Hospital · CCN 670060

Baylor Scott And White Medical Center Sunnyvale

231 South Collins Road, Sunnyvale, TX 75182 · Dallas County
Part of Tenet Healthcare · 70 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

21 admission types 36 outpatient services price file: ok
Billed per dollar paid, all admissions
4.89×
$21.5M billed against $4.4M paid across 460 Medicare discharges; the national figure is 5.03×.
7.2%
of adults in Dallas County have medical debt in collections
23.6%
uninsured in the county · state 18.8%
$74K
median household income
4.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (27 in the inpatient or outpatient file)ⓘ
35.7%
obesity in the countyⓘ
12.5%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
107
$56,644
$12,589
4.5× st 6.7×
291
Heart failure and shock with mcc
60
$39,211
$8,334
4.7× st 5.8×
193
Simple pneumonia and pleurisy with mcc
28
$40,112
$8,522
4.7× st 6.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
22
$33,450
$5,277
6.3× st 6.2×
683
Renal failure with cc
19
$30,635
$6,088
5.0× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$43,085
$8,826
4.9× st 5.7×
682
Renal failure with mcc
17
$42,119
$8,882
4.7× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$27,242
$5,152
5.3× st 5.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
17
$39,895
$7,023
5.7× st 5.8×
177
Respiratory infections and inflammations with mcc
16
$59,937
$10,626
5.6× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
14
$132,096
$31,116
4.2× st 6.9×
689
Kidney and urinary tract infections with mcc
14
$43,637
$7,731
5.6× st 5.6×
280
Acute myocardial infarction, discharged alive with mcc
13
$53,700
$9,467
5.7× st 6.9×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$49,213
$7,919
6.2× st 6.6×
698
Other kidney and urinary tract diagnoses with mcc
13
$56,514
$10,563
5.4× st 6.1×
378
Gastrointestinal hemorrhage with cc
13
$37,176
$6,878
5.4× st 6.2×
190
Chronic obstructive pulmonary disease with mcc
12
$34,371
$7,193
4.8× st 4.9×
690
Kidney and urinary tract infections without mcc
12
$31,712
$5,314
6.0× st 5.2×
312
Syncope and collapse
12
$32,829
$5,700
5.8× st 7.1×
194
Simple pneumonia and pleurisy with cc
11
$30,972
$5,752
5.4× st 5.7×
189
Pulmonary edema and respiratory failure
11
$40,458
$9,196
4.4× st 5.6×
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
52
$22,921
$2,463
9.3×
5183
Level 3 Vascular Procedures
38
$26,657
$2,868
9.3×
5191
Level 1 Endovascular Procedures
35
$25,336
$2,877
8.8×
5113
Level 3 Musculoskeletal Procedures
33
$50,956
$2,843
17.9×
5115
Level 5 Musculoskeletal Procedures
30
$142,829
$11,489
12.4×
5114
Level 4 Musculoskeletal Procedures
25
$99,488
$6,438
15.5×
5223
Level 3 Pacemaker and Similar Procedures
22
$46,502
$9,241
5.0×
5193
Level 3 Endovascular Procedures
19
$77,579
$9,458
8.2×
5192
Level 2 Endovascular Procedures
18
$38,207
$5,144
7.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
17
$21,212
$1,334
15.9×
5112
Level 2 Musculoskeletal Procedures
12
$20,661
$1,446
14.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
11
$40,080
$2,557
15.7×
5182
Level 2 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
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 2026-04-01, template 3.0.0, 21,580 rows scanned, 10,721 distinct code–setting items kept. 811 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
—
$4,758
13
clean
BCE Fine needle aspiration biopsy,ultrasound guidance; first lesion 10005
$3,530
$2,118
$2,252
56
clean
BCE US Fine Needle Aspiration Each Add 10006
$3,530
$2,118
$2,252
39
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$4,758
14
clean
FINE NEEDLE ASPIRATION BIOPSY; INCLUDING CT GUIDANCE; FIRST LESION 10009
$3,385
$2,031
$3,692
14
clean
FNA BX W/CT GDN EA ADDL
—
—
$4,265
13
clean
FNA BX W/MR GDN 1ST LES
—
—
$4,758
14
clean
FNA BX W/MR GDN EA ADDL
—
—
$4,758
13
clean
ED FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE
$1,549
$929
$2,252
28
clean
IMAGE GUIDED FLUID COLLECTION DRAINAGE BY CATHETER; SOFT TISSUE 10030
$2,961
$1,777
$2,252
14
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
—
$4,758
14
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$4,758
13
clean
ACNE SURGERY
—
—
$4,758
14
clean
ED INCISION AND DRAINAGE SIMPLE 10060
$883
$530
$4,068
28
clean
ED INCISION AND DRAINAGE OF ABSCESS
$1,891
$1,135
$2,370
42
clean
ED INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED
$3,495
$2,097
$2,252
28
clean
INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED 10081
$4,087
$2,452
$5,373
14
clean
ED INCISION AND REMOVAL OF FOREIGN BODY
$1,896
$1,138
$3,664
28
clean
INCISION AND DRAINAGE OF CYST 10121
$8,646
$5,188
$2,370
14
clean
ED INCISION AND DRAINAGE OF HEMATIOMA 10140
$4,500
$2,700
$4,068
28
clean
ED PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST
$1,543
$926
$2,252
28
clean
ED INCISION AND DRAINAGE, COMPLEX, 10180
$8,646
$5,188
$3,692
28
clean
DEBRIDEMENT OF EXTENSIVE INFECTED SKIN FIRST 10% OF BODY SURFACE 11000
$2,979
$1,787
$2,252
28
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$2,252
13
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$4,758
13
clean
DEBRIDEMENT ABDOMINAL WALL 11005
$5,570
$3,342
$8,176
13
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$4,758
13
clean
REMOVAL OF PROSTHETIC MATERIAL OR MESH; ABDOMINAL WALL FOR INFECTION 11008
$2,335
$1,401
$4,486
13
clean
DEBRIDEMENT & REMOVAL OF FOREIGN BODY AT OPEN FRACTURE SITE 11010
$5,234
$3,140
$2,370
28
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$2,370
14
clean
DEBRIDEMENT BONE/SKIN/MUSCLE 11012
$6,692
$4,015
$2,370
14
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE FIRST 20CM OR LESS 11042
$1,896
$1,138
$2,370
14
clean
DEBRIDEMENT MUSCLE/FASCIA 20 SQ CM OR LESS 11043
$4,014
$2,408
$8,059
14
clean
DEBRIDEMENT BONE 20 SQ CM OR LESS 11044
$8,226
$4,936
$8,059
14
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE EPI/DERMIS EA. ADD SEG. 20 SQ CM 11045
$1,801
$1,081
$4,265
13
clean
DEBRIDEMENT OF MUSCLE AND/OR FASCIA EPI/DERMIS EA. ADD. 20SQ CM 11046
$2,166
$1,300
$4,068
13
clean
DEBRIDEMENT BONE EA. ADD. 20SQ CM 11047
$3,846
$2,308
$8,059
13
clean
PARING OR CUTTING OF BENIGN SINGLE LESION 11055
$1,031
$619
$2,252
14
clean
PARING OR CUTTING OF BENIGN LESION 2-4 11056
$781
$469
$2,252
14
clean
PARING OR CUTTING OF BENIGN LESION 4+ 11057
$420
$252
$2,370
14
clean
TANGENTIAL BIOPSY OF SKIN SINGLE LESION 11102
$800
$480
$8,059
14
clean
TANGENTIAL BIOPSY OF SKIN EA. ADD. LESION 11103
$411
$247
$4,758
13
clean
PUNCH BIOPSY OF SKIN SINGLE LESION 11104
$1,505
$903
$3,664
14
clean
PUNCH BIOPSY OF SKIN EA. ADD. LESION 11105
$643
$386
$4,758
13
clean
INCISIONAL BIOPSY OF SKIN SINGLE LESION 11106
$2,281
$1,369
$5,373
14
clean
INCISIONAL BIOPSY OF SKIN EA. ADD. LESION 11107
$3,324
$1,994
$2,252
13
clean
REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS ANY AREA UP TO 15 LESIONS 11200
$1,422
$853
$2,252
14
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$10,719
13
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$10,719
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$5,846
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$2,370
14
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$5,373
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$4,758
14
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$4,758
14
clean
SHAVE SKIN LESION >2.0 CM
—
—
$4,758
14
clean
EXCISION BENIGN LESIONTRUNK 0.5CM OR LESS 11400
$2,728
$1,637
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 0.6CM -1.0CM 11401
$3,321
$1,993
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 1.1CM -2.0CM 11402
$3,495
$2,097
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 2.1CM -3.0CM 11403
$5,541
$3,325
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 3.1CM -4.0CM 11404
$8,226
$4,936
$2,252
14
clean
EXCISION BENIGN LESION TRUNK 4.0CM OR MORE 11406
$8,226
$4,936
$2,370
14
clean
ED EXCISION BENIGN LESION W/MAR. HEAD/NECK/HAND/FT/GENI. 0.5CM OR LESS 11420
$6,583
$3,950
$3,692
28
clean
EXCISION BENIGN LESION W/MARGIN SCALP/NECK/HND/FT/GENT. 0.6 TO 1.0CM 11421
$3,495
$2,097
$2,252
14
clean
EXC. BENIGN LESION W/MARGINS 0.6CM TO 1.0CM 11422
$8,140
$4,884
$3,664
14
clean
EXCISION BENIGN LESION MARGINS EXCEPT SKIN TAG 2.1CM-3.0CM 11423
$5,552
$3,331
$3,692
14
clean
EXCISION BENIGN LESION W/MARGIN SCALP/NECK/HAND/FT/GENT. 3.1 TO 4.0CM 11424
$6,816
$4,090
$4,265
14
clean
EXC. BENIGN LESION W/MARGINS SCALP/NECK/FT/HD/GENT. OVER 4.0CM 11426
$8,834
$5,300
$4,068
14
clean
ED Excision Benign Lesion Facial 0.5cm or less 11440
$3,763
$2,258
$3,664
28
clean
EXCISION BENIGN LESION FACIAL 0.6CM -1.0CM 11441
$3,509
$2,105
$2,370
14
clean
EXCISION BENIGN LESION FACIAL 1.1CM -2.0CM 11442
$3,495
$2,097
$2,252
14
clean
EXCISION BENIGN LESION FACIAL 2.1CM -3.0CM 11443
$4,697
$2,818
$2,252
14
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,252
14
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$2,886
14
clean
ED Excision of skin and subcutaneous tissue for hidradenitis, axillary; 11450
$14,189
$8,513
$4,265
28
clean
EXCISION OF SKIN/TISSUE HIDRADENITIS COMPLEX 11451
$8,624
$5,174
$2,886
14
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
$2,886
14
clean
EXC SKN HDRDNT ING COMPLEX
—
—
$2,886
14
clean
EXCISION OF SKIN/TISSUE HIDRADENITIS INTERMEDIATE 11470
$11,198
$6,719
$2,886
14
clean
EXC. OF SKIN AND SUBCU. TISSUE FOR HIDRADENITIS; PERIANAL/PERINEAL/UMBILICAL W/COMPLEX REPAIR 11471
$10,425
$6,255
$2,886
14
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$3,664
14
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$2,252
14
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$2,370
14
clean
EXCISION OF MALIGNANT LESION TRUNK OVER 4.0 CM 11606
$8,226
$4,936
$2,252
14
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$4,265
14
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$2,252
14
clean
EXCISION OF MALIGNANT LESION SCALP 1.1CM TO 2.0CM 11622
$4,933
$2,960
$2,370
14
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,252
14
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,370
14
clean
EXCISION OF MALIGNANT LESION SCALP OVER 4.0 CM 11626
$8,331
$4,999
$3,664
14
clean
EXCISION MALIGNANT LESION FACIAL 0.5CM OR LESS 11640
$4,969
$2,981
$2,370
14
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$2,370
14
clean
EXCISION MALIGNANT LESION FACIAL 1.1CM -2.0CM 11642
$4,679
$2,807
$2,370
14
clean
EXCISION MALIGNANT LESION FACIAL 2.1CM -3.0CM 11643
$5,072
$3,043
$2,370
14
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$3,692
14
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$2,886
14
clean
TRIMMING OF NONDYSTROPHIC NAILS; ANY NUMBER 11719
$241
$145
$2,252
14
clean
DEBRIDEMENT OF NAIL BY ANY METHOD 1 TO 5 11720
$248
$149
$2,252
28
clean
DEBRIDEMENT OF NAIL(S) BY ANY METHOD; 6 OR MORE 11721
$248
$149
$2,252
14
clean
AVULSION NAIL PLATE PARTIAL OR COMPLETE SIMPLE SINGLE 11730
$1,019
$611
$2,252
28
clean
AVULSION OF NAIL PLATE PARTIAL OR COMP. SIMPLE EA. ADD NAIL PLATE 11732
$952
$571
$2,252
26
clean
ED EVACUATION OF SUBUNGUAL HEMATOMA 11740
$259
$155
$2,252
14
clean
ED EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED NAIL) FOR PERMANE
$1,896
$1,138
$2,252
28
clean
BIOPSY NAIL UNIT
—
—
$2,252
14
clean
ED Repair of nail bed 11760
$2,254
$1,352
$2,252
28
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,370
14
clean
ED WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL)
$1,896
$1,138
$2,252
28
clean
EXCISION CYST PILONIDAL SIMPLE 11770
$9,353
$5,612
$2,807
14
clean
EXCISION CYST PILONIDAL EXTENSIVE 11771
$14,189
$8,513
$2,807
14
clean
EXCISION CYST PILONIDAL COMPLICATED 11772
$14,073
$8,444
$2,807
14
clean
INJECTION INTRALESIONAL UP TO 7 LESIONS 11900
$413
$248
$2,252
14
clean
INJECT SKIN LESIONS >7
—
—
$2,252
14
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$2,252
14
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$2,252
14
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$2,252
13
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$4,758
14
clean
INSERT TISSUE EXPANDER(S)
—
—
$5,846
14
clean
REPLACEMENT OF TISSUE EXPANDER W/PERMANENT PROSTHESIS 11970
$15,962
$9,577
$5,651
14
clean
REMOVAL TISSUE EXPANDER(S) W/O INSERTION OF PROSTHESIS 11971
$9,849
$5,909
$4,265
14
clean
IMPLANT HORMONE PELLET(S)
—
—
$2,252
14
clean
INSERTION DRUG DELIVERY IMPLANT 11981
$3,876
$2,326
$10,719
14
clean
REMOVAL-NON BIODEGRADABLE DRUG DELIVERY IMPLANT 11982
$4,442
$2,665
$5,846
14
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$10,719
14
clean
ED Simple repair, superficial; 2.5 cm or less 12001
$518
$311
$2,252
28
clean
ED SIMPLE REPAIR WOUNDS SCALP,NECK,AXILLAE,GEITALIA,TRUNK,EXT. 2.6CM-7.5CM 12002
$543
$326
$2,252
28
clean
ED SIMPLE REPAIR FOR SUPERFICIAL WOUNDS SCALP, 7.6 CM TO12.5 CM
$692
$415
$2,252
14
clean
ED SIMPLE REPAIR SUPERFICIAL WOUNDS SCALP-NECK-AXILLAE-GENITALIA-TRUNK-EXT. 12.6CM-20.0CM 12005
$623
$374
$2,370
14
clean
ED Simple repair of superficial wounds of scalp, neck, axillae 20.1cm to 30.0 cm 12006
$379
$227
$2,370
14
clean
ED Simple repair of superficial wounds ; over 30.0 cm 12007
$2,667
$1,600
$2,370
14
clean
ED SIMPLE REPAIR OF WOUNDS-FACIAL, EARS, MUCOUS MEMBRANES 2.5CM OR LESS
$544
$326
$2,252
28
clean
ED SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE; 2.6-5 cm 12013
$600
$360
$2,370
14
clean
ED Simple repair of superficial wounds of face, 5.1 cm to 7.5 cm 12014
$605
$363
$2,252
14
clean
ED SIMPLE REPAIR SUPERFICIAL WOUNDS FACE/EARS 7.6CM TO 12.5 CM 12015
$521
$313
$2,252
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips 12016
$419
$251
$2,370
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips 20.1 cm to 30.0 cm 12017
$936
$562
$2,370
14
clean
ED Simple repair of superficial wounds of face, ears, eyelids, nose, lips over 30.0 cm 12018
$783
$470
$2,370
14
clean
ED TREATMENT OF WOUND DEHISCENCE , SIMPLE CLOSURE
$2,125
$1,275
$2,252
14
clean
ED TREATMENT OF WOUND DEHISCENCE, WITH PACKING
$1,263
$758
$2,252
14
clean
ED REPAIR WOUND 2.5 CM OR LESS SCALP/AXILLAE, TRUNK/EXTREMITIES EXCLUDING HAND/FOOT 12031
$1,758
$1,055
$4,617
28
clean
ED REPAIR WOUND 2.6 CM TO 7.5 CM SCALP/AXILLAE 12032
$786
$472
$2,252
28
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities 12034
$1,890
$1,134
$2,252
28
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk &/or extremities 12035
$456
$274
$2,370
14
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities 20.1 cm to 30.0 cm 12036
$2,997
$1,798
$4,068
14
clean
ED Repair, intermediate, wounds of scalp, axillae, trunk &/or extremities over30.0 cm 12037
$5,231
$3,139
$4,617
28
clean
ED REPAIR WOUND 2.5 CM OR LESS NECK/HANDS/FEET/EXTERNAL GENITALIA
$749
$449
$2,252
28
clean
ED LAYER CLOSURE OF WOUNDS, 2.6 CM TO 7.5 CM
$960
$576
$2,252
28
clean
ED Repair intermediate wounds of neck, hands, feet &/or external genitalia; 7.6 cm to 12.5 cm 12044
$465
$279
$2,370
14
clean
ED Repair, intermediate, wounds of neck, hands, feet12.6 cm-20.0 cm 12045
$1,981
$1,189
$2,370
28
clean
ED Repair, intermediate, wounds of neck, hands, feet, genitalia; 20.1 cm-30.0 cm 12046
$2,437
$1,462
$2,370
14
clean
ED Repair, intermediate, wounds of neck, hands, feet genitalia; over 30.0 cm 12047
$2,532
$1,519
$2,370
14
clean
ED LAYER CLOSURE OF WOUNDS OF FACE,EARS, ETC
$578
$347
$2,252
14
clean
ED LAYERED CLSOURE FACE WOUND, 2.6-5.0 CM 12052
$592
$355
$4,617
14
clean
ED Repair, intermediate, wounds of face,ears,eyelids,nose,lips&/or mucous mem. 5.1 cm to 7.5 cm12053
$503
$302
$2,252
14
clean
ED Repair, intermediate,wounds of face; 7.6cmto 12.5cm 12054
$256
$154
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips mucous mem; 12.6 cm-20.0 cm 12055
$1,347
$808
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips; 20.1 cm-30.0 cm 12056
$1,256
$754
$2,370
14
clean
ED Repair, intermediate, wounds of face, ears, eyelids, nose, lips mucous memb. over 30.0 cm 12057
$506
$304
$2,370
14
clean
ED REPAIR COMPLEX, TRUNK ; 1.1 CM TO 2.5 CM
$2,547
$1,528
$2,370
28
clean
ED REPAIR COMPLEX TRUNK 2.6CM-7.5CM
$2,455
$1,473
$3,664
28
clean
ED REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5CM OR LESS
$2,419
$1,451
$2,252
13
clean
ED REPAIR COMPLEX, SCALP, ARMS, AND/OR LEGS 1.1CM TO 2.5CM
$1,354
$812
$2,370
14
clean
ED REPAIR COMPLEX SCP ARM LEG 2.6CM-7.5CM
$1,481
$889
$4,068
14
clean
ED REPAIR COMPLEX, SCALP, ARMS, LEGS, EACH ADD 5 CM
$627
$376
$4,617
13
clean
ED REPAIR, COMPLEX, FOREHEAD,CHEEK,CHIN,MOUTH,NECK,AXILLAE,GENITALIA
$773
$464
$2,370
14
clean
ED REPAIR COMX FH CK CHN MO AX GNTL HND FT 2.6-7.5CM
$2,133
$1,280
$3,664
28
clean
ED REP COMPLEX, FOREHEAD CHEEKS CHIN MOUTH EA ADD 5 CM
$345
$207
$4,068
26
clean
ED REPAIR, COMPLEX EYELID, NOSE, EARS 1.1 TO 2.5CM (13151
$1,515
$909
$3,664
28
clean
ED REPAIR COMX EYELID NOSE EAR LIP 2.6-7.5CM
$1,496
$898
$3,664
28
clean
ED REP COMPLEX EYELIDS, NOSE, EARS LIPS EACH ADD 5 CM
$2,187
$1,312
$3,664
26
clean
SECONDARY CLOSURE OF WOUND OR DEHISCENCE-EXTENSIVE OR COMPLICATED 13160
$9,407
$5,644
$5,846
14
clean
ADJACENT TISSUE TRANSFER TRUNK 10 SQ CM OR LESS 14000
$7,463
$4,478
$2,370
14
clean
ADJACENT TISSUE TRANSFER TRUNK 10.1-30.0 SQ CM 14001
$9,525
$5,715
$3,664
14
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$3,692
14
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$4,068
14
clean
ADJACENT TISSUE TRANSFER FACE 10 SQ CM OR LESS GENITALIA/HANDS/FEET 14040
$9,572
$5,743
$2,370
14
clean
ADJACENT TISSUE TRANSFER FACE DEFECT 10.1 SQ CM TO 30.0 SQ CM GENITALIA/HANDS/FEET 14041
$9,323
$5,594
$4,265
14
clean
ADJACENT TISSUE TRANSFER FACIAL 10SQ CM OR LESS EYELIDS/NOSE/EARS/LIPS 14060
$9,242
$5,545
$4,068
14
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$3,664
14
clean
ADJACENT TISSUE TRANSFER 30.1-60.0 SQ CM 14301
$9,356
$5,614
$4,376
28
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$5,846
13
clean
FILLETED FINGER/TOE FLAP
—
—
$3,664
14
clean
SURGICAL PREP/CREATION RECIPIENT SITE BY EXCISION/INCISION 1ST 100SQ CM TRUNK-ARMS-LEGS 15002
$6,265
$3,759
$2,370
14
clean
WOUND PREP ADDL 100 CM
—
—
$2,252
13
clean
SURG. PREP/CREATION RECIP. SITE BY EXC./INC. 1ST 100SQ CM FACE-NECK-EARS-GENITALIA-HANDS-FEET 15004
$5,114
$3,068
$4,068
14
clean
WND PREP F/N/HF/G ADDL CM
—
—
$2,252
13
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,370
14
clean
PINCH GRAFT UP TO 2 CM DIAM
—
—
$2,370
14
clean
SPLIT THICKNESS AUTOGRAFT TRUNK-ARMS -LEGS 1ST 100 SQ CM OR LESS/ 1% BODY AREA INF./CHILDREN 15100
$5,580
$3,348
$3,974
14
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$3,692
13
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$2,370
14
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$2,252
13
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
—
$2,370
14
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$2,252
13
clean
SPLIT THICKNESS AUTOGRAFT FACE-NECK-EARS-GENITALIA-HANDS-FEET-1ST 100 SQ CM 15120
$9,279
$5,567
$5,373
14
clean

Showing the first 200 of 10,721 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
608 of 2,472 comparable items (25%) 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 $5,511 exceeds the gross charge $3,385
warn
mrf_rate_without_estimate
68 of 68 percentage/algorithm rates across 7 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 58340/b
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 C9250/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0257/b
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 G0259/b
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 10140/b
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 G0260/b
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 10160/b
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 29125/b
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 62270/b
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 G0277/b
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 62284/b
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 G0416/b
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 62304/b
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 62305/b
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 62328/b
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 P9010/b
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 P9012/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9016/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9017/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9019/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9021/b
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 P9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9037/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9040/b
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 11720/b
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 P9054/b
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 P9057/b
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 64445/b
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 31500/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31502/b
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 64483/b
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 31720/b
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 32550/b
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 69210/b
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 12042/b
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 74248/b
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 75825/b
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 75827/b
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 76856/b
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 76870/b
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 13132/b
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 76983/b
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 13133/b
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 76998/b
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 77002/b
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 36430/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 16020/b
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 36556/b
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 80047/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80200/b
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 36569/b
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 80320/b
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 81003/b
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 36581/b
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 81025/b
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 19081/b
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 36590/b
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 81240/b
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 19082/b
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 82043/b
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 19283/b
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 36600/b
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 82247/b
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 36680/b
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 82270/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36907/b
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 37187/b
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 82565/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82803/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/b
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 20552/b
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 37221/b
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 82948/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83497/b
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 37248/b
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 83520/b
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 20605/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20610/b
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 37253/b
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 84154/b
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 37607/b
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 84484/b
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 84702/b
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 84703/b
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 85018/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85060/b
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 85347/b
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 86003/b
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 86148/b
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 86235/b
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 86255/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86256/b
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 86403/b
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 86635/b
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 86689/b
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 86735/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43752/b
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 23350/b
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 86777/b
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 86788/b
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 86789/b
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 86900/b
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 86902/b
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 86905/b
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 86920/b
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 87081/b
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 87385/b
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 87493/b
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 87522/b
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 46221/b
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 46600/b
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 87635/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 47490/b
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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88377/b
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 89050/b
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 89055/b
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 89220/b
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 90935/b
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 49083/b
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 49180/b
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 92950/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92977/b
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 93005/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93303/b
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 93312/b
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 93350/b
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 27093/b
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 27096/b
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 93641/b
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 93724/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93880/b
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 93923/b
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 93926/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93970/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93971/b
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 94002/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94003/b
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 94010/b
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 27369/b
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 94060/b
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 94640/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51701/b
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 94644/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94660/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94664/b
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 94667/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94668/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94762/b
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 51798/b
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 95816/b
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 96360/b
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 96361/b
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 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96366/b
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 96367/b
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 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96373/b
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 96374/b
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 96375/b
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 96379/b
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 C1849/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10006/b
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 10009/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,511 exceeds the gross charge $3,385 — part of a file-wide pattern, counted once at the file level
CPT 28600/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $857 — part of a file-wide pattern, counted once at the file level
CPT 58301/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $981 — part of a file-wide pattern, counted once at the file level
CPT C5275/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $4,744 — part of a file-wide pattern, counted once at the file level
CPT 10021/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,549 — part of a file-wide pattern, counted once at the file level
CPT 28630/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $703 — part of a file-wide pattern, counted once at the file level
CPT C5277/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $2,281 — part of a file-wide pattern, counted once at the file level
CPT 10030/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $2,961 — part of a file-wide pattern, counted once at the file level
CPT 28660/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $817 — part of a file-wide pattern, counted once at the file level
CPT 58350/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,726 exceeds the gross charge $5,885 — part of a file-wide pattern, counted once at the file level
CPT C5278/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,101 exceeds the gross charge $1,111 — part of a file-wide pattern, counted once at the file level
CPT 10060/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $883 — part of a file-wide pattern, counted once at the file level
CPT 28665/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,416 — part of a file-wide pattern, counted once at the file level
CPT 58400/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 10061/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,538 exceeds the gross charge $1,891 — part of a file-wide pattern, counted once at the file level
CPT 28705/b
info
mrf_negotiated_above_gross
highest negotiated rate $16,979 exceeds the gross charge $13,469 — part of a file-wide pattern, counted once at the file level
CPT 58700/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT C9772/b
info
mrf_negotiated_above_gross
highest negotiated rate $13,934 exceeds the gross charge $10,901 — part of a file-wide pattern, counted once at the file level
CPT 10081/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,020 exceeds the gross charge $4,087 — part of a file-wide pattern, counted once at the file level
CPT 28735/b
info
mrf_negotiated_above_gross
highest negotiated rate $11,991 exceeds the gross charge $8,479 — part of a file-wide pattern, counted once at the file level
CPT 58740/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,071 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 10120/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,469 exceeds the gross charge $1,896 — part of a file-wide pattern, counted once at the file level
CPT 28825/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $8,239 — part of a file-wide pattern, counted once at the file level
CPT 60100/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,563 — part of a file-wide pattern, counted once at the file level
CPT 28899/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $7,798 — part of a file-wide pattern, counted once at the file level
CPT 61050/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,488 — part of a file-wide pattern, counted once at the file level
CPT 29105/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,020 exceeds the gross charge $645 — part of a file-wide pattern, counted once at the file level
CPT 61055/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $1,295 — part of a file-wide pattern, counted once at the file level
CPT G0269/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,028 exceeds the gross charge $1,362 — part of a file-wide pattern, counted once at the file level
CPT 11000/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $2,979 — part of a file-wide pattern, counted once at the file level
CPT 11005/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,203 exceeds the gross charge $5,570 — part of a file-wide pattern, counted once at the file level
CPT 29126/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $641 — part of a file-wide pattern, counted once at the file level
CPT 62272/b
info
mrf_negotiated_above_gross
highest negotiated rate $3,361 exceeds the gross charge $3,316 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 811 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 22.0M bytes · fetched 2026-08-24 · sha256 01f5334e24c9…

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.