Hospital · CCN 490117

Carilion Tazewell Community Hospital

388 Ben Bolt Avenue, Tazewell, VA 24651 · Tazewell County
Part of Carilion Clinic · 23 beds · 1
Secondary flow 30% to <50% to a urban cluster of 10,000 to 49,999

7 admission types 5 outpatient services price file: ok
Billed per dollar paid, all admissions
3.08×
$3.4M billed against $1.1M paid across 95 Medicare discharges; the national figure is 5.03×.
2.2%
of adults in Tazewell County have medical debt in collections
8.0%
uninsured in the county · state 7.5%
$46K
median household income
5.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
40.4%
obesity in the countyⓘ
15.9%
diagnosed diabetes (PLACES)
9.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
291
Heart failure and shock with mcc
21
$37,282
$11,669
3.2× st 3.7×
189
Pulmonary edema and respiratory failure
15
$34,122
$10,531
3.2× st 4.5×
871
Septicemia or severe sepsis without mv >96 hours with mcc
13
$48,408
$16,217
3.0× st 4.0×
190
Chronic obstructive pulmonary disease with mcc
12
$25,867
$9,793
2.6× st 3.6×
193
Simple pneumonia and pleurisy with mcc
12
$26,896
$11,015
2.4× st 4.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
11
$37,849
$11,310
3.3× st 4.1×
689
Kidney and urinary tract infections with mcc
11
$37,611
$10,116
3.7× 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
48
$15,415
$2,356
6.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 12/15/2025, template 3.0.0, 82,967 rows scanned, 1,753 distinct code–setting items kept. 433 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HB JAK2 GENE TRGT SEQ ALYS
$305
$107
$214
21
clean
HB NEURO CSF PRION PRTN QUAL
$1,655
$579
$1,159
21
clean
HB TGSAP SLD ORG NEO DNA 523&RNA 55 NEXT GNRJ SEQ
$3,883
$1,359
$2,718
21
clean
HB SIMPLE REPAIR 2.6-7.5 CM
$959
$336
$527
39
clean
HB REMOVAL SUTURES OR STAPLES NOT REQ ANESTHESIA
$79
$28
$50
56
clean
HB REMOVAL SUTURES AND STAPLES NOT REQ ANESTHESIA
$136
$48
$85
56
clean
HB CAUT CHEM TISSUE GRANULATION
$705
$247
$388
39
clean
HB US ASPIRATION CYST BREAST LT
$2,494
$873
$1,372
78
clean
HB US ASPIRAT BREAST CYST EA A
$451
$158
$283
28
clean
HB MAM INJ DUCTOGRAM/GALACTOGR
$622
$218
$390
28
clean
HB CT BIOPSY MUSCLE NEEDLE
$2,872
$1,005
$1,620
39
clean
HB CT BIOPSY BONE SUPERFICIAL
$5,742
$2,010
$3,158
39
clean
HB CT BIOPSY BONE DEEP
$3,876
$1,357
$2,132
39
clean
HB XR INJ SINUS TRACT/SINOGRAM
$616
$216
$387
28
clean
HB XR ARTHROCENTESIS SM JOINT
$1,047
$366
$576
39
clean
HB ARTHROCENTESIS INTERMED JOI LT
$1,364
$477
$780
156
clean
HB XR ARTHROCENTESIS MAJOR JOINT
$1,047
$366
$707
156
clean
HB INS WIRE OR PIN W SK TRACT
$11,498
$4,024
$6,324
39
clean
HB XR INJ ARTHROGRAM SHOULDER
$1,477
$517
$927
28
clean
HB XR INJ ARTHROGRAM ELBOW
$527
$184
$331
28
clean
HB XR INJ ARTHROGRAM WRIST
$437
$153
$274
28
clean
HB XR INJ ARTHROGRAM HIP
$1,165
$408
$731
28
clean
HB INJ SACROILI JNT W/IMG GUID BILAT
$3,031
$1,061
$1,061
84
clean
HB XR INJ ARTHROGRAM ANKLE
$347
$121
$218
28
clean
HB OT APPLY STRAPPING ELBOW/WRIST
$241
$84
$133
78
clean
HB PT APPLY STRAPPING HAND/FINGER
$211
$74
$116
39
clean
HB OT STRAPPING OF ANKLE AND/OR FT
$560
$196
$308
78
clean
HB OT STRAPPING TOES
$211
$74
$116
78
clean
HB PT STRAPPING UNNA BOOT
$560
$196
$308
39
clean
HB PT APPLY MULTILAY COMPRS BELOW KNEE
$560
$196
$308
78
clean
HB PT APPLY MULTILAY COMPRS ARM/HAND
$478
$167
$263
78
clean
HB CONTROL NOSEBLEED
$618
$216
$340
39
clean
HB INTUBATION ENDOTRACHEAL
$1,230
$431
$677
39
clean
HB TRACH TUBE CHG BEFORE FISTULA TRACT
$855
$299
$470
39
clean
HB BRONCHOSCOPY DIAG W/WO WASHING
$4,035
$1,412
$2,219
39
clean
HB BRONCHOSCOPY W/ALVEOLAR LAVAGE
$6,112
$2,139
$3,362
39
clean
HB BRONCH W/BALLOON OCCLUSION
$24,532
$8,586
$13,493
39
clean
HB CT BX LUNG PERC W IMG
$5,742
$2,010
$3,158
39
clean
HB INSERT CATH PLEURAL
$12,506
$4,377
$6,878
39
clean
HB THORACENTESIS WO IMAGING GUIDANCE
$2,191
$767
$1,259
78
clean
HB THORACENTESIS W IMAGING GUIDANCE
$2,191
$767
$1,205
117
clean
HB SP INJ VENOGRAM
$1,422
$498
$892
28
clean
HB SP INTRO CATH SVC/IVC
$1,763
$617
$1,106
28
clean
HB SP CATH PLACEMENT VENOUS 1S
$1,673
$586
$1,050
28
clean
HB SP INTRO NEEDLE/CATH EXTREM
$855
$299
$537
28
clean
HB SP INTRO CATH AORTA
$1,080
$378
$678
28
clean
HB SP CATH PLACE THOR/BRACHI 1
$1,969
$689
$1,236
28
clean
HB SP CATH PLACE THOR/BRACHI 2
$1,969
$689
$1,236
28
clean
HB SP CATH PLACE THOR/BRACHI 3
$1,969
$689
$1,546
28
clean
HB SP CATH PLACE 1ST ORD ABD/L
$1,731
$606
$1,141
28
clean
HB SP CATH PLACE ABD/PEL/LWR 2
$1,747
$611
$1,096
28
clean
HB SP CATH PLACE ABD/PEL/LWR 3
$3,702
$1,296
$2,323
28
clean
HB SP MIDLINE PLACEMENT AGE 3+
$671
$235
$421
28
clean
HB VENIPUNCTURE
$48
$17
$34
21
clean
HB TRANSFUSE BLOOD/COMPONENT MASS
$1,636
$573
$900
78
clean
HB INSERT CATH CV NONTNL 5+
$11,154
$3,904
$6,135
78
clean
HB SP CENTRAL TUNNELD W/O PORT 5+
$11,154
$3,904
$6,135
39
clean
HB PLACE CV CATH PERC AGE 5+
$5,505
$1,927
$3,028
39
clean
HB PICC W IMAGING GUIDANCE AGE<5
$6,173
$2,161
$3,198
39
clean
HB PICC W IMAGING GUIDANCE AGE 5+
$5,879
$2,058
$3,233
39
clean
HB SP REPLACEMENT TUNNELED CVC
$6,506
$2,277
$3,578
39
clean
HB SP REM CATH CV TNL W/O PORT
$2,191
$767
$1,205
39
clean
HB REM TNL CV DEV W/PORT/PUMP
$3,769
$1,319
$2,073
39
clean
HB COLLECT BLOOD PORT/ACCESS DVC
$206
$72
$131
32
clean
HB COLLECT BLOOD CTRL/PERPH CATH
$169
$59
$118
39
clean
HB DECLOTTING/THROMBOLYTIC AGT
$1,176
$412
$647
78
clean
HB XR CONTRAS INJ EVAL CV ACC DEV
$747
$261
$411
78
clean
HB ARTERIAL PUNCTURE
$457
$160
$251
39
clean
HB ARTERIAL CATH/CANNULATION
$543
$190
$341
56
clean
HB US BX/EXC LYMPH NODE(S) SUPE R
$5,742
$2,010
$3,158
78
clean
HB NM INJ SENTINEL NODE ID
$1,424
$498
$783
39
clean
HB CT BIOPSY SALIVARY GLAND R
$2,494
$873
$1,372
117
clean
HB ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH
$6,723
$2,353
$3,698
39
clean
HB ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY
$6,723
$2,353
$3,698
39
clean
HB ESOPHAGOSCOPY W/REMOVE FB
$6,723
$2,353
$3,698
39
clean
HB ESOPHAGOSCOPY W/BALLOON DILATI
$6,334
$2,217
$3,484
39
clean
HB EGD DIAGNOSTIC
$3,323
$1,163
$1,828
39
clean
HB EGD W/DIR SUBMUC INJ
$4,758
$1,665
$2,617
39
clean
HB EGD W/BIOPSY
$3,323
$1,163
$1,828
39
clean
HB EGD DILATION GASTRIC/DUODENAL STRICTURE
$6,723
$2,353
$3,698
39
clean
HB EGD W/PEG PLACEMENT
$6,723
$2,353
$3,698
39
clean
HB EGD W/REMOVE FB
$4,181
$1,463
$2,300
39
clean
HB EGD W/ESOPH DILATION OVER GUID
$3,323
$1,163
$1,828
39
clean
HB EGD W/ESOPH BALLOON DILATION
$6,723
$2,353
$3,698
39
clean
HB EGD W/TUMOR/POLYP REMOVE CAUTE
$6,723
$2,353
$3,698
39
clean
HB EGD W/TUMOR/POLYP REMOVE SNARE
$6,723
$2,353
$3,698
39
clean
HB EGD W/CONTROL OF BLEEDING
$2,938
$1,028
$1,828
39
clean
HB EGD W/ABLATION
$6,723
$2,353
$3,698
39
clean
HB XR NASO/ORO GASTRIC TUBE PLACE
$1,415
$495
$778
39
clean
HB GASTRIC INTUB AND ASPIR/LAVAGE
$1,104
$386
$607
39
clean
HB EGD PEG PLACEMENT THRU PEG SITE
$2,600
$910
$1,787
64
clean
HB SM INTEST ENDO W/BIOPSY
$6,723
$2,353
$3,698
39
clean
HB SM INTEST ENDO W/CONTROL BLEED
$6,723
$2,353
$3,698
39
clean
HB COLONOSCOPY THRU STOMA
$3,231
$1,131
$1,777
39
clean
HB XR INTRODUCTION LONG GI TUBE
$3,323
$1,163
$1,828
39
clean
HB PROCTOSIGMOID RIGID
$3,231
$1,131
$1,777
39
clean
HB SIGMOIDOSCOPY
$3,231
$1,131
$1,777
39
clean
HB SIGMOIDOSCOPY W/BIOPSY
$3,231
$1,131
$1,777
39
clean
HB SIGMOIDOSCOPY W/POLYPECTOMY
$1,854
$649
$1,020
39
clean
HB SIGMOIDOSCOPY W/REMOVE BYSNARE
$2,377
$832
$1,307
39
clean
HB COLONOSCOPY FLEX DX
$3,231
$1,131
$1,777
39
clean
HB COLONOSCOPY W/BIOPSY
$4,179
$1,463
$2,298
39
clean
HB COLONOSCOPY FLEX W/INJ SUBMUC
$4,179
$1,463
$2,298
39
clean
HB COLONOSCOPY W/HOT FORCEP
$4,179
$1,463
$2,298
39
clean
HB COLONOSCOPY W/REMOVE BY SNARE
$4,179
$1,463
$2,298
39
clean
HB COLONOSCOPY W/ABLATION
$4,179
$1,463
$2,622
32
clean
HB PLACEMENT OF SETON
$9,719
$3,402
$5,345
39
clean
HB I AND D PERIRECTAL/ISCHIAL ABSCESS
$4,179
$1,463
$2,298
39
clean
HB ANOSCOPY DIAGNOSTIC
$1,900
$665
$967
39
clean
HB DSTRJ LESION ANUS SIMPLE SURG EXCISION
$4,958
$1,735
$2,727
39
clean
HB CT BIOPSY LIVER NEEDLE PERC
$2,332
$816
$1,548
78
clean
HB XR CHOLANGIOGRAPHY COMPLETE EXISTING ACCESS
$12,506
$4,377
$6,878
39
clean
HB CT DRAIN PERITONEAL ABSCESS
$12,506
$4,377
$7,848
28
clean
HB PARACENTESIS W/IMAGING
$3,323
$1,163
$1,828
78
clean
HB CT BIOPSY ABDOMINAL MASS
$5,742
$2,010
$3,158
39
clean
HB SP EXCHANGE DRAINAGE CATH
$6,723
$2,353
$3,698
39
clean
HB SP INJ CONTRAST VIA CATH
$355
$124
$223
28
clean
HB INSERT G TUBE PERC W FLUORO
$6,723
$2,353
$3,698
39
clean
HB CONV G-TUBE TO G-J PERC
$6,723
$2,353
$3,698
39
clean
HB REPLACE DUODEN/JEJUN TB FLUORO
$3,323
$1,163
$1,828
39
clean
HB REPLACE GASTRO/JEJUN TB FLUORO
$2,224
$778
$1,223
39
clean
HB XR INJECT CONTRAST EVAL TUBE
$857
$300
$471
78
clean
HB CT BIOPSY RENAL NEEDLE
$2,295
$803
$1,543
39
clean
HB SP REMOVAL NEPHROSTOMY TUBE
$2,366
$828
$1,301
39
clean
HB CT ASP/INJ RENAL CYST
$2,494
$873
$1,372
39
clean
HB ESWL UNILATERAL LT
$25,125
$8,794
$13,819
39
clean
HB SP CHANGE URETEROSTOMY TUBE
$7,260
$2,541
$3,993
39
clean
HB XR INJ ILEAL CONDUIT
$791
$277
$496
28
clean
HB CT INJ CYSTOGRAM
$1,649
$577
$1,035
56
clean
HB XR INJ URETHROCYSTOGRAM RET
$1,302
$456
$817
28
clean
HB BLADDER IRRIGATE
$862
$302
$474
39
clean
HB INSERT BLADDER CATH STRAIGHT
$457
$160
$251
78
clean
HB INSERT TEMP BLADDER CATH
$457
$160
$251
78
clean
HB CHANGE OF CYSTOSTOMY TUBE SIMPLE
$862
$302
$474
78
clean
HB BLADDER SCAN
$254
$89
$140
78
clean
HB CYSTO W FOLEY PLACEMENT
$7,260
$2,541
$3,993
39
clean
HB DILA URETH STRICT MALE INITIAL
$862
$302
$474
39
clean
HB XR CATH/INTRODUCTION SALINE
$1,091
$382
$685
28
clean
HB US BIOPSY THYROID PERC L
$1,223
$428
$694
78
clean
HB XR PUNCTURE SPINAL LUMBAR D
$2,455
$859
$1,350
117
clean
HB INJ LUMBAR EPIDURAL BLOOD PATC
$2,455
$859
$1,350
39
clean
HB INJ SPINAL MYELOGRAM/CT
$1,062
$372
$666
28
clean
HB INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG
$2,455
$859
$1,350
39
clean
HB INJECT AA&/STRD GENICULAR NRV BRANCHES W/IMG LT
$2,455
$859
$1,541
78
clean
HB INJ TRANSFORAM LUM/SAC EA ADD BILATERAL
$3,822
$1,338
$2,398
28
clean
HB INJ PARA FACET CER/THOR 2ND BILATERAL
$4,680
$1,638
$2,937
28
clean
HB INJ PARA FACET CER/THOR 3RD BILATERAL
$3,822
$1,338
$2,398
28
clean
HB INJ PARA FACET LUM/SAC 2ND BILATERAL
$3,822
$1,338
$2,398
28
clean
HB INJ PARA FACET LUM/SAC 3RD BILATERAL
$3,822
$1,338
$2,398
28
clean
HB SP CHEMODENERVATION FACE NERVE
$777
$272
$427
39
clean
HB CHEMODENERV MUSC MIGRAINE
$1,855
$649
$1,020
39
clean
HB CHEMODENERV MUSC NECK DYSTON
$1,535
$537
$844
39
clean
HB DESTRUC NEUROLYTIC AGT GENICULAR NERVE W/IMG LT
$6,921
$2,422
$3,881
78
clean
HB RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
$6,921
$2,422
$3,807
39
clean
HB CHEMODENERV 1 EXTREM ARM 1-4
$1,655
$579
$910
78
clean
HB CHEMODENERV 1 EXTREM 5/> MUS
$1,825
$639
$1,004
39
clean
HB REMOVE CERUMEN VIA IRRIGATION
$192
$67
$106
39
clean
HB XR EYE FOREIGN BODY LT
$403
$141
$250
117
clean
HB XR MANDIBLE < 4 VIEWS
$429
$150
$236
39
clean
HB XR MANDIBLE COMPLETE 4+ VIE
$558
$195
$307
39
clean
HB XR MASTOIDS COMP 3+ VIEWS
$439
$154
$241
39
clean
HB XR ZYGOMATIC ARCHES <3 VIEW
$532
$186
$253
78
clean
HB XR FACIAL BONES COMPLETE 3+
$737
$258
$405
39
clean
HB XR NASAL BONES COMPLETE 3+
$760
$266
$413
39
clean
HB XR ORBITS COMPLETE 4+ VIEWS
$541
$189
$298
39
clean
HB XR SINUSES LIMITED < 3 VIEW
$313
$110
$172
39
clean
HB XR SINUSES COMPLETE 3+ VIEW
$754
$264
$413
39
clean
HB XR SKULL < 4 VIEWS
$638
$223
$351
39
clean
HB XR SKULL COMPLETE 4+ VIEWS
$713
$250
$392
39
clean
HB XR TEMPOROMANDIBJOINT UNI LT
$313
$110
$172
39
clean
HB XR TEMPOROMANDIBULAR JOINT BIL
$518
$181
$285
39
clean
HB XR NECK SOFT TISSUE
$617
$216
$339
39
clean
HB CT HEAD W/O STROKE ALERT
$2,282
$799
$1,162
117
clean
HB CT HEAD/BRAIN W/CONTRAST
$2,940
$1,029
$1,496
39
clean
HB CT HEADBRAIN W AND WO CONTRAST
$3,604
$1,261
$1,834
39
clean
HB CT ORBIT/SELLA/FOSSA/EAR W/O CON
$2,720
$952
$1,384
39
clean
HB CT ORBIT/SELLA/FOSSA/EAR W/CON
$2,756
$965
$1,403
39
clean
HB CT ORBITSELLAFOSSAEAR W AND WO
$2,846
$996
$1,449
39
clean
HB CT SINUS
$2,216
$776
$1,128
78
clean
HB CT MAXILLOFACIAL W/CONTRAST
$4,893
$1,713
$2,491
39
clean
HB CT MAXILLOFACIAL W AND WO CONT
$5,138
$1,798
$2,615
39
clean
HB CT NECK W/O CONTRAST
$2,458
$860
$1,251
39
clean
HB CT NECK W/CONTRAST
$2,904
$1,016
$1,478
39
clean
HB CT NECK W AND W/O CONTRAST
$4,017
$1,406
$2,045
39
clean
HB CTA HEAD W AND W/O CONT
$3,779
$1,323
$1,924
39
clean
HB CTA NECK W AND W/O CONT
$3,521
$1,232
$1,792
39
clean
HB MRI ORBIT/FACE/NECK W/O CON
$3,984
$1,394
$2,028
39
clean
HB MRI ORBIT/FACE/NECK W/CONTR
$4,681
$1,638
$2,383
39
clean
HB MRI ORBITFACENECK W AND WO CON
$5,925
$2,074
$3,016
39
clean
HB MRA HEAD W/O CONT
$3,303
$1,156
$1,681
39
clean
HB MRA HEAD W/CONTRAST
$4,253
$1,489
$2,165
39
clean
HB MRA HEAD W AND W/O CONT
$4,678
$1,637
$2,381
39
clean
HB MRA NECK W/O CONT
$1,833
$642
$1,008
39
clean
HB MRA NECK W/CONTRAST
$2,809
$983
$1,545
39
clean
HB MRA NECK W AND W/O CONT
$5,222
$1,828
$2,658
39
clean
HB MRI BRAIN (ADULT STROKE ALERT)
$5,634
$1,972
$2,868
117
clean
HB MRI BRAIN W/CONTRAST
$5,887
$2,060
$2,996
39
clean
HB MRI BRAIN W AND W/O CONTRAST
$6,565
$2,298
$3,342
78
clean
HB XR CHEST DECUBITUS LT
$364
$127
$191
156
clean
HB XR CHEST 2 VIEWS
$415
$145
$228
78
clean

Showing the first 200 of 1,753 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
348 of 1,669 comparable items (21%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,059 exceeds the gross charge $959
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/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 C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1750/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 32554/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1763/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1781/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 C1789/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 C1874/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 C1876/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 C1889/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1894/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 C2616/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 C2617/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 C2627/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 C9248/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 C9290/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 G0378/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 G0480/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
CPT J0171/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 J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0330/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 J0561/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 J0612/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 J0613/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 J0665/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 J1171/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 J1644/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 J1652/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 43999/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 J1745/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 J1805/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 J1885/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 J2598/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 J2704/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 J2720/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 J2997/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 J3010/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 J3246/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 J3262/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 J3490/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7999/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9035/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 J9380/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 L3260/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 L3650/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 L3670/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 L3908/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 P9037/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 P9040/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 P9045/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 P9047/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 Q5107/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT Q5115/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 Q9968/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 64454/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 64624/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 70030/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 70140/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 71045/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 74185/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 76641/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 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 76817/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 76942/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 78014/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 78800/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 81479/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 90471/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 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 differ, so no cross-line comparison was made for this item
CPT 93017/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 93308/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 93880/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 93970/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 93971/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 20605/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 20610/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 27096/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 97802/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 31502/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,250 exceeds the gross charge $855 — part of a file-wide pattern, counted once at the file level
CPT 99407/o
info
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $143 — part of a file-wide pattern, counted once at the file level
CPT 31622/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,396 exceeds the gross charge $4,035 — part of a file-wide pattern, counted once at the file level
CPT A2027/o
info
mrf_negotiated_above_gross
highest negotiated rate $657 exceeds the gross charge $93 — part of a file-wide pattern, counted once at the file level
CPT 31624/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,396 exceeds the gross charge $6,112 — part of a file-wide pattern, counted once at the file level
CPT 31634/o
info
mrf_negotiated_above_gross
highest negotiated rate $37,256 exceeds the gross charge $24,532 — part of a file-wide pattern, counted once at the file level
CPT 32408/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,719 exceeds the gross charge $5,742 — part of a file-wide pattern, counted once at the file level
CPT 32550/o
info
mrf_negotiated_above_gross
highest negotiated rate $18,901 exceeds the gross charge $12,506 — part of a file-wide pattern, counted once at the file level
CPT 32555/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,312 exceeds the gross charge $2,191 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,329 exceeds the gross charge $1,636 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,668 exceeds the gross charge $11,154 — part of a file-wide pattern, counted once at the file level
CPT 36558/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,668 exceeds the gross charge $11,154 — part of a file-wide pattern, counted once at the file level
CPT 36568/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,310 exceeds the gross charge $5,505 — part of a file-wide pattern, counted once at the file level
CPT 36569/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,310 exceeds the gross charge $5,505 — part of a file-wide pattern, counted once at the file level
CPT 36573/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,310 exceeds the gross charge $5,879 — part of a file-wide pattern, counted once at the file level
CPT 36581/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,668 exceeds the gross charge $6,506 — part of a file-wide pattern, counted once at the file level
CPT 36589/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,312 exceeds the gross charge $2,191 — part of a file-wide pattern, counted once at the file level
CPT 36590/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,310 exceeds the gross charge $3,769 — part of a file-wide pattern, counted once at the file level
CPT 36591/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $206 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $169 — part of a file-wide pattern, counted once at the file level
CPT 36593/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,744 exceeds the gross charge $1,176 — part of a file-wide pattern, counted once at the file level
CPT C8929/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,138 exceeds the gross charge $3,205 — part of a file-wide pattern, counted once at the file level
CPT 36598/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,123 exceeds the gross charge $747 — part of a file-wide pattern, counted once at the file level
CPT 36600/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $457 — part of a file-wide pattern, counted once at the file level
CPT 38505/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,719 exceeds the gross charge $5,742 — part of a file-wide pattern, counted once at the file level
CPT G0008/o
info
mrf_negotiated_above_gross
highest negotiated rate $247 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 38792/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,110 exceeds the gross charge $1,424 — part of a file-wide pattern, counted once at the file level
CPT G0104/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 42400/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,738 exceeds the gross charge $2,494 — part of a file-wide pattern, counted once at the file level
CPT G0105/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 43191/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT G0121/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 43194/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43215/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT G0379/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,144 exceeds the gross charge $2,173 — part of a file-wide pattern, counted once at the file level
CPT 43220/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,334 — part of a file-wide pattern, counted once at the file level
CPT 43235/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT 43239/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT J0285/o
info
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $38 — part of a file-wide pattern, counted once at the file level
CPT 43245/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43246/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43247/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $4,181 — part of a file-wide pattern, counted once at the file level
CPT J0401/o
info
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 43248/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT 43249/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43250/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43251/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43255/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $2,938 — part of a file-wide pattern, counted once at the file level
CPT J0751/o
info
mrf_negotiated_above_gross
highest negotiated rate $196 exceeds the gross charge $144 — part of a file-wide pattern, counted once at the file level
CPT 43270/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 43290/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $7,727 — part of a file-wide pattern, counted once at the file level
CPT J1300/o
info
mrf_negotiated_above_gross
highest negotiated rate $248 exceeds the gross charge $228 — part of a file-wide pattern, counted once at the file level
CPT 43752/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,358 exceeds the gross charge $1,415 — part of a file-wide pattern, counted once at the file level
CPT 43753/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,140 exceeds the gross charge $1,104 — part of a file-wide pattern, counted once at the file level
CPT 44361/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 44366/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 44388/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT J2507/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,364 exceeds the gross charge $3,333 — part of a file-wide pattern, counted once at the file level
CPT 44407/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $5,348 — part of a file-wide pattern, counted once at the file level
CPT 44500/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT J2690/o
info
mrf_negotiated_above_gross
highest negotiated rate $947 exceeds the gross charge $598 — part of a file-wide pattern, counted once at the file level
CPT 45300/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 45330/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 45331/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 45333/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $1,854 — part of a file-wide pattern, counted once at the file level
CPT 45338/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $2,377 — part of a file-wide pattern, counted once at the file level
CPT J3101/o
info
mrf_negotiated_above_gross
highest negotiated rate $514 exceeds the gross charge $434 — part of a file-wide pattern, counted once at the file level
CPT 45378/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,909 exceeds the gross charge $3,231 — part of a file-wide pattern, counted once at the file level
CPT 45380/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT 45381/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT J3370/o
info
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 45384/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT J3372/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT 45385/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT 45388/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT 46020/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,653 exceeds the gross charge $9,719 — part of a file-wide pattern, counted once at the file level
CPT 46040/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,317 exceeds the gross charge $4,179 — part of a file-wide pattern, counted once at the file level
CPT J9312/o
info
mrf_negotiated_above_gross
highest negotiated rate $206 exceeds the gross charge $188 — part of a file-wide pattern, counted once at the file level
CPT 46922/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,653 exceeds the gross charge $4,958 — part of a file-wide pattern, counted once at the file level
CPT 47000/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,719 exceeds the gross charge $2,332 — part of a file-wide pattern, counted once at the file level
CPT L0172/o
info
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $72 — part of a file-wide pattern, counted once at the file level
CPT 47531/o
info
mrf_negotiated_above_gross
highest negotiated rate $18,901 exceeds the gross charge $12,506 — part of a file-wide pattern, counted once at the file level
CPT 49083/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT 49180/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,719 exceeds the gross charge $5,742 — part of a file-wide pattern, counted once at the file level
CPT 49423/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT 49440/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT L4360/o
info
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $149 — part of a file-wide pattern, counted once at the file level
CPT 49446/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,130 exceeds the gross charge $6,723 — part of a file-wide pattern, counted once at the file level
CPT P9010/o
info
mrf_negotiated_above_gross
highest negotiated rate $981 exceeds the gross charge $798 — part of a file-wide pattern, counted once at the file level
CPT 49451/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level
CPT P9016/o
info
mrf_negotiated_above_gross
highest negotiated rate $955 exceeds the gross charge $859 — part of a file-wide pattern, counted once at the file level
CPT 49452/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,788 exceeds the gross charge $2,224 — part of a file-wide pattern, counted once at the file level
CPT 49465/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,260 exceeds the gross charge $857 — part of a file-wide pattern, counted once at the file level
CPT 50200/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,719 exceeds the gross charge $2,295 — part of a file-wide pattern, counted once at the file level
CPT 50389/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,681 exceeds the gross charge $2,366 — part of a file-wide pattern, counted once at the file level
CPT 50390/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,738 exceeds the gross charge $2,494 — part of a file-wide pattern, counted once at the file level
CPT P9051/o
info
mrf_negotiated_above_gross
highest negotiated rate $783 exceeds the gross charge $611 — part of a file-wide pattern, counted once at the file level
CPT 50688/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,035 exceeds the gross charge $7,260 — part of a file-wide pattern, counted once at the file level
CPT P9073/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,139 exceeds the gross charge $2,219 — part of a file-wide pattern, counted once at the file level
CPT 51700/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT Q4158/o
info
mrf_negotiated_above_gross
highest negotiated rate $657 exceeds the gross charge $214 — part of a file-wide pattern, counted once at the file level
CPT 51701/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $457 — part of a file-wide pattern, counted once at the file level
CPT 51702/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $457 — part of a file-wide pattern, counted once at the file level
CPT 51705/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 51798/o
info
mrf_negotiated_above_gross
highest negotiated rate $311 exceeds the gross charge $254 — part of a file-wide pattern, counted once at the file level
MS-DRG 072/i
info
mrf_negotiated_above_gross
highest negotiated rate $7,554 exceeds the gross charge $5,016 — part of a file-wide pattern, counted once at the file level
CPT 52005/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,035 exceeds the gross charge $7,260 — part of a file-wide pattern, counted once at the file level
MS-DRG 151/i
info
mrf_negotiated_above_gross
highest negotiated rate $15,634 exceeds the gross charge $13,020 — part of a file-wide pattern, counted once at the file level
CPT 53600/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
MS-DRG 155/i
info
mrf_negotiated_above_gross
highest negotiated rate $26,057 exceeds the gross charge $13,446 — part of a file-wide pattern, counted once at the file level
CPT 60100/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,738 exceeds the gross charge $1,223 — part of a file-wide pattern, counted once at the file level
MS-DRG 158/i
info
mrf_negotiated_above_gross
highest negotiated rate $25,188 exceeds the gross charge $13,300 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,726 exceeds the gross charge $2,455 — part of a file-wide pattern, counted once at the file level
MS-DRG 175/i
info
mrf_negotiated_above_gross
highest negotiated rate $32,137 exceeds the gross charge $29,538 — part of a file-wide pattern, counted once at the file level
CPT 62273/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,726 exceeds the gross charge $2,455 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 433 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 20.8M bytes · fetched 2026-08-23 · sha256 98fe9796d69a…

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.