKIN LESION 0.5
$262
$183
$95
52
clean
EXC BEN LESION 0.6-1.0CM
$740
$518
$198
56
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$782
$547
$222
56
clean
EXCISE BEN SKIN LESION W/M
$793
$555
$204
46
clean
EXC BENIGN LESION 3.1-4.0CM
$726
$508
$235
46
clean
EXC BN LESION DIAM < 4.0CM
$822
$575
$322
46
clean
EXCIS. BENGN LSN FACE .5CM OR
$444
$311
$175
56
clean
EXCIS. BENGN LSN FACE .5CM OR
$445
$312
$119
52
clean
EXC BEN LESION FACE 0.6-1.0CM
$500
$350
$214
56
clean
EXCISION LESION 1.1-2.0 CM
$782
$547
$239
56
clean
EXCIS.BENIGN LSN FACE 2.1-3.0C
$816
$571
$225
46
clean
EXCISE, BENIGN SKIN LESION
$865
$606
$279
46
clean
EXCISE, BENIGN SKIN LESION
$815
$570
$378
46
clean
EXCISION, SKIN & SUBQ TISS
$770
$539
$420
46
clean
EXCISION, SKIN & SUBQ TISS
$1,014
$710
$490
36
clean
EXCISION, SKIN & SUBQ TISS
$761
$533
$394
36
clean
EXCISION, SKIN & SUBQ TISS
$1,032
$723
$490
36
clean
EXCISION, SKIN & SUBQ TISS
$833
$583
$423
36
clean
EXCISION, SKIN & SUBQ TISS
$1,068
$747
$506
36
clean
EXC LESION INC MARG,TRUCK,ARM
$753
$527
$239
56
clean
EXC TR-EXT MLG LESION 0.6-1.0
$519
$363
$284
56
clean
EXC TR-EXT MLG MARG 1.1-2CM
$538
$377
$308
56
clean
EXC MALIGNANT LESION 2.1-3.0
$832
$582
$350
56
clean
EXCISION, MALIGNANT LESION
$852
$597
$306
46
clean
EXCISION, MALIGNANT LESION
$897
$628
$438
46
clean
EXCISION, MALIGNANT LESION
$756
$529
$195
46
clean
EXC MALIG LESION 0.6 TO 1.0
$528
$369
$286
56
clean
EXCIS.MAL LSN SCLP/NK/HD/FT/GE
$561
$392
$319
56
clean
MELANOMA EXCISION
$850
$595
$291
46
clean
EXC MALIGNANT LESION 3.1-4.0CM
$1,885
$1,320
$420
56
clean
EXCISION, MALIGNANT LESION
$867
$607
$396
46
clean
EXC-FACE MAL 0.5 GREATER
$495
$347
$201
46
clean
EXCISED DIAMETER 0.6 TO 1.0 CM
$528
$369
$297
56
clean
EXC LESION FACE 1.1-2.0 CM
$556
$389
$340
56
clean
EXC MALIG LESION 2.1-3CM
$869
$608
$398
56
clean
EXC MALIGNANT LESION 3.1-4.0CM
$890
$623
$381
46
clean
EXCISION, MALIGNANT LESION
$1,115
$780
$492
46
clean
TRIMMING, NONDYSTROPHIC NA
$46
$32
$15
44
clean
TRIM NAILS
$64
$45
$7
33
clean
DEBRIDEMENT, NAIL(S), ANY
$90
$63
$41
56
clean
DEBRIDEMENT PF NAILS SIX OR MORE NAILS
$100
$70
$59
56
clean
AVULSION NAIL PLATE, SINGLE
$206
$144
$67
52
clean
AVUL NAIL PLATE PAR/COMP ST1
$222
$155
$131
56
clean
ALVUSION NAIL PLATE EA ADD
$177
$124
$31
36
clean
ALVUSION NAIL PLATE EA ADD
$178
$125
$15
36
clean
SUBUNGUAL HEMATOMA I&D ST1
$101
$71
$67
56
clean
SUBUNGUAL HEMATOMA DRAINAGE
$129
$90
$38
52
clean
EXC OF NAIL PART/COMPLETE
$518
$363
$135
52
clean
REMOVAL OF NAIL BED
$479
$335
$214
56
clean
BIOPSY OF NAIL UNIT
$301
$211
$123
46
clean
REPAIR OF NAIL BED
$459
$321
$144
52
clean
REPAIR NAIL BED
$453
$317
$188
46
clean
RECONSTRUCTION, NAIL BED W
$578
$404
$272
36
clean
INGROWN TOE NAIL
$288
$202
$101
52
clean
WEDGE EXCISION OF SKIN INGROWN
$284
$199
$219
56
clean
EXCISION, PILONIDAL CYST/S
$573
$401
$340
46
clean
EXCISION, PILONIDAL CYST/S
$1,130
$791
$581
36
clean
EXCISION, PILONIDAL CYST/S
$1,399
$979
$713
36
clean
INTRALESIONAL STEROID INJ<8
$125
$87
$72
56
clean
INJECTION, INTRALESIONAL;
$148
$104
$71
46
clean
TATTOOING TO CORRECT COLOR
$436
$305
$188
36
clean
TATTOOING TO CORRECT COLOR
$494
$346
$216
46
clean
TATTOOING INCL MICROPIGMEN
$144
$101
$58
34
clean
SUBQ INJECTION, FILLING MA
$222
$155
$102
36
clean
INSERTION, TISSUE EXPANDER
$2,001
$1,401
$956
36
clean
REPLACEMENT, TISSUE EXPAND
$1,308
$915
$524
36
clean
REMOVAL, TISSUE EXPANDER(S
$1,074
$752
$517
36
clean
IMPLANTATION, HORMONE PELL
$235
$164
$92
46
clean
INSERTION, NON-BIODEGRADAB
$304
$212
$103
88
clean
REMOVAL NON-BIODEGRAD IMPLANT
$349
$244
$93
52
clean
REMOVAL, NON-BIODEGRADABLE
$349
$244
$144
56
clean
REMOVAL W/REINSERTION, NON
$529
$370
$184
56
clean
SIMPLE,<2.5CM SCALP,TRUNK,EXT
$278
$195
$47
88
clean
SIMPLE REPAIR 2.5CM OR LESS
$345
$242
$123
56
clean
SIMPLE SUTURE 2.6-7.5CM NFACE
$369
$258
$149
56
clean
SIMPLE-2.6/7.5CM SCLP,TRNK,EXT
$328
$230
$74
52
clean
SIMPLE SUTURE 7.6-12.5CM NON-F
$433
$303
$123
92
clean
SIMPLE-7.5-12.5CM SCLP,TRNK,EX
$455
$319
$92
52
clean
SIMPLE-12.6-20.0CM SCLP,TRK,EX
$599
$419
$118
52
clean
SIMPLE SUTURE 12.6-20 CM
$539
$377
$229
56
clean
SIMPLE REPAIR, SUPERFICIAL
$639
$447
$189
36
clean
LAC SIMPLE 20.1 TO 30 CM
$657
$460
$146
52
clean
SIMPLE REPAIR OVER 3.0CM
$752
$526
$210
46
clean
LAC SIMPLE GREATER THAN 30 CM
$713
$499
$182
52
clean
SIMPLE-FACE <2.5CM
$405
$284
$55
88
clean
SIMPLE SUTURE UP TO 2.5CM
$369
$258
$148
56
clean
SIMPLE SUTURE 2.6-5CM FACE ST2
$406
$284
$153
56
clean
SIMPLE-FACE 2.6-5.0CM
$455
$319
$72
52
clean
SIMPLE REPAIR 5.1- 7.5
$475
$333
$138
46
clean
SIMPLE-FACE 5.1-7.5CM
$518
$363
$93
52
clean
SIMPLE-FACE 7.6-12.5CM
$623
$436
$117
52
clean
SIMPLE REPAIR, SUPERFICIAL
$571
$400
$159
36
clean
SIMPLE REPAIR, SUPERFICIAL
$674
$472
$203
36
clean
SIMPLE LAC.12.6CM TO 20.0
$645
$452
$159
52
clean
SIMPLE REPAIR, SUPERFICIAL
$590
$413
$135
36
clean
SIMPLE REPAIR FACE 20.1-30 CM
$412
$288
$192
52
clean
SIMPLE REPAIR, SUPERFICIAL
$704
$493
$157
36
clean
TREATMENT OF SUPERFICIAL WOUND DEHISCENC
$613
$429
$280
36
clean
WOUND DEHISCENCE SIM. CLOSURE
$305
$214
$217
52
clean
TRMT SUPERFICIAL WOUND PACKING
$440
$308
$226
54
clean
LAYER SUTURE TO 2.5CM TRNK/SCL
$513
$359
$308
56
clean
INTER-<2.5CM SCALP,TRNK,EXT
$379
$265
$180
52
clean
INTER-2.6-7.5CM SCALP,TRNK,EXT
$682
$477
$385
56
clean
INTER-2.6-7.5CM SCALP,TRNK,EXT
$482
$337
$224
52
clean

Showing the first 200 of 9,532 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,083 of 6,817 comparable items (16%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $438 exceeds the gross charge $423
warn
mrf_stale
last updated 2025-01-01, 603 days ago; the rule requires an update at least once a year
CPT 12006/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 23040/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 27327/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 35221/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 62328/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 95079/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 12007/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 23065/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27334/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 49000/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 62350/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 12007/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23071/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27337/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49002/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 63012/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 76937/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 95115/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0260/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 12011/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 23075/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27339/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 49020/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 63015/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 95117/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12011/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23120/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 27345/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 49060/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 63030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76942/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 95145/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12013/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 27355/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 49082/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 63035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76942/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT G0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 12013/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27356/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 49083/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 63042/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 90375/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 95147/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12014/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 27357/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 35820/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 49084/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 95148/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12014/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27360/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 63047/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12015/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 27369/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 49255/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 63048/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95165/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12016/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 23410/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 27372/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 36000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 49320/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 63051/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90472/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 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, min, max differ, so no cross-line comparison was made for this item
CPT 12017/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 23412/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 27380/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36005/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 49321/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 63055/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 90472/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 95180/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 12020/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 23430/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 49322/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 63056/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 95249/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0416/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 12021/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23470/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 27385/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63057/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77002/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 90473/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 95250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0438/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12031/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 23472/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27405/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 49406/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 90474/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 95803/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0439/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12031/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23500/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 27420/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 36410/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 63075/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 95805/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0463/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12032/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 23500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27422/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 36415/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 90627/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 95806/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0463/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 12032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23505/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 27427/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 77012/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 90632/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 G0480/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 12034/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 23505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27446/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63081/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90632/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT G0500/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 12034/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23515/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27447/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36430/b
info
mrf_item_fields_vary
this code and setting cover at least 19 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 63082/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90633/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 95810/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12035/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 23525/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 27472/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 36430/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 49505/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90636/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 95811/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0131/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 12035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23540/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27486/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49507/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90636/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0132/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 12036/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 23550/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 27487/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 49520/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90648/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 J0133/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 12041/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 23552/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 27488/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 36470/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 49521/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90653/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 differ, so no cross-line comparison was made for this item
CPT J0171/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 12041/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 36471/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 49550/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 77065/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 90653/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0278/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 12042/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 23575/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27502/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 36475/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 49553/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63650/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 J0282/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 12042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 23600/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 27502/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 49557/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 90656/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0295/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 12044/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 23600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27503/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 49591/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 63663/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 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0330/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 12045/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 23605/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 27503/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 36510/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 49592/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 63685/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 J0461/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 12051/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 23605/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27506/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 49593/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90662/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 differ, so no cross-line comparison was made for this item
CPT J0585/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12051/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,921 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 27.9M bytes · fetched 2026-08-25 · sha256 2e4ff40ad802…

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.