Hospital · CCN 490111

Wythe County Community Hospital

600 West Ridge Road, Wytheville, VA 24382 · Wythe County
Part of Lifepoint Health · 92 beds · 5
Small town core: primary flow within an urban cluster of 2,500 to 9,999

7 admission types 22 outpatient services price file: ok

Billed per dollar paid, all admissions

3.95×

$10.9M billed against $2.8M paid across 197 Medicare discharges; the national figure is 5.03×.

3.5%

of adults in Wythe County have medical debt in collections

7.2%

uninsured in the county · state 7.5%

$59K

median household income

3.9×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

38.8%

obesity in the countyⓘ

14.3%

diagnosed diabetes (PLACES)

8.5%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

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

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$62,102

$17,212

3.6× st 4.0×

291

Heart failure and shock with mcc

$45,354

$11,419

4.0× st 3.7×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$59,576

$9,217

6.5× st 4.1×

193

Simple pneumonia and pleurisy with mcc

$52,573

$11,539

4.6× st 4.0×

280

Acute myocardial infarction, discharged alive with mcc

$40,309

$13,947

2.9× st 4.4×

189

Pulmonary edema and respiratory failure

$39,631

$10,941

3.6× st 4.5×

308

Cardiac arrhythmia and conduction disorders with mcc

$55,204

$10,554

5.2× st 4.2×

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

8011

Comprehensive Observation Services

144

$35,164

$2,510

14.0×

5302

Level 2 Upper GI Procedures

$19,895

$1,701

11.7×

5361

Level 1 Laparoscopy and Related Services

$39,433

$4,916

8.0×

5431

Level 1 Nerve Procedures

$15,155

$1,780

8.5×

5183

Level 3 Vascular Procedures

$36,243

$2,939

12.3×

5375

Level 5 Urology and Related Services

$40,944

$4,771

8.6×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$12,461

$1,495

8.3×

5115

Level 5 Musculoskeletal Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5415

Level 5 Gynecologic Procedures

—

5414

Level 4 Gynecologic Procedures

—

5376

Level 6 Urology and Related Services

—

5112

Level 2 Musculoskeletal Procedures

—

5374

Level 4 Urology and Related Services

—

5373

Level 3 Urology and Related Services

—

5372

Level 2 Urology and Related Services

—

5113

Level 3 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5303

Level 3 Upper GI Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 7/10/2026, template 3.0.0, 89,219 rows scanned, 2,301 distinct code–setting items kept. 866 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nas

CPT 0202U

$1,284

$513

—

clean

Fine needle aspiration biopsy, including ultrasound guidance; first lesion

CPT 10005

$961

$385

—

clean

Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)

CPT 10006

$683

$273

—

clean

Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single

CPT 10060

$905

$362

—

clean

Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple

CPT 10061

$1,129

$451

—

clean

Incision and drainage of pilonidal cyst; simple

CPT 10080

$1,278

$511

—

clean

Incision and removal of foreign body, subcutaneous tissues; simple

CPT 10120

$2,853

$1,141

—

clean

Incision and drainage of hematoma, seroma or fluid collection

CPT 10140

$11,039

$4,415

—

clean

Puncture aspiration of abscess, hematoma, bulla, or cyst

CPT 10160

$1,277

$511

—

clean

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

CPT 11042

$1,565

$626

—

clean

Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less

CPT 11043

$2,826

$1,130

—

clean

Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less

CPT 11044

$7,804

$3,122

—

clean

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

CPT 11045

$1,685

$674

—

clean

Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

CPT 11046

$2,474

$989

—

clean

Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

CPT 11047

$5,000

$2,000

—

clean

Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion

CPT 11055

$851

$341

—

clean

Punch biopsy of skin (including simple closure, when performed); single lesion

CPT 11104

$769

$308

—

clean

Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)

CPT 11105

$848

$339

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less

CPT 11400

$848

$339

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm

CPT 11403

$7,966

$3,186

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm

CPT 11404

$7,966

$3,186

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm

CPT 11421

$24,277

$9,711

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm

CPT 11422

$13,054

$5,221

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm

CPT 11426

$21,103

$8,441

—

clean

Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm

CPT 11606

$15,178

$6,071

—

clean

Debridement of nail(s) by any method(s); 1 to 5

CPT 11720

$259

$104

—

clean

Avulsion of nail plate, partial or complete, simple; single

CPT 11730

$734

$294

—

clean

Evacuation of subungual hematoma

CPT 11740

$339

$136

—

clean

Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal

CPT 11750

$504

$201

—

clean

Repair of nail bed

CPT 11760

$969

$388

—

clean

Excision of pilonidal cyst or sinus; complicated

CPT 11772

$23,275

$9,310

—

clean

Removal, non-biodegradable drug delivery implant

CPT 11982

$12,239

$4,896

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less

CPT 12001

$928

$371

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm

CPT 12002

$947

$379

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm

CPT 12004

$980

$392

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm

CPT 12005

$1,561

$624

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm

CPT 12006

$1,080

$432

—

clean

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm

CPT 12007

$861

$344

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less

CPT 12011

$949

$380

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

CPT 12013

$949

$380

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

CPT 12014

$1,167

$467

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm

CPT 12015

$991

$396

—

clean

Treatment of superficial wound dehiscence; simple closure

CPT 12020

$970

$388

—

clean

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

CPT 12031

$687

$275

—

clean

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm

CPT 12032

$931

$372

—

clean

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm

CPT 12034

$960

$384

—

clean

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm

CPT 12035

$393

$157

—

clean

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

CPT 12036

$2,400

$960

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less

CPT 12041

$294

$118

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm

CPT 12042

$987

$395

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm

CPT 12045

$341

$137

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm

CPT 12046

$341

$137

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm

CPT 12047

$986

$394

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less

CPT 12051

$1,036

$414

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

CPT 12052

$748

$299

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

CPT 12053

$1,445

$578

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

CPT 12055

$575

$230

—

clean

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

CPT 13120

$982

$393

—

clean

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm

CPT 13132

$1,398

$559

—

clean

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

CPT 14040

$9,069

$3,628

—

clean

Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

CPT 15271

$4,383

$1,753

—

clean

Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure

CPT 15272

$3,288

$1,315

—

clean

Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

CPT 15273

$27,270

$10,908

—

clean

Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of

CPT 15274

$27,270

$10,908

—

clean

Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

CPT 15275

$4,383

$1,753

—

clean

Initial treatment, first degree burn, when no more than local treatment is required

CPT 16000

$442

$177

—

clean

Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)

CPT 16020

$563

$225

—

clean

Chemical cauterization of granulation tissue (ie, proud flesh)

CPT 17250

$980

$392

—

clean

Puncture aspiration of cyst of breast

CPT 19000

$1,644

$658

—

clean

Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)

CPT 19001

$1,644

$658

—

clean

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance

CPT 19081

$5,038

$2,015

—

clean

CPT 19082

$5,038

$2,015

—

clean

CPT 19083

$2,848

$1,139

—

clean

CPT 19084

$1,140

$456

—

clean

Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions

CPT 19120

$18,322

$7,329

—

clean

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance

CPT 19285

$10,471

$4,188

—

clean

Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)

CPT 19301

$10,471

$4,188

—

clean

Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle

CPT 19307

$34,026

$13,610

—

clean

Removal of intact breast implant

CPT 19328

$23,813

$9,525

—

clean

Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)

CPT 20550

$593

$237

—

clean

Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)

CPT 20552

$1,047

$419

—

clean

Needle insertion(s) without injection(s); 1 or 2 muscle(s)

CPT 20560

$12

—

clean

Needle insertion(s) without injection(s); 3 or more muscles

CPT 20561

$25

$10

—

clean

Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance

CPT 20600

$3,927

$1,571

—

clean

Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance

CPT 20605

$810

$324

—

clean

Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance

CPT 20610

$969

$387

—

clean

Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting

CPT 20611

$983

$393

—

clean

Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)

CPT 20680

$7,826

$3,131

—

clean

Closed treatment of nasal bone fracture with manipulation; without stabilization

CPT 21315

$1,988

$795

—

clean

Closed treatment of temporomandibular dislocation; initial or subsequent

CPT 21480

$998

$399

—

clean

Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater

CPT 21552

$23,500

$9,400

—

clean

Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater

CPT 21931

$17,375

$6,950

—

clean

Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm

CPT 21932

$10,474

$4,190

—

clean

Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater

CPT 21933

$16,083

$6,433

—

clean

Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater

CPT 22903

$15,093

$6,037

—

clean

Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater

CPT 23073

$25,103

$10,041

—

clean

Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography

CPT 23350

$270

$108

—

clean

Open treatment of clavicular fracture, includes internal fixation, when performed

CPT 23515

$39,293

$15,717

—

clean

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

CPT 23650

$631

$252

—

clean

Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation

CPT 23665

$1,411

$564

—

clean

Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)

CPT 23700

$7,826

$3,130

—

clean

Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater

CPT 24073

$23,813

$9,525

—

clean

Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft

CPT 24342

$52,188

$20,875

—

clean

Treatment of closed elbow dislocation; without anesthesia

CPT 24600

$749

$300

—

clean

Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation

CPT 24640

$706

$282

—

clean

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

CPT 25000

$11,838

$4,735

—

clean

Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater

CPT 25071

$11,737

$4,695

—

clean

Excision of ganglion, wrist (dorsal or volar); primary

CPT 25111

$11,482

$4,593

—

clean

Exploration with removal of deep foreign body, forearm or wrist

CPT 25248

$9,644

$3,858

—

clean

Closed treatment of radial and ulnar shaft fractures; with manipulation

CPT 25565

$1,067

$427

—

clean

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation

CPT 25605

$1,574

$630

—

clean

Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation

CPT 25606

$18,597

$7,439

—

clean

Drainage of finger abscess; simple

CPT 26010

$1,200

$480

—

clean

Drainage of tendon sheath, digit and/or palm, each

CPT 26020

$26,493

$10,597

—

clean

Tendon sheath incision (eg, for trigger finger)

CPT 26055

$4,719

$1,888

—

clean

Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater

CPT 26111

$10,720

$4,288

—

clean

Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm

CPT 26115

$3,927

$1,571

—

clean

Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm

CPT 26116

$7,890

$3,156

—

clean

Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger

CPT 26160

$8,303

$3,321

—

clean

Closed treatment of metacarpal fracture, single; with manipulation, each bone

CPT 26605

$1,123

$449

—

clean

Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia

CPT 26700

$813

$325

—

clean

Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each

CPT 26725

$265

$106

—

clean

Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each

CPT 26727

$9,507

$3,803

—

clean

Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each

CPT 26755

$161

$64

—

clean

Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia

CPT 26770

$689

$275

—

clean

Incision and drainage, pelvis or hip joint area; deep abscess or hematoma

CPT 26990

$15,948

$6,379

—

clean

Injection procedure for hip arthrography; without anesthesia

CPT 27093

$270

$108

—

clean

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

CPT 27130

$51,423

$20,569

$22,456

clean

Closed treatment of post hip arthroplasty dislocation; without anesthesia

CPT 27265

$764

$306

—

clean

Ligamentous reconstruction (augmentation), knee; extra-articular

CPT 27427

$36,750

$14,700

—

clean

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

CPT 27447

$54,854

$21,942

$22,456

clean

Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction

CPT 27502

$882

$353

—

clean

Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation

CPT 27510

$655

$262

—

clean

Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair

CPT 27524

$37,693

$15,077

—

clean

Closed treatment of knee dislocation; without anesthesia

CPT 27550

$902

$361

—

clean

Closed treatment of patellar dislocation; without anesthesia

CPT 27560

$1,217

$487

—

clean

Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)

CPT 27570

$7,746

$3,099

—

clean

Unlisted procedure, femur or knee

CPT 27599

$7,055

$2,822

—

clean

Repair, primary, disrupted ligament, ankle; collateral

CPT 27695

$16,729

$6,692

—

clean

Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed

CPT 27792

$23,090

$9,236

—

clean

Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation

CPT 27808

$586

$235

—

clean

Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation

CPT 27810

$4,336

$1,735

—

clean

Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed

CPT 27814

$27,527

$11,011

—

clean

Closed treatment of trimalleolar ankle fracture; with manipulation

CPT 27818

$1,643

$657

—

clean

Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed

CPT 27829

$23,090

$9,236

—

clean

Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve

CPT 27892

$22,323

$8,929

—

clean

Application of long arm splint (shoulder to hand)

CPT 29105

$625

$250

—

clean

Application of short arm splint (forearm to hand); static

CPT 29125

$625

$250

—

clean

Application of short arm splint (forearm to hand); dynamic

CPT 29126

$582

$233

—

clean

Application of finger splint; static

CPT 29130

$408

$163

—

clean

Strapping; hand or finger

CPT 29280

$437

$175

—

clean

Application of short leg cast (below knee to toes); walking or ambulatory type

CPT 29425

$308

$123

—

clean

Application of rigid total contact leg cast

CPT 29445

$1,251

$500

—

clean

Application of long leg splint (thigh to ankle or toes)

CPT 29505

$608

$243

—

clean

Application of short leg splint (calf to foot)

CPT 29515

$479

$192

—

clean

Strapping; knee

CPT 29530

$520

$208

—

clean

Strapping; Unna boot

CPT 29580

$533

$171

—

clean

Application of multi-layer compression system; leg (below knee), including ankle and foot

CPT 29581

$684

$274

—

clean

Arthroscopy, shoulder, surgical; capsulorrhaphy

CPT 29806

$19,764

$7,905

—

clean

Arthroscopy, shoulder, surgical; repair of SLAP lesion

CPT 29807

$17,387

$6,955

—

clean

Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, a

CPT 29822

$7,879

$3,152

—

clean

Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labr

CPT 29823

$9,333

$3,733

—

clean

Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)

CPT 29824

$7,659

$3,064

—

clean

Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)

CPT 29826

$9,015

$3,606

—

clean

Arthroscopy, shoulder, surgical; with rotator cuff repair

CPT 29827

$10,355

$4,142

—

clean

Arthroscopy, shoulder, surgical; biceps tenodesis

CPT 29828

$9,462

$3,785

—

clean

Arthroscopy, knee, surgical; with lateral release

CPT 29873

$22,966

$9,186

—

clean

Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)

CPT 29874

$27,916

$11,166

—

clean

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

CPT 29875

$22,300

$8,920

—

clean

Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

CPT 29881

$21,259

$8,504

—

clean

Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)

CPT 29882

$27,473

$10,989

—

clean

Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

CPT 29884

$28,117

$11,247

—

clean

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

CPT 29888

$53,477

$21,391

—

clean

Unlisted procedure, arthroscopy

CPT 29999

$23,166

$9,266

—

clean

Removal foreign body, intranasal; office type procedure

CPT 30300

$600

$240

—

clean

Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method

CPT 30901

$1,035

$414

—

clean

Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method

CPT 30903

$935

$374

—

clean

Intubation, endotracheal, emergency procedure

CPT 31500

$2,475

$990

—

clean

Tracheostomy, emergency procedure; cricothyroid membrane

CPT 31605

$3,707

$1,483

—

clean

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings

CPT 31623

$11,842

$4,737

—

clean

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage

CPT 31624

$10,098

$4,039

—

clean

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites

CPT 31625

$20,406

$8,163

—

clean

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe

CPT 31628

$10,098

$4,039

—

clean

Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)

CPT 32551

$2,577

$1,031

—

clean

Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance

CPT 32555

$8,689

$3,475

—

clean

Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture

CPT 36410

$40

$16

—

clean

Collection of venous blood by venipuncture

CPT 36415

$43

$17

—

clean

Transfusion, blood or blood components

CPT 36430

$2,151

$860

—

clean

Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older

CPT 36556

$5,070

$2,028

—

clean

Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older

CPT 36558

$1,168

$467

—

clean

Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older

CPT 36561

$16,495

$6,598

—

clean

Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older

CPT 36571

$8,489

$3,396

—

clean

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation re

CPT 36572

$596

$238

—

clean

CPT 36573

$751

$301

—

clean

Collection of blood specimen from a completely implantable venous access device

CPT 36591

$264

$105

—

clean

Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified

CPT 36592

$47

$19

—

clean

Declotting by thrombolytic agent of implanted vascular access device or catheter

CPT 36593

$5,192

$2,077

—

clean

Arterial puncture, withdrawal of blood for diagnosis

CPT 36600

$264

$105

—

clean

Biopsy or excision of lymph node(s); open, superficial

CPT 38500

$8,373

$3,349

—

clean

Biopsy or excision of lymph node(s); open, deep axillary node(s)

CPT 38525

$7,761

$3,104

—

clean

Showing the first 200 of 2,301 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

MS-DRG 137/i

warn

mrf_negotiated_above_gross

highest negotiated rate $15,589 exceeds the gross charge $11,165

MS-DRG 141/i

warn

mrf_negotiated_above_gross

highest negotiated rate $23,947 exceeds the gross charge $23,279

CPT 90658/o

warn

mrf_negotiated_above_gross

highest negotiated rate $33 exceeds the gross charge $20

CPT 90732/o

warn

mrf_negotiated_above_gross

highest negotiated rate $200 exceeds the gross charge $134

MS-DRG 245/i

warn

mrf_negotiated_above_gross

highest negotiated rate $54,468 exceeds the gross charge $7,971

MS-DRG 283/i

warn

mrf_negotiated_above_gross

highest negotiated rate $24,646 exceeds the gross charge $4,124

MS-DRG 297/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,851 exceeds the gross charge $1,331

MS-DRG 420/i

warn

mrf_negotiated_above_gross

highest negotiated rate $49,910 exceeds the gross charge $32,642

CPT 97014/o

warn

mrf_negotiated_above_gross

highest negotiated rate $143 exceeds the gross charge $18

MS-DRG 423/i

warn

mrf_negotiated_above_gross

highest negotiated rate $53,256 exceeds the gross charge $33,508

MS-DRG 425/i

warn

mrf_negotiated_above_gross

highest negotiated rate $17,229 exceeds the gross charge $17,017

MS-DRG 426/i

warn

mrf_negotiated_above_gross

highest negotiated rate $116,759 exceeds the gross charge $40,926

MS-DRG 560/i

warn

mrf_negotiated_above_gross

highest negotiated rate $13,594 exceeds the gross charge $13,284

MS-DRG 566/i

warn

mrf_negotiated_above_gross

highest negotiated rate $9,791 exceeds the gross charge $5,663

MS-DRG 581/i

warn

mrf_negotiated_above_gross

highest negotiated rate $18,871 exceeds the gross charge $6,217

MS-DRG 607/i

warn

mrf_negotiated_above_gross

highest negotiated rate $9,632 exceeds the gross charge $4,711

MS-DRG 614/i

warn

mrf_negotiated_above_gross

highest negotiated rate $25,402 exceeds the gross charge $4,887

MS-DRG 625/i

warn

mrf_negotiated_above_gross

highest negotiated rate $31,957 exceeds the gross charge $8,105

MS-DRG 626/i

warn

mrf_negotiated_above_gross

highest negotiated rate $17,444 exceeds the gross charge $3,827

MS-DRG 639/i

warn

mrf_negotiated_above_gross

highest negotiated rate $6,984 exceeds the gross charge $4,352

MS-DRG 640/i

warn

mrf_negotiated_above_gross

highest negotiated rate $14,802 exceeds the gross charge $3,372

MS-DRG 688/i

warn

mrf_negotiated_above_gross

highest negotiated rate $8,072 exceeds the gross charge $2,736

CPT J1438/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,621 exceeds the gross charge $1,505

MS-DRG 833/i

warn

mrf_negotiated_above_gross

highest negotiated rate $5,794 exceeds the gross charge $4,927

MS-DRG 884/i

warn

mrf_negotiated_above_gross

highest negotiated rate $18,394 exceeds the gross charge $5,130

CPT J8510/o

warn

mrf_negotiated_above_gross

highest negotiated rate $126 exceeds the gross charge $37

MS-DRG 955/i

warn

mrf_negotiated_above_gross

highest negotiated rate $87,245 exceeds the gross charge $11,536

MS-DRG 974/i

warn

mrf_negotiated_above_gross

highest negotiated rate $40,339 exceeds the gross charge $2,067

MS-DRG 057/i

warn

mrf_negotiated_above_gross

highest negotiated rate $14,873 exceeds the gross charge $4,449

warn

mrf_rate_without_estimate

79,893 of 79,893 percentage/algorithm rates across 2,296 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 72157/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 88177/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

MS-DRG 065/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72158/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 88300/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

MS-DRG 066/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72170/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 88302/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

MS-DRG 069/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72190/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 88304/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

MS-DRG 070/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72191/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 88305/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

MS-DRG 071/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72192/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 88307/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

MS-DRG 088/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72193/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 88309/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

MS-DRG 091/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72194/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 88311/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

MS-DRG 092/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72195/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 88312/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 differ, so no cross-line comparison was made for this item

MS-DRG 093/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72196/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 88313/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 differ, so no cross-line comparison was made for this item

MS-DRG 100/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72197/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 88331/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

MS-DRG 101/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72200/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 88332/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

MS-DRG 113/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72202/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 88333/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

MS-DRG 124/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72220/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 88334/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 72240/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 88341/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

MS-DRG 137/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72255/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 88342/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 differ, so no cross-line comparison was made for this item

MS-DRG 138/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72265/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 88344/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

MS-DRG 139/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72270/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 88346/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

MS-DRG 140/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 72285/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 differ, so no cross-line comparison was made for this item

CPT 88360/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 differ, so no cross-line comparison was made for this item

CPT 72295/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 differ, so no cross-line comparison was made for this item

CPT 88361/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 differ, so no cross-line comparison was made for this item

MS-DRG 141/i

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73000/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 88364/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

MS-DRG 145/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73010/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 88365/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

MS-DRG 166/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73020/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 88367/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

MS-DRG 175/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their 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 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 88368/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

MS-DRG 176/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73040/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 88377/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 differ, so no cross-line comparison was made for this item

MS-DRG 177/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73050/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 88381/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 differ, so no cross-line comparison was made for this item

MS-DRG 178/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73060/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 90371/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

MS-DRG 179/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73070/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/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

MS-DRG 186/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73080/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 90377/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

MS-DRG 189/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73090/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 90378/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

MS-DRG 190/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73092/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

MS-DRG 191/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73100/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

MS-DRG 193/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73110/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 90658/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

MS-DRG 194/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73115/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 90670/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

MS-DRG 195/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73120/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 90675/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

MS-DRG 196/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73130/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

MS-DRG 199/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73140/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 90732/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

MS-DRG 200/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73200/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 90744/o

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

MS-DRG 201/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73201/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 90746/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

MS-DRG 202/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73202/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 90901/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 differ, so no cross-line comparison was made for this item

MS-DRG 203/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73206/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 90912/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

MS-DRG 204/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73218/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 90913/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

MS-DRG 206/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73219/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 91010/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

MS-DRG 207/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73220/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 91035/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

MS-DRG 208/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73221/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 91037/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

MS-DRG 234/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73222/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 91110/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

MS-DRG 241/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73501/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 92507/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

MS-DRG 244/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73502/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 92508/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 73522/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 92521/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

MS-DRG 245/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73525/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 92522/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

MS-DRG 252/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73552/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 92523/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

MS-DRG 280/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73560/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 92524/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

MS-DRG 281/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73562/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 92526/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

MS-DRG 282/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73564/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 92610/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 73565/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 92611/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 differ, so no cross-line comparison was made for this item

MS-DRG 283/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73580/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 93279/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

MS-DRG 284/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73590/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 93304/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

MS-DRG 291/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73592/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 93306/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

MS-DRG 292/i

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73600/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 93307/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

Showing the first 200 of 866 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
Wythe County Community Hospital — standard charges file · VA · updated 7/10/2026
· csv-tall · 1.4M bytes · fetched 2026-08-26 · sha256 eb8ceb14cdae…

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.