Hospital · CCN 521320

TOMAH MEMORIAL HOSPITAL

501 GOPHER DR, TOMAH, WI 54660 · Monroe County

price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

4.3%

of adults in Monroe County have medical debt in collections

8.6%

uninsured in the county · state 6.3%

$63K

median household income

—

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ

44.4%

obesity in the countyⓘ

12.8%

diagnosed diabetes (PLACES)

7.8%

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

Not in the Medicare inpatient file.

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 2026-06-30, template 3.0.0, 96,459 rows scanned, 2,747 distinct code–setting items kept. 1,454 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Anesthesia for procedure on saliva gland

CPT 00100

$37

$21

$22

clean

Anesthesia for procedure on eyelid

CPT 00103

$37

$21

$22

clean

Anesthesia for exam of ear using an endoscope

CPT 00124

$37

$21

$22

clean

Anesthesia for incision of ear drum

CPT 00126

$37

$21

$22

clean

Anesthesia for other procedure on eye

CPT 00140

$37

$21

$22

clean

Anesthesia for lens surgery

CPT 00142

$37

$21

$22

clean

Anesthesia for retinal surgery

CPT 00145

$37

$21

$22

clean

Anesthesia for other procedure on nose and sinuses

CPT 00160

$37

$21

$22

clean

Anesthesia for biopsy of soft tissue of nose and sinus

CPT 00164

$37

$21

$22

clean

Anesthesia for other procedure on mouth

CPT 00170

$37

$21

$22

clean

Anesthesia for other procedure on face bones or skull

CPT 00190

$37

$21

$22

clean

Anesthesia for extensive surgery on face bones or skull

CPT 00192

$37

$21

$22

clean

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back

CPT 00300

$37

$21

$22

clean

Anesthesia for other procedure on neck area (1 year or older)

CPT 00320

$37

$21

$22

clean

Anesthesia for tying large blood vessels of neck

CPT 00352

$37

$21

$22

clean

Anesthesia for other procedure on skin of arms, legs, and front body

CPT 00400

$37

$21

$22

clean

Anesthesia for removal of all or part of breast

CPT 00404

$37

$21

$22

clean

Anesthesia for procedure to correct abnormal heart rhythm

CPT 00410

$37

$21

$22

clean

Anesthesia for other procedure on collar bone and shoulder blade

CPT 00450

$37

$21

$22

clean

Anesthesia for partial removal of rib and chest wall repair

CPT 00472

$37

$21

$22

clean

Anesthesia for access to central vein

CPT 00532

$37

$21

$22

clean

Anesthesia for other procedure on lower spine

CPT 00630

$37

$21

$22

clean

Anesthesia for spinal tap

CPT 00635

$37

$21

$22

clean

Anesthesia for other procedure on upper front abdomen

CPT 00700

$37

$21

$22

clean

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

CPT 00731

$37

$21

$22

clean

Anesthesia for other repair of upper abdomen hernia

CPT 00750

$37

$21

$22

clean

Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening

CPT 00752

$37

$21

$22

clean

Anesthesia for procedure to repair abdominal hernia

CPT 00756

$37

$21

$22

clean

Anesthesia for other procedure on upper abdomen

CPT 00790

$37

$21

$22

clean

Anesthesia for other procedure on lower front abdomen

CPT 00800

$37

$21

$22

clean

Anesthesia for removal of excess tissue of lower rear abdomen

CPT 00802

$37

$21

$22

clean

Anesthesia for other procedure on large bowel using an endoscope

CPT 00811

$37

$21

$22

clean

Anesthesia for exam of colon using an endoscope

CPT 00812

$37

$21

$22

clean

Anesthesia for procedure on small and large bowel using an endoscope

CPT 00813

$37

$21

$22

clean

Anesthesia for other repair of lower abdomen hernia (1 year or older)

CPT 00830

$37

$21

$22

clean

Anesthesia for repair of abdominal wall hernia

CPT 00832

$37

$21

$22

clean

Anesthesia for other procedure on lower abdomen

CPT 00840

$37

$21

$22

clean

Anesthesia for procedure on large bowel

CPT 00844

$37

$21

$22

clean

Anesthesia for removal of uterus including use of an endoscope

CPT 00846

$37

$21

$22

clean

Anesthesia for tying or incision of fallopian tubes using an endoscope

CPT 00851

$37

$21

$22

clean

Anesthesia for other procedure on lower abdomen outside abdominal cavity

CPT 00860

$37

$21

$22

clean

Anesthesia for procedure on anus and rectum

CPT 00902

$37

$21

$22

clean

Anesthesia for other procedure on urinary system through urethra

CPT 00910

$37

$21

$22

clean

Anesthesia for removal of urinary bladder tumors including use of an endoscope

CPT 00912

$37

$21

$22

clean

Anesthesia for other procedure on male genitals

CPT 00920

$37

$21

$22

clean

Anesthesia for vasectomy

CPT 00921

$37

$21

$22

clean

Anesthesia for procedure on undescended testicle

CPT 00924

$37

$21

$22

clean

Anesthesia for removal of testicle through groin

CPT 00926

$37

$21

$22

clean

Anesthesia for other procedure on female genitals

CPT 00940

$37

$21

$22

clean

Anesthesia for repair or removal of vagina and urinary procedure

CPT 00942

$37

$21

$22

clean

Anesthesia for suture closure of cervix

CPT 00948

$37

$21

$22

clean

Anesthesia for exam of uterus using an endoscope

CPT 00952

$37

$21

$22

clean

Anesthesia for procedure on hip bone

CPT 01120

$37

$21

$22

clean

Anesthesia for closed procedure on hip joint

CPT 01200

$37

$21

$22

clean

Anesthesia for other procedure on hip joint

CPT 01210

$37

$21

$22

clean

Anesthesia for total hip replacement

CPT 01214

$37

$21

$22

clean

Anesthesia for revision of total hip replacement

CPT 01215

$37

$21

$22

clean

Anesthesia for closed procedure on upper 2/3rd of thigh bone

CPT 01220

$37

$21

$22

clean

Anesthesia for procedure on upper 2/3rd of thigh bone

CPT 01230

$37

$21

$22

clean

Anesthesia for amputation on upper 2/3rd of thigh bone

CPT 01232

$37

$21

$22

clean

Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg

CPT 01250

$37

$21

$22

clean

Anesthesia for procedure on veins in upper leg

CPT 01260

$37

$21

$22

clean

Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee

CPT 01320

$37

$21

$22

clean

Anesthesia for closed procedure on lower 1/3rd of thigh bone

CPT 01340

$37

$21

$22

clean

Anesthesia for procedure on lower 1/3rd of thigh bone

CPT 01360

$37

$21

$22

clean

Anesthesia for closed procedure on knee joint

CPT 01380

$37

$21

$22

clean

Anesthesia for exam of knee joint using an endoscope

CPT 01382

$37

$21

$22

clean

Anesthesia for closed procedure on kneecap and/or upper part of lower leg bones

CPT 01390

$37

$21

$22

clean

Anesthesia for procedure on kneecap and/or upper part of lower leg bones

CPT 01392

$37

$21

$22

clean

Anesthesia for other procedure or exam of knee joint using an endoscope

CPT 01400

$37

$21

$22

clean

Anesthesia for procedure for total knee joint replacement

CPT 01402

$37

$21

$22

clean

Anesthesia for removal of leg at knee joint

CPT 01404

$37

$21

$22

clean

Anesthesia for other procedure on vein of knee

CPT 01430

$37

$21

$22

clean

Anesthesia for closed procedure on lower leg, ankle, and foot

CPT 01462

$37

$21

$22

clean

Anesthesia for procedure on ankle or foot using an endoscope

CPT 01464

$37

$21

$22

clean

Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot

CPT 01470

$37

$21

$22

clean

Anesthesia for repair of Achilles tendon

CPT 01472

$37

$21

$22

clean

Anesthesia for repair of calf muscle

CPT 01474

$37

$21

$22

clean

Anesthesia for other procedure on lower leg, ankle, and foot bones

CPT 01480

$37

$21

$22

clean

Anesthesia for other procedure on vein of lower leg

CPT 01520

$37

$21

$22

clean

Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm

CPT 01610

$37

$21

$22

clean

Anesthesia for closed procedure on top of arm bone and shoulder joint

CPT 01620

$37

$21

$22

clean

Anesthesia for exam of shoulder joint using an endoscope

CPT 01622

$37

$21

$22

clean

Anesthesia for other procedure on top of arm bone and shoulder joint

CPT 01630

$37

$21

$22

clean

Anesthesia for open or endoscopic total shoulder joint replacement

CPT 01638

$37

$21

$22

clean

Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow

CPT 01710

$37

$21

$22

clean

Anesthesia for procedure on tendon of elbow to shoulder

CPT 01712

$37

$21

$22

clean

Anesthesia for repair of elbow to shoulder tendon

CPT 01714

$37

$21

$22

clean

Anesthesia for closed procedure on upper arm and elbow

CPT 01730

$37

$21

$22

clean

Anesthesia for other procedure on elbow

CPT 01740

$37

$21

$22

clean

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand

CPT 01810

$37

$21

$22

clean

Anesthesia for closed procedure on bones of forearm, wrist, or hand

CPT 01820

$37

$21

$22

clean

Anesthesia for other procedure on forearm, wrist, or hand bones

CPT 01830

$37

$21

$22

clean

Anesthesia for X-ray or radiation therapy

CPT 01922

$37

$21

$22

clean

Anesthesia for other X-ray on vein or lymph system

CPT 01930

$37

$21

$22

clean

Anesthesia for vaginal delivery

CPT 01960

$37

$21

$22

clean

Anesthesia for cesarean delivery

CPT 01961

$37

$21

$22

clean

Anesthesia for incomplete or missed abortion

CPT 01965

$37

$21

$22

clean

Anesthesia for labor during planned vaginal delivery

CPT 01967

$37

$21

$22

clean

Anesthesia for cesarean delivery following labor

CPT 01968

$37

$21

$22

clean

Anesthesia for nerve block and injection procedure, prone position

CPT 01992

$37

$21

$22

clean

Other anesthesia procedure

CPT 01999

$37

$21

$34

clean

Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2

CPT 0202U

$3,504

$2,015

$1,156

clean

Fine needle aspiration biopsy, each additional growth

CPT 10004

$260

$149

$124

clean

Fine needle aspiration biopsy using ultrasound guidance, first growth

CPT 10005

$293

$168

$247

clean

Fine needle aspiration biopsy using ultrasound guidance, each additional growth

CPT 10006

$563

$324

$225

clean

Fine needle aspiration biopsy of growth using CT guidance, first growth

CPT 10009

$2,237

$1,286

$1,008

clean

Fine needle aspiration biopsy, first growth

CPT 10021

$194

$111

$164

clean

Drainage of fluid collection in soft tissue using imaging guidance

CPT 10030

$274

$158

$271

clean

Simple or single drainage of skin abscess

CPT 10060

$134

$77

$114

clean

Complicated or multiple drainage of skin abscess

CPT 10061

$208

$120

$187

clean

Simple drainage of cyst of tailbone

CPT 10080

$144

$83

$122

clean

Complicated drainage of cyst of tailbone

CPT 10081

$997

$573

$486

clean

Removal of foreign body from tissue, accessed beneath the skin, simple

CPT 10120

$146

$84

$124

clean

Removal of foreign body from tissue, accessed beneath the skin, complex

CPT 10121

$860

$494

$460

clean

Drainage of blood or fluid accumulation

CPT 10140

$169

$97

$152

clean

Aspiration of abscess, blood, or cyst

CPT 10160

$125

$72

$106

clean

Complex drainage of wound infection after surgery

CPT 10180

$813

$467

$638

clean

Removal of inflamed or infected skin, up to 10% of body surface

CPT 11000

$222

$128

$32

clean

Removal of infected skin, tissue or muscle of abdomen

CPT 11005

$2,526

$1,452

$609

clean

Removal of infected artificial material or mesh from abdomen

CPT 11008

$901

$518

$766

clean

Removal of foreign material from skin and tissue at open broken and/or dislocated bone

CPT 11010

$2,525

$1,452

$638

clean

Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone

CPT 11011

$1,852

$1,065

$359

clean

Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone

CPT 11012

$2,835

$1,630

$743

clean

Removal of skin and tissue, 20.0 sq cm or less

CPT 11042

$132

$76

$112

clean

Removal of muscle and/or tissue, 20.0 sq cm or less

CPT 11043

$413

$237

$351

clean

Removal of bone, 20.0 sq cm or less

CPT 11044

$969

$557

$309

clean

Removal of skin and tissue, each additional 20.0 sq cm or less

CPT 11045

$135

$77

$20

clean

Removal of muscle and/or tissue, each additional 20.0 sq cm or less

CPT 11046

$195

$112

$43

clean

Removal of bone, each additional 20.0 sq cm or less

CPT 11047

$357

$205

$285

clean

Removal of noncancer thickened skin growth, 1 growth

CPT 11055

$165

$95

$106

clean

Removal of noncancer thickened skin growth, 2-4 growths

CPT 11056

$242

$139

$36

clean

Biopsy of related skin growth, first growth

CPT 11102

$95

$54

$94

clean

Biopsy of related skin growth, each additional growth

CPT 11103

$259

$149

$71

clean

Punch biopsy, first skin growth

CPT 11104

$114

$65

$96

clean

Punch biopsy, each additional skin growth

CPT 11105

$182

$105

$83

clean

Incision biopsy, first skin growth

CPT 11106

$439

$252

$212

clean

Incision biopsy, each additional skin growth

CPT 11107

$205

$118

$98

clean

Removal of skin tag, 1-15 skin tags

CPT 11200

$176

$101

$135

clean

Shaving of skin growth of body, arms, or legs, 0.5 cm or less

CPT 11300

$57

$33

$55

clean

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm

CPT 11302

$240

$138

$117

clean

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

CPT 11307

$240

$138

$117

clean

Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm

CPT 11308

$236

$136

$118

clean

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

CPT 11310

$290

$166

$141

clean

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm

CPT 11313

$324

$186

$158

clean

Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less

CPT 11400

$91

$52

$84

clean

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm

CPT 11401

$125

$72

$112

clean

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm

CPT 11402

$161

$92

$136

clean

Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm

CPT 11403

$201

$115

$170

clean

Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm

CPT 11404

$187

$107

$162

clean

Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm

CPT 11406

$336

$193

$336

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

CPT 11420

$123

$71

$106

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm

CPT 11421

$354

$203

$162

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

CPT 11422

$174

$100

$148

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm

CPT 11423

$208

$120

$177

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm

CPT 11424

$885

$509

$406

clean

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm

CPT 11426

$884

$508

$406

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

CPT 11440

$395

$227

$181

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

CPT 11441

$153

$88

$130

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

CPT 11442

$192

$110

$163

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm

CPT 11443

$815

$468

$397

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm

CPT 11444

$1,008

$579

$462

clean

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm

CPT 11446

$1,302

$749

$635

clean

Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less

CPT 11600

$385

$222

$106

clean

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm

CPT 11602

$573

$329

$263

clean

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm

CPT 11603

$619

$356

$284

clean

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm

CPT 11604

$170

$97

$212

clean

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm

CPT 11606

$316

$182

$388

clean

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

CPT 11620

$408

$234

$199

clean

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm

CPT 11623

$712

$410

$327

clean

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm

CPT 11626

$258

$148

$387

clean

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

CPT 11640

$451

$259

$220

clean

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

CPT 11642

$738

$424

$224

clean

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm

CPT 11644

$902

$518

$526

clean

Trimming of fingernails or toenails

CPT 11719

$48

$27

$22

clean

Removal of fingernails or toenails, 1-5 nails

CPT 11720

$141

$81

$84

clean

Removal of fingernails or toenails, 6 or more nails

CPT 11721

$234

$134

$102

clean

Simple separation of fingernail or toenail from nail bed, first nail

CPT 11730

$119

$68

$101

clean

Simple separation of fingernail or toenail from nail bed, each additional nail

CPT 11732

$129

$74

$61

clean

Removal of blood accumulation under fingernail or toenail

CPT 11740

$185

$106

$107

clean

Permanent removal fingernail or toenail

CPT 11750

$206

$118

$175

clean

Repair of fingernail or toenail bed

CPT 11760

$662

$380

$164

clean

Removal of skin of fingernail or toenail

CPT 11765

$321

$185

$107

clean

Simple removal of cyst of tailbone

CPT 11770

$198

$114

$196

clean

Extensive removal of cyst of tailbone

CPT 11771

$1,858

$1,068

$401

clean

Injection into skin growth, 1-7 growths

CPT 11900

$142

$81

$69

clean

Insertion of drug delivery implant into tissue

CPT 11981

$356

$205

$227

clean

Removal of drug delivery implant from tissue

CPT 11982

$137

$78

$135

clean

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less

CPT 12001

$207

$119

$168

clean

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm

CPT 12002

$207

$119

$176

clean

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm

CPT 12004

$215

$124

$213

clean

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm

CPT 12005

$413

$237

$307

clean

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm

CPT 12006

$1,349

$776

$309

clean

Simple repair of surface wound to scalp, neck, underarms, trunk, arms, or legs, more than 30.0 cm

CPT 12007

$1,551

$892

$384

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

CPT 12011

$212

$122

$180

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

CPT 12013

$192

$110

$190

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm

CPT 12014

$209

$120

$207

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm

CPT 12015

$1,267

$729

$314

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm

CPT 12016

$1,229

$707

$307

clean

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm

CPT 12017

$1,465

$842

$362

clean

Showing the first 200 of 2,747 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

559 of 1,856 comparable items (30%) 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 $77 exceeds the gross charge $37

CPT 12045/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 27810/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76776/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12046/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76800/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12051/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 27818/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76801/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12052/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 27824/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76802/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12053/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 27825/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76805/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0692/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12054/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76810/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0696/o

info

mrf_item_fields_vary

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

CPT 12055/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 27840/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 59300/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76811/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12056/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 59409/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76814/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 12057/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 59414/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76815/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13100/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28190/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76816/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13101/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT J0881/o

info

mrf_item_fields_vary

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

CPT 13102/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28400/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 60100/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76819/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13120/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28405/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 60300/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76820/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J0897/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item

CPT 13121/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28435/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62267/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76830/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1030/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 13122/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28450/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62270/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 76856/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1040/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 13131/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28455/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62273/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76857/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13132/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28470/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62304/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76870/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1100/o

info

mrf_item_fields_vary

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

CPT 13133/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28475/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62321/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76872/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13151/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28490/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62322/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76881/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 13152/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28495/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62323/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76882/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28510/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 62328/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76885/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 14040/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28515/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64400/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76937/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 14301/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28540/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64405/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76940/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15100/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28570/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64415/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 15220/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28600/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64417/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76981/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15240/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28630/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64418/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 76998/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15271/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 28660/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64425/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77001/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15272/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29065/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64445/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77002/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15273/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29075/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64447/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77003/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1610/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 15274/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item

CPT 29085/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64450/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77012/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15275/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29086/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64473/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1650/o

info

mrf_item_fields_vary

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

CPT 15276/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 64479/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77073/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15277/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 64480/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item

CPT 77075/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15278/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 64483/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77076/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29240/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64484/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 77077/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 15852/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29260/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64486/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78013/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1756/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29280/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64488/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78070/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 16000/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29345/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64493/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78071/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 29405/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64494/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78215/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 16025/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29425/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64505/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78216/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 16030/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29445/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max differ, so no cross-line comparison was made for this item

CPT 78226/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1815/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 16035/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29505/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64640/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78227/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 17000/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29515/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78264/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J1920/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 17003/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29530/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 64999/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78278/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 17110/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29540/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 65205/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78290/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 17111/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29550/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 65210/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78300/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 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, min, max 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, min, max differ, so no cross-line comparison was made for this item

CPT 65220/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78305/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2060/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 17999/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29581/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 65222/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78306/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 19001/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29700/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 67700/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78315/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 19020/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29730/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 69000/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT J2250/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 19120/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 29799/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 69145/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

CPT 78452/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,454 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)
TOMAH MEMORIAL HOSPITAL — standard charges file · WI · updated 2026-06-30
· csv-tall · 30.9M bytes · fetched 2026-08-26 · sha256 35fae6def4b7…

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.