Hospital · CCN 490115

Twin County Regional Hospital

200 Hospital Drive, Galax, VA 24333 · Grayson County
Part of Lifepoint Health · 141 beds · 5
Small town core: primary flow within an urban cluster of 2,500 to 9,999

7 admission types 23 outpatient services price file: ok

Billed per dollar paid, all admissions

4.74×

$13.2M billed against $2.8M paid across 209 Medicare discharges; the national figure is 5.03×.

1.7%

of adults in Grayson County have medical debt in collections

7.2%

uninsured in the county · state 7.5%

$43K

median household income

4.7×

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

41.1%

obesity in the countyⓘ

17.5%

diagnosed diabetes (PLACES)

10.4%

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

$76,929

$16,345

4.7× st 4.0×

885

Psychoses

$45,191

$11,570

3.9× st 2.4×

177

Respiratory infections and inflammations with mcc

$73,252

$14,011

5.2× st 3.6×

291

Heart failure and shock with mcc

$50,644

$10,639

4.8× st 3.7×

193

Simple pneumonia and pleurisy with mcc

$53,316

$10,929

4.9× st 4.0×

189

Pulmonary edema and respiratory failure

$56,599

$10,209

5.5× st 4.5×

698

Other kidney and urinary tract diagnoses with mcc

$58,827

$13,622

4.3× st 3.7×

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

158

$31,867

$2,498

12.8×

5302

Level 2 Upper GI Procedures

$15,707

$1,729

9.1×

5374

Level 4 Urology and Related Services

$27,639

$3,164

8.7×

5361

Level 1 Laparoscopy and Related Services

$44,710

$5,320

8.4×

5115

Level 5 Musculoskeletal Procedures

$106,398

$11,467

9.3×

5375

Level 5 Urology and Related Services

$30,857

$4,771

6.5×

5112

Level 2 Musculoskeletal Procedures

$14,862

$1,482

10.0×

5431

Level 1 Nerve Procedures

$16,389

$1,780

9.2×

5183

Level 3 Vascular Procedures

$40,429

$2,939

13.8×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$28,605

$3,190

9.0×

5376

Level 6 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5373

Level 3 Urology and Related Services

—

5372

Level 2 Urology and Related Services

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5182

Level 2 Vascular Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

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, 78,640 rows scanned, 2,536 distinct code–setting items kept. 870 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and inter

CPT 0421T

$37,854

$15,141

—

clean

Fine needle aspiration biopsy, including ultrasound guidance; first lesion

CPT 10005

$3,163

$1,265

—

clean

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

CPT 10006

$1,582

$633

—

clean

Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion

CPT 10007

$3,163

$1,265

—

clean

Fine needle aspiration biopsy, including CT guidance; first lesion

CPT 10009

$3,163

$1,265

—

clean

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

CPT 10010

$1,582

$633

—

clean

Fine needle aspiration biopsy, including MR guidance; first lesion

CPT 10011

$3,163

$1,265

—

clean

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

CPT 10012

$1,582

$633

—

clean

Fine needle aspiration biopsy, without imaging guidance; first lesion

CPT 10021

$1,058

$423

—

clean

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

CPT 10060

$972

$389

—

clean

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

CPT 10061

$972

$389

—

clean

Incision and drainage of pilonidal cyst; simple

CPT 10080

$972

$389

—

clean

Incision and drainage of pilonidal cyst; complicated

CPT 10081

$10,395

$4,158

—

clean

Incision and removal of foreign body, subcutaneous tissues; simple

CPT 10120

$1,808

$723

—

clean

Incision and removal of foreign body, subcutaneous tissues; complicated

CPT 10121

$11,145

$4,458

—

clean

Incision and drainage of hematoma, seroma or fluid collection

CPT 10140

$8,601

$3,440

—

clean

Puncture aspiration of abscess, hematoma, bulla, or cyst

CPT 10160

$972

$389

—

clean

Incision and drainage, complex, postoperative wound infection

CPT 10180

$15,995

$6,398

—

clean

Debridement of extensive eczematous or infected skin; up to 10% of body surface

CPT 11000

$1,808

$723

—

clean

Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone

CPT 11012

$5,990

$2,396

—

clean

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

CPT 11042

$13,296

$5,318

—

clean

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

CPT 11043

$6,422

$2,569

—

clean

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

CPT 11044

$2,111

$844

—

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

$9,676

$3,870

—

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

—

clean

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

CPT 11055

$965

$386

—

clean

Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions

CPT 11056

$417

$167

—

clean

Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions

CPT 11057

$708

$283

—

clean

Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion

CPT 11102

$963

$385

—

clean

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

CPT 11104

$963

$385

—

clean

Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion

CPT 11106

$1,715

$686

—

clean

Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions

CPT 11200

$542

$217

—

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

$3,690

$1,476

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm

CPT 11401

$3,690

$1,476

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm

CPT 11402

$3,690

$1,476

—

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

$12,566

$5,026

—

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

$13,117

$5,247

—

clean

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

CPT 11406

$27,127

$10,851

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less

CPT 11420

$6,811

$2,724

—

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

$6,811

$2,724

—

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

$11,382

$4,553

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm

CPT 11423

$15,458

$6,183

—

clean

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm

CPT 11424

$13,117

$5,247

—

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

$18,022

$7,209

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less

CPT 11440

$3,690

$1,476

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm

CPT 11441

$3,690

$1,476

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm

CPT 11442

$6,811

$2,724

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm

CPT 11443

$6,811

$2,724

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm

CPT 11444

$6,811

$2,724

—

clean

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm

CPT 11446

$18,022

$7,209

—

clean

Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm

CPT 11646

$8,252

$3,301

—

clean

Trimming of nondystrophic nails, any number

CPT 11719

$182

$73

—

clean

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

CPT 11720

$417

$167

—

clean

Debridement of nail(s) by any method(s); 6 or more

CPT 11721

$417

$167

—

clean

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

CPT 11730

$579

$232

—

clean

Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)

CPT 11732

$225

$90

—

clean

Evacuation of subungual hematoma

CPT 11740

$332

$133

—

clean

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

CPT 11750

$2,637

$1,055

—

clean

Repair of nail bed

CPT 11760

$2,134

$854

—

clean

Wedge excision of skin of nail fold (eg, for ingrown toenail)

CPT 11765

$579

$232

—

clean

Excision of pilonidal cyst or sinus; extensive

CPT 11771

$27,066

$10,826

—

clean

Excision of pilonidal cyst or sinus; complicated

CPT 11772

$21,022

$8,409

—

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

$1,182

$473

—

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

$1,182

$473

—

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

$1,182

$473

—

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

$1,074

$430

—

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

$977

$391

—

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

$938

$375

—

clean

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

CPT 12011

$1,182

$473

—

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

$1,182

$473

—

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

$1,182

$473

—

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

$1,182

$473

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

CPT 12016

$1,081

$432

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

CPT 12017

$1,081

$432

—

clean

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

CPT 12018

$2,137

$855

—

clean

Treatment of superficial wound dehiscence; simple closure

CPT 12020

$3,258

$1,303

—

clean

Treatment of superficial wound dehiscence; with packing

CPT 12021

$2,137

$855

—

clean

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

CPT 12031

$2,137

$855

—

clean

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

CPT 12032

$2,134

$854

—

clean

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

CPT 12034

$2,137

$855

—

clean

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

CPT 12035

$2,137

$855

—

clean

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

CPT 12036

$2,842

$1,137

—

clean

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

CPT 12037

$34,176

$13,670

—

clean

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

CPT 12041

$1,182

$473

—

clean

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

CPT 12042

$2,137

$855

—

clean

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm

CPT 12044

$2,137

$855

—

clean

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

CPT 12045

$2,134

$854

—

clean

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

CPT 12046

$2,842

$1,137

—

clean

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

CPT 12047

$2,842

$1,137

—

clean

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

CPT 12051

$2,137

$855

—

clean

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

CPT 12052

$2,137

$855

—

clean

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

CPT 12053

$2,137

$855

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm

CPT 12054

$1,074

$430

—

clean

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

CPT 12055

$2,842

$1,137

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm

CPT 12056

$2,842

$1,137

—

clean

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

CPT 12057

$2,842

$1,137

—

clean

Repair, complex, trunk; 1.1 cm to 2.5 cm

CPT 13100

$3,258

$1,303

—

clean

Repair, complex, trunk; 2.6 cm to 7.5 cm

CPT 13101

—

clean

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

CPT 13102

$3,661

$1,465

—

clean

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

CPT 13120

$2,134

$854

—

clean

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

CPT 13121

$444

$178

—

clean

Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)

CPT 13122

$2,134

$854

—

clean

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm

CPT 13131

$2,134

$854

—

clean

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

CPT 13132

$612

$245

—

clean

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)

CPT 13133

$2,134

$854

—

clean

Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm

CPT 13151

$3,258

$1,303

—

clean

Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm

CPT 13152

$3,258

$1,303

—

clean

Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)

CPT 13153

$2,842

$1,137

—

clean

Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less

CPT 14060

$13,281

$5,313

—

clean

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

CPT 15050

$3,661

$1,465

—

clean

Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

CPT 15100

$17,380

$6,952

—

clean

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

CPT 15120

$17,380

$6,952

—

clean

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

CPT 16000

$864

$346

—

clean

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

CPT 16020

$1,427

$571

—

clean

Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)

CPT 16025

$981

$392

—

clean

Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)

CPT 16030

$981

$392

—

clean

Escharotomy; initial incision

CPT 16035

$1,250

$500

—

clean

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions

CPT 17110

$1,181

$472

—

clean

Chemical cauterization of granulation tissue (ie, proud flesh)

CPT 17250

$1,309

$392

—

clean

Unlisted procedure, skin, mucous membrane and subcutaneous tissue

CPT 17999

$530

$212

—

clean

Puncture aspiration of cyst of breast

CPT 19000

$4,000

$1,600

—

clean

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

CPT 19001

$1,415

$566

—

clean

Mastotomy with exploration or drainage of abscess, deep

CPT 19020

$22,122

$8,849

—

clean

Injection procedure only for mammary ductogram or galactogram

CPT 19030

$259

$104

—

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

$12,672

$5,069

—

clean

CPT 19082

$6,850

$2,740

—

clean

CPT 19083

$8,631

$3,452

—

clean

CPT 19084

$2,509

$1,004

—

clean

Biopsy of breast; open, incisional

CPT 19101

$22,287

$8,915

—

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

$19,530

$7,812

—

clean

Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion

CPT 19125

$25,431

$10,173

—

clean

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

CPT 19281

$1,392

$557

—

clean

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for prima

CPT 19282

$974

$390

—

clean

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

CPT 19285

$1,712

$685

—

clean

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary

CPT 19286

$1,199

$479

—

clean

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

CPT 19301

$31,829

$12,732

—

clean

Mastectomy, simple, complete

CPT 19303

$13,018

$5,207

—

clean

Exploration of penetrating wound (separate procedure); chest

CPT 20101

$24,105

$9,642

—

clean

Exploration of penetrating wound (separate procedure); abdomen/flank/back

CPT 20102

$4,247

$1,699

—

clean

Exploration of penetrating wound (separate procedure); extremity

CPT 20103

$5,894

$2,358

—

clean

Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)

CPT 20220

$6,781

$2,712

—

clean

Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)

CPT 20225

$13,936

$5,574

—

clean

Injection of sinus tract; diagnostic (sinogram)

CPT 20501

$206

$82

—

clean

Removal of foreign body in muscle or tendon sheath; simple

CPT 20520

$2,901

$1,160

—

clean

Removal of foreign body in muscle or tendon sheath; deep or complicated

CPT 20525

$18,972

$7,589

—

clean

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

CPT 20550

$1,712

$685

—

clean

Injection(s); single tendon origin/insertion

CPT 20551

$1,712

$685

—

clean

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

CPT 20552

$3,277

$1,311

—

clean

Injection(s); single or multiple trigger point(s), 3 or more muscles

CPT 20553

$1,712

$685

—

clean

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

CPT 20600

$3,277

$1,311

—

clean

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

CPT 20605

$2,143

$857

—

clean

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

CPT 20610

$3,277

$1,311

—

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

$8,757

$3,503

—

clean

Aspiration and/or injection of ganglion cyst(s) any location

CPT 20612

$1,719

$687

—

clean

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

CPT 20680

$16,308

$6,523

—

clean

Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater

CPT 21012

$17,919

$7,168

—

clean

Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater

CPT 21014

$11,171

$4,468

—

clean

Closed treatment of nasal bone fracture with manipulation; without stabilization

CPT 21315

$14,226

$5,690

—

clean

Closed treatment of nasal bone fracture with manipulation; with stabilization

CPT 21320

$14,226

$5,690

—

clean

Closed treatment of nasal septal fracture, with or without stabilization

CPT 21337

$14,226

$5,690

—

clean

Closed treatment of temporomandibular dislocation; initial or subsequent

CPT 21480

$736

$294

—

clean

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

CPT 21552

$17,739

$7,096

—

clean

Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater

CPT 21554

$31,058

$12,423

—

clean

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

CPT 21555

$19,466

$7,787

—

clean

Closed treatment of sternum fracture

CPT 21820

$1,319

$528

—

clean

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

CPT 21931

$23,119

$9,247

—

clean

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

CPT 21933

$21,967

$8,787

—

clean

Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing

CPT 22310

$5,074

$2,030

—

clean

Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm

CPT 22902

$7,743

$3,097

—

clean

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

CPT 22903

$16,706

$6,682

—

clean

Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater

CPT 23071

$18,959

$7,584

—

clean

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

CPT 23350

$296

$118

—

clean

Closed treatment of clavicular fracture; without manipulation

CPT 23500

$991

$396

—

clean

Closed treatment of clavicular fracture; with manipulation

CPT 23505

$12,558

$5,023

—

clean

Closed treatment of sternoclavicular dislocation; without manipulation

CPT 23520

$5,074

$2,030

—

clean

Closed treatment of acromioclavicular dislocation; without manipulation

CPT 23540

$1,319

$528

—

clean

Closed treatment of scapular fracture; without manipulation

CPT 23570

$1,319

$528

—

clean

Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)

CPT 23575

$3,341

$1,337

—

clean

Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation

CPT 23600

$1,319

$528

—

clean

Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction

CPT 23605

$12,558

$5,023

—

clean

Closed treatment of greater humeral tuberosity fracture; without manipulation

CPT 23620

$1,319

$528

—

clean

Closed treatment of greater humeral tuberosity fracture; with manipulation

CPT 23625

$16,399

$6,560

—

clean

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

CPT 23650

$991

$396

—

clean

Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia

CPT 23655

$9,211

$3,684

—

clean

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

CPT 23665

$9,635

$3,854

—

clean

Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed

CPT 23670

$51,621

$20,648

—

clean

Incision and drainage, upper arm or elbow area; bursa

CPT 23931

$2,660

$1,064

—

clean

Arthrotomy, elbow, including exploration, drainage, or removal of foreign body

CPT 24000

$24,655

$9,862

—

clean

Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater

CPT 24071

$18,832

$7,533

—

clean

Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm

CPT 24075

$7,743

$3,097

—

clean

Excision, olecranon bursa

CPT 24105

$13,635

$5,454

—

clean

Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process

CPT 24120

$13,635

$5,454

—

clean

Injection procedure for elbow arthrography

CPT 24220

$253

$101

—

clean

Closed treatment of humeral shaft fracture; without manipulation

CPT 24500

$1,319

$528

—

clean

Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction

CPT 24505

$1,502

$601

—

clean

Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation

CPT 24530

$1,319

$528

—

clean

Closed treatment of humeral condylar fracture, medial or lateral; without manipulation

CPT 24576

$1,319

$528

—

clean

Closed treatment of humeral condylar fracture, medial or lateral; with manipulation

CPT 24577

$987

$395

—

clean

Treatment of closed elbow dislocation; without anesthesia

CPT 24600

$1,250

$500

—

clean

Treatment of closed elbow dislocation; requiring anesthesia

CPT 24605

$6,053

$2,421

—

clean

Showing the first 200 of 2,536 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

MS-DRG 542/i

warn

mrf_negotiated_above_gross

highest negotiated rate $24,451 exceeds the gross charge $20,206

MS-DRG 581/i

warn

mrf_negotiated_above_gross

highest negotiated rate $18,871 exceeds the gross charge $6,541

CPT A9515/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,094 exceeds the gross charge $15

CPT A9569/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,560 exceeds the gross charge $1,400

MS-DRG 640/i

warn

mrf_negotiated_above_gross

highest negotiated rate $14,807 exceeds the gross charge $6,200

CPT J0202/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,661 exceeds the gross charge $15

CPT J0630/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,254 exceeds the gross charge $193

CPT J1410/o

warn

mrf_negotiated_above_gross

highest negotiated rate $586 exceeds the gross charge $264

CPT J2353/o

warn

mrf_negotiated_above_gross

highest negotiated rate $318 exceeds the gross charge $206

CPT J2510/o

warn

mrf_negotiated_above_gross

highest negotiated rate $71 exceeds the gross charge $58

CPT J2760/o

warn

mrf_negotiated_above_gross

highest negotiated rate $655 exceeds the gross charge $151

MS-DRG 850/i

warn

mrf_negotiated_above_gross

highest negotiated rate $102,713 exceeds the gross charge $54,406

CPT J2993/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,357 exceeds the gross charge $2,655

CPT J2997/o

warn

mrf_negotiated_above_gross

highest negotiated rate $141 exceeds the gross charge $109

CPT J8510/o

warn

mrf_negotiated_above_gross

highest negotiated rate $126 exceeds the gross charge $9

MS-DRG 951/i

warn

mrf_negotiated_above_gross

highest negotiated rate $6,322 exceeds the gross charge $5,482

MS-DRG 113/i

warn

mrf_negotiated_above_gross

highest negotiated rate $24,945 exceeds the gross charge $24,236

MS-DRG 143/i

warn

mrf_negotiated_above_gross

highest negotiated rate $36,816 exceeds the gross charge $21,200

MS-DRG 207/i

warn

mrf_negotiated_above_gross

highest negotiated rate $72,109 exceeds the gross charge $35,576

MS-DRG 220/i

warn

mrf_negotiated_above_gross

highest negotiated rate $59,058 exceeds the gross charge $54,487

MS-DRG 233/i

warn

mrf_negotiated_above_gross

highest negotiated rate $87,153 exceeds the gross charge $72,418

MS-DRG 234/i

warn

mrf_negotiated_above_gross

highest negotiated rate $59,320 exceeds the gross charge $44,365

MS-DRG 245/i

warn

mrf_negotiated_above_gross

highest negotiated rate $54,488 exceeds the gross charge $48,842

CPT 90732/o

warn

mrf_negotiated_above_gross

highest negotiated rate $200 exceeds the gross charge $132

MS-DRG 382/i

warn

mrf_negotiated_above_gross

highest negotiated rate $8,355 exceeds the gross charge $7,899

MS-DRG 420/i

warn

mrf_negotiated_above_gross

highest negotiated rate $49,910 exceeds the gross charge $30,373

MS-DRG 426/i

warn

mrf_negotiated_above_gross

highest negotiated rate $116,801 exceeds the gross charge $41,958

MS-DRG 463/i

warn

mrf_negotiated_above_gross

highest negotiated rate $60,221 exceeds the gross charge $31,950

MS-DRG 469/i

warn

mrf_negotiated_above_gross

highest negotiated rate $35,998 exceeds the gross charge $33,849

warn

mrf_rate_without_estimate

71,223 of 71,223 percentage/algorithm rates across 2,530 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 75710/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 97124/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 522/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 75726/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 97129/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 535/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 75731/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 97140/o

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

MS-DRG 536/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 75733/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 97150/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 539/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 75736/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 97161/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 540/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 75741/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 97162/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 75743/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 97163/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 542/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 75774/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 97164/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 546/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 75820/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 97165/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 547/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 75822/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 97166/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 552/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 75825/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 97167/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 553/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 75827/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 97168/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 557/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 75893/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 97530/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 558/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 75894/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 97533/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 560/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 75984/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 97535/o

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

MS-DRG 561/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 16020/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 75989/o

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 97537/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 563/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 17250/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 76000/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 97542/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 564/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 29105/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 76010/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 97545/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 566/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 29125/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 76080/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 97546/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 570/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 29126/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 76098/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 97597/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 571/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 29130/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 76100/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 97598/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 580/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 29131/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 76376/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 97602/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 29580/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 76377/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 97750/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 581/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 33017/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76380/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 97760/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 585/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 33018/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76499/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 97761/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 602/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 33019/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76506/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 97763/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 603/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 37618/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76511/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 97799/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 616/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 49616/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76512/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 617/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 58720/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76536/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 A9515/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 623/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 58940/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76604/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

CPT A9517/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 629/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 59020/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 76641/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 A9521/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 637/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 59025/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

CPT 76642/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 A9542/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 638/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 59120/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 76700/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 A9548/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 639/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 70030/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 76705/o

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 70100/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 76706/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 A9569/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 640/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 70110/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 76770/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

CPT A9592/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 641/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 70120/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 76775/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 A9595/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 643/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 70130/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 76800/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 C8900/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 644/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 70134/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 76801/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 C8901/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 659/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 70140/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 76802/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 C8902/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 660/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 70150/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 76805/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 C8903/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 661/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 70160/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 76810/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 C8905/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 662/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 70170/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 76815/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 C8906/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 667/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 70190/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 76816/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 C8908/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 668/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 70200/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 76817/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 C8909/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 682/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 70210/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 76818/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 C8910/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 683/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 70220/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 76819/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 C8912/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 684/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 70240/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 76830/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

Showing the first 200 of 870 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)
Twin County Regional Hospital — standard charges file · VA · updated 7/10/2026
· csv-tall · 19.6M bytes · fetched 2026-08-26 · sha256 a53df05b5b30…

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.