Hospital · CCN 430027
Sanford Usd Medical Center
1305 W 18th St Post Office Box 5039, Sioux Falls, SD 57117 · Minnehaha County
Part of Sanford Health · 452 beds · 1
Unknown
158 admission types 64 outpatient services price file: ok
Billed per dollar paid, all admissions
4.56×
$433.3M billed against $95.0M paid across 5,684 Medicare discharges; the national figure is 5.03×.
1.1%
of adults in Minnehaha County have medical debt in collections
9.2%
uninsured in the county · state 10.0%
$73K
median household income
4.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
37.4%
obesity in the countyⓘ
10.6%
diagnosed diabetes (PLACES)
5.5%
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
290
$82,896
$16,716
5.0× st 3.9×
291
Heart failure and shock with mcc
190
$52,658
$11,052
4.8× st 4.0×
280
Acute myocardial infarction, discharged alive with mcc
135
$60,381
$13,288
4.5× st 4.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
133
$154,424
$37,641
4.1× st 4.9×
274
Percutaneous and other intracardiac procedures without mcc
121
$89,264
$25,060
3.6× st 4.6×
378
Gastrointestinal hemorrhage with cc
116
$41,469
$8,970
4.6× st 4.2×
193
Simple pneumonia and pleurisy with mcc
112
$53,257
$11,100
4.8× st 3.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
108
$178,959
$40,587
4.4× st 4.0×
189
Pulmonary edema and respiratory failure
106
$58,600
$11,296
5.2× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
99
$54,216
$9,137
5.9× st 5.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
98
$97,588
$15,176
6.4× st 6.0×
690
Kidney and urinary tract infections without mcc
91
$30,578
$7,105
4.3× st 4.0×
177
Respiratory infections and inflammations with mcc
91
$60,831
$13,584
4.5× st 3.8×
481
Hip and femur procedures except major joint with cc
88
$81,428
$17,121
4.8× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
85
$30,912
$7,138
4.3× st 3.9×
603
Cellulitis without mcc
73
$29,955
$8,237
3.6× st 3.7×
377
Gastrointestinal hemorrhage with mcc
72
$75,324
$14,952
5.0× st 4.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
72
$69,315
$17,229
4.0× st 3.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
71
$88,680
$16,378
5.4× st 5.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
71
$138,859
$22,681
6.1× st 5.3×
683
Renal failure with cc
70
$33,956
$8,095
4.2× st 3.9×
281
Acute myocardial infarction, discharged alive with cc
66
$40,773
$7,987
5.1× st 5.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
64
$36,448
$7,633
4.8× st 4.0×
682
Renal failure with mcc
62
$60,522
$13,190
4.6× st 4.0×
330
Major small and large bowel procedures with cc
61
$96,107
$20,206
4.8× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
59
$41,761
$9,707
4.3× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
56
$50,051
$9,428
5.3× st 4.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
54
$87,065
$19,751
4.4× st 4.2×
552
Medical back problems without mcc
54
$40,263
$10,261
3.9× st 4.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
53
$49,795
$10,674
4.7× st 4.0×
025
Craniotomy and endovascular intracranial procedures with mcc
52
$206,803
$40,422
5.1× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
51
$50,637
$9,410
5.4× st 4.9×
194
Simple pneumonia and pleurisy with cc
50
$35,852
$7,313
4.9× st 4.6×
312
Syncope and collapse
48
$36,503
$7,580
4.8× st 4.7×
243
Permanent cardiac pacemaker implant with cc
46
$83,384
$18,640
4.5× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
46
$28,804
$6,844
4.2× st 4.1×
689
Kidney and urinary tract infections with mcc
44
$46,047
$10,239
4.5× st 4.4×
270
Other major cardiovascular procedures with mcc
41
$216,988
$46,055
4.7× st 4.7×
394
Other digestive system diagnoses with cc
40
$39,508
$8,774
4.5× st 4.8×
698
Other kidney and urinary tract diagnoses with mcc
40
$55,089
$13,658
4.0× st 3.9×
660
Kidney and ureter procedures for non-neoplasm with cc
39
$46,761
$10,728
4.4× st 4.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
39
$127,378
$20,988
6.1× st 5.2×
418
Laparoscopic cholecystectomy without c.d.e. with cc
38
$62,040
$13,662
4.5× st 4.5×
699
Other kidney and urinary tract diagnoses with cc
38
$34,787
$9,237
3.8× st 4.1×
036
Carotid artery stent procedures without cc/mcc
38
$63,178
$16,438
3.8× st 4.3×
236
Coronary bypass without cardiac catheterization without mcc
37
$135,881
$32,104
4.2× st 5.1×
242
Permanent cardiac pacemaker implant with mcc
37
$124,874
$27,714
4.5× st 4.4×
271
Other major cardiovascular procedures with cc
36
$133,620
$31,944
4.2× st 5.2×
329
Major small and large bowel procedures with mcc
35
$177,474
$38,614
4.6× st 4.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
35
$151,081
$39,901
3.8× st 4.0×
389
Gastrointestinal obstruction with cc
35
$30,339
$7,097
4.3× st 4.1×
071
Other cerebrovascular disorders with cc
34
$47,670
$9,774
4.9× st 5.5×
445
Disorders of the biliary tract with cc
34
$47,259
$9,401
5.0× st 5.0×
035
Carotid artery stent procedures with cc
33
$93,661
$18,266
5.1× st 5.0×
480
Hip and femur procedures except major joint with mcc
33
$116,603
$24,759
4.7× st 4.4×
948
Signs and symptoms without mcc
33
$30,467
$7,535
4.0× st 4.1×
163
Major chest procedures with mcc
32
$143,618
$35,385
4.1× st 4.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
32
$254,314
$49,620
5.1× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
32
$57,759
$12,083
4.8× st 4.0×
331
Major small and large bowel procedures without cc/mcc
31
$62,388
$13,822
4.5× st 4.0×
432
Cirrhosis and alcoholic hepatitis with mcc
29
$71,259
$16,347
4.4× st 4.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
28
$38,989
$6,622
5.9× st 6.2×
811
Red blood cell disorders with mcc
28
$74,780
$13,865
5.4× st 4.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
28
$62,899
$11,651
5.4× st 4.3×
673
Other kidney and urinary tract procedures with mcc
26
$119,679
$34,957
3.4× st 3.8×
184
Major chest trauma with cc
26
$38,189
$9,169
4.2× st 3.9×
638
Diabetes with cc
26
$32,702
$8,173
4.0× st 4.2×
467
Revision of hip or knee replacement with cc
26
$112,907
$27,701
4.1× st 3.9×
372
Major gastrointestinal disorders and peritoneal infections with cc
26
$37,801
$9,468
4.0× st 4.1×
375
Digestive malignancy with cc
26
$63,061
$11,197
5.6× st 5.6×
039
Extracranial procedures without cc/mcc
25
$47,493
$10,822
4.4× st 5.2×
812
Red blood cell disorders without mcc
25
$42,306
$8,145
5.2× st 4.7×
092
Other disorders of nervous system with cc
25
$42,565
$9,134
4.7× st 5.0×
178
Respiratory infections and inflammations with cc
25
$44,084
$8,395
5.3× st 5.0×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
24
$69,315
$20,100
3.4× st 4.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
24
$38,610
$7,491
5.2× st 5.6×
269
Aortic and heart assist procedures except pulsation balloon without mcc
24
$128,466
$34,123
3.8× st 4.5×
057
Degenerative nervous system disorders without mcc
23
$40,972
$11,359
3.6× st 4.5×
315
Other circulatory system diagnoses with cc
23
$35,849
$11,175
3.2× st 3.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
22
$62,170
$16,840
3.7× st 3.7×
305
Hypertension without mcc
22
$32,993
$6,401
5.2× st 5.2×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
22
$171,381
$43,724
3.9× st 4.9×
244
Permanent cardiac pacemaker implant without cc/mcc
21
$70,532
$14,638
4.8× st 5.8×
390
Gastrointestinal obstruction without cc/mcc
21
$24,555
$5,356
4.6× st 3.9×
393
Other digestive system diagnoses with mcc
21
$52,724
$14,275
3.7× st 3.7×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
21
$188,128
$43,700
4.3× st 5.0×
101
Seizures without mcc
21
$36,304
$7,918
4.6× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$47,925
$11,622
4.1× st 3.8×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
21
$46,571
$10,953
4.3× st 4.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$19,257
$5,209
3.7× st 4.5×
252
Other vascular procedures with mcc
21
$105,359
$30,188
3.5× st 4.8×
920
Complications of treatment with cc
20
$31,377
$8,817
3.6× st 4.5×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
20
$79,037
$18,059
4.4× st 4.5×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
20
$48,507
$10,455
4.6× st 4.6×
813
Coagulation disorders
19
$66,203
$21,487
3.1× st 3.3×
086
Traumatic stupor and coma <1 hour with cc
19
$39,826
$11,058
3.6× st 3.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
19
$30,965
$7,260
4.3× st 4.4×
292
Heart failure and shock with cc
18
$30,464
$7,465
4.1× st 4.1×
602
Cellulitis with mcc
18
$45,921
$12,967
3.5× st 4.1×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
18
$101,402
$19,843
5.1× st 4.8×
091
Other disorders of nervous system with mcc
18
$98,458
$15,008
6.6× st 4.8×
253
Other vascular procedures with cc
18
$115,849
$24,831
4.7× st 4.7×
191
Chronic obstructive pulmonary disease with cc
18
$38,240
$7,435
5.1× st 5.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
18
$51,632
$9,115
5.7× st 4.5×
482
Hip and femur procedures except major joint without cc/mcc
17
$64,375
$15,151
4.2× st 4.3×
082
Traumatic stupor and coma >1 hour with mcc
17
$88,786
$19,975
4.4× st 5.1×
314
Other circulatory system diagnoses with mcc
17
$40,105
$15,170
2.6× st 4.0×
180
Respiratory neoplasms with mcc
17
$68,781
$15,167
4.5× st 4.3×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
17
$52,234
$10,864
4.8× st 4.8×
371
Major gastrointestinal disorders and peritoneal infections with mcc
16
$83,082
$15,956
5.2× st 4.6×
444
Disorders of the biliary tract with mcc
16
$85,969
$14,209
6.1× st 5.1×
070
Other cerebrovascular disorders with mcc
16
$75,948
$12,983
5.9× st 4.3×
176
Pulmonary embolism without mcc
16
$41,310
$7,345
5.6× st 5.6×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
16
$82,067
$16,656
4.9× st 4.9×
272
Other major cardiovascular procedures without cc/mcc
16
$105,866
$19,888
5.3× st 5.3×
026
Craniotomy and endovascular intracranial procedures with cc
15
$118,532
$24,722
4.8× st 5.7×
374
Digestive malignancy with mcc
15
$97,724
$18,051
5.4× st 5.2×
313
Chest pain
15
$28,350
$7,117
4.0× st 4.0×
884
Organic disturbances and intellectual disability
15
$48,599
$14,572
3.3× st 4.0×
202
Bronchitis and asthma with cc/mcc
15
$30,267
$8,493
3.6× st 3.6×
336
Peritoneal adhesiolysis with cc
15
$73,679
$16,851
4.4× st 4.4×
637
Diabetes with mcc
15
$52,894
$12,414
4.3× st 4.4×
100
Seizures with mcc
15
$82,035
$15,834
5.2× st 4.8×
354
Hernia procedures except inguinal and femoral with cc
14
$77,729
$14,674
5.3× st 5.3×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
14
$280,574
$56,942
4.9× st 4.7×
652
Kidney transplant
14
$204,298
$73,847
2.8× st 5.6×
657
Kidney and ureter procedures for neoplasm with cc
14
$73,186
$20,059
3.6× st 4.0×
840
Lymphoma and non-acute leukemia with mcc
13
$153,110
$26,251
5.8× st 5.1×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
13
$135,189
$19,320
7.0× st 7.3×
200
Pneumothorax with cc
13
$28,259
$9,223
3.1× st 3.4×
149
Dysequilibrium
13
$25,631
$6,544
3.9× st 5.0×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
12
$235,911
$48,496
4.9× st 4.8×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$41,323
$8,998
4.6× st 3.5×
740
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc
12
$77,180
$14,915
5.2× st 5.2×
300
Peripheral vascular disorders with cc
12
$49,922
$9,340
5.3× st 4.1×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$137,745
$27,082
5.1× st 5.1×
264
Other circulatory system o.r. procedures
12
$107,735
$25,678
4.2× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
12
$81,360
$15,396
5.3× st 3.8×
551
Medical back problems with mcc
12
$46,219
$13,041
3.5× st 3.5×
580
Other skin, subcutaneous tissue and breast procedures with cc
12
$64,875
$14,966
4.3× st 4.3×
164
Major chest procedures with cc
12
$91,288
$19,646
4.6× st 4.8×
643
Endocrine disorders with mcc
12
$54,097
$14,611
3.7× st 4.9×
439
Disorders of pancreas except malignancy with cc
12
$35,212
$7,503
4.7× st 4.2×
327
Stomach, esophageal and duodenal procedures with cc
12
$122,740
$23,036
5.3× st 5.3×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
11
$212,117
$61,217
3.5× st 4.2×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$31,061
$8,424
3.7× st 3.7×
438
Disorders of pancreas except malignancy with mcc
11
$92,256
$14,261
6.5× st 4.9×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
11
$86,296
$23,863
3.6× st 3.8×
908
Other o.r. procedures for injuries with cc
11
$100,722
$16,547
6.1× st 5.1×
083
Traumatic stupor and coma >1 hour with cc
11
$49,370
$10,907
4.5× st 5.0×
205
Other respiratory system diagnoses with mcc
11
$49,078
$14,603
3.4× st 3.9×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
11
$88,019
$19,478
4.5× st 4.1×
054
Nervous system neoplasms with mcc
11
$58,447
$11,869
4.9× st 3.8×
554
Bone diseases and arthropathies without mcc
11
$23,601
$7,422
3.2× st 3.2×
659
Kidney and ureter procedures for non-neoplasm with mcc
11
$82,709
$21,023
3.9× st 4.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
11
$255,743
$60,953
4.2× st 4.2×
326
Stomach, esophageal and duodenal procedures with mcc
11
$227,469
$42,781
5.3× st 5.1×
436
Malignancy of hepatobiliary system or pancreas with cc
11
$46,620
$9,514
4.9× st 4.9×
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
920
$22,999
$2,998
7.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
761
$7,037
$1,484
4.7×
5373
Level 3 Urology and Related Services
646
$6,049
$1,873
3.2×
5193
Level 3 Endovascular Procedures
385
$58,007
$10,084
5.8×
8011
Comprehensive Observation Services
366
$18,399
$2,501
7.4×
5115
Level 5 Musculoskeletal Procedures
364
$52,934
$12,083
4.4×
5302
Level 2 Upper GI Procedures
301
$10,070
$1,746
5.8×
5431
Level 1 Nerve Procedures
294
$8,159
$1,763
4.6×
5361
Level 1 Laparoscopy and Related Services
226
$30,949
$5,281
5.9×
5374
Level 4 Urology and Related Services
226
$13,791
$3,205
4.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
224
$9,288
$2,612
3.6×
5183
Level 3 Vascular Procedures
219
$22,900
$2,930
7.8×
5375
Level 5 Urology and Related Services
208
$21,880
$4,757
4.6×
5223
Level 3 Pacemaker and Similar Procedures
200
$46,733
$9,810
4.8×
5112
Level 2 Musculoskeletal Procedures
194
$6,507
$1,477
4.4×
5114
Level 4 Musculoskeletal Procedures
185
$36,974
$6,577
5.6×
5362
Level 2 Laparoscopy and Related Services
145
$55,813
$9,458
5.9×
5491
Level 1 Intraocular Procedures
144
$14,662
$2,142
6.8×
5113
Level 3 Musculoskeletal Procedures
144
$14,154
$2,955
4.8×
5222
Level 2 Pacemaker and Similar Procedures
125
$37,074
$7,811
4.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
118
$15,017
$3,181
4.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
117
$30,198
$5,995
5.0×
5184
Level 4 Vascular Procedures
108
$32,379
$5,015
6.5×
5194
Level 4 Endovascular Procedures
90
$96,684
$15,909
6.1×
5192
Level 2 Endovascular Procedures
85
$37,718
$5,255
7.2×
5313
Level 3 Lower GI Procedures
84
$10,373
$2,558
4.1×
5415
Level 5 Gynecologic Procedures
81
$16,773
$4,573
3.7×
5116
Level 6 Musculoskeletal Procedures
79
$95,819
$17,096
5.6×
5182
Level 2 Vascular Procedures
78
$9,983
$1,472
6.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
77
$19,645
$3,504
5.6×
5372
Level 2 Urology and Related Services
75
$3,256
$628
5.2×
5464
Level 4 Neurostimulator and Related Procedures
74
$65,519
$19,844
3.3×
5414
Level 4 Gynecologic Procedures
72
$15,533
$2,874
5.4×
5213
Level 3 Electrophysiologic Procedures
60
$99,729
$21,779
4.6×
5462
Level 2 Neurostimulator and Related Procedures
56
$15,950
$6,288
2.5×
5416
Level 6 Gynecologic Procedures
53
$35,919
$6,947
5.2×
5155
Level 5 Airway Endoscopy
52
$37,438
$6,292
6.0×
5154
Level 4 Airway Endoscopy
49
$18,836
$3,443
5.5×
5303
Level 3 Upper GI Procedures
46
$17,606
$3,521
5.0×
5165
Level 5 ENT Procedures
45
$33,175
$5,384
6.2×
5232
Level 2 ICD and Similar Procedures
45
$131,591
$30,156
4.4×
5153
Level 3 Airway Endoscopy
44
$11,085
$1,560
7.1×
5331
Complex GI Procedures
35
$29,247
$5,240
5.6×
5465
Level 5 Neurostimulator and Related Procedures
31
$103,281
$28,465
3.6×
5164
Level 4 ENT Procedures
21
$13,642
$2,960
4.6×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
18
$87,133
$8,664
10.1×
5200
Implantation Wireless PA Pressure Monitor
17
$126,948
$26,645
4.8×
5376
Level 6 Urology and Related Services
16
$50,794
$8,468
6.0×
5212
Level 2 Electrophysiologic Procedures
15
$37,411
$6,866
5.4×
5163
Level 3 ENT Procedures
15
$2,691
$1,402
1.9×
5471
Implantation of Drug Infusion Device
15
$54,001
$16,362
3.3×
5627
Level 7 Radiation Therapy
14
$56,236
$7,159
7.9×
5493
Level 3 Intraocular Procedures
14
$24,694
$4,805
5.1×
5492
Level 2 Intraocular Procedures
12
$22,712
$3,738
6.1×
5461
Level 1 Neurostimulator and Related Procedures
11
$5,925
$3,128
1.9×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via sanfordhealth.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-04, template 3.0.0, 3,861,886 rows scanned, 17,309 distinct code–setting items kept. 890 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
SURG 0075T EXTRACRANIAL VERTEBRAL ARTERY STNT PLC INITIAL VESSEL
$7,803
$6,242
$5,259
19
clean
Showing the first 200 of 17,309 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 90653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $70
CPT 90673/o
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $72
CPT 90680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $73
CPT 92570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $196 exceeds the gross charge $125
CPT 92587/o
warn
mrf_negotiated_above_gross
highest negotiated rate $395 exceeds the gross charge $22
CPT 92608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $196 exceeds the gross charge $93
CPT 92972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,189 exceeds the gross charge $6,130
CPT 93600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,393 exceeds the gross charge $7,579
CPT 93602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,393 exceeds the gross charge $8,046
CPT 93610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,393 exceeds the gross charge $7,746
CPT 93612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,393 exceeds the gross charge $8,611
CPT L0464/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,277 exceeds the gross charge $706
CPT L0472/o
warn
mrf_negotiated_above_gross
highest negotiated rate $573 exceeds the gross charge $407
CPT L0626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $95
CPT L0627/o
warn
mrf_negotiated_above_gross
highest negotiated rate $631 exceeds the gross charge $242
CPT 95869/o
warn
mrf_negotiated_above_gross
highest negotiated rate $395 exceeds the gross charge $386
CPT L1686/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,456 exceeds the gross charge $812
CPT 96521/o
warn
mrf_negotiated_above_gross
highest negotiated rate $301 exceeds the gross charge $174
CPT L1846/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $966
CPT L1971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $718 exceeds the gross charge $177
CPT L3000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $336
CPT L3060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $16
CPT 0076T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $7,535
CPT L3100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $12
CPT 0200T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,497 exceeds the gross charge $8,754
CPT 0620T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54,397 exceeds the gross charge $37,040
CPT L3332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $14
CPT 0644T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,189 exceeds the gross charge $6,739
CPT L3450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $52
CPT 0649T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,253 exceeds the gross charge $1,114
CPT 11306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $247
CPT L3760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $203
CPT L3761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $697 exceeds the gross charge $257
CPT 12046/o
warn
mrf_negotiated_above_gross
highest negotiated rate $790 exceeds the gross charge $635
CPT 19499/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,191 exceeds the gross charge $2,711
CPT L3765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,787 exceeds the gross charge $1,355
CPT 20500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,918 exceeds the gross charge $1,868
CPT 99170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $251 exceeds the gross charge $214
CPT 20527/o
warn
mrf_negotiated_above_gross
highest negotiated rate $559 exceeds the gross charge $494
CPT L3808/o
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $480
CPT 20690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,998 exceeds the gross charge $7,574
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,830 exceeds the gross charge $14,089
CPT L3905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,382 exceeds the gross charge $1,271
CPT 21320/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,049 exceeds the gross charge $3,740
CPT 23505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,472
CPT L3915/o
warn
mrf_negotiated_above_gross
highest negotiated rate $741 exceeds the gross charge $595
CPT 23520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,493
CPT 23525/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $422
CPT L3919/o
warn
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $355
CPT 23570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $428
CPT 23575/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $1,984
CPT 23625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,897
CPT 23655/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,969
CPT 23665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,320
CPT 23675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,230
CPT L3933/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $289
CPT L3960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,019 exceeds the gross charge $367
CPT 23930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,361 exceeds the gross charge $4,182
CPT L3980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $429 exceeds the gross charge $376
CPT 24505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,319
CPT 24535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,261
CPT 24565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,512
CPT A9582/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,816 exceeds the gross charge $7,041
CPT 24577/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,230
CPT B4105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $131 exceeds the gross charge $130
CPT 24620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,814
CPT 24655/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,294
CPT 24675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,327
CPT 25085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,107 exceeds the gross charge $4,836
CPT 25105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,107 exceeds the gross charge $5,126
CPT 25130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,107 exceeds the gross charge $5,392
CPT 25505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,097
CPT L8300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $69
CPT 25565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,173
CPT 25605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,173
CPT 25624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,613
CPT 25635/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,209
CPT 25676/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,497 exceeds the gross charge $3,259
CPT 25999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $417
CPT 26075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,107 exceeds the gross charge $5,535
CPT 26437/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,071 exceeds the gross charge $3,400
CPT 26445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,071 exceeds the gross charge $4,013
CPT 26520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,071 exceeds the gross charge $3,804
CPT 26645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,350
CPT 26675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,021 exceeds the gross charge $1,480
CPT 27040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,214
CPT 27238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,125
CPT 27256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $418
CPT 27372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,361 exceeds the gross charge $4,218
CPT 27501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $508 exceeds the gross charge $495
CPT 27502/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,844
CPT 27503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,292
CPT 27508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $495
CPT 27510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,398
CPT 27516/o
warn
mrf_negotiated_above_gross
highest negotiated rate $500 exceeds the gross charge $305
CPT 27752/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,734
CPT 27762/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,629
CPT 27781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,963
CPT 27810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,337
CPT 27818/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,497
CPT 27830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $427
CPT 27842/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,647
CPT 28008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,107 exceeds the gross charge $5,509
CPT 28435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,032 exceeds the gross charge $2,745
CPT 28530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $380
CPT 28825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,071 exceeds the gross charge $3,472
CPT 29065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $507 exceeds the gross charge $486
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $507 exceeds the gross charge $427
CPT 29405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $507 exceeds the gross charge $448
CPT 29425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $507 exceeds the gross charge $490
CPT 29540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $294
CPT 32100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,574 exceeds the gross charge $1,188
CPT 32110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,574 exceeds the gross charge $3,157
CPT 32551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,022 exceeds the gross charge $1,303
CPT 32556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,590 exceeds the gross charge $2,765
CPT 32994/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,420 exceeds the gross charge $15,973
CPT 33741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,858 exceeds the gross charge $9,632
CPT 33967/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $3,050
CPT 33968/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $3,797
CPT 33990/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $2,631
CPT 33992/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $2,462
CPT 33993/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $2,416
CPT 33995/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $2,154
CPT 34201/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,368 exceeds the gross charge $8,789
CPT 34709/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,189 exceeds the gross charge $6,743
CPT 34711/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,189 exceeds the gross charge $6,613
CPT 35286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,368 exceeds the gross charge $8,039
CPT 35800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,760 exceeds the gross charge $4,532
CPT 36470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $752 exceeds the gross charge $725
CPT 36473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,014 exceeds the gross charge $5,745
CPT 36555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $3,231
CPT 36556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $3,425
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,368 exceeds the gross charge $6,086
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,082 exceeds the gross charge $12,976
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,755 exceeds the gross charge $8,892
CPT 37211/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,368 exceeds the gross charge $8,377
CPT 37215/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,755 exceeds the gross charge $16,367
CPT 37217/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,755 exceeds the gross charge $10,462
CPT 37218/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,755 exceeds the gross charge $13,537
CPT 37760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,014 exceeds the gross charge $5,628
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,021
CPT 38221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,960
CPT 38222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,361 exceeds the gross charge $3,281
CPT 38500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,191 exceeds the gross charge $6,351
CPT 38505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,845
CPT 40804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,140 exceeds the gross charge $624
CPT 40810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,049 exceeds the gross charge $3,909
CPT 40820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,049 exceeds the gross charge $3,909
CPT 41010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,918 exceeds the gross charge $1,478
CPT 42960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $692 exceeds the gross charge $432
CPT 47383/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,947 exceeds the gross charge $12,785
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,351 exceeds the gross charge $3,978
CPT 47541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,516 exceeds the gross charge $6,888
CPT 47552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,516 exceeds the gross charge $5,135
CPT 47554/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,947 exceeds the gross charge $9,599
CPT 47556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,947 exceeds the gross charge $9,483
CPT 49419/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,912 exceeds the gross charge $6,560
CPT 50396/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,289 exceeds the gross charge $1,176
CPT 50436/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,577 exceeds the gross charge $4,657
CPT 50593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,420 exceeds the gross charge $15,793
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $139
CPT 51720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $859 exceeds the gross charge $659
CPT J7197/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $3
CPT 52341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,577 exceeds the gross charge $5,558
CPT G0447/o
warn
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $74
CPT 55000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,327 exceeds the gross charge $1,148
CPT 56820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $251 exceeds the gross charge $236
CPT J7296/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,239 exceeds the gross charge $845
CPT 57020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $2,912
CPT J7297/o
warn
mrf_negotiated_above_gross
highest negotiated rate $950 exceeds the gross charge $870
CPT 57155/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $5,879
CPT 58120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,932 exceeds the gross charge $3,849
CPT J7301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,032 exceeds the gross charge $740
CPT J7307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,239 exceeds the gross charge $1,056
CPT 61630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $6,880
CPT 61635/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $8,613
CPT 61640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $13,162
CPT 61641/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $5,762
CPT 61642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,837 exceeds the gross charge $3,666
CPT 61645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,755 exceeds the gross charge $17,680
CPT 64455/o
warn
mrf_negotiated_above_gross
highest negotiated rate $559 exceeds the gross charge $496
CPT 65210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $752 exceeds the gross charge $560
CPT 65220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $752 exceeds the gross charge $577
CPT 65270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,409 exceeds the gross charge $4,217
CPT 65435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,910 exceeds the gross charge $1,707
CPT 67715/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,409 exceeds the gross charge $3,578
CPT 68420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,409 exceeds the gross charge $3,423
CPT 69000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,327 exceeds the gross charge $1,053
CPT 69020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,327 exceeds the gross charge $1,082
CPT 75870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $3,720
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,009 exceeds the gross charge $2,319
CPT J8510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $11
CPT J0600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,013 exceeds the gross charge $579
CPT 86880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $26
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $85
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $68
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $70
CPT 88172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $81
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $452 exceeds the gross charge $281
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,082 exceeds the gross charge $355
Showing the first 200 of 890 findings, errors first — every finding as JSON →
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 USD Medical Center — standard charges file · SD · updated 2026-03-04found via cms-hpt.txt · csv-tall · 1,007.4M bytes · fetched 2026-08-21 · sha256 2c94d6436b2e…
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.