Hospital · CCN 350015
Sanford Medical Center Bismarck
300 N 7th St, Bismarck, ND 58506
Part of Sanford Health · 223 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
88 admission types 58 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
3.18×
$124.2M billed against $39.1M paid across 2,536 Medicare discharges; the national figure is 5.03×.
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
152
$48,032
$15,753
3.0× st 3.1×
291
Heart failure and shock with mcc
129
$27,592
$10,253
2.7× st 3.0×
280
Acute myocardial infarction, discharged alive with mcc
125
$37,631
$12,771
2.9× st 3.0×
177
Respiratory infections and inflammations with mcc
119
$39,986
$13,352
3.0× st 3.1×
193
Simple pneumonia and pleurisy with mcc
80
$32,323
$10,609
3.0× st 2.9×
274
Percutaneous and other intracardiac procedures without mcc
71
$74,000
$24,185
3.1× st 3.3×
378
Gastrointestinal hemorrhage with cc
58
$25,655
$7,731
3.3× st 3.2×
189
Pulmonary edema and respiratory failure
56
$32,345
$10,140
3.2× st 3.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
51
$26,580
$11,207
2.4× st 2.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
50
$147,784
$35,962
4.1× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
48
$37,763
$12,981
2.9× st 2.9×
683
Renal failure with cc
46
$20,073
$7,236
2.8× st 2.8×
885
Psychoses
43
$35,274
$12,224
2.9× st 2.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$22,797
$6,417
3.6× st 3.1×
690
Kidney and urinary tract infections without mcc
42
$22,457
$7,425
3.0× st 3.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
40
$78,068
$14,477
5.4× st 4.7×
194
Simple pneumonia and pleurisy with cc
36
$21,821
$7,908
2.8× st 2.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$144,007
$40,872
3.5× st 3.0×
481
Hip and femur procedures except major joint with cc
34
$55,603
$16,602
3.3× st 3.3×
682
Renal failure with mcc
34
$35,673
$12,134
2.9× st 3.0×
689
Kidney and urinary tract infections with mcc
34
$26,084
$8,623
3.0× st 2.9×
178
Respiratory infections and inflammations with cc
34
$37,077
$10,820
3.4× st 3.2×
377
Gastrointestinal hemorrhage with mcc
34
$40,318
$14,094
2.9× st 2.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
32
$36,515
$8,495
4.3× st 4.6×
190
Chronic obstructive pulmonary disease with mcc
30
$24,938
$8,998
2.8× st 3.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
29
$27,139
$6,214
4.4× st 3.5×
281
Acute myocardial infarction, discharged alive with cc
29
$23,332
$7,289
3.2× st 3.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
29
$38,637
$16,494
2.3× st 3.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
27
$35,750
$8,750
4.1× st 3.9×
638
Diabetes with cc
25
$21,512
$7,401
2.9× st 3.1×
309
Cardiac arrhythmia and conduction disorders with cc
25
$17,320
$6,073
2.9× st 3.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
25
$102,535
$21,543
4.8× st 4.0×
329
Major small and large bowel procedures with mcc
25
$79,304
$38,250
2.1× st 2.9×
811
Red blood cell disorders with mcc
24
$35,396
$11,390
3.1× st 3.3×
314
Other circulatory system diagnoses with mcc
23
$43,584
$18,464
2.4× st 2.7×
552
Medical back problems without mcc
23
$22,269
$7,631
2.9× st 3.1×
312
Syncope and collapse
22
$24,727
$6,992
3.5× st 3.6×
243
Permanent cardiac pacemaker implant with cc
22
$64,369
$17,224
3.7× st 3.9×
699
Other kidney and urinary tract diagnoses with cc
22
$21,973
$8,271
2.7× st 2.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
22
$31,219
$8,626
3.6× st 2.9×
603
Cellulitis without mcc
21
$23,952
$7,894
3.0× st 2.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
20
$53,649
$16,031
3.3× st 3.3×
480
Hip and femur procedures except major joint with mcc
20
$65,164
$22,388
2.9× st 3.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
19
$102,722
$35,644
2.9× st 3.0×
330
Major small and large bowel procedures with cc
19
$54,931
$19,755
2.8× st 2.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
19
$54,698
$17,759
3.1× st 3.3×
252
Other vascular procedures with mcc
18
$78,805
$27,495
2.9× st 2.7×
236
Coronary bypass without cardiac catheterization without mcc
18
$103,635
$33,854
3.1× st 2.8×
467
Revision of hip or knee replacement with cc
17
$89,286
$26,348
3.4× st 3.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
17
$37,151
$13,898
2.7× st 2.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$35,839
$11,121
3.2× st 3.3×
039
Extracranial procedures without cc/mcc
17
$25,911
$9,414
2.8× st 3.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
17
$29,461
$10,035
2.9× st 3.2×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$33,799
$9,590
3.5× st 3.4×
948
Signs and symptoms without mcc
16
$24,466
$6,479
3.8× st 4.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
16
$23,850
$7,712
3.1× st 3.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
16
$168,124
$45,820
3.7× st 3.7×
389
Gastrointestinal obstruction with cc
16
$17,776
$6,203
2.9× st 3.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
15
$12,660
$4,649
2.7× st 2.9×
025
Craniotomy and endovascular intracranial procedures with mcc
15
$83,025
$33,616
2.5× st 3.5×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$140,074
$44,614
3.1× st 3.2×
176
Pulmonary embolism without mcc
15
$24,896
$7,299
3.4× st 3.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
15
$23,261
$8,135
2.9× st 2.6×
202
Bronchitis and asthma with cc/mcc
14
$19,365
$7,695
2.5× st 2.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
14
$139,468
$37,549
3.7× st 3.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$104,973
$25,395
4.1× st 3.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
14
$113,608
$30,898
3.7× st 3.6×
393
Other digestive system diagnoses with mcc
14
$39,508
$12,726
3.1× st 2.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
14
$36,738
$13,522
2.7× st 3.6×
253
Other vascular procedures with cc
14
$63,172
$23,092
2.7× st 3.0×
271
Other major cardiovascular procedures with cc
14
$87,256
$25,875
3.4× st 3.0×
242
Permanent cardiac pacemaker implant with mcc
13
$62,646
$25,766
2.4× st 3.2×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
13
$70,173
$19,002
3.7× st 3.4×
870
Septicemia or severe sepsis with mv >96 hours
12
$216,249
$66,871
3.2× st 3.2×
070
Other cerebrovascular disorders with mcc
12
$31,046
$13,777
2.3× st 3.4×
180
Respiratory neoplasms with mcc
12
$45,391
$15,345
3.0× st 3.7×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
12
$59,403
$12,452
4.8× st 3.7×
454
Combined anterior and posterior spinal fusion with cc
12
$102,061
$45,045
2.3× st 2.3×
652
Kidney transplant
12
$189,342
$37,673
5.0× st 5.4×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$30,001
$10,666
2.8× st 2.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$23,213
$7,289
3.2× st 3.6×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
12
$52,361
$18,311
2.9× st 3.1×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$73,074
$17,579
4.2× st 3.8×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$163,081
$62,518
2.6× st 3.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$58,230
$16,580
3.5× st 2.9×
394
Other digestive system diagnoses with cc
11
$21,680
$7,511
2.9× st 3.0×
300
Peripheral vascular disorders with cc
11
$22,749
$7,682
3.0× st 2.7×
101
Seizures without mcc
11
$24,329
$7,381
3.3× st 3.7×
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
911
$14,643
$2,558
5.7×
5372
Level 2 Urology and Related Services
646
$1,301
$639
2.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
441
$6,315
$1,510
4.2×
5191
Level 1 Endovascular Procedures
339
$22,061
$3,060
7.2×
5373
Level 3 Urology and Related Services
272
$3,682
$1,892
1.9×
5115
Level 5 Musculoskeletal Procedures
219
$35,206
$12,322
2.9×
5183
Level 3 Vascular Procedures
213
$12,090
$2,988
4.0×
5431
Level 1 Nerve Procedures
185
$8,942
$1,810
4.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
167
$10,764
$2,664
4.0×
5114
Level 4 Musculoskeletal Procedures
146
$22,906
$6,707
3.4×
5374
Level 4 Urology and Related Services
129
$12,854
$3,268
3.9×
5193
Level 3 Endovascular Procedures
120
$56,486
$10,166
5.6×
5375
Level 5 Urology and Related Services
114
$20,915
$4,851
4.3×
5302
Level 2 Upper GI Procedures
106
$9,561
$1,784
5.4×
5116
Level 6 Musculoskeletal Procedures
106
$59,339
$17,434
3.4×
5361
Level 1 Laparoscopy and Related Services
104
$19,060
$5,410
3.5×
5182
Level 2 Vascular Procedures
78
$4,826
$1,489
3.2×
5113
Level 3 Musculoskeletal Procedures
77
$9,939
$3,035
3.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
73
$9,879
$3,574
2.8×
5222
Level 2 Pacemaker and Similar Procedures
71
$32,108
$7,965
4.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
68
$24,357
$6,114
4.0×
5223
Level 3 Pacemaker and Similar Procedures
58
$41,383
$10,003
4.1×
5194
Level 4 Endovascular Procedures
56
$86,863
$16,113
5.4×
5153
Level 3 Airway Endoscopy
55
$5,203
$1,577
3.3×
5313
Level 3 Lower GI Procedures
47
$13,274
$2,631
5.0×
5362
Level 2 Laparoscopy and Related Services
44
$42,256
$9,644
4.4×
5112
Level 2 Musculoskeletal Procedures
44
$5,084
$1,507
3.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
38
$11,421
$3,244
3.5×
5192
Level 2 Endovascular Procedures
34
$29,328
$5,359
5.5×
5213
Level 3 Electrophysiologic Procedures
32
$77,183
$22,209
3.5×
5184
Level 4 Vascular Procedures
30
$18,223
$4,637
3.9×
5155
Level 5 Airway Endoscopy
30
$19,037
$6,417
3.0×
5165
Level 5 ENT Procedures
28
$18,791
$5,490
3.4×
5154
Level 4 Airway Endoscopy
25
$15,638
$3,511
4.5×
5414
Level 4 Gynecologic Procedures
23
$10,261
$2,931
3.5×
5224
Level 4 Pacemaker and Similar Procedures
22
$70,943
$18,227
3.9×
5465
Level 5 Neurostimulator and Related Procedures
21
$96,535
$29,027
3.3×
5232
Level 2 ICD and Similar Procedures
20
$86,530
$30,752
2.8×
5163
Level 3 ENT Procedures
17
$705
$1,430
0.5×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-04, template 3.0.0, 2,295,478 rows scanned, 14,976 distinct code–setting items kept. 778 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
SURG 0200T SACROPLASTY UNILAT INCLUD IMAG GUID BX WHEN PERF
$12,135
$9,708
$7,358
24
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$40
8
clean
SURG 0484T TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE
$25,798
$20,638
$18,723
16
clean
SURG 0620T ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$36,878
$29,502
$32,194
24
clean
Showing the first 200 of 14,976 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT L8300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $98
CPT 96440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,822 exceeds the gross charge $643
CPT 97607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $420 exceeds the gross charge $226
CPT S0088/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $8
CPT J7296/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,239 exceeds the gross charge $1,123
CPT J7298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,239 exceeds the gross charge $1,063
CPT J7301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,032 exceeds the gross charge $943
CPT J7504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,620 exceeds the gross charge $3,782
CPT J9029/o
warn
mrf_negotiated_above_gross
highest negotiated rate $69,318 exceeds the gross charge $20,000
CPT 0232T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $419 exceeds the gross charge $373
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $420 exceeds the gross charge $251
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,510 exceeds the gross charge $13,065
CPT 27086/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,005 exceeds the gross charge $2,884
CPT 27508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $485
CPT 33210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,690 exceeds the gross charge $7,416
CPT 33224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,989 exceeds the gross charge $7,666
CPT 33249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,665 exceeds the gross charge $29,938
CPT 33270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,665 exceeds the gross charge $26,717
CPT 33289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,850 exceeds the gross charge $19,315
CPT 36555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,891
CPT 36556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $3,068
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,855 exceeds the gross charge $12,436
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,908 exceeds the gross charge $11,757
CPT 37615/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,360
CPT 38200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $105
CPT 43999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $984 exceeds the gross charge $690
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,706 exceeds the gross charge $2,819
CPT 47532/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,706 exceeds the gross charge $3,081
CPT 47556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,932 exceeds the gross charge $10,225
CPT 51999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,126 exceeds the gross charge $1,414
CPT 59300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,339 exceeds the gross charge $3,154
CPT J9266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31,106 exceeds the gross charge $24,502
CPT 59414/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,339 exceeds the gross charge $1,637
CPT 59871/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,339 exceeds the gross charge $1,653
CPT J9268/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,854 exceeds the gross charge $2,811
CPT 68850/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $30
CPT 70015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $830 exceeds the gross charge $521
CPT 70328/o
warn
mrf_negotiated_above_gross
highest negotiated rate $92 exceeds the gross charge $67
CPT 75731/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,972
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,493
CPT 75810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $3,113
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,235
CPT 75870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $633
CPT 75887/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $1,288
CPT J1212/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $615
CPT 75889/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $949
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,305 exceeds the gross charge $2,405
CPT L0464/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,901 exceeds the gross charge $984
CPT 77306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $311
CPT 77321/o
warn
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $346
CPT 77331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $139 exceeds the gross charge $78
CPT 77332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $139 exceeds the gross charge $119
CPT L0648/o
warn
mrf_negotiated_above_gross
highest negotiated rate $799 exceeds the gross charge $645
CPT 77334/o
warn
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $379
CPT L0810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,188 exceeds the gross charge $2,502
CPT 77372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,027 exceeds the gross charge $3,803
CPT L0984/o
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $64
CPT 77470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $607 exceeds the gross charge $364
CPT 81372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,109 exceeds the gross charge $900
CPT L1686/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,216 exceeds the gross charge $948
CPT 81373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $350 exceeds the gross charge $215
CPT 81376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $336 exceeds the gross charge $225
CPT 81382/o
warn
mrf_negotiated_above_gross
highest negotiated rate $340 exceeds the gross charge $225
CPT 81383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $240
CPT 86805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $521 exceeds the gross charge $300
CPT 86832/o
warn
mrf_negotiated_above_gross
highest negotiated rate $889 exceeds the gross charge $562
CPT 86833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $895 exceeds the gross charge $518
CPT L1846/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,328 exceeds the gross charge $1,127
CPT L2116/o
warn
mrf_negotiated_above_gross
highest negotiated rate $842 exceeds the gross charge $579
CPT 90653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $57
CPT L3060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $23
CPT 90661/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $29
CPT L3100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $17
CPT L3450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $135 exceeds the gross charge $74
CPT L3761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $364
CPT J1742/o
warn
mrf_negotiated_above_gross
highest negotiated rate $317 exceeds the gross charge $163
CPT L3960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $851 exceeds the gross charge $459
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $214 exceeds the gross charge $198
warn
mrf_rate_without_estimate
220,683 of 220,683 percentage/algorithm rates across 3,024 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 96365/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1930/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L4386/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1938/o
info
mrf_item_fields_vary
this code and setting cover at least 31 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 L4387/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1939/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L4396/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1950/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 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1953/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8420/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96375/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1955/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8440/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96376/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 L8460/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2002/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8501/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2003/o
info
mrf_item_fields_vary
this code and setting cover at least 52 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 L8509/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97139/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2004/o
info
mrf_item_fields_vary
this code and setting cover at least 27 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 L8513/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97535/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8606/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97537/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2060/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 L8613/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2150/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 L8614/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2175/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 L8690/o
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99211/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2184/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8699/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A2006/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2185/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 P9011/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A2019/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2210/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9012/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A2027/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2212/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9045/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A4263/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2248/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9047/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 35 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 Q0138/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A7527/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2260/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0144/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1062/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0162/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2272/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0166/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 2064 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 J2274/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q2009/o
info
mrf_item_fields_vary
this code and setting cover at least 10 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 C1714/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2290/o
info
mrf_item_fields_vary
this code and setting cover at least 18 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 Q2050/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1715/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2300/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 Q4081/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2312/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 Q4103/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2353/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q4104/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4111/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 67 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 J2359/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4116/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 47 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 J2360/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4118/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 C1727/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2371/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4122/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1728/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2401/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4125/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 88 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 J2404/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4128/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 J2405/o
info
mrf_item_fields_vary
this code and setting cover at least 17 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 Q4130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1732/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2426/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q4132/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1733/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2430/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4133/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1734/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2440/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4137/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1739/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2469/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4139/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1747/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 J2470/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4142/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 27 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 J2471/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4151/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 116 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
Showing the first 200 of 778 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
APC 5163
info
out_allowed_exceeds_charge
allowed amount $1,430 exceeds the submitted charge $705
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Sanford Medical Center Bismarck — standard charges file · ND · updated 2026-03-04· csv-tall · 614.0M bytes · fetched 2026-08-23 · sha256 9142038f9efc…
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.