Hospital · CCN 670106

Hca Houston Healthcare Pearland

11100 Shadow Creek Parkway, Pearland, TX 77584 · Brazoria County
Part of HCA Healthcare · 48 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

10 admission types 30 outpatient services price file: ok 4 Medicare-file findings

Billed per dollar paid, all admissions

9.95×

$34.6M billed against $3.5M paid across 224 Medicare discharges; the national figure is 5.03×.

4.1%

of adults in Brazoria County have medical debt in collections

14.9%

uninsured in the county · state 18.8%

$93K

median household income

7.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

36.3%

obesity in the countyⓘ

12.0%

diagnosed diabetes (PLACES)

5.1%

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

$214,778

$17,910

12.0× st 6.7×

280

Acute myocardial infarction, discharged alive with mcc

$133,460

$12,999

10.3× st 6.9×

291

Heart failure and shock with mcc

$93,033

$11,762

7.9× st 5.8×

682

Renal failure with mcc

$85,483

$12,579

6.8× st 6.2×

683

Renal failure with cc

$63,121

$8,397

7.5× st 5.8×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$110,249

$11,606

9.5× st 5.7×

189

Pulmonary edema and respiratory failure

$137,224

$11,036

12.4× st 5.6×

193

Simple pneumonia and pleurisy with mcc

$165,236

$11,721

14.1× st 6.5×

177

Respiratory infections and inflammations with mcc

$114,768

$13,706

8.4× st 6.1×

467

Revision of hip or knee replacement with cc

$371,134

$51,657

7.2× st 9.4×

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

5191

Level 1 Endovascular Procedures

$46,440

$3,027

15.3×

5193

Level 3 Endovascular Procedures

$134,379

$10,192

13.2×

8011

Comprehensive Observation Services

$53,711

$2,538

21.2×

5194

Level 4 Endovascular Procedures

$232,999

$15,381

15.1×

5223

Level 3 Pacemaker and Similar Procedures

$118,622

$9,894

12.0×

5183

Level 3 Vascular Procedures

$50,892

$2,956

17.2×

5414

Level 4 Gynecologic Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

5362

Level 2 Laparoscopy and Related Services

—

5431

Level 1 Nerve Procedures

—

5373

Level 3 Urology and Related Services

—

5416

Level 6 Gynecologic Procedures

—

5374

Level 4 Urology and Related Services

—

5375

Level 5 Urology and Related Services

—

5378

Level 8 Urology and Related Services

—

5331

Complex GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5302

Level 2 Upper GI Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5112

Level 2 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5115

Level 5 Musculoskeletal Procedures

—

5184

Level 4 Vascular Procedures

—

5192

Level 2 Endovascular Procedures

—

5212

Level 2 Electrophysiologic Procedures

—

5213

Level 3 Electrophysiologic Procedures

—

5231

Level 1 ICD and Similar Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-01, template 3.0.0, 244,300 rows scanned, 17,974 distinct code–setting items kept. 13,703 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported

CPT 0001U

—

$2,117

166

clean

Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo

CPT 0002M

—

$2,071

147

clean

CPT 0003M

—

$2,071

147

clean

Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score

CPT 0005U

—

$3,127

180

clean

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo

CPT 0012M

—

$2,348

164

clean

CPT 0013M

—

$2,348

164

clean

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster

CPT 0015M

—

$3,290

164

clean

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b

CPT 0016M

—

$8,794

164

clean

Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy

CPT 0018U

—

$9,276

164

clean

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo

CPT 0023U

—

$731

166

clean

Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative

CPT 0024U

—

$106

164

clean

Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result ("Positive, high probability of

CPT 0026U

—

$11,124

164

clean

JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15

CPT 0027U

—

$377

164

clean

Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)

CPT 0029U

—

$2,294

164

clean

TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)

CPT 0034U

—

$1,440

164

clean

Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative

CPT 0035U

—

$1,672

164

clean

Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit

CPT 0037U

—

$10,815

168

clean

Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM

CPT 0041U

—

$53

164

clean

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and m

CPT 0042T

—

$1,024

clean

Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG

CPT 0042U

—

$53

164

clean

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

CPT 0043U

—

$46

164

clean

Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG

CPT 0044U

—

$46

164

clean

Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm

CPT 0045U

—

$11,968

164

clean

Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor

CPT 0047U

—

$11,968

164

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

CPT 0054T

—

$2,017

146

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

CPT 0055T

—

$2,017

146

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

CPT 0058U

—

$998

164

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative

CPT 0059U

—

$998

164

clean

Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis

CPT 0061U

—

$78

164

clean

Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative

CPT 0064U

—

$92

166

clean

Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR)

CPT 0065U

—

$53

166

clean

Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species

CPT 0068U

—

$419

166

clean

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel

CPT 0075T

—

$10,740

125

clean

Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype

CPT 0077U

—

$94

166

clean

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet

CPT 0080U

—

$10,877

164

clean

Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es)

CPT 0089U

—

$2,348

164

clean

Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori

CPT 0090U

—

$6,026

164

clean

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

CPT 0101T

—

$5,951

133

clean

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San

CPT 0101U

—

$4,395

164

clean

Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI

CPT 0105U

—

$2,936

164

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation

CPT 0106T

—

$108

clean

Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat

CPT 0106U

—

$1,618

166

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation

CPT 0107T

—

$108

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia

CPT 0108T

—

$178

clean

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-

CPT 0108U

—

$12,474

164

clean

Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia

CPT 0109T

—

$108

clean

Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene

CPT 0112U

—

$897

164

clean

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f

CPT 0118U

—

$10,012

164

clean

Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events

CPT 0119U

—

$211

164

clean

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A

CPT 0129U

—

$3,667

164

clean

Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens

CPT 0152U

—

$5,358

164

clean

Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results

CPT 0164U

—

$282

164

clean

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili

CPT 0166U

—

$1,556

164

clean

Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a

CPT 0172U

—

$5,606

166

clean

Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil

CPT 0174T

—

$68

clean

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che

CPT 0174U

—

$3,290

164

clean

Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)

CPT 0184T

—

$4,690

237

clean

Daily hospital management of epidural or subarachnoid continuous drug administration

CPT 01996

—

$4,690

clean

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w

CPT 0200T

—

$6,800

133

clean

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when

CPT 0201T

—

$6,800

133

clean

Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i

CPT 0202T

—

$5,841

211

clean

Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua

CPT 0202U

—

$417

clean

Neurology Alzheimer Disease Cell Aggregation

CPT 0206U

—

$5,583

164

clean

Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral

CPT 0207T

—

$1,899

182

clean

Neurology Alzheimer Disease Quantitative Imaging

CPT 0207U

—

$1,288

164

clean

Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed

CPT 0232T

—

$2,181

221

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel

CPT 0237T

—

$4,690

237

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel

CPT 0238T

$108,771

$6,526

254

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec

CPT 0239U

—

$10,290

166

clean

Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det

CPT 0240U

—

$318

clean

Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper resp spec, ea pathogen rep as det or not det

CPT 0241U

—

$318

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra

CPT 0242U

—

$9,250

166

clean

Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna

CPT 0245U

—

$3,563

164

clean

Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden

CPT 0250U

—

$10,115

166

clean

Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programmin

CPT 0266T

—

$16,207

clean

Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed)

CPT 0268T

—

$13,835

clean

Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and prog

CPT 0272T

—

$447

clean

CPT 0273T

—

$447

clean

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde

CPT 0275T

—

$9,653

clean

Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)

CPT 0278T

—

$1,120

clean

Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb

CPT 0288U

—

$9,760

164

clean

Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo

CPT 0295U

—

$7,803

164

clean

Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD

CPT 0308U

—

$985

164

clean

Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported

CPT 0309U

—

$985

164

clean

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi

CPT 0311U

—

$25

166

clean

Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl

CPT 0312U

—

$2,427

164

clean

Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm

CPT 0315U

—

$8,500

clean

Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection

CPT 0320U

—

$2,650

clean

Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang

CPT 0326U

—

$5,000

clean

Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation

CPT 0329U

—

$3,438

clean

Tear film imaging, unilateral or bilateral, with interpretation and report

CPT 0330T

—

$114

clean

Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,

CPT 0334U

—

$10,815

164

clean

Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19

CPT 0337U

—

$2,435

clean

Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark

CPT 0338U

—

$2,435

clean

Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r

CPT 0339T

—

$4,988

219

clean

Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a

CPT 0339U

—

$3,127

164

clean

Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p

CPT 0340U

—

$12,113

164

clean

Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato

CPT 0344U

—

$792

clean

Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0345U

—

$3,367

164

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes

CPT 0347U

—

$3,367

164

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes

CPT 0348U

—

$1,871

164

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions

CPT 0349U

—

$1,871

164

clean

Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)

CPT 0350T

—

$322

123

clean

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative

CPT 0351T

—

$8,013

clean

Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor

CPT 0351U

—

$482

166

clean

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred

CPT 0352T

—

$2,186

clean

Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate

CPT 0352U

—

$636

clean

Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte

CPT 0353U

—

$313

clean

Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants

CPT 0355U

—

$137

clean

Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence

CPT 0356U

—

$1,800

clean

Bioelectrical impedance analysis whole body composition assessment, with interpretation and report

CPT 0358T

—

$74

clean

Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative

CPT 0358U

—

$261

clean

Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer

CPT 0359U

—

$783

103

clean

Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy

CPT 0360U

—

$866

103

clean

Neurofilament light chain, digital immunoassay, plasma, quantitative

CPT 0361U

—

$4,690

clean

Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking

CPT 0363U

—

$783

103

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer

CPT 0365U

—

$897

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer

CPT 0366U

—

$897

clean

Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1

CPT 0375U

—

$897

clean

Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta

CPT 0376U

—

$706

clean

Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical suppor

CPT 0379T

—

$108

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange

CPT 0379U

—

$3,289

clean

Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f

CPT 0388U

—

$3,500

clean

Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative

CPT 0393U

—

$541

clean

High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed

CPT 0394T

—

$860

clean

Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative

CPT 0394U

—

$199

clean

High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed

CPT 0395T

—

$2,695

clean

Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when

CPT 0398T

—

$9,875

clean

Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer

CPT 0398U

—

$1,755

clean

Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed

CPT 0402T

—

$2,727

237

clean

Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer

CPT 0403U

—

$760

clean

Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression

CPT 0404U

—

$323

clean

Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer

CPT 0406U

—

$760

clean

Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas

CPT 0407U

—

$950

clean

Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator

CPT 0408T

—

$15,976

138

clean

Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite

CPT 0409U

—

$2,920

clean

Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0411U

—

$1,336

clean

Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5

CPT 0415U

—

$391

clean

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including

CPT 0417T

—

$117

clean

Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable cardiac contractility modulation syste

CPT 0418T

—

$117

clean

Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or

CPT 0421T

—

$3,106

205

clean

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D

CPT 0422U

—

$1,943

clean

Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative

CPT 0430U

—

$62

clean

Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative

CPT 0431U

—

$37

clean

Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative

CPT 0432U

—

$37

clean

Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer

CPT 0433U

—

$760

clean

Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes

CPT 0434U

—

$417

clean

Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure)

CPT 0437T

—

$2,099

144

clean

Myocardial contrast perfusion echocardiography, at rest or with stress, for assessment of myocardial ischemia or viability (List separately in addition to code for primary procedure)

CPT 0439T

—

$313

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve

CPT 0441T

—

$3,525

221

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)

CPT 0442T

—

$4,690

221

clean

Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid

CPT 0443U

—

$116

clean

Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training

CPT 0446T

—

$2,299

221

clean

Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision

CPT 0447T

—

$2,181

221

clean

Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation

CPT 0448T

—

$2,299

221

clean

Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device

CPT 0449T

—

$4,690

221

clean

Visual evoked potential, testing for glaucoma, with interpretation and report

CPT 0464T

—

$386

clean

Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68

CPT 0473U

—

$4,500

clean

Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array

CPT 0475U

—

$1,304

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children

CPT 0479T

—

$2,181

213

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther

CPT 0480T

—

$2,181

156

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed

CPT 0483T

—

$10,964

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)

CPT 0484T

—

$10,964

clean

Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral

CPT 0485T

—

$114

clean

Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc

CPT 0485U

—

$3,649

clean

Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral

CPT 0486T

—

$114

clean

Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio

CPT 0494T

—

$10,740

109

clean

Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu

CPT 0495T

—

$9,457

clean

Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso

CPT 0505T

—

$4,690

213

clean

Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or bilateral, with interpretation and report

CPT 0507T

—

$187

clean

Electroretinography (ERG) with interpretation and report, pattern (PERG)

CPT 0509T

—

$163

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound

CPT 0512T

—

$2,428

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure)

CPT 0513T

—

$1,702

clean

Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp

CPT 0523T

—

$1,702

clean

Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system

CPT 0525T

—

$5,143

213

clean

Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report

CPT 0528T

—

$101

clean

Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report

CPT 0529T

—

$101

clean

Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report

CPT 0546T

—

$142

clean

Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional

CPT 0552T

—

$2,631

clean

Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide

CPT 0561T

—

$125

clean

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

CPT 0562T

—

$77

clean

Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral

CPT 0563T

—

$2,017

213

clean

Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis

CPT 0569T

—

$9,913

clean

Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)

CPT 0570T

—

$9,913

clean

Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre

CPT 0571T

—

$4,742

205

clean

Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with iterative adjustment of the implantable device to test the function of the de

CPT 0575T

—

$101

clean

Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care p

CPT 0576T

—

$101

clean

Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualifi

CPT 0578T

—

$101

clean

Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, t

CPT 0579T

—

$101

clean

Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral

CPT 0581T

—

$4,197

213

clean

Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wi

CPT 0590T

—

$316

clean

Health and well-being coaching face-to-face; individual, initial assessment

CPT 0591T

—

$81

clean

Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes

CPT 0592T

—

$165

clean

Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)

CPT 0598T

—

$595

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous

CPT 0600T

—

$4,690

213

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open

CPT 0601T

—

$4,690

213

clean

Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su

CPT 0605T

—

$84

clean

Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture,

CPT 0607T

—

$374

clean

Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture,

CPT 0608T

—

$117

clean

Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens

CPT 0616T

—

$4,690

clean

Showing the first 200 of 17,974 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

209 of 1,083 comparable items (19%) 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 $21,837 exceeds the gross charge $15,225

warn

mrf_rate_without_estimate

10,105 of 10,105 percentage/algorithm rates across 2,754 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 0105U/o

info

mrf_item_fields_vary

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

CPT 0314U/o

info

mrf_item_fields_vary

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

CPT 0516T/o

info

mrf_item_fields_vary

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

CPT 0862T/o

info

mrf_item_fields_vary

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

CPT 15001/o

info

mrf_item_fields_vary

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

CPT 19271/o

info

mrf_item_fields_vary

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

CPT 21300/o

info

mrf_item_fields_vary

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

CPT 23184/o

info

mrf_item_fields_vary

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

CPT 25295/o

info

mrf_item_fields_vary

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

CPT 26720/o

info

mrf_item_fields_vary

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

CPT 27502/o

info

mrf_item_fields_vary

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

CPT 28297/o

info

mrf_item_fields_vary

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

CPT 30545/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 32552/o

info

mrf_item_fields_vary

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

CPT 33536/o

info

mrf_item_fields_vary

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

CPT 35103/o

info

mrf_item_fields_vary

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

CPT 36489/o

info

mrf_item_fields_vary

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

CPT 38120/o

info

mrf_item_fields_vary

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

CPT 42844/o

info

mrf_item_fields_vary

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

CPT 44121/o

info

mrf_item_fields_vary

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

CPT 46604/o

info

mrf_item_fields_vary

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

CPT 49442/o

info

mrf_item_fields_vary

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

CPT 51597/o

info

mrf_item_fields_vary

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

CPT 54420/o

info

mrf_item_fields_vary

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

CPT 57531/o

info

mrf_item_fields_vary

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

CPT 61345/o

info

mrf_item_fields_vary

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

CPT 63040/o

info

mrf_item_fields_vary

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

CPT 64755/o

info

mrf_item_fields_vary

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

CPT 67413/o

info

mrf_item_fields_vary

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

CPT 70486/o

info

mrf_item_fields_vary

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

CPT 75756/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78102/o

info

mrf_item_fields_vary

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

CPT 80402/o

info

mrf_item_fields_vary

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

CPT 81406/o

info

mrf_item_fields_vary

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

CPT 82952/o

info

mrf_item_fields_vary

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

CPT 85032/o

info

mrf_item_fields_vary

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

CPT 86713/o

info

mrf_item_fields_vary

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

CPT 87526/o

info

mrf_item_fields_vary

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

CPT 89329/o

info

mrf_item_fields_vary

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

CPT 93566/o

info

mrf_item_fields_vary

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

CPT A4238/o

info

mrf_item_fields_vary

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

CPT C7504/o

info

mrf_item_fields_vary

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

CPT E0466/o

info

mrf_item_fields_vary

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

CPT E1822/o

info

mrf_item_fields_vary

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

CPT J0168/o

info

mrf_item_fields_vary

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

CPT J1427/o

info

mrf_item_fields_vary

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

CPT J2793/o

info

mrf_item_fields_vary

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

CPT J8705/o

info

mrf_item_fields_vary

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

CPT K0829/o

info

mrf_item_fields_vary

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

CPT Q4258/o

info

mrf_item_fields_vary

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

CPT S2411/o

info

mrf_item_fields_vary

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

MS-DRG 300/i

info

mrf_item_fields_vary

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

MS-DRG 605/i

info

mrf_item_fields_vary

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

MS-DRG 955/i

info

mrf_item_fields_vary

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

CPT 0106U/o

info

mrf_item_fields_vary

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

CPT 0315T/o

info

mrf_item_fields_vary

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

CPT 0516U/o

info

mrf_item_fields_vary

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

CPT 0863T/o

info

mrf_item_fields_vary

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

CPT 15002/o

info

mrf_item_fields_vary

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

CPT 19272/o

info

mrf_item_fields_vary

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

CPT 21310/o

info

mrf_item_fields_vary

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

CPT 23190/o

info

mrf_item_fields_vary

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

CPT 25300/o

info

mrf_item_fields_vary

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

CPT 26725/o

info

mrf_item_fields_vary

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

CPT 27503/o

info

mrf_item_fields_vary

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

CPT 28298/o

info

mrf_item_fields_vary

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

CPT 30560/o

info

mrf_item_fields_vary

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

CPT 32553/o

info

mrf_item_fields_vary

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

CPT 33542/o

info

mrf_item_fields_vary

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

CPT 35111/o

info

mrf_item_fields_vary

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

CPT 36490/o

info

mrf_item_fields_vary

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

CPT 38129/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 42845/o

info

mrf_item_fields_vary

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

CPT 44125/o

info

mrf_item_fields_vary

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

CPT 46606/o

info

mrf_item_fields_vary

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

CPT 49446/o

info

mrf_item_fields_vary

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

CPT 51600/o

info

mrf_item_fields_vary

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

CPT 54430/o

info

mrf_item_fields_vary

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

CPT 57540/o

info

mrf_item_fields_vary

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

CPT 61440/o

info

mrf_item_fields_vary

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

CPT 63042/o

info

mrf_item_fields_vary

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

CPT 64760/o

info

mrf_item_fields_vary

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

CPT 67414/o

info

mrf_item_fields_vary

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

CPT 70487/o

info

mrf_item_fields_vary

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

CPT 75774/o

info

mrf_item_fields_vary

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

CPT 78103/o

info

mrf_item_fields_vary

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

CPT 80406/o

info

mrf_item_fields_vary

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

CPT 81407/o

info

mrf_item_fields_vary

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

CPT 82955/o

info

mrf_item_fields_vary

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

CPT 85041/o

info

mrf_item_fields_vary

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

CPT 86717/o

info

mrf_item_fields_vary

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

CPT 87527/o

info

mrf_item_fields_vary

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

CPT 89330/o

info

mrf_item_fields_vary

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

CPT A4253/o

info

mrf_item_fields_vary

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

CPT C7505/o

info

mrf_item_fields_vary

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

CPT E0467/o

info

mrf_item_fields_vary

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

CPT E1823/o

info

mrf_item_fields_vary

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

CPT J0169/o

info

mrf_item_fields_vary

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

CPT J1428/o

info

mrf_item_fields_vary

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

CPT J2794/o

info

mrf_item_fields_vary

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

CPT J9000/o

info

mrf_item_fields_vary

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

CPT K0835/o

info

mrf_item_fields_vary

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

CPT Q4259/o

info

mrf_item_fields_vary

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

CPT S2900/o

info

mrf_item_fields_vary

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

MS-DRG 301/i

info

mrf_item_fields_vary

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

MS-DRG 606/i

info

mrf_item_fields_vary

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

MS-DRG 956/i

info

mrf_item_fields_vary

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

CPT 0107U/o

info

mrf_item_fields_vary

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

CPT 0315U/o

info

mrf_item_fields_vary

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

CPT 0517T/o

info

mrf_item_fields_vary

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

CPT 0864T/o

info

mrf_item_fields_vary

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

CPT 15003/o

info

mrf_item_fields_vary

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

CPT 19281/o

info

mrf_item_fields_vary

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

CPT 21315/o

info

mrf_item_fields_vary

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

CPT 23195/o

info

mrf_item_fields_vary

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

CPT 25301/o

info

mrf_item_fields_vary

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

CPT 26727/o

info

mrf_item_fields_vary

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

CPT 27506/o

info

mrf_item_fields_vary

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

CPT 28299/o

info

mrf_item_fields_vary

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

CPT 30580/o

info

mrf_item_fields_vary

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

CPT 32554/o

info

mrf_item_fields_vary

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

CPT 33545/o

info

mrf_item_fields_vary

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

CPT 35112/o

info

mrf_item_fields_vary

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

CPT 36491/o

info

mrf_item_fields_vary

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

CPT 38200/o

info

mrf_item_fields_vary

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

CPT 42860/o

info

mrf_item_fields_vary

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

CPT 44126/o

info

mrf_item_fields_vary

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

CPT 46607/o

info

mrf_item_fields_vary

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

CPT 49450/o

info

mrf_item_fields_vary

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

CPT 51605/o

info

mrf_item_fields_vary

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

CPT 54435/o

info

mrf_item_fields_vary

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

CPT 57545/o

info

mrf_item_fields_vary

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

CPT 61450/o

info

mrf_item_fields_vary

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

CPT 63043/o

info

mrf_item_fields_vary

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

CPT 64761/o

info

mrf_item_fields_vary

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

CPT 67415/o

info

mrf_item_fields_vary

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

CPT 70488/o

info

mrf_item_fields_vary

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

CPT 75801/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78104/o

info

mrf_item_fields_vary

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

CPT 80408/o

info

mrf_item_fields_vary

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

CPT 81408/o

info

mrf_item_fields_vary

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

CPT 82960/o

info

mrf_item_fields_vary

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

CPT 85044/o

info

mrf_item_fields_vary

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

CPT 86720/o

info

mrf_item_fields_vary

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

CPT 87528/o

info

mrf_item_fields_vary

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

CPT 89331/o

info

mrf_item_fields_vary

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

CPT 93567/o

info

mrf_item_fields_vary

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

CPT A4363/o

info

mrf_item_fields_vary

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

CPT C7506/o

info

mrf_item_fields_vary

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

CPT E0468/o

info

mrf_item_fields_vary

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

CPT E1825/o

info

mrf_item_fields_vary

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

CPT J0171/o

info

mrf_item_fields_vary

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

CPT J1429/o

info

mrf_item_fields_vary

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

CPT J2795/o

info

mrf_item_fields_vary

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

CPT J9015/o

info

mrf_item_fields_vary

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

CPT K0836/o

info

mrf_item_fields_vary

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

CPT Q4260/o

info

mrf_item_fields_vary

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

CPT S4013/o

info

mrf_item_fields_vary

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

MS-DRG 302/i

info

mrf_item_fields_vary

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

MS-DRG 607/i

info

mrf_item_fields_vary

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

MS-DRG 957/i

info

mrf_item_fields_vary

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

CPT 0108U/o

info

mrf_item_fields_vary

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

CPT 0316T/o

info

mrf_item_fields_vary

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

CPT 0517U/o

info

mrf_item_fields_vary

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

CPT 0865T/o

info

mrf_item_fields_vary

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

CPT 15004/o

info

mrf_item_fields_vary

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

CPT 19282/o

info

mrf_item_fields_vary

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

CPT 21320/o

info

mrf_item_fields_vary

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

CPT 23200/o

info

mrf_item_fields_vary

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

CPT 25310/o

info

mrf_item_fields_vary

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

CPT 26735/o

info

mrf_item_fields_vary

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

CPT 27507/o

info

mrf_item_fields_vary

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

CPT 28300/o

info

mrf_item_fields_vary

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

CPT 30600/o

info

mrf_item_fields_vary

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

CPT 32555/o

info

mrf_item_fields_vary

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

CPT 33548/o

info

mrf_item_fields_vary

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

CPT 35121/o

info

mrf_item_fields_vary

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

CPT 36493/o

info

mrf_item_fields_vary

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

CPT 38204/o

info

mrf_item_fields_vary

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

CPT 42870/o

info

mrf_item_fields_vary

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

CPT 44127/o

info

mrf_item_fields_vary

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

CPT 46608/o

info

mrf_item_fields_vary

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

CPT 49451/o

info

mrf_item_fields_vary

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

CPT 51610/o

info

mrf_item_fields_vary

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

CPT 54437/o

info

mrf_item_fields_vary

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

CPT 57550/o

info

mrf_item_fields_vary

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

CPT 61458/o

info

mrf_item_fields_vary

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

CPT 63044/o

info

mrf_item_fields_vary

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

CPT 64763/o

info

mrf_item_fields_vary

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

CPT 67420/o

info

mrf_item_fields_vary

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

CPT 70490/o

info

mrf_item_fields_vary

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

CPT 75803/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 78110/o

info

mrf_item_fields_vary

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

CPT 80410/o

info

mrf_item_fields_vary

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

CPT 81410/o

info

mrf_item_fields_vary

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

CPT 82962/o

info

mrf_item_fields_vary

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

CPT 85045/o

info

mrf_item_fields_vary

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

CPT 86723/o

info

mrf_item_fields_vary

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

Showing the first 200 of 13,703 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 189

info

inp_charge_10x_payment

average charge $137,224 is 12.4× the total payment

MS-DRG 193

info

inp_charge_10x_payment

average charge $165,236 is 14.1× the total payment

MS-DRG 280

info

inp_charge_10x_payment

average charge $133,460 is 10.3× the total payment

MS-DRG 871

info

inp_charge_10x_payment

average charge $214,778 is 12.0× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Hca Houston Healthcare Pearland — standard charges file · TX · updated 2026-03-01
· json · 568.9M bytes · fetched 2026-08-24 · sha256 237c83286712…

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.