Hospital · CCN 670031

St Luke's Patients Medical Center

4600 East Sam Houston Parkway South, Pasadena, TX 77505 · Harris County
Part of CommonSpirit Health · 61 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

7 admission types 36 outpatient services price file: ok 1 Medicare-file findings

Billed per dollar paid, all admissions

8.01×

$9.4M billed against $1.2M paid across 123 Medicare discharges; the national figure is 5.03×.

5.1%

of adults in Harris County have medical debt in collections

22.2%

uninsured in the county · state 18.8%

$72K

median household income

6.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (38 in the inpatient or outpatient file)ⓘ

37.3%

obesity in the countyⓘ

13.2%

diagnosed diabetes (PLACES)

5.4%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

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

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$106,935

$13,384

8.0× st 6.7×

291

Heart failure and shock with mcc

$71,568

$8,624

8.3× st 5.8×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$54,363

$6,940

7.8× st 5.8×

603

Cellulitis without mcc

$46,899

$6,189

7.6× st 4.9×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$60,902

$5,512

11.0× st 6.2×

698

Other kidney and urinary tract diagnoses with mcc

$76,928

$10,883

7.1× st 6.1×

177

Respiratory infections and inflammations with mcc

$84,474

$11,130

7.6× st 6.1×

02 · Outpatient

Outpatient services

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

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

$36,137

$2,511

14.4×

5374

Level 4 Urology and Related Services

$26,328

$3,233

8.1×

5373

Level 3 Urology and Related Services

$22,647

$1,889

12.0×

5302

Level 2 Upper GI Procedures

$21,698

$1,674

13.0×

5114

Level 4 Musculoskeletal Procedures

$39,745

$6,438

6.2×

5112

Level 2 Musculoskeletal Procedures

$10,477

$1,448

7.2×

5113

Level 3 Musculoskeletal Procedures

$17,828

$3,001

5.9×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$22,594

$3,208

7.0×

5491

Level 1 Intraocular Procedures

$10,799

$2,161

5.0×

5115

Level 5 Musculoskeletal Procedures

$69,825

$12,187

5.7×

5361

Level 1 Laparoscopy and Related Services

$28,619

$5,351

5.3×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$17,034

$2,635

6.5×

5375

Level 5 Urology and Related Services

$25,637

$4,798

5.3×

5372

Level 2 Urology and Related Services

—

5376

Level 6 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5431

Level 1 Nerve Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

—

5313

Level 3 Lower GI Procedures

—

5303

Level 3 Upper GI Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5183

Level 3 Vascular Procedures

—

5191

Level 1 Endovascular Procedures

—

5192

Level 2 Endovascular Procedures

—

5193

Level 3 Endovascular Procedures

—

5194

Level 4 Endovascular Procedures

—

5223

Level 3 Pacemaker and Similar Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-02-28, template 3.0.0, 24,363 rows scanned, 8,266 distinct code–setting items kept. 1,404 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

PERQ STENT/CHEST VERT ART

CPT 0075T

$17,960

$6,286

$3,990

clean

PERQ SCARAL AUGMT BILAT INJ

CPT 0201T

$5,236

$1,833

$7,155

clean

NJX PLATELET PLASMA

CPT 0232T

$1,847

$646

$527

clean

TRLUML PERIP ATHRC ILIAC ART

CPT 0238T

$18,857

$6,600

$13,200

clean

NTRAPX C FFR W/3D FUNCJL MAP

CPT 0523T

$3,913

$1,370

$2,348

clean

FNA BX W/O IMG GDN EA ADDL

CPT 10004

—

$2,075

clean

FNA BX W/US GDN 1ST LESION

CPT 10005

$2,197

$769

$805

clean

FNA BX W/US GDN EA ADDL LESION

CPT 10006

$1,494

$523

$971

clean

FNA BX W/FLUOR GDN 1ST LESIO

CPT 10007

$2,834

$992

$781

clean

FNA BX W/CT GDN 1ST LESION

CPT 10009

$2,173

$761

$805

clean

FNA BX W/CT GDN EA ADDL LES

CPT 10010

$1,588

$556

$1,002

clean

FNA BX W/MR GDN 1ST LESION

CPT 10011

$2,318

$811

$805

clean

FNA BX W/MR GDN EA ADDL

CPT 10012

$1,694

$593

$1,059

clean

NEEDLE ASPIRATION W/O RADIOLOG

CPT 10021

$836

$293

$410

clean

GUIDE CATHET FLUID DRAINAGE

CPT 10030

$1,071

$375

$727

clean

PERC DEV SOFT TISS 1ST INCL IM

CPT 10035

$3,360

$1,176

$1,076

clean

PERC DEV SOFT TISS ADDL INCL I

CPT 10036

$2,361

$826

$1,605

clean

ACNE SURGERY

CPT 10040

—

$253

clean

I&D ABSCESS SIMPLE OR SINGLE

CPT 10060

$478

$167

$250

clean

I&D ABSCESS COMPL OR MULTIPLE

CPT 10061

$1,492

$522

$600

132

clean

I&D PILONIDAL CYST SIMPLE

CPT 10080

$585

$205

$494

clean

DRAINAGE OF PILONIDAL CYST

CPT 10081

—

$705

clean

FOREIGN BODY REMOVAL TISSUE

CPT 10120

$511

$179

$388

clean

FOREIGN BODY REMOVAL TISSUE C

CPT 10121

$2,163

$757

$1,649

clean

I&D HEMATOMA SEROMA FLUID COLL

CPT 10140

$2,650

$927

$1,655

clean

I&D PUNCTURE ASPIRATION

CPT 10160

$434

$152

$358

clean

I&D POST-OP WOUND INFECTION

CPT 10180

$2,962

$1,037

$2,867

clean

DEBR EXZ/INF SKIN UP TO 10%

CPT 11000

$613

$215

$463

clean

DEBR EXZ/INF SKIN EA ADDTL 10%

CPT 11001

$193

$67

$131

clean

DEBRIDE GENITALIA PERINEUM

CPT 11004

—

$2,589

clean

DEBRIDE ABDOM WALL

CPT 11005

—

$2,589

clean

DEBRIDE GENIT/PER/ABDOM WALL

CPT 11006

—

$2,589

clean

REMOVE MESH FROM ABD WALL

CPT 11008

—

$2,870

clean

DEBR W OPEN FX SKIN & SQ

CPT 11010

$648

$227

$740

clean

DEBRIDE SKIN MUSC AT FX SITE

CPT 11011

—

$963

clean

DEBR O FX SKIN TO BONE

CPT 11012

$2,268

$794

$2,576

clean

DEBRIDEMENT SKIN/SUB Q TISSUE

CPT 11042

$3,253

$1,139

$600

132

clean

DEBRIDEMENT SKIN/SUB Q/MUSCLE

CPT 11043

$8,263

$2,892

$920

clean

DEBRIDE BONE INIT 20SQCM OR<

CPT 11044

$12,362

$4,327

$1,886

clean

DEB SUB TIS EA ADTNL 20 SQ CM

CPT 11045

$1,399

$490

$930

clean

DEBRIDE MUSCLE&FACIAL EA AD 20

CPT 11046

$2,896

$1,014

$1,882

clean

DEBRIDE BONE EA ADNTL 20 SQ CM

CPT 11047

$5,108

$1,788

$2,452

clean

TRIM SKIN LESION-SINGLE

CPT 11055

$181

$63

$201

clean

TRIM SKIN LESION 2-4 LESIONS

CPT 11056

$195

$68

$201

clean

TRIM SKIN LESION > 4 LESIONS

CPT 11057

$405

$142

$228

clean

TANGNTL BX SKIN SINGLE LES

CPT 11102

$820

$287

$209

clean

TANGNTL BX SKIN EA SEP/ADDL

CPT 11103

$511

$179

$340

clean

PUNCH BX SKIN SINGLE LESION

CPT 11104

$911

$319

$410

clean

PUNCH BX SKIN EA SEP/ADDL LES

CPT 11105

$511

$179

$340

clean

INCISIONAL BX SKIN SINGLE LES

CPT 11106

$872

$305

$613

clean

INCAL BX SKN EA SEP/ADDL LES

CPT 11107

$511

$179

$340

clean

SKIN TAG REMOVAL 1-15

CPT 11200

$212

$74

$199

clean

SKIN TAG REMOVAL EA ADDL 10

CPT 11201

$275

$96

$179

clean

SHAVE SKIN LESION 0.5 CM/<

CPT 11300

—

$408

clean

SHAVE SKIN LESION 0.6-1.0 CM

CPT 11301

—

$253

clean

SHAVE SKIN LESION 1.1-2.0 CM

CPT 11302

—

$253

clean

SHAVE SKIN LESION >2.0 CM

CPT 11303

—

$428

clean

SHAVE SKIN LESION 0.5 CM/<

CPT 11305

—

$253

clean

SHAVE SKIN LESION 0.6-1.0 CM

CPT 11306

—

$253

clean

SHAVE SKIN LESION 1.1-2.0 CM

CPT 11307

—

$203

clean

SHAVE SKIN LESION >2.0 CM

CPT 11308

—

$428

clean

SHAVE SKIN LESION 0.5 CM/<

CPT 11310

—

$203

clean

SHAVE SKIN LESION 0.6-1.0 CM

CPT 11311

—

$203

clean

SHAVE SKIN LESION 1.1-2.0 CM

CPT 11312

—

$400

clean

SHAVE SKIN LESION >2.0 CM

CPT 11313

—

$400

clean

BENIGN LES EXC TR/A/L/0.5CM

CPT 11400

$1,165

$408

$757

clean

BENIGN LES EXC TR/A/L 0.6-1CM

CPT 11401

$602

$211

$411

clean

EXC TR-EXT B9+MARG 1.1-2 CM

CPT 11402

—

$726

clean

BENIGN LES EXC TR/A/L 2.1-3CM

CPT 11403

$1,270

$444

$816

clean

BENIGN LES EXC TR/A/L 3.1-4CM

CPT 11404

$2,271

$795

$1,639

clean

BENIGN LES EXC TR/A/L>4.0CM

CPT 11406

$2,784

$974

$1,796

clean

EXC H-F-NK-SP B9+MARG 0.5/<

CPT 11420

—

$1,655

clean

BENIGN LES EXC S/N/H/F/G 0.6-1

CPT 11421

$672

$235

$705

clean

BENIGN LES EXC S/N/H/F/G 1.1-2

CPT 11422

$1,547

$541

$1,655

clean

BENIGN LES EXC S/N/H/F/G 2.1-3

CPT 11423

$2,784

$974

$1,736

clean

BENIGN LES EXC S/N/H/F/G 3.1-4

CPT 11424

$2,784

$974

$1,796

clean

BENIGN LES EXC S/N/H/F/G >4.0C

CPT 11426

$3,665

$1,283

$2,867

clean

EXC FACE-MM B9+MARG 0.5 CM/<

CPT 11440

—

$726

clean

BENIGN EXC FACE 0.6-1CM

CPT 11441

$1,678

$587

$1,049

clean

BENIGN LES EXC FACE 1.1-2CM

CPT 11442

$1,678

$587

$989

clean

BENIGN LES EXC FACE 2.1-3CM

CPT 11443

$3,866

$1,353

$1,736

clean

BENIGN LES EXC FACE 3.1-4CM

CPT 11444

$3,866

$1,353

$1,800

clean

BENIGN LESION EXC FACE.4.0CM

CPT 11446

$6,776

$2,372

$3,067

clean

REMOVAL SWEAT GLAND LESION

CPT 11450

—

$2,900

clean

REMOVAL SWEAT GLAND LESION

CPT 11451

—

$2,900

clean

REMOVAL SWEAT GLAND LESION

CPT 11462

—

$2,900

clean

REMOVAL SWEAT GLAND LESION

CPT 11463

—

$2,900

clean

REMOVAL SWEAT GLAND LESION

CPT 11470

—

$2,900

clean

REMOVAL SWEAT GLAND LESION

CPT 11471

—

$2,900

clean

EXC TR-EXT MAL+MARG 0.5 CM/<

CPT 11600

—

$726

clean

EXC TR-EXT MAL+MARG 0.6-1 CM

CPT 11601

—

$726

clean

EXC TR-EXT MAL+MARG 1.1-2 CM

CPT 11602

—

$412

clean

EXC TR-EXT MAL+MARG 2.1-3 CM

CPT 11603

—

$726

clean

EXC TR-EXT MAL+MARG 3.1-4 CM

CPT 11604

—

$963

clean

EXC TR-EXT MAL+MARG >4 CM

CPT 11606

—

$1,736

clean

EXC H-F-NK-SP MAL+MARG 0.5/<

CPT 11620

—

$1,655

clean

EXC S/N/H/F/G MAL+MRG 0.6-1

CPT 11621

—

$726

clean

EXC S/N/H/F/G MAL+MRG 1.1-2

CPT 11622

$2,030

$711

$1,006

clean

EXC S/N/H/F/G MAL+MRG 2.1-3

CPT 11623

—

$1,623

clean

EXC S/N/H/F/G MAL+MRG 3.1-4

CPT 11624

—

$1,736

clean

EXC S/N/H/F/G MAL+MRG >4 CM

CPT 11626

—

$2,900

clean

EXC F/E/E/N/L MAL+MRG 0.5CM<

CPT 11640

—

$726

clean

EXC F/E/E/N/L MAL+MRG 0.6-1

CPT 11641

—

$726

clean

EXC F/E/E/N/L MAL+MRG 1.1-2

CPT 11642

—

$726

clean

EXC F/E/E/N/L MAL+MRG 2.1-3

CPT 11643

—

$1,655

clean

EXC F/E/E/N/L MAL+MRG 3.1-4

CPT 11644

—

$1,736

clean

EXC F/E/E/N/L MAL+MRG >4 CM

CPT 11646

—

$2,900

clean

TRIM NAILS

CPT 11719

$110

$38

$75

clean

DEBRID NAIL 1-5

CPT 11720

$108

$38

$76

clean

DEBRIDE NAIL 6 OR MORE

CPT 11721

$166

$58

$99

clean

AVULSION OF NAIL PLATE

CPT 11730

$346

$121

$225

clean

AVULSION OF ADDL NAIL PLATE

CPT 11732

$144

$50

$100

clean

EVACUATION SUBUNGAL HEMATOMA

CPT 11740

$190

$66

$136

clean

MATRIXECTOMY

CPT 11750

$1,066

$373

$600

clean

BIOPSY NAIL UNIT

CPT 11755

—

$726

clean

REPAIR NAILBED

CPT 11760

$481

$168

$613

clean

RECONSTRUCTION OF NAIL BED

CPT 11762

—

$1,832

clean

EXCISION OF NAIL FOLD TOE

CPT 11765

—

$463

clean

REMOVE PILONIDAL CYST SIMPLE

CPT 11770

—

$2,938

clean

REMOVE PILONIDAL CYST EXTEN

CPT 11771

—

$2,938

clean

REMOVE PILONIDAL CYST COMPL

CPT 11772

—

$2,938

clean

INJECT SKIN LESIONS </W 7

CPT 11900

—

$299

clean

INJECT SKIN LESIONS >7

CPT 11901

—

$299

clean

CORRECT SKIN COLOR 6.0 CM/<

CPT 11920

—

$613

clean

CORRECT SKN COLOR 6.1-20.0CM

CPT 11921

—

$613

clean

CORRECT SKIN COLOR EA 20.0CM

CPT 11922

—

$2,430

clean

TX CONTOUR DEFECTS 1.1-5.0CC

CPT 11951

—

$613

clean

INSERT TISSUE EXPANDER(S)

CPT 11960

—

$3,709

clean

REPLACE TISSUE EXPANDER

CPT 11970

—

$6,923

clean

REMOVE TISSUE EXPANDER(S)

CPT 11971

—

$2,895

clean

IMPLANT HORMONE PELLET(S)

CPT 11980

—

$454

clean

INSERT DRUG IMPLANT DEVICE

CPT 11981

—

$145

clean

REMOVE DRUG IMPLANT DEVICE

CPT 11982

—

$412

clean

REMOVE/INSERT DRUG IMPLANT

CPT 11983

—

$412

clean

RPR S/N/AX/GEN/TRNK 2.5CM/<

CPT 12001

$290

$101

$203

clean

RPR S/N/AX/GEN/TRNK2.6-7.5CM

CPT 12002

$276

$97

$201

clean

RPR S/N/AX/GEN/TRK7.6-12.5CM

CPT 12004

—

$299

clean

RPR S/N/A/GEN/TRK12.6-20.0CM

CPT 12005

—

$506

clean

RPR S/N/A/GEN/TRK20.1-30.0CM

CPT 12006

—

$506

clean

RPR S/N/AX/GEN/TRNK >30.0 CM

CPT 12007

—

$276

clean

RPR F/E/E/N/L/M 2.5 CM/<

CPT 12011

$248

$87

$199

clean

RPR F/E/E/N/L/M 2.6-5.0 CM

CPT 12013

—

$253

clean

RPR F/E/E/N/L/M 5.1-7.5 CM

CPT 12014

—

$299

clean

RPR F/E/E/N/L/M 7.6-12.5 CM

CPT 12015

—

$213

clean

RPR FE/E/EN/L/M 12.6-20.0 CM

CPT 12016

—

$506

clean

RPR FE/E/EN/L/M 20.1-30.0 CM

CPT 12017

—

$506

clean

RPR F/E/E/N/L/M >30.0 CM

CPT 12018

—

$276

clean

CLOSURE OF A SPLIT WOUND

CPT 12020

$652

$228

$644

clean

CLOSURE OF SPLIT WOUND

CPT 12021

—

$506

clean

REPRINTWNDS EXC HNDS/FT<2.5

CPT 12031

$951

$333

$437

clean

INTMD RPR S/A/T/EXT 2.6-7.5

CPT 12032

$951

$333

$408

clean

INTMD RPRS/TR/EXT 7.6-12.5

CPT 12034

$951

$333

$600

clean

INTMD RPR S/A/T/EXT 12.6-20

CPT 12035

$951

$333

$600

clean

INTMD RPR S/A/T/EXT 20.1-30

CPT 12036

—

$788

clean

INTMD RPR S/TR/EXT >30.0 CM

CPT 12037

—

$1,924

clean

INTMD RPR N-HF/GENIT 2.5CM/<

CPT 12041

—

$408

clean

INTMD RPR N-HF/GENIT2.6-7.5

CPT 12042

—

$408

clean

INTMD RPR N-HF/GENIT7.6-12.5

CPT 12044

—

$788

clean

INTMD RPR N-HF/GENIT12.6-20

CPT 12045

—

$788

clean

INTMD RPR N-HF/GENIT20.1-30

CPT 12046

—

$656

clean

INTMD RPR N-HF/GENIT >30.0CM

CPT 12047

—

$1,924

clean

INTMD RPR FACE/MM 2.5 CM/<

CPT 12051

—

$408

clean

INTMD RPR FACE/MM 2.6-5.0 CM

CPT 12052

—

$408

clean

INTMD RPR FACE/MM 5.1-7.5 CM

CPT 12053

—

$408

clean

INTMD RPR FACE/MM 7.6-12.5CM

CPT 12054

—

$506

clean

INTMD RPR FACE/MM 12.6-20 CM

CPT 12055

—

$506

clean

INTMD RPR FACE/MM 20.1-30.0

CPT 12056

—

$506

clean

INTMD RPR FACE/MM >30.0 CM

CPT 12057

—

$506

clean

CMPLX RPR TRUNK 1.1-2.5 CM

CPT 13100

—

$788

clean

CMPLX RPR TRUNK 2.6-7.5 CM

CPT 13101

—

$788

clean

CMPLX RPR TRUNK ADDL 5CM/<

CPT 13102

—

$1,676

clean

CMPLX RPR S/A/L 1.1-2.5 CM

CPT 13120

—

$788

clean

CMPLX RPR S/A/L 2.6-7.5 CM

CPT 13121

—

$788

clean

CMPLX RPR S/A/L ADDL 5 CM/>

CPT 13122

—

$1,676

clean

CMPLX RPR F/C/C/M/N/AX/G/H/F

CPT 13131

—

$506

clean

REPAIR COMP FACE 2.6-7.5 CM

CPT 13132

$512

$179

$644

clean

CMPLX RPR F/C/C/M/N/AX/G/H/F

CPT 13133

—

$1,676

clean

CMPLX RPR E/N/E/L 1.1-2.5 CM

CPT 13151

—

$788

clean

CMPLX RPR E/N/E/L 2.6-7.5 CM

CPT 13152

—

$788

clean

CMPLX RPR E/N/E/L ADDL 5CM/<

CPT 13153

—

$2,025

clean

EXTENSIVE WOUND DEHISCENCE R

CPT 13160

$2,717

$951

$1,895

clean

TIS TRNFR TRUNK 10 SQ CM/<

CPT 14000

—

$1,924

clean

TIS TRNFR TRUNK 10.1-30SQCM

CPT 14001

—

$1,993

clean

TIS TRNFR S/A/L 10 SQ CM/<

CPT 14020

—

$1,993

clean

TIS TRNFR S/A/L 10.1-30 SQCM

CPT 14021

—

$1,993

clean

ATT/F/C/M/N/A/G/H/F10 SQ CM

CPT 14040

$2,975

$1,041

$1,960

clean

TIS TRNFR F/C/C/M/N/A/G/H/F

CPT 14041

—

$1,993

clean

TIS TRNFR E/N/E/L 10 SQ CM/<

CPT 14060

—

$1,993

clean

TIS TRNFR E/N/E/L10.1-30SQCM

CPT 14061

—

$1,993

clean

TIS TRNFR ANY 30.1-60 SQ CM

CPT 14301

—

$3,740

clean

TIS TRNFR ADDL 30 SQ CM

CPT 14302

—

$2,430

clean

FILLETED FINGER/TOE FLAP

CPT 14350

—

$1,993

clean

WOUND PREP TRK/ARM/LEG

CPT 15002

$4,349

$1,522

$2,328

clean

WOUND SITE PREP EA ADD 100 SQ

CPT 15003

$1,888

$661

$1,256

clean

WOUND PREP F/N/HF/G

CPT 15004

$1,498

$524

$920

clean

WND PREP F/N/HF/G ADDL CM

CPT 15005

—

$1,676

clean

HARVEST CULTURED SKIN GRAFT

CPT 15040

—

$1,924

clean

SKIN PINCH GRAFT

CPT 15050

—

$788

clean

SKIN SPLT GRFT TRNK/ARM/LEG

CPT 15100

$4,232

$1,481

$2,328

clean

SKIN SPLT GRFT T/A/L ADD-ON

CPT 15101

$1,825

$639

$1,259

clean

Showing the first 200 of 8,266 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

MS-DRG 239/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $34,965

MS-DRG 240/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $20,216

MS-DRG 241/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $10,481

MS-DRG 252/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $23,813

MS-DRG 253/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $17,722

MS-DRG 254/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $12,144

MS-DRG 255/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $18,163

MS-DRG 256/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $11,757

MS-DRG 257/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $6,191

MS-DRG 258/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $19,475

MS-DRG 259/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $12,201

MS-DRG 260/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $23,645

MS-DRG 261/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $13,173

MS-DRG 262/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $10,536

MS-DRG 263/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $18,618

MS-DRG 264/i

error

mrf_negotiated_below_min

a negotiated rate of $2,221 is below the file's own minimum $24,262

MS-DRG 402/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $27,157

MS-DRG 426/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $72,717

MS-DRG 427/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $49,305

MS-DRG 428/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $38,208

MS-DRG 429/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $57,898

MS-DRG 430/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $37,975

MS-DRG 447/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $46,542

MS-DRG 448/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $28,347

MS-DRG 450/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $35,751

MS-DRG 451/i

error

mrf_negotiated_below_min

a negotiated rate of $4,639 is below the file's own minimum $21,422

MS-DRG 453/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $103,861

MS-DRG 454/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $69,101

MS-DRG 455/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $54,320

MS-DRG 459/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $75,251

MS-DRG 460/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $42,725

MS-DRG 466/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $35,365

MS-DRG 467/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $23,777

MS-DRG 468/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $18,210

MS-DRG 469/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $22,690

MS-DRG 470/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $13,089

MS-DRG 471/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $33,718

MS-DRG 472/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $20,112

MS-DRG 473/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $16,434

MS-DRG 485/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $22,348

MS-DRG 486/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $14,723

MS-DRG 487/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $10,969

MS-DRG 488/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $13,643

MS-DRG 489/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $8,597

MS-DRG 518/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $24,879

MS-DRG 519/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $13,688

MS-DRG 520/i

error

mrf_negotiated_below_min

a negotiated rate of $3,846 is below the file's own minimum $9,949

MS-DRG 789/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $12,513

MS-DRG 790/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $41,267

MS-DRG 791/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $28,183

MS-DRG 792/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $17,005

MS-DRG 793/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $28,950

MS-DRG 794/i

error

mrf_negotiated_below_min

a negotiated rate of $767 is below the file's own minimum $10,247

MS-DRG 795/i

error

mrf_negotiated_below_min

a negotiated rate of $440 is below the file's own minimum $1,387

MS-DRG 876/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $27,278

MS-DRG 880/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $6,654

MS-DRG 881/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $6,345

MS-DRG 882/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $6,678

MS-DRG 883/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $12,869

MS-DRG 884/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $11,594

MS-DRG 885/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $9,785

MS-DRG 886/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $12,471

MS-DRG 887/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $8,256

MS-DRG 894/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $4,332

MS-DRG 895/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $10,051

MS-DRG 896/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $12,362

MS-DRG 897/i

error

mrf_negotiated_below_min

a negotiated rate of $719 is below the file's own minimum $6,124

MS-DRG 945/i

error

mrf_negotiated_below_min

a negotiated rate of $814 is below the file's own minimum $10,597

MS-DRG 946/i

error

mrf_negotiated_below_min

a negotiated rate of $814 is below the file's own minimum $7,750

warn

mrf_negotiated_above_gross_systematic

880 of 1,976 comparable items (45%) 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 $20,636 exceeds the gross charge $5,236

warn

mrf_rate_without_estimate

47,162 of 47,162 percentage/algorithm rates across 5,888 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 89060/o

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 G0010/o

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 36593/o

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 72192/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 72197/o

info

mrf_item_fields_vary

this code and setting cover at least 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 90714/o

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 73000/o

info

mrf_item_fields_vary

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

CPT 36600/o

info

mrf_item_fields_vary

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

CPT 73010/o

info

mrf_item_fields_vary

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

CPT 73060/o

info

mrf_item_fields_vary

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

CPT 92522/o

info

mrf_item_fields_vary

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

CPT 73090/o

info

mrf_item_fields_vary

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

CPT G0257/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, max differ, so no cross-line comparison was made for this item

CPT 92610/o

info

mrf_item_fields_vary

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

CPT 73202/o

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 G0277/o

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 73218/o

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 73219/o

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 G0283/o

info

mrf_item_fields_vary

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

CPT 73552/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item

CPT 73706/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, max differ, so no cross-line comparison was made for this item

CPT 73718/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, max differ, so no cross-line comparison was made for this item

CPT 37191/o

info

mrf_item_fields_vary

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

CPT 73719/o

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 G0463/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, min, max differ, so no cross-line comparison was made for this item

CPT 37193/o

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 74018/o

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 G0480/o

info

mrf_item_fields_vary

this code and setting cover at least 15 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 74019/o

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 74021/o

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 74160/o

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 74183/o

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 74430/o

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 J0153/o

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 37222/o

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 J0171/o

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 J0282/o

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 75726/o

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 J0690/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, 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT J0694/o

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 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, 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 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 J1327/o

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 75809/o

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 J1580/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, max 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT J1720/o

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 J1815/o

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 J1938/o

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 J1956/o

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 J2003/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, min, max differ, so no cross-line comparison was made for this item

CPT J2004/o

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

CPT 75984/o

info

mrf_item_fields_vary

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

CPT J2270/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, max differ, so no cross-line comparison was made for this item

CPT 75989/o

info

mrf_item_fields_vary

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

CPT J2310/o

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 J2354/o

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 J2405/o

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 J2430/o

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 J2543/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, max differ, so no cross-line comparison was made for this item

CPT 76080/o

info

mrf_item_fields_vary

this code and setting cover at least 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 93931/o

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 J2690/o

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 J2919/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 J2997/o

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 76536/o

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 J3260/o

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 76604/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, max differ, so no cross-line comparison was made for this item

CPT J3370/o

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

CPT J3410/o

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 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 J3411/o

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 76700/o

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 J3475/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, max differ, so no cross-line comparison was made for this item

CPT 76770/o

info

mrf_item_fields_vary

this code and setting cover at least 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 J3480/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, 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, max differ, so no cross-line comparison was made for this item

CPT J3590/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 76882/o

info

mrf_item_fields_vary

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

CPT J7050/o

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 J7070/o

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

CPT J7512/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, max differ, so no cross-line comparison was made for this item

CPT 77066/o

info

mrf_item_fields_vary

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

CPT J7799/o

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 77067/o

info

mrf_item_fields_vary

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

CPT L3763/o

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 L3764/o

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 L3806/o

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 L3808/o

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 95851/o

info

mrf_item_fields_vary

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

CPT L3905/o

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 95852/o

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 L3906/o

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 L3912/o

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 L3915/o

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 L3919/o

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 L3921/o

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 L3925/o

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 L3927/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 L3933/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 L3935/o

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 96367/o

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 L8600/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, min, max differ, so no cross-line comparison was made for this item

CPT 96376/o

info

mrf_item_fields_vary

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

CPT L8603/o

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 L8687/o

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 L8699/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, min, max differ, so no cross-line comparison was made for this item

CPT 97010/o

info

mrf_item_fields_vary

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

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

CPT 97012/o

info

mrf_item_fields_vary

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

CPT Q0177/o

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 Q2009/o

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 43762/o

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 97016/o

info

mrf_item_fields_vary

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

CPT Q4100/o

info

mrf_item_fields_vary

this code and setting cover at least 19 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 Q4101/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, max differ, so no cross-line comparison was made for this item

CPT 97018/o

info

mrf_item_fields_vary

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

CPT Q4102/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 Q4104/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 97022/o

info

mrf_item_fields_vary

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

CPT Q4106/o

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 Q4107/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, min, max differ, so no cross-line comparison was made for this item

CPT 78803/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, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,404 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 392

info

inp_charge_10x_payment

average charge $60,902 is 11.0× the total payment

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)
St Luke's Patients Medical Center — standard charges file · TX · updated 2026-02-28
· json · 80.4M bytes · fetched 2026-08-23 · sha256 ce6dae663f57…

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.