Hospital · CCN 670077

Houston Methodist West Hospital

18500 Katy Freeway, Houston, TX 77094 · Harris County
Part of Houston Methodist · 270 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

71 admission types 54 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
6.44×
$214.2M billed against $33.3M paid across 2,460 Medicare discharges; the national figure is 5.03×.
5.1%
of adults in Harris County have medical debt in collections
22.2%
uninsured in the county · state 18.8%
$72K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (38 in the inpatient or outpatient file)ⓘ
37.3%
obesity in the countyⓘ
13.2%
diagnosed diabetes (PLACES)
5.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
380
$99,817
$15,435
6.5× st 6.7×
291
Heart failure and shock with mcc
209
$56,791
$10,321
5.5× st 5.8×
177
Respiratory infections and inflammations with mcc
100
$64,239
$12,460
5.2× st 6.1×
193
Simple pneumonia and pleurisy with mcc
82
$62,142
$10,831
5.7× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
77
$53,212
$8,660
6.1× st 5.8×
189
Pulmonary edema and respiratory failure
62
$66,877
$10,343
6.5× st 5.6×
698
Other kidney and urinary tract diagnoses with mcc
62
$74,032
$12,858
5.8× st 6.1×
689
Kidney and urinary tract infections with mcc
60
$43,438
$9,542
4.6× st 5.6×
690
Kidney and urinary tract infections without mcc
56
$34,687
$7,087
4.9× st 5.2×
682
Renal failure with mcc
55
$56,789
$11,250
5.0× st 6.2×
280
Acute myocardial infarction, discharged alive with mcc
51
$63,666
$12,437
5.1× st 6.9×
683
Renal failure with cc
48
$39,155
$8,024
4.9× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
47
$199,879
$32,730
6.1× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
45
$56,847
$10,517
5.4× st 5.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
44
$39,422
$7,246
5.4× st 6.2×
378
Gastrointestinal hemorrhage with cc
43
$48,625
$8,292
5.9× st 6.2×
308
Cardiac arrhythmia and conduction disorders with mcc
39
$54,234
$9,959
5.4× st 6.6×
377
Gastrointestinal hemorrhage with mcc
38
$84,986
$13,898
6.1× st 7.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
35
$53,389
$8,293
6.4× st 6.9×
603
Cellulitis without mcc
35
$40,325
$7,665
5.3× st 4.9×
552
Medical back problems without mcc
30
$36,616
$8,361
4.4× st 7.0×
389
Gastrointestinal obstruction with cc
29
$42,931
$7,048
6.1× st 5.9×
483
Major joint or limb reattachment procedures of upper extremities
28
$308,892
$24,221
12.8× st 9.7×
314
Other circulatory system diagnoses with mcc
28
$83,796
$15,213
5.5× st 6.1×
309
Cardiac arrhythmia and conduction disorders with cc
27
$32,708
$6,751
4.8× st 6.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
27
$396,201
$45,554
8.7× st 7.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
27
$159,247
$14,946
10.7× st 7.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$79,291
$14,546
5.5× st 7.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
24
$57,100
$12,136
4.7× st 5.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
23
$134,901
$16,237
8.3× st 7.9×
312
Syncope and collapse
22
$33,095
$7,484
4.4× st 7.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$113,227
$14,364
7.9× st 9.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$41,388
$6,845
6.0× st 5.6×
481
Hip and femur procedures except major joint with cc
19
$117,334
$15,830
7.4× st 7.3×
812
Red blood cell disorders without mcc
19
$34,553
$7,806
4.4× st 5.1×
330
Major small and large bowel procedures with cc
19
$136,286
$17,894
7.6× st 6.8×
252
Other vascular procedures with mcc
19
$201,452
$28,887
7.0× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
19
$170,154
$23,938
7.1× st 8.2×
070
Other cerebrovascular disorders with mcc
19
$59,161
$13,583
4.4× st 5.1×
180
Respiratory neoplasms with mcc
19
$82,598
$13,884
5.9× st 7.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$69,904
$11,356
6.2× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$30,544
$5,853
5.2× st 6.7×
644
Endocrine disorders with cc
17
$34,506
$9,246
3.7× st 5.5×
329
Major small and large bowel procedures with mcc
17
$200,396
$30,730
6.5× st 6.4×
163
Major chest procedures with mcc
16
$233,847
$34,233
6.8× st 7.1×
190
Chronic obstructive pulmonary disease with mcc
16
$55,546
$9,013
6.2× st 4.9×
468
Revision of hip or knee replacement without cc/mcc
16
$225,933
$22,664
10.0× st 9.0×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$84,963
$10,956
7.8× st 6.6×
092
Other disorders of nervous system with cc
15
$61,194
$8,740
7.0× st 6.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$83,432
$18,683
4.5× st 6.7×
100
Seizures with mcc
15
$84,376
$13,119
6.4× st 7.0×
638
Diabetes with cc
15
$43,022
$7,789
5.5× st 4.8×
039
Extracranial procedures without cc/mcc
14
$91,317
$9,470
9.6× st 8.2×
304
Hypertension with mcc
14
$49,463
$9,517
5.2× st 6.5×
699
Other kidney and urinary tract diagnoses with cc
14
$41,636
$8,245
5.1× st 5.2×
274
Percutaneous and other intracardiac procedures without mcc
14
$269,135
$24,696
10.9× st 9.3×
394
Other digestive system diagnoses with cc
14
$37,871
$8,054
4.7× st 6.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
14
$392,509
$37,558
10.5× st 7.1×
673
Other kidney and urinary tract procedures with mcc
13
$150,238
$30,097
5.0× st 6.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$137,778
$16,803
8.2× st 7.1×
602
Cellulitis with mcc
13
$68,507
$11,814
5.8× st 5.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$165,343
$28,366
5.8× st 7.8×
194
Simple pneumonia and pleurisy with cc
12
$44,346
$7,138
6.2× st 5.7×
439
Disorders of pancreas except malignancy with cc
12
$34,083
$7,499
4.5× st 6.0×
178
Respiratory infections and inflammations with cc
12
$34,007
$7,831
4.3× st 5.4×
315
Other circulatory system diagnoses with cc
11
$52,227
$8,232
6.3× st 6.3×
811
Red blood cell disorders with mcc
11
$52,537
$11,303
4.6× st 5.9×
164
Major chest procedures with cc
11
$184,721
$19,514
9.5× st 7.7×
388
Gastrointestinal obstruction with mcc
11
$60,712
$12,040
5.0× st 6.5×
870
Septicemia or severe sepsis with mv >96 hours
11
$374,193
$57,746
6.5× st 7.3×
069
Transient ischemia without thrombolytic
11
$40,651
$7,072
5.7× st 9.5×
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
945
$21,408
$2,513
8.5×
5115
Level 5 Musculoskeletal Procedures
255
$116,344
$12,145
9.6×
5114
Level 4 Musculoskeletal Procedures
206
$85,985
$6,544
13.1×
5431
Level 1 Nerve Procedures
176
$26,680
$1,774
15.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
171
$20,683
$1,482
14.0×
5112
Level 2 Musculoskeletal Procedures
131
$24,772
$1,449
17.1×
5362
Level 2 Laparoscopy and Related Services
121
$94,719
$9,212
10.3×
5113
Level 3 Musculoskeletal Procedures
116
$47,143
$2,955
16.0×
5375
Level 5 Urology and Related Services
102
$48,668
$4,686
10.4×
5361
Level 1 Laparoscopy and Related Services
94
$57,604
$5,224
11.0×
5191
Level 1 Endovascular Procedures
93
$18,558
$3,003
6.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
77
$34,738
$2,576
13.5×
5183
Level 3 Vascular Procedures
77
$38,981
$2,956
13.2×
5116
Level 6 Musculoskeletal Procedures
65
$224,956
$16,282
13.8×
5374
Level 4 Urology and Related Services
62
$47,819
$3,149
15.2×
5302
Level 2 Upper GI Procedures
60
$13,100
$1,741
7.5×
5213
Level 3 Electrophysiologic Procedures
60
$167,037
$21,966
7.6×
5193
Level 3 Endovascular Procedures
48
$82,498
$9,801
8.4×
5165
Level 5 ENT Procedures
44
$53,284
$5,307
10.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
40
$57,487
$5,926
9.7×
5182
Level 2 Vascular Procedures
39
$16,221
$1,485
10.9×
5465
Level 5 Neurostimulator and Related Procedures
36
$281,513
$28,709
9.8×
5184
Level 4 Vascular Procedures
31
$78,285
$5,096
15.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
30
$49,398
$3,208
15.4×
5194
Level 4 Endovascular Procedures
29
$137,059
$15,667
8.7×
5462
Level 2 Neurostimulator and Related Procedures
28
$37,717
$4,077
9.3×
5223
Level 3 Pacemaker and Similar Procedures
26
$86,305
$9,576
9.0×
5313
Level 3 Lower GI Procedures
24
$19,946
$2,602
7.7×
5192
Level 2 Endovascular Procedures
24
$53,005
$5,300
10.0×
5154
Level 4 Airway Endoscopy
23
$42,564
$3,472
12.3×
5155
Level 5 Airway Endoscopy
21
$76,211
$6,346
12.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
21
$37,717
$3,534
10.7×
5373
Level 3 Urology and Related Services
21
$31,799
$1,817
17.5×
5414
Level 4 Gynecologic Procedures
18
$33,638
$2,771
12.1×
5415
Level 5 Gynecologic Procedures
13
$62,118
$4,612
13.5×
5376
Level 6 Urology and Related Services
12
$69,728
$7,984
8.7×
5153
Level 3 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5432
Level 2 Nerve 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, 29,461 rows scanned, 18,622 distinct code–setting items kept. 3,576 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$781
12
clean
Liver dis 10 assays w/ash
—
—
$546
12
clean
Liver dis 10 assays w/nash
—
—
$546
12
clean
Onco prst8 3 gene ur alg
—
—
$825
12
clean
Onc mrna 5 gen rsk urthl ca
—
—
$825
12
clean
Onc mrna 5 gen recr urthl ca
—
—
$825
12
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,416
12
clean
Onc bladder mrna 209 gen alg
—
—
$3,699
12
clean
Onc thyr 10 microrna seq alg
—
—
$3,257
12
clean
Onc aml dna detcj/nondetcj
—
—
$270
12
clean
Glyca nuc mr spectrsc quan
—
—
$37
12
clean
Onc thyr dna&mrna 112 genes
—
—
$3,906
12
clean
Jak2 gene trgt seq alys
—
—
$132
12
clean
Rx metab advrs trgt seq alys
—
—
$805
12
clean
Tpmt nudt15 genes
—
—
$506
12
clean
Neuro csf prion prtn qual
—
—
$587
12
clean
HC FOUNDATION ONE CDX PROFILE
$4,326
$2,163
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,798
12
clean
B brgdrferi antb 5 prtn igm
—
—
$19
12
clean
Ct perfusion w/contrast cbf
—
—
$388
1
clean
HC CT CEREBRAL PERF ANLYS W CONTRAST
$2,080
$1,040
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$19
12
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
12
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
12
clean
Onc brst dux carc is 12 gene
—
—
$4,202
12
clean
Onc prst8 mrna 17 gene alg
—
—
$4,202
12
clean
Bone srgry cmptr fluor image
—
—
$4,610
1
clean
Bone srgry cmptr ct/mri imag
—
—
$4,610
1
clean
Onc merkel cll carc srm quan
—
—
$350
12
clean
HC MERKEL CELL PANEL
$683
$342
—
0
clean
Onc merkel cll carc srm +/-
—
—
$350
12
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$27
12
clean
Antb tp total&rpr ia qual
—
—
$34
12
clean
Syfls tst nontreponemal antb
—
—
$20
12
clean
Candida species pnl amp prb
—
—
$155
12
clean
Perq Stent/Chest Vert Art
—
—
$15,912
5
clean
HC EXTRCRAN VERTEB STENT PLMT INI
$18,761
$9,381
—
0
clean
Ig paraprotein qual bld/ur
—
—
$47
12
clean
Onc lng 5 clin rsk factr alg
—
—
$3,819
12
clean
Onc mlnma prame & linc00518
—
—
$825
12
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,116
12
clean
Extracorp shockwv tx hi enrg
—
—
$489
18
clean
Hered colon ca do 15 genes
—
—
$1,892
12
clean
Neph ckd mult eclia tum nec
—
—
$1,031
12
clean
Touch Quant Sensory Test
—
—
$41
12
clean
Gstr emptg 7 timed brth spec
—
—
$927
12
clean
Vibrate Quant Sensory Test
—
—
$41
12
clean
Cool Quant Sensory Test
—
—
$64
12
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,247
12
clean
Heat Quant Sensory Test
—
—
$41
12
clean
Iadi 16s&18s rrna genes
—
—
$378
12
clean
Trnsplj don-drv cll-fr dna
—
—
$2,987
12
clean
Crd ceramides liq chrom plsm
—
—
$91
12
clean
Hered brst ca rltd do panel
—
—
$1,415
12
clean
Nfct bct fng prst dna >1000
—
—
$2,254
12
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$119
12
clean
Liver ds 10 biochem asy srm
—
—
$546
12
clean
Onc sld tum alys brca1 brca2
—
—
$3,212
12
clean
Cad cxr with interp
—
—
$74
1
clean
Onc solid tumor 30 prtn trgt
—
—
$1,416
12
clean
Exc rectal tumor endoscopic
—
—
$9,047
16
clean
HC SACROPLASTY UNILATERAL
$16,999
$8,500
—
0
clean
Perq sacral augmt unilat inj
—
—
$8,018
13
clean
Perq sacral augmt bilat inj
—
—
$8,018
13
clean
HC SACROPLASTY BILATERAL
$16,298
$8,149
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$13,542
13
clean
Nfct ds 22 trgt sars-cov-2
—
—
$452
12
clean
HC RPP- NFCT DS 22 TRGT SARS-COV-2
$3,044
$1,522
—
0
clean
Neuro alzheimer cell aggregj
—
—
$2,348
12
clean
Clear eyelid gland w/heat
—
—
$143
13
clean
Neuro alzheimer quan imaging
—
—
$570
1
clean
HC INJECTION PRP W/IMAGE GUIDANCE
$2,423
$1,212
—
0
clean
Njx platelet plasma
—
—
$494
13
clean
Trluml perip athrc brchiocph
—
—
$12,409
13
clean
HC PERIPH ATHRC BRCHIOCEPH EA VES
$10,697
$5,349
—
0
clean
Trluml perip athrc iliac art
—
—
$19,704
13
clean
HC TRLUML PERIP ATHR ILIAC ART EA
$70,774
$35,387
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,798
12
clean
Nfct ds vir resp rna 3 trgt
—
—
$593
1
clean
Nfct ds vir resp rna 4 trgt
—
—
$593
1
clean
Trgt gen seq alys pnl 55-74
—
—
$5,300
12
clean
Onc thyr mut alys 10 gen&37
—
—
$1,374
12
clean
Onc sld org neo dna 505 gene
—
—
$3,168
12
clean
Implt/rpl crtd sns dev total
—
—
$34,339
2
clean
Implt/rpl crtd sns dev gen
—
—
$34,339
2
clean
Interrogate crtd sns dev
—
—
$432
1
clean
Interrogate crtd sns w/pgrmg
—
—
$432
1
clean
Perq lamot/lam lumbar
—
—
$25,663
5
clean
Tempr
—
—
$176
14
clean
Onc lung mrna quan pcr 11&3
—
—
$4,105
12
clean
Onc brst dux carc 7 proteins
—
—
$5,761
12
clean
Crd cad alys 3 prtn plsm alg
—
—
$414
12
clean
Crd cv ds aly 4 prtn plm alg
—
—
$414
12
clean
Nfct ds bct quan antmcrb sc
—
—
$9
12
clean
Ai ds sle alys 8 igg autoant
—
—
$912
12
clean
Onc cutan sq cll ca mrna 40
—
—
$9,010
12
clean
Neph rna psttrnspl perph bld
—
—
$2,875
12
clean
Trgt gen seq alys pnl 83+
—
—
$5,425
12
clean
Onc neo xome&trns seq alys
—
—
$3,644
12
clean
Tear film img uni/bi w/i&r
—
—
$41
12
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,798
12
clean
Onc plsm cell do&myeloma id
—
—
$2,642
12
clean
Onc sld tum crcg tum cl slct
—
—
$2,581
12
clean
Trnscth renal symp denrv bil
—
—
$6,289
13
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$825
12
clean
Onc pan ca alys mrd plasma
—
—
$3,895
12
clean
Hep nafld semiq evl 28 lipid
—
—
$840
12
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
12
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,450
12
clean
Rx metab/pcx dna 25 gen alys
—
—
$805
12
clean
Rx metab/pcx dna 27gen rx ia
—
—
$805
12
clean
RSA lower extr exam
—
—
$95
12
clean
Nfct ds bct/viral trail ip10
—
—
$283
12
clean
Apol1 risk variants
—
—
$149
12
clean
Onc orop 17 dna ddpcr alg
—
—
$1,908
12
clean
BIA whole body
—
—
$32
12
clean
Neuro alys b-amyl 1-42&1-40
—
—
$283
12
clean
Onc prst8 ca alys all psa
—
—
$825
12
clean
Onc lung elisa 7 autoant alg
—
—
$912
12
clean
Neurflmnt lt chn dig ia quan
—
—
$72
1
clean
Onc urthl mrna 5 gen alg
—
—
$825
12
clean
Onc bldr 10 prb bldr ca
—
—
$973
12
clean
Onc bldr 10 prb recr bldr ca
—
—
$973
12
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$973
12
clean
Onc prst8 ca img alys 128
—
—
$766
12
clean
Vis field assmnt tech suppt
—
—
$41
12
clean
Tgsap sl or neo dna523&rna55
—
—
$3,568
12
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,710
12
clean
Neu prksn msfl ?-syncln prtn
—
—
$587
12
clean
Hdr elctrnc skn surf brchytx
—
—
$936
1
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$211
12
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$759
12
clean
Gi baret esph dna mthyln aly
—
—
$1,860
12
clean
Collagen crosslinking cornea
—
—
$2,556
13
clean
Onc prst8 mrna 18 gen dre ur
—
—
$806
12
clean
Onc brst semiq meas thym kn
—
—
$350
12
clean
Onc lung flow cytmtry 5 mrk
—
—
$825
12
clean
Neph dbtc ckd mult eclia alg
—
—
$1,031
12
clean
Insj/rplc cardiac modulj sys
—
—
$33,739
13
clean
HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$66,349
$33,175
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$3,168
12
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
12
clean
Cv ds acs bld alg 5 yr score
—
—
$414
12
clean
Prgrmg eval cardiac modulj
—
—
$41
12
clean
Interro eval cardiac modulj
—
—
$41
12
clean
Waterjet prostate abltj cmpl
—
—
$9,044
4
clean
Onc pan solid tum alys dna
—
—
$2,060
12
clean
Gi malabs aat calpro pncrtc
—
—
$67
12
clean
Gly rcptr alpha1 igg srm/csf
—
—
$40
12
clean
HC GLYCINE ALPHA1 LCBA, S
$638
$319
—
0
clean
Klhl11 antb sr/csf asy qual
—
—
$40
12
clean
Onc prst8 5 dna reg mrk pcr
—
—
$825
12
clean
Rx metab advrs vrnt alys 25
—
—
$452
12
clean
Impltj synth rnfcmt abdl wal
—
—
$4,610
1
clean
Myocrd contrast prfuj echo
—
—
$302
1
clean
Abltj perc lxtr/perph nrv
—
—
$2,158
13
clean
HC ABLATION PERC IMG GUIDE PLEX/TRNCL NERVE
$27,700
$13,850
—
0
clean
Abltj perc plex/trncl nrv
—
—
$9,697
13
clean
Neurflmnt lt chn ultrsens ia
—
—
$123
12
clean
Insj impltbl glucose sensor
—
—
$4,472
13
clean
Rmvl impltbl glucose sensor
—
—
$222
13
clean
Remvl insj impltbl gluc sens
—
—
$4,472
13
clean
Insj aqueous drain dev 1st
—
—
$5,880
13
clean
Visual ep test for glaucoma
—
—
$140
12
clean
Onc sld tum bld/slv 648 gene
—
—
$4,883
12
clean
Hered prst8 ca gsap 23 genes
—
—
$1,415
12
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$817
15
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$7,316
3
clean
Tmvi percutaneous approach
—
—
$6,738
4
clean
Tmvi transthoracic exposure
—
—
$6,738
4
clean
Oct mid ear i&r unilateral
—
—
$41
12
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,868
12
clean
Oct mid ear i&r bilateral
—
—
$41
12
clean
Prep & cannulj cdvr don lung
—
—
$6,738
4
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$4,371
2
clean
Ev fempop artl revsc
—
—
$12,409
13
clean
Near ifr 2img mibmn glnd i&r
—
—
$64
12
clean
Pattern erg w/i&r
—
—
$235
12
clean
Esw integ wnd hlg 1st wnd
—
—
$329
15
clean
Esw integ wnd hlg ea addl
—
—
$7,429
4
clean
Ntrapx c ffr w/3d funcjl map
—
—
$4,610
1
clean
Insj/rplcmt compl iims
—
—
$20,704
13
clean
Prgrmg dev eval iims ip
—
—
$41
12
clean
Interrog dev eval iims ip
—
—
$41
12
clean
Rf spectrsc ntraop mrgn asmt
—
—
$166
1
clean
Low-level laser therapy
—
—
$70
1
clean
Antmc guide 3d print 1st gd
—
—
$145
12
clean
Antmc guide 3d print ea addl
—
—
$74
1
clean
Evac meibomian glnd heat bi
—
—
$65
13
clean
Ttvr perq appr 1st prosth
—
—
$4,371
2
clean
Ttvr perq ea addl prosth
—
—
$4,371
2
clean
Insj/rplcmt icds ss eltrd
—
—
$33,739
13
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRD
$89,547
$44,774
—
0
clean
Prgrmg dev eval icds ss ip
—
—
$41
12
clean
HC PROG DEV EVAL ICDS W/SS ELTRD (IN PERSON)
$101
$51
—
0
clean
Interrog dev eval icds ss ip
—
—
$41
12
clean
HC INTERROG DEV EVAL ICDS W/SS ELTRD (IN PERSON)
$101
$51
—
0
clean
Rem interrog dev icds phys
—
—
$98
1
clean
Rem interrog dev icds tech
—
—
$41
12
clean
HC INTERROG DEV EVAL REMOTE SS LEAD ICDS <90D
$13,391
$6,696
—
0
clean

Showing the first 200 of 18,622 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
35,560 of 35,560 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80285/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 82507/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 84460/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 86644/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 80299/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 82523/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 84478/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 86645/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 87556/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 80307/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 50690/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 86651/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 82533/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 84481/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 87581/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 86652/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 82542/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 86653/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 87591/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 82550/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 86654/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 81005/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 84520/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 87624/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 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86663/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 82570/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 87633/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 84560/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 86664/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 86665/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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A4618/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 81120/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 86671/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 A4648/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81121/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 86677/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 87653/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 84620/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 87661/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 84681/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 C1725/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 71555/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 81177/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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/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 86695/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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82664/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 C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86696/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 87799/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 C1750/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 82670/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 87801/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 85004/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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87880/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 86703/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 C1752/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 87899/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 81201/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 85025/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 86706/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 81203/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 87902/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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82726/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 81206/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 85041/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 86708/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 82728/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 87910/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 C1830/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 81207/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 86710/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 C1886/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 81210/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 C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81219/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 85130/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 C1889/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 82775/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 88120/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 85210/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 C1892/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 82784/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 86735/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 93668/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 81223/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 85220/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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82785/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 88173/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 85240/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 81227/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 88182/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 C2618/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 82803/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 85246/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 88184/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 93799/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 C2628/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 86762/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 85247/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 88185/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86765/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 85260/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 86768/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 81235/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 85270/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 81241/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 86778/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 88262/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 72198/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 85300/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 86780/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 81246/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 82977/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 88264/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 86787/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 88271/b
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85306/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 88273/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 81261/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 83010/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 88275/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85335/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 86800/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 81264/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 88280/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 85347/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 81265/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 83020/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 86807/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 83021/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 86825/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 81270/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 88305/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 81272/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 85384/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 86832/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 88307/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 81275/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 85390/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 86833/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 85397/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 86850/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 88313/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 81301/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 86870/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 86880/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 88325/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 83516/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 85520/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 86891/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 81311/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 4 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 81314/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 88341/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 86901/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 85576/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 88342/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 83540/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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88346/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 83605/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 85613/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 88348/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 36415/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 83615/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 88350/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 81340/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 85660/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 88360/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 83630/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 81342/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 85670/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 87015/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 88365/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 85730/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 87040/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 83690/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 88366/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 81373/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 83695/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 87046/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 88367/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 81376/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 87070/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88368/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 87071/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 G0480/b
info
mrf_item_fields_vary
this code and setting cover at least 57 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,576 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 267
info
inp_charge_10x_payment
average charge $392,509 is 10.5× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $269,135 is 10.9× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $159,247 is 10.7× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $308,892 is 12.8× the total payment

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 · 64.8M bytes · fetched 2026-08-23 · sha256 ce636213d089…

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.