Hospital · CCN 490018

Augusta Health

78 Medical Center Drive, Fishersville, VA 22939 · Augusta County
Part of Augusta Health · 193 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

77 admission types 58 outpatient services price file: ok
Billed per dollar paid, all admissions
3.44×
$99.9M billed against $29.0M paid across 2,363 Medicare discharges; the national figure is 5.03×.
0.2%
of adults in Augusta County have medical debt in collections
7.4%
uninsured in the county · state 7.5%
$73K
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)ⓘ
40.8%
obesity in the countyⓘ
13.2%
diagnosed diabetes (PLACES)
7.6%
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
259
$33,910
$16,092
2.1× st 4.0×
291
Heart failure and shock with mcc
210
$23,867
$10,349
2.3× st 3.7×
194
Simple pneumonia and pleurisy with cc
78
$17,644
$6,405
2.8× st 4.0×
683
Renal failure with cc
60
$19,585
$6,983
2.8× st 4.0×
481
Hip and femur procedures except major joint with cc
57
$79,345
$16,092
4.9× st 5.5×
378
Gastrointestinal hemorrhage with cc
56
$24,808
$8,285
3.0× st 4.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
53
$25,295
$8,206
3.1× st 5.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
49
$23,569
$8,551
2.8× st 4.1×
177
Respiratory infections and inflammations with mcc
45
$37,054
$12,687
2.9× st 3.6×
885
Psychoses
45
$28,819
$10,875
2.7× st 2.4×
690
Kidney and urinary tract infections without mcc
44
$18,666
$6,251
3.0× st 4.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
43
$81,007
$16,800
4.8× st 5.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$26,016
$6,434
4.0× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$111,997
$16,055
7.0× st 6.8×
189
Pulmonary edema and respiratory failure
40
$27,921
$11,867
2.4× st 4.5×
193
Simple pneumonia and pleurisy with mcc
40
$27,422
$10,194
2.7× st 4.0×
682
Renal failure with mcc
39
$31,270
$11,607
2.7× st 4.2×
603
Cellulitis without mcc
38
$15,675
$7,283
2.2× st 3.5×
309
Cardiac arrhythmia and conduction disorders with cc
34
$20,181
$5,788
3.5× st 4.1×
178
Respiratory infections and inflammations with cc
33
$27,715
$7,673
3.6× st 3.7×
243
Permanent cardiac pacemaker implant with cc
32
$105,425
$18,871
5.6× st 5.3×
377
Gastrointestinal hemorrhage with mcc
31
$44,630
$14,008
3.2× st 4.3×
638
Diabetes with cc
30
$22,701
$7,583
3.0× st 4.1×
389
Gastrointestinal obstruction with cc
30
$19,908
$6,243
3.2× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
29
$39,732
$12,549
3.2× st 4.4×
330
Major small and large bowel procedures with cc
27
$129,709
$19,682
6.6× st 5.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
27
$18,250
$7,016
2.6× st 5.2×
455
Combined anterior and posterior spinal fusion without cc/mcc
26
$219,071
$46,349
4.7× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$24,657
$6,077
4.1× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
25
$119,395
$25,831
4.6× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$36,869
$15,604
2.4× st 4.2×
071
Other cerebrovascular disorders with cc
24
$25,318
$8,309
3.0× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
24
$46,252
$7,774
6.0× st 5.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
23
$53,913
$19,991
2.7× st 4.3×
552
Medical back problems without mcc
23
$22,773
$7,590
3.0× st 4.7×
689
Kidney and urinary tract infections with mcc
23
$21,410
$9,092
2.4× st 3.7×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$30,127
$9,319
3.2× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
22
$89,738
$17,894
5.0× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
22
$25,170
$11,249
2.2× st 4.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
22
$45,748
$10,313
4.4× st 5.8×
698
Other kidney and urinary tract diagnoses with mcc
22
$24,303
$12,743
1.9× st 3.7×
190
Chronic obstructive pulmonary disease with mcc
21
$22,324
$8,566
2.6× st 3.6×
191
Chronic obstructive pulmonary disease with cc
21
$18,225
$6,674
2.7× st 3.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
20
$41,107
$14,230
2.9× st 3.9×
520
Back and neck procedures except spinal fusion without cc/mcc
19
$62,519
$11,098
5.6× st 4.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
19
$80,849
$12,765
6.3× st 7.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$112,622
$40,810
2.8× st 4.2×
390
Gastrointestinal obstruction without cc/mcc
18
$17,620
$4,817
3.7× st 4.4×
312
Syncope and collapse
17
$23,654
$7,788
3.0× st 4.6×
329
Major small and large bowel procedures with mcc
16
$183,464
$52,998
3.5× st 4.5×
314
Other circulatory system diagnoses with mcc
16
$41,227
$17,615
2.3× st 3.6×
244
Permanent cardiac pacemaker implant without cc/mcc
16
$83,694
$14,124
5.9× st 6.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
15
$48,262
$6,188
7.8× st 6.4×
480
Hip and femur procedures except major joint with mcc
15
$91,676
$22,951
4.0× st 5.0×
482
Hip and femur procedures except major joint without cc/mcc
15
$71,709
$13,951
5.1× st 6.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$27,327
$9,904
2.8× st 4.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$47,887
$15,700
3.1× st 5.2×
057
Degenerative nervous system disorders without mcc
14
$23,143
$10,643
2.2× st 3.6×
394
Other digestive system diagnoses with cc
14
$33,553
$7,323
4.6× st 4.3×
917
Poisoning and toxic effects of drugs with mcc
13
$28,768
$12,538
2.3× st 4.6×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$35,390
$15,375
2.3× st 3.8×
242
Permanent cardiac pacemaker implant with mcc
13
$132,353
$26,662
5.0× st 5.1×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
13
$101,021
$13,695
7.4× st 9.6×
699
Other kidney and urinary tract diagnoses with cc
13
$28,490
$7,933
3.6× st 3.8×
536
Fractures of hip and pelvis without mcc
13
$15,474
$6,140
2.5× st 4.9×
039
Extracranial procedures without cc/mcc
12
$76,326
$8,831
8.6× st 4.6×
393
Other digestive system diagnoses with mcc
12
$63,374
$16,423
3.9× st 4.3×
176
Pulmonary embolism without mcc
12
$24,471
$7,468
3.3× st 4.7×
092
Other disorders of nervous system with cc
12
$23,351
$7,961
2.9× st 4.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$17,358
$4,496
3.9× st 4.4×
602
Cellulitis with mcc
12
$25,397
$11,352
2.2× st 3.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
12
$22,221
$9,326
2.4× st 3.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$48,044
$10,917
4.4× st 4.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$20,481
$5,375
3.8× st 5.5×
862
Postoperative and post-traumatic infections with mcc
11
$52,278
$14,329
3.6× st 3.7×
202
Bronchitis and asthma with cc/mcc
11
$24,004
$7,569
3.2× st 3.6×
684
Renal failure without cc/mcc
11
$14,754
$4,825
3.1× st 3.1×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5491
Level 1 Intraocular Procedures
1,299
$9,413
$2,235
4.2×
8011
Comprehensive Observation Services
698
$13,154
$2,628
5.0×
5115
Level 5 Musculoskeletal Procedures
539
$79,526
$12,558
6.3×
5431
Level 1 Nerve Procedures
355
$6,669
$1,850
3.6×
5374
Level 4 Urology and Related Services
246
$19,204
$3,337
5.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
208
$4,970
$1,563
3.2×
5375
Level 5 Urology and Related Services
159
$27,926
$4,951
5.6×
5114
Level 4 Musculoskeletal Procedures
139
$46,116
$6,875
6.7×
5302
Level 2 Upper GI Procedures
138
$7,127
$1,828
3.9×
5373
Level 3 Urology and Related Services
121
$12,655
$1,969
6.4×
5361
Level 1 Laparoscopy and Related Services
121
$53,840
$5,431
9.9×
5183
Level 3 Vascular Procedures
116
$17,577
$3,081
5.7×
5492
Level 2 Intraocular Procedures
108
$27,131
$3,930
6.9×
5213
Level 3 Electrophysiologic Procedures
99
$97,006
$22,681
4.3×
5112
Level 2 Musculoskeletal Procedures
97
$6,622
$1,528
4.3×
5223
Level 3 Pacemaker and Similar Procedures
85
$60,579
$10,312
5.9×
5191
Level 1 Endovascular Procedures
71
$26,841
$3,155
8.5×
5113
Level 3 Musculoskeletal Procedures
68
$19,063
$3,092
6.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
68
$15,217
$2,747
5.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
50
$36,261
$3,344
10.8×
5116
Level 6 Musculoskeletal Procedures
49
$103,156
$17,973
5.7×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
46
$10,019
$2,259
4.4×
5193
Level 3 Endovascular Procedures
44
$82,106
$10,419
7.9×
5184
Level 4 Vascular Procedures
42
$22,796
$5,312
4.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
40
$21,998
$3,611
6.1×
5414
Level 4 Gynecologic Procedures
38
$21,029
$3,022
7.0×
5376
Level 6 Urology and Related Services
37
$41,101
$8,704
4.7×
5222
Level 2 Pacemaker and Similar Procedures
37
$47,476
$8,211
5.8×
5224
Level 4 Pacemaker and Similar Procedures
35
$117,840
$18,790
6.3×
5192
Level 2 Endovascular Procedures
35
$27,844
$5,525
5.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
31
$56,956
$6,303
9.0×
5465
Level 5 Neurostimulator and Related Procedures
29
$190,694
$26,998
7.1×
5232
Level 2 ICD and Similar Procedures
28
$200,980
$30,629
6.6×
5153
Level 3 Airway Endoscopy
21
$7,808
$1,641
4.8×
5182
Level 2 Vascular Procedures
21
$9,462
$1,548
6.1×
5464
Level 4 Neurostimulator and Related Procedures
16
$134,022
$21,091
6.4×
5155
Level 5 Airway Endoscopy
15
$41,061
$6,616
6.2×
5362
Level 2 Laparoscopy and Related Services
15
$81,748
$9,388
8.7×
5194
Level 4 Endovascular Procedures
14
$112,671
$15,821
7.1×
5154
Level 4 Airway Endoscopy
14
$21,829
$3,620
6.0×
5462
Level 2 Neurostimulator and Related Procedures
13
$30,985
$6,611
4.7×
5313
Level 3 Lower GI Procedures
13
$18,940
$2,714
7.0×
5493
Level 3 Intraocular Procedures
11
$38,537
$5,052
7.6×
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 21,756 rows scanned, 14,847 distinct code–setting items kept. 2,360 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
7
clean
Liver dis 10 assays w/ash
—
—
$503
7
clean
Liver dis 10 assays w/nash
—
—
$503
7
clean
Onco prst8 3 gene ur alg
—
—
$760
7
clean
Onc mrna 5 gen rsk urthl ca
—
—
$760
7
clean
Onc mrna 5 gen recr urthl ca
—
—
$760
7
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,305
7
clean
Onc bladder mrna 209 gen alg
—
—
$3,490
7
clean
Onc thyr 10 microrna seq alg
—
—
$3,002
7
clean
Onc aml dna detcj/nondetcj
—
—
$249
7
clean
Glyca nuc mr spectrsc quan
—
—
$34
7
clean
Onc thyr dna&mrna 112 genes
—
—
$3,600
7
clean
Jak2 gene trgt seq alys
—
—
$122
7
clean
Rx metab advrs trgt seq alys
—
—
$742
7
clean
Tpmt nudt15 genes
—
—
$466
7
clean
Neuro csf prion prtn qual
—
—
$541
7
clean
Trgt gen seq dna 324 genes
—
—
$3,500
7
clean
B brgdrferi antb 5 prtn igm
—
—
$17
7
clean
B brgdrferi antb 12 prtn igg
—
—
$17
7
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
7
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
7
clean
Onc brst dux carc is 12 gene
—
—
$3,873
7
clean
Onc prst8 mrna 17 gene alg
—
—
$3,873
7
clean
Bone srgry cmptr fluor image
—
—
$1,226
3
clean
Bone srgry cmptr ct/mri imag
—
—
$1,226
3
clean
Onc merkel cll carc srm quan
—
—
$323
7
clean
Onc merkel cll carc srm +/-
—
—
$323
7
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$25
7
clean
Antb tp total&rpr ia qual
—
—
$31
7
clean
Syfls tst nontreponemal antb
—
—
$18
7
clean
Candida species pnl amp prb
—
—
$143
7
clean
Perq Stent/Chest Vert Art
—
—
$2,577
1
clean
Ig paraprotein qual bld/ur
—
—
$43
7
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
7
clean
Onc mlnma prame & linc00518
—
—
$760
7
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,950
7
clean
Extracorp shockwv tx hi enrg
—
—
$428
8
clean
Hered colon ca do 15 genes
—
—
$1,744
7
clean
Neph ckd mult eclia tum nec
—
—
$950
7
clean
Touch Quant Sensory Test
—
—
$38
7
clean
Gstr emptg 7 timed brth spec
—
—
$874
7
clean
Vibrate Quant Sensory Test
—
—
$38
7
clean
Cool Quant Sensory Test
—
—
$60
7
clean
Gi barrett esoph 9 prtn bmrk
—
—
$4,950
7
clean
Heat Quant Sensory Test
—
—
$38
7
clean
Iadi 16s&18s rrna genes
—
—
$356
7
clean
Trnsplj don-drv cll-fr dna
—
—
$2,753
7
clean
Crd ceramides liq chrom plsm
—
—
$84
7
clean
Hered brst ca rltd do panel
—
—
$1,304
7
clean
Nfct bct fng prst dna >1000
—
—
$2,126
7
clean
Karius Test Next-Generation Sq
$4,025
$2,013
—
0
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$112
7
clean
Liver ds 10 biochem asy srm
—
—
$503
7
clean
Onc sld tum alys brca1 brca2
—
—
$3,030
7
clean
Onc solid tumor 30 prtn trgt
—
—
$1,305
7
clean
Exc rectal tumor endoscopic
—
—
$6,143
10
clean
Perq sacral augmt unilat inj
—
—
$10,988
8
clean
Perq sacral augmt bilat inj
—
—
$10,988
8
clean
Post vert arthrplst 1 lumbar
—
—
$12,991
10
clean
Nfct ds 22 trgt sars-cov-2
—
—
$417
7
clean
Respiratory Path Panel-Bronch
$442
$221
—
0
clean
Neuro alzheimer cell aggregj
—
—
$2,215
7
clean
Clear eyelid gland w/heat
—
—
$344
10
clean
Neuro alzheimer quan imaging
—
—
$511
3
clean
Njx platelet plasma
—
—
$1,050
10
clean
Trluml perip athrc brchiocph
—
—
$11,681
10
clean
Trluml perip athrc iliac art
—
—
$18,549
10
clean
Trgt gen seq alys pnl 311+
—
—
$3,500
7
clean
Nfct ds vir resp rna 3 trgt
—
—
$143
3
clean
Nfct ds vir resp rna 4 trgt
—
—
$143
3
clean
Nfct Ds Vir Resp Rna 4 Trgt
$359
$180
$84
2
clean
Trgt gen seq alys pnl 55-74
—
—
$5,000
7
clean
Onc thyr mut alys 10 gen&37
—
—
$1,266
7
clean
Onc sld org neo dna 505 gene
—
—
$2,920
7
clean
Implt/rpl crtd sns dev total
—
—
$96,343
1
clean
Implt/rpl crtd sns dev gen
—
—
$96,343
1
clean
Perq lamot/lam lumbar
—
—
$23,070
1
clean
Tempr
—
—
$223
8
clean
Onc lung mrna quan pcr 11&3
—
—
$3,873
7
clean
Onc brst dux carc 7 proteins
—
—
$5,435
7
clean
Crd cad alys 3 prtn plsm alg
—
—
$391
7
clean
Crd cv ds aly 4 prtn plm alg
—
—
$391
7
clean
Nfct ds bct quan antmcrb sc
—
—
$8
7
clean
Ai ds sle alys 8 igg autoant
—
—
$841
7
clean
Onc cutan sq cll ca mrna 40
—
—
$8,500
7
clean
Neph rna psttrnspl perph bld
—
—
$2,650
7
clean
Trgt gen seq alys pnl 83+
—
—
$5,000
7
clean
Onc neo xome&trns seq alys
—
—
$3,438
7
clean
Tear film img uni/bi w/i&r
—
—
$38
7
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,500
7
clean
Onc plsm cell do&myeloma id
—
—
$2,435
7
clean
Onc sld tum crcg tum cl slct
—
—
$2,435
7
clean
Trnscth renal symp denrv bil
—
—
$7,441
10
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$760
7
clean
Onc pan ca alys mrd plasma
—
—
$3,734
7
clean
Hep nafld semiq evl 28 lipid
—
—
$792
7
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
7
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,336
7
clean
Rx metab/pcx dna 25 gen alys
—
—
$742
7
clean
Rx metab/pcx dna 27gen rx ia
—
—
$742
7
clean
RSA lower extr exam
—
—
$88
7
clean
Nfct ds bct/viral trail ip10
—
—
$261
7
clean
Aml-Apolipoprotein #1
$34
$17
—
0
clean
Apol1 risk variants
—
—
$137
7
clean
Onc orop 17 dna ddpcr alg
—
—
$1,800
7
clean
BIA whole body
—
—
$29
7
clean
Neuro alys b-amyl 1-42&1-40
—
—
$261
7
clean
Onc prst8 ca alys all psa
—
—
$760
7
clean
Onc lung elisa 7 autoant alg
—
—
$841
7
clean
Neurflmnt lt chn dig ia quan
—
—
$116
3
clean
Onc urthl mrna 5 gen alg
—
—
$760
7
clean
Onc bldr 10 prb bldr ca
—
—
$897
7
clean
Onc bldr 10 prb recr bldr ca
—
—
$897
7
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$897
7
clean
Onc prst8 ca img alys 128
—
—
$706
7
clean
Vis field assmnt tech suppt
—
—
$38
7
clean
Tgsap sl or neo dna523&rna55
—
—
$3,289
7
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,500
7
clean
Neu prksn msfl ?-syncln prtn
—
—
$541
7
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$199
7
clean
Gi baret esph dna mthyln aly
—
—
$1,755
7
clean
Collagen crosslinking cornea
—
—
$2,406
10
clean
Onc prst8 mrna 18 gen dre ur
—
—
$760
7
clean
Onc brst semiq meas thym kn
—
—
$323
7
clean
Onc lung flow cytmtry 5 mrk
—
—
$760
7
clean
Neph dbtc ckd mult eclia alg
—
—
$950
7
clean
Insj/rplc cardiac modulj sys
—
—
$31,761
10
clean
Onc sld tum dna 80 & rna 36
—
—
$2,920
7
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
7
clean
Cv ds acs bld alg 5 yr score
—
—
$391
7
clean
Prgrmg eval cardiac modulj
—
—
$38
7
clean
Interro eval cardiac modulj
—
—
$38
7
clean
Waterjet prostate abltj cmpl
—
—
$2,998
3
clean
Onc pan solid tum alys dna
—
—
$1,982
4
clean
Gi malabs aat calpro pncrtc
—
—
$62
7
clean
Gly rcptr alpha1 igg srm/csf
—
—
$37
7
clean
Klhl11 antb sr/csf asy qual
—
—
$37
7
clean
Onc prst8 5 dna reg mrk pcr
—
—
$760
7
clean
Rx metab advrs vrnt alys 25
—
—
$417
7
clean
Impltj synth rnfcmt abdl wal
—
—
$1,226
3
clean
Abltj perc lxtr/perph nrv
—
—
$1,976
10
clean
Abltj perc plex/trncl nrv
—
—
$8,880
10
clean
Neurflmnt lt chn ultrsens ia
—
—
$119
4
clean
Insj impltbl glucose sensor
—
—
$4,149
10
clean
Rmvl impltbl glucose sensor
—
—
$519
10
clean
Remvl insj impltbl gluc sens
—
—
$4,149
10
clean
Insj aqueous drain dev 1st
—
—
$5,384
10
clean
Visual ep test for glaucoma
—
—
$131
7
clean
Onc sld tum bld/slv 648 gene
—
—
$4,500
7
clean
Hered prst8 ca gsap 23 genes
—
—
$1,304
7
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,116
10
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$1,226
3
clean
Tmvi percutaneous approach
—
—
$2,577
1
clean
Tmvi transthoracic exposure
—
—
$2,577
1
clean
Oct mid ear i&r unilateral
—
—
$38
7
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,722
4
clean
Oct mid ear i&r bilateral
—
—
$38
7
clean
Prep & cannulj cdvr don lung
—
—
$2,577
1
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$2,577
1
clean
Ev fempop artl revsc
—
—
$11,681
10
clean
Near ifr 2img mibmn glnd i&r
—
—
$60
7
clean
Pattern erg w/i&r
—
—
$220
7
clean
Esw integ wnd hlg 1st wnd
—
—
$348
8
clean
Esw integ wnd hlg ea addl
—
—
$1,411
1
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,411
1
clean
Ntrapx C Ffr W/3D Funcjl Map
$1,641
$821
—
0
clean
Insj/rplcmt compl iims
—
—
$19,490
10
clean
Prgrmg dev eval iims ip
—
—
$38
7
clean
Interrog dev eval iims ip
—
—
$38
7
clean
Antmc guide 3d print 1st gd
—
—
$135
7
clean
Evac meibomian glnd heat bi
—
—
$153
10
clean
Ttvr perq appr 1st prosth
—
—
$2,577
1
clean
Ttvr perq ea addl prosth
—
—
$2,577
1
clean
Insj/rplcmt icds ss eltrd
—
—
$31,761
10
clean
Prgrmg dev eval icds ss ip
—
—
$38
7
clean
Interrog dev eval icds ss ip
—
—
$38
7
clean
Rem interrog dev icds tech
—
—
$38
7
clean
Abltj mal brst tum perq crtx
—
—
$6,203
10
clean
Elec alys cplx prgrmg iins
—
—
$97
7
clean
Ncntc r-t fluor wnd img 1st
—
—
$220
7
clean
Ire abltj 1+tum organ perq
—
—
$10,756
10
clean
Ire abltj 1+tumors open
—
—
$10,756
10
clean
Cysto w/prst8 commissurotomy
—
—
$5,301
3
clean
Evasc ven artlz tibl/prnl vn
—
—
$44,569
10
clean
Perq njx algc fluor lmbr 1st
—
—
$12,991
10
clean
Perq njx algc fluor lmbr ea
—
—
$1,226
3
clean
Perq njx algc ct lmbr 1st
—
—
$12,991
10
clean
Ct breast w/3d bi c-/c+
—
—
$355
7
clean
Ncntc nr ifr spctrsc wnd
—
—
$38
7
clean
Tcat rmvl/dblk icar mas perq
—
—
$7,441
10
clean
Ttvi/rplcmt w/prstc vlv perq
—
—
$2,577
1
clean
Insj gtube perq mag gastrpxy
—
—
$3,940
10
clean
Prgrmg dev eval scrms remote
—
—
$38
7
clean
Egd flx transnasal tube/cath
—
—
$3,845
10
clean
Tprnl focal abltj mal prst8
—
—
$5,425
10
clean
Elec impd spectrsc 1+skn les
—
—
$60
7
clean
Implt ant sgm io nbio rx sys
—
—
$4,275
10
clean
Insj ant sgm aq drg dev 1+
—
—
$5,384
10
clean
Abltj b9 thyr ndul perq lasr
—
—
$1,671
10
clean
Histotripsy mal hepatcel tis
—
—
$34,497
9
clean

Showing the first 200 of 14,847 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT A9577/b
warn
mrf_negotiated_above_gross
highest negotiated rate $422 exceeds the gross charge $334
CPT A9595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,658 exceeds the gross charge $1,031
CPT 82962/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $5
CPT 64636/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,088 exceeds the gross charge $1,872
CPT Q9963/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $85
CPT 70486/b
warn
mrf_negotiated_above_gross
highest negotiated rate $850 exceeds the gross charge $765
CPT 70491/b
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $475
CPT 71271/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,146 exceeds the gross charge $1,031
CPT 71275/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,680 exceeds the gross charge $1,512
CPT 73721/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,495 exceeds the gross charge $1,401
CPT 81515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $172
CPT 29515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $329 exceeds the gross charge $265
CPT G0463/b
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $50
CPT 95806/b
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $158
CPT 96361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $711 exceeds the gross charge $169
CPT 96366/b
warn
mrf_negotiated_above_gross
highest negotiated rate $711 exceeds the gross charge $202
CPT 96375/b
warn
mrf_negotiated_above_gross
highest negotiated rate $679 exceeds the gross charge $366
CPT J9045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $154
CPT 96411/b
warn
mrf_negotiated_above_gross
highest negotiated rate $842 exceeds the gross charge $669
CPT 96415/b
warn
mrf_negotiated_above_gross
highest negotiated rate $691 exceeds the gross charge $459
CPT J9071/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,939 exceeds the gross charge $1,071
CPT 97110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $289 exceeds the gross charge $127
CPT 97113/b
warn
mrf_negotiated_above_gross
highest negotiated rate $266 exceeds the gross charge $193
CPT 97140/b
warn
mrf_negotiated_above_gross
highest negotiated rate $181 exceeds the gross charge $154
CPT J9171/b
warn
mrf_negotiated_above_gross
highest negotiated rate $483 exceeds the gross charge $308
CPT 97530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $147 exceeds the gross charge $103
CPT J9306/b
warn
mrf_negotiated_above_gross
highest negotiated rate $49,227 exceeds the gross charge $38,508
CPT J9370/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $101
warn
mrf_rate_without_estimate
14,224 of 14,224 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80170/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 differ, so no cross-line comparison was made for this item
CPT 82668/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 differ, so no cross-line comparison was made for this item
CPT 85013/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 86707/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 differ, so no cross-line comparison was made for this item
CPT 89060/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 differ, so no cross-line comparison was made for this item
CPT 80171/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 82670/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85014/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 differ, so no cross-line comparison was made for this item
CPT 86708/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1450/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 82672/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 differ, so no cross-line comparison was made for this item
CPT 85018/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 differ, so no cross-line comparison was made for this item
CPT 86709/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 differ, so no cross-line comparison was made for this item
CPT A9575/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 80173/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 82677/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 differ, so no cross-line comparison was made for this item
CPT 85025/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 differ, so no cross-line comparison was made for this item
CPT 89320/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 L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85027/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 86711/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 82679/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 differ, so no cross-line comparison was made for this item
CPT 85041/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 J1459/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 80177/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 80178/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 differ, so no cross-line comparison was made for this item
CPT 82681/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 differ, so no cross-line comparison was made for this item
CPT 85045/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 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 differ, so no cross-line comparison was made for this item
CPT 80179/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 85048/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 C1052/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 J1580/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 differ, so no cross-line comparison was made for this item
CPT 82693/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 86735/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90471/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 L3350/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 85049/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 86738/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 80181/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 82705/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 differ, so no cross-line comparison was made for this item
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 262 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50389/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 85060/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 86747/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 differ, so no cross-line comparison was made for this item
CPT 80183/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 82710/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 85210/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 C1721/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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80184/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 86753/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82728/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 differ, so no cross-line comparison was made for this item
CPT 85220/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 C1722/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 J1650/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 differ, so no cross-line comparison was made for this item
CPT L3808/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 80185/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 differ, so no cross-line comparison was made for this item
CPT 82731/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 differ, so no cross-line comparison was made for this item
CPT 86756/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 90656/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 J1652/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 85230/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 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 differ, so no cross-line comparison was made for this item
CPT C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 53 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3906/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 80186/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 differ, so no cross-line comparison was made for this item
CPT 82746/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 differ, so no cross-line comparison was made for this item
CPT 86757/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 differ, so no cross-line comparison was made for this item
CPT 82747/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 85240/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 differ, so no cross-line comparison was made for this item
CPT 90677/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 L3913/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 85245/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 86762/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80188/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 82784/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 differ, so no cross-line comparison was made for this item
CPT 86765/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82785/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 differ, so no cross-line comparison was made for this item
CPT 85246/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 86768/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 C1730/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 differ, so no cross-line comparison was made for this item
CPT L3921/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 90714/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 80195/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 differ, so no cross-line comparison was made for this item
CPT 82787/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85247/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 86769/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 L3923/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 90715/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 C1747/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 J1805/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 80197/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 differ, so no cross-line comparison was made for this item
CPT 82800/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 85250/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 86774/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 L3925/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 80198/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 differ, so no cross-line comparison was made for this item
CPT C1750/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 differ, so no cross-line comparison was made for this item
CPT 82803/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 differ, so no cross-line comparison was made for this item
CPT 85260/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 86777/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 differ, so no cross-line comparison was made for this item
CPT L3927/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 80200/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 differ, so no cross-line comparison was made for this item
CPT 82941/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 differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82943/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 86778/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 differ, so no cross-line comparison was made for this item
CPT L3933/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 80201/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 differ, so no cross-line comparison was made for this item
CPT 82945/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 C1753/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 J1885/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 85290/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 86780/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 91322/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 J1938/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 80202/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 differ, so no cross-line comparison was made for this item
CPT 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86787/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1757/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 differ, so no cross-line comparison was made for this item
CPT 82950/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 85300/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 86788/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 J1939/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 64405/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 80203/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 82951/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 C1758/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 differ, so no cross-line comparison was made for this item
CPT 82952/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 86790/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1950/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 L8610/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 80204/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 82955/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 differ, so no cross-line comparison was made for this item
CPT 85302/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 85303/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 differ, so no cross-line comparison was made for this item
CPT 86800/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1762/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 J1956/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 L8699/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 64420/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 80230/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 82977/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 differ, so no cross-line comparison was made for this item
CPT 85305/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 86803/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64421/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 82985/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 differ, so no cross-line comparison was made for this item
CPT 85306/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 differ, so no cross-line comparison was made for this item
CPT 86812/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 differ, so no cross-line comparison was made for this item
CPT C1763/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 P9012/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 80235/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 85307/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 64430/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 83001/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86813/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 C1764/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 83002/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85335/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 92653/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 P9017/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 83003/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 differ, so no cross-line comparison was made for this item
CPT 86850/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 differ, so no cross-line comparison was made for this item
CPT 80299/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 86870/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 differ, so no cross-line comparison was made for this item
CPT C1767/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 P9035/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

Showing the first 200 of 2,360 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. Augusta Health — standard charges file · VA · updated 2026-04-01
    · json · 29.4M bytes · fetched 2026-08-24 · sha256 ccaa18eb2ea2…

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.