Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT CEREBRAL PERFUSION ANS
$351
$123
$248
38
clean
HC PLACE STENT/CHEST VRT ART
$17,960
$6,286
$6,286
39
clean
HC LAB KARIUS TEST
$5,494
$1,923
$3,022
51
clean
HC TRLUML PERIP ATHRC BRCHOCPH
$15,517
$5,431
$10,443
64
clean
HC TRLUML PERIP ATHRC ILIAC ART
$17,726
$6,204
$12,408
64
clean
COVID/FLU A/B TRIPLEX
$726
$254
$399
32
clean
HC LAB NFCT DS VIR RESP RNA 4 TRGT
$709
$248
$390
32
clean
HC TCATH RENAL SYMP DENERV BILAT
$17,151
$6,003
$6,244
62
clean
HC INSJ/RPLC CARDIAC MODULJ SYS
$40,721
$14,252
$27,690
63
clean
HC PRGRMG EVAL CARDIAC MODULJ
$445
$156
$100
52
clean
HC INTERRO EVAL CARDIAC MODULJ
$411
$144
$62
55
clean
HC TMVI PERCUTANEOUS APPROACH
$35,401
$12,390
$9,358
38
clean
HC EV FEMPOP ARTL REVAS
$25,515
$8,930
$11,700
61
clean
HC TTVR PERQ APPR 1ST PROSTH
$28,357
$9,925
$8,407
38
clean
HC TTVR PERQ EA ADDL PROSTH
$14,177
$4,962
$4,735
38
clean
HC PERQ BRST TUMR CRYOTHRPY/UNI
$10,700
$3,745
$4,631
53
clean
HC EVASC VEN ARTLZ TIBL/PRNL VN
$67,996
$23,799
$35,057
61
clean
HC TCAT RMVL/DBLK ICAR MAS PERQ
$19,662
$6,882
$10,028
28
clean
HC TTVI/RPLCMT W/PRSTC VLV PERQ
$25,629
$8,970
$13,071
28
clean
HC QUAN MR ALYS TISS W/O MRI
$2,350
$823
$1,293
33
clean
HC QUAN MR ALYS TISS W/MRI
$4,616
$1,616
$2,266
33
clean
HC SCALP COOL PLMT MNTR RMVL
$203
$71
$122
22
clean
HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN
$43,822
$15,338
$22,349
28
clean
HC QMRCP W/DX MRI SAME ANATOMY
$4,511
$1,579
$2,266
33
clean
HC INSTLJ FECAL MICROBIOTA SSP
$3,749
$1,312
$2,156
22
clean
HC TCAT INS 2CHMBR LDLS PM CMPL
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 2CHMBR LDLS PM RA
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 2CHMBR LDLS PM RV
$45,904
$16,066
$23,411
28
clean
HC TCAT INS 1CHMBR LDLS PM RA
$45,904
$16,066
$23,411
28
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$2,075
6
clean
HC ASPIRATION FINE NEEDLE 10005
$5,229
$1,830
$879
70
clean
HC FNA W/US EA ADD LESION
$3,190
$1,117
$1,994
28
clean
HC FNA W/FLUORO 1ST LESION
$2,824
$988
$791
70
clean
HC FINE NEEDLE ASPIRAT DEEP TISS
$4,079
$1,428
$807
145
clean
HC FNA W/CT EA ADD LESION
$1,412
$494
$918
33
clean
HC FNA W/MR 1ST LESION
$1,412
$494
$777
75
clean
HC FNA W/MR EA ADD LESION
$1,412
$494
$972
33
clean
HC FNA W/O IMAGING GND 1ST LES
$628
$220
$400
76
clean
HC IMAGE GUIDED CATH PLACEMENT
$1,677
$587
$796
74
clean
HC PERQ DEV SOFT TISS 1ST IMAG
$3,350
$1,173
$1,172
56
clean
HC PERQ DEV SOFT TISS ADD IMAG
$2,354
$824
$1,530
29
clean
ACNE SURGERY
—
—
$253
37
clean
HC I&D ABSC SIMPL OR SGL
$339
$119
$203
78
clean
HC I&D ABSCESS COMPL/MULTI
$1,057
$370
$519
78
clean
HC I&D PILONIDAL CYST SIMPLE
$755
$264
$529
78
clean
HC I&D PILONIDAL CYST COMPLC
$2,520
$882
$791
78
clean
HC INC&REMV FOREIGN BODY SMPL
$858
$300
$420
78
clean
REMOVE FOREIGN BODY
—
—
$1,639
59
clean
HC I&D HEMATOMA FLUID
$2,700
$945
$1,623
78
clean
HC I&D PUNCTURE ASPIRATION
$492
$172
$327
78
clean
COMPLEX DRAINAGE WOUND
—
—
$2,867
59
clean
HC DEBR EXZ/INF SKIN TO 10%
$1,480
$518
$656
78
clean
HC DEBR EXZ/INF SKIN EA AD+10%
$184
$64
$101
51
clean
DEBRIDE GENITALIA PERINEUM
—
—
$2,430
15
clean
DEBRIDE ABDOM WALL
—
—
$2,430
15
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$2,430
15
clean
REMOVE MESH FROM ABD WALL
—
—
$2,430
15
clean
DEBRIDE SKIN AT FX SITE
—
—
$775
59
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$775
59
clean
HC DEB SKIN BONE AT FX SITE
$6,694
$2,343
$2,867
79
clean
HC DEB SQ TISS IST 20SQCM/<
$2,223
$778
$600
79
clean
HC DEB MUSC/FASC 20SQCM/<
$5,649
$1,977
$920
79
clean
HC DEB BONE 20SQCM/<
$8,443
$2,955
$1,785
79
clean
HC DEB SQ TISS ADD 20SQCM<
$960
$336
$624
40
clean
HC DEB MUSC/FAS + 20SQCM<
$1,968
$689
$1,279
40
clean
HC DEB BONE(5) ADDL 20SQCM
$3,487
$1,220
$2,092
40
clean
HC PARE BENIGN LESION;SGL
$417
$146
$271
62
clean
HC PARE BENIGN LESION;2-4 LES
$590
$207
$316
62
clean
HC PARE BENIGN LESION;>4 LES
$772
$270
$269
78
clean
HC TANGNTL BX SKIN SINGLE LES
$817
$286
$216
74
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$475
$166
$309
37
clean
HC PUNCH BX SKIN SINGLE LESION
$1,013
$355
$408
74
clean
HC PUNCH BX SKIN EA SEP/ADDL
$553
$194
$359
37
clean
HC INCAL BX SKIN SINGLE LES
$1,222
$428
$644
74
clean
HC INCAL BX SKIN EA SEP/ADDL
$663
$232
$431
37
clean
HC REM SKIN TAGS <=15 LESIONS
$212
$74
$160
78
clean
REMOVE SKIN TAGS ADD-ON
—
—
$2,430
7
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$412
37
clean
HC SHAVE SKIN LES 6-10MM T/A/L
$411
$144
$267
60
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$253
37
clean
SHAVE SKIN LESION >2.0 CM
—
—
$440
37
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$253
37
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$253
37
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$199
53
clean
SHAVE SKIN LESION >2.0 CM
—
—
$440
37
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$199
53
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$199
53
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$400
53
clean
SHAVE SKIN LESION >2.0 CM
—
—
$400
53
clean
HC EXC TR-EXT B9+MARG 0.5CM/<
$1,175
$411
$719
78
clean
HC EXC TR-EXT B9+MARG 0.6-1 CM
$965
$338
$492
78
clean
HC EXC SKIN BENING 1.1-2CM T/L/A
$1,402
$491
$771
78
clean
HC EXC TR-EXT B9+MARG 2.1-3CM
$1,680
$588
$798
78
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$1,623
59
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$1,639
59
clean
HC EXC H-F-NK-SP B9+MARG 0.5/<
$3,881
$1,358
$1,706
78
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$705
55
clean
HC EXC H-F-NK-SP B9+MARG 1.1-2
$4,869
$1,704
$1,736
78
clean
HC EXC H-F-NK-SP B9+MARG 2.1-3
$5,621
$1,967
$1,825
78
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$1,639
59
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$2,867
59
clean
HC EXC FACE-MM B9+MARG 0.5CM/<
$995
$348
$697
78
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$705
55
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$705
55
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$1,623
55
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$1,623
59
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,867
59
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$705
55
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$705
55
clean
HC EXC TR-EXT MAL+MARG 1.1-2 CM
$928
$325
$475
78
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$705
55
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$775
59
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$1,639
59
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$1,623
55
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$705
55
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$705
55
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$1,168
55
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$1,639
59
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$2,867
59
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$705
55
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$705
55
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$705
55
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$1,623
55
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$1,639
59
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$2,867
59
clean
HC TRIM NAILS ED
$98
$34
$62
76
clean
HC DEBRIDE NAIL 1-5
$108
$38
$75
62
clean
HC DEBRIDE NAIL 6 OR >
$166
$58
$94
62
clean
HC AVULSION OF SGL NAIL PLATE
$406
$142
$223
78
clean
REMOVE NAIL PLATE ADD-ON
—
—
$2,430
9
clean
HC EVAC SUBUNGUAL HEMATOMA
$250
$88
$141
78
clean
HC REMOVAL OF NAIL BED
$1,082
$379
$524
78
clean
BIOPSY NAIL UNIT
—
—
$705
55
clean
HC REPAIR NAIL BED
$628
$220
$456
78
clean
RECONSTRUCTION OF NAIL BED
—
—
$1,362
55
clean
HC WEDGE EXC NAIL FOLD
$844
$295
$452
78
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$2,867
59
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$2,867
59
clean
REMOVE PILONIDAL CYST COMPL
—
—
$2,867
59
clean
HC INJECT SKIN LESIONS </W 7
$449
$157
$292
62
clean
INJECT SKIN LESIONS >7
—
—
$269
39
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$613
55
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$613
55
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$2,430
9
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$613
53
clean
INSERT TISSUE EXPANDER(S)
—
—
$3,667
59
clean
REPLACE TISSUE EXPANDER
—
—
$5,743
59
clean
REMOVE TISSUE EXPANDER(S)
—
—
$2,867
59
clean
IMPLANT HORMONE PELLET(S)
—
—
$454
39
clean
HC INSERTION DRUG DLVR IMPLANT
$301
$105
$162
78
clean
HC REMOVE DRUG IMPLANT DEVICE
$978
$342
$457
78
clean
HC REMOVE/INSERT DRUG IMPLANT
$940
$329
$448
78
clean
HC REPAIR SIMSCLP 2.5CM/<
$1,035
$362
$299
78
clean
HC REPAIR SIM SCLP 2.6-7.5CM
$1,356
$475
$299
76
clean
HC REPAIR SIM SCLP 7.6-12.5CM
$1,698
$594
$300
78
clean
HC REPAIR SIM SCLP 12.6-20CM
$2,174
$761
$600
79
clean
HC REPAIR SIM SCLP 20.1-30CM
$2,660
$931
$600
79
clean
HC REPAIR SIM SCLP>30CM
$3,312
$1,159
$301
79
clean
HC REPAIR SIM FACE 2.5CM/<
$1,116
$391
$299
76
clean
HC REPAIR SIM FACE 2.6-5CM
$1,161
$406
$299
76
clean
HC REPAIR SIM FACE 5.1-7.5CM
$1,496
$524
$300
78
clean
HC REPAIR SIM FACE 7.6-12.5CM
$1,887
$660
$299
78
clean
HC REPAIR SIM FACE 12.6-20CM
$2,556
$895
$600
79
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$440
59
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$219
59
clean
HC REPAIR SIM WND DEHISC
$672
$235
$613
79
clean
HC REPAIR SIM WND DEHIS W PACK
$445
$156
$400
79
clean
HC REPAIR INT SCLP 2.5CM /<
$4,245
$1,486
$559
78
clean
HC REPAIR INT SCLP 2.6-7.5CM
$5,306
$1,857
$559
78
clean
HC REPAIR INT SCLP 7.6-12.5CM
$5,731
$2,006
$600
79
clean
HC REPAIR INT SCLP 12.6-20CM
$6,686
$2,340
$600
79
clean
HC REPAIR INT SCLP 20.1-30CM
$7,800
$2,730
$920
79
clean
HC REPAIR INT WND S/TR/EXT 30.0+CM
$9,074
$3,176
$2,303
79
clean
HC REPAIR INT N-HF/GN <2.5CM/<
$384
$134
$288
78
clean
HC REPAIR INT N-HF/GN2.6-7.5CM
$532
$186
$372
78
clean
HC REPAIR INT N-HF/GN7.6-12.5CM
$1,405
$492
$773
79
clean
HC REPAIR INT N-HF/GN12.6-20CM
$1,405
$492
$773
79
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$632
59
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$1,832
59
clean
HC REPAIR INT FACE 2.5CM/<
$2,854
$999
$559
78
clean
HC REPAIR INT FACE 2.6-5CM
$3,357
$1,175
$559
78
clean
HC REPAIR INT FACE 5.1-7.5CM
$3,626
$1,269
$559
78
clean
HC REPAIR INT FACE 7.6-12.5 CM
$3,693
$1,293
$600
79
clean
HC REPAIR INT FACE 12.6-20CM
$5,070
$1,775
$600
79
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$440
59
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$440
59
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$674
59
clean
HC REPAIR COMP TRNK 2.6-7.5CM
$1,480
$518
$814
79
clean
HC REPAIR COMP TRNK ADDL 5 CM/<
$488
$171
$281
52
clean
HC REPAIR COMP S/A/L 1.1-2.5CM
$1,839
$644
$876
79
clean
HC REPAIR COMP S/A/L 2.6-7.5CM
$2,041
$714
$920
79
clean
HC REPAIR COMP S/A/L EA 5CM/<
$191
$67
$110
52
clean
HC REPAIR COMP FACE 1.1-2.5CM
$466
$163
$400
79
clean
HC REPAIR COMP FACE 2.6-7.5CM
$1,480
$518
$814
79
clean
Showing the first 200 of 9,248 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
MS-DRG 514/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $6,765
MS-DRG 515/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $17,678
MS-DRG 516/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,988
MS-DRG 517/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,256
MS-DRG 518/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $20,266
MS-DRG 519/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,779
MS-DRG 520/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $8,942
MS-DRG 789/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $10,887
MS-DRG 790/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $32,696
MS-DRG 791/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $22,772
MS-DRG 792/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $14,294
MS-DRG 793/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $23,354
MS-DRG 794/i
error
mrf_negotiated_below_min
a negotiated rate of $767 is below the file's own minimum $9,169
MS-DRG 795/i
error
mrf_negotiated_below_min
a negotiated rate of $440 is below the file's own minimum $1,618
MS-DRG 876/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $22,086
MS-DRG 880/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $6,444
MS-DRG 881/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $6,209
MS-DRG 882/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $6,461
MS-DRG 883/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $11,157
MS-DRG 884/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,190
MS-DRG 885/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $8,818
MS-DRG 886/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,855
MS-DRG 887/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $7,659
MS-DRG 894/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $4,410
MS-DRG 895/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $9,020
MS-DRG 896/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $10,772
MS-DRG 897/i
error
mrf_negotiated_below_min
a negotiated rate of $719 is below the file's own minimum $6,041
MS-DRG 945/i
error
mrf_negotiated_below_min
a negotiated rate of $814 is below the file's own minimum $9,434
MS-DRG 946/i
error
mrf_negotiated_below_min
a negotiated rate of $814 is below the file's own minimum $7,275
MS-DRG 239/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $27,916
MS-DRG 240/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $16,729
MS-DRG 241/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $9,346
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $3,358 is below the file's own minimum $19,255
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $3,358 is below the file's own minimum $13,257
MS-DRG 252/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $19,457
MS-DRG 253/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $14,838
MS-DRG 254/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $10,607
MS-DRG 255/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $15,172
MS-DRG 256/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $10,314
MS-DRG 257/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $6,092
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $16,167
MS-DRG 259/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $10,651
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $19,330
MS-DRG 261/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $11,387
MS-DRG 262/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $9,388
MS-DRG 263/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $15,518
MS-DRG 264/i
error
mrf_negotiated_below_min
a negotiated rate of $2,221 is below the file's own minimum $19,798
MS-DRG 280/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $10,038
MS-DRG 281/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,250
MS-DRG 282/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,124
MS-DRG 283/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $11,692
MS-DRG 284/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,236
MS-DRG 285/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,967
MS-DRG 288/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $15,778
MS-DRG 289/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,698
MS-DRG 290/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,551
MS-DRG 291/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $8,266
MS-DRG 292/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,931
MS-DRG 293/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,877
MS-DRG 294/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,862
MS-DRG 295/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,555
MS-DRG 296/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $10,023
MS-DRG 297/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,977
MS-DRG 298/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,121
MS-DRG 299/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,913
MS-DRG 300/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,033
MS-DRG 301/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,041
MS-DRG 302/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,521
MS-DRG 303/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,751
MS-DRG 304/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,582
MS-DRG 305/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,304
MS-DRG 306/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $9,280
MS-DRG 307/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,274
MS-DRG 308/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $7,746
MS-DRG 309/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,224
MS-DRG 310/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $3,953
MS-DRG 311/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,934
MS-DRG 312/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,984
MS-DRG 313/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $5,041
MS-DRG 314/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $12,735
MS-DRG 315/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $6,463
MS-DRG 316/i
error
mrf_negotiated_below_min
a negotiated rate of $1,990 is below the file's own minimum $4,824
MS-DRG 402/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $21,994
MS-DRG 426/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $56,549
MS-DRG 427/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $38,792
MS-DRG 428/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $30,375
MS-DRG 429/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $45,309
MS-DRG 430/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $30,198
MS-DRG 447/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $36,696
MS-DRG 448/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $22,896
MS-DRG 450/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $28,512
MS-DRG 451/i
error
mrf_negotiated_below_min
a negotiated rate of $4,639 is below the file's own minimum $17,644
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 456/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $45,986
MS-DRG 457/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $31,614
MS-DRG 458/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $24,131
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 461/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $33,706
MS-DRG 462/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,474
MS-DRG 463/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $29,832
MS-DRG 464/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,921
MS-DRG 465/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,537
MS-DRG 466/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $28,219
MS-DRG 467/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $19,430
MS-DRG 468/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $15,208
MS-DRG 469/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $18,606
MS-DRG 470/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,324
MS-DRG 471/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $26,970
MS-DRG 472/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $16,650
MS-DRG 473/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $13,861
MS-DRG 474/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $25,008
MS-DRG 475/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $12,755
MS-DRG 476/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $7,520
MS-DRG 477/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $19,503
MS-DRG 478/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $13,709
MS-DRG 479/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,746
MS-DRG 480/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,881
MS-DRG 481/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $12,321
MS-DRG 482/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,749
MS-DRG 483/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $14,813
MS-DRG 485/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $18,346
MS-DRG 486/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $12,563
MS-DRG 487/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $9,716
MS-DRG 488/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $11,744
MS-DRG 489/i
error
mrf_negotiated_below_min
a negotiated rate of $3,846 is below the file's own minimum $7,917
MS-DRG 492/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $20,093
MS-DRG 493/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $14,038
MS-DRG 494/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,323
MS-DRG 498/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $14,690
MS-DRG 499/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $7,508
MS-DRG 500/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $18,080
MS-DRG 501/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,793
MS-DRG 502/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,753
MS-DRG 503/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $15,331
MS-DRG 504/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,637
MS-DRG 505/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,637
MS-DRG 506/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,289
MS-DRG 507/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,601
MS-DRG 508/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $8,192
MS-DRG 509/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $10,646
MS-DRG 510/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $16,444
MS-DRG 511/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $11,722
MS-DRG 512/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,862
MS-DRG 513/i
error
mrf_negotiated_below_min
a negotiated rate of $4,590 is below the file's own minimum $9,323
warn
mrf_negotiated_above_gross_systematic
1,136 of 2,892 comparable items (39%) 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 $2,156 exceeds the gross charge $351
warn
mrf_rate_without_estimate
117,165 of 117,165 percentage/algorithm rates across 5,762 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT J0490/o
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 J8700/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 97542/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 J0500/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8999/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0515/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 J9000/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J9017/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 J0571/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 J9025/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 85347/o
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 J0583/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, max differ, so no cross-line comparison was made for this item
CPT J9027/o
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 97602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0592/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 J9030/o
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 85576/o
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 J0595/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 J9035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9040/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, max differ, so no cross-line comparison was made for this item
CPT 53899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0613/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J9041/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 J0630/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 J9045/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0636/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 J9047/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 86580/o
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 97760/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 J0637/o
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 86803/o
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 J0640/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9055/o
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 86813/o
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 97763/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 J0641/o
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 J9060/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 97802/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0650/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 J9065/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 J0651/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 J9070/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 J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9074/o
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 J0670/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9075/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 99211/o
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 J0687/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 J9100/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