Sanford Health · Viborg, SD
18
In-network payers
113
Disclosed rate categories
12
Beds
Pioneer Memorial Hospital And Health is a 12-bed voluntary non-profit - private hospital in Viborg, SD, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 113 disclosed rate categories.
CCN (Medicare provider number)
431328
NPI
1598713281
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
12
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Pioneer Memorial Hospital And Health most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$4,184 - $5,084
from 4 insurers · median $4,475
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,487 - $4,237
from 4 insurers · median $3,730
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,919 - $2,332
from 4 insurers · median $2,053
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,621 - $4,401
from 4 insurers · median $3,873
Typical for a hospital with this service line
Mammography
CPT 77067
$345 - $420
from 4 insurers · median $369
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,294 - $4,003
from 4 insurers · median $3,524
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,425 - $2,947
from 4 insurers · median $2,594
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,696 - $4,491
from 4 insurers · median $3,953
Typical for a hospital with this service line
Ultrasound
CPT 76705
$408 - $1,225
from 4 insurers · median $1,078
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,013 - $3,661
from 4 insurers · median $3,223
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 74178
$4,358 - $5,296
from 4 insurers · median $4,662
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$184 - $198
from 3 insurers · median $196
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$148 - $180
from 4 insurers · median $158
Typical for a hospital with this service line
Ultrasound
CPT 76830
$797 - $969
from 4 insurers · median $853
Typical for a hospital with this service line
Ultrasound
CPT 76856
$800 - $972
from 4 insurers · median $856
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$756 - $919
from 4 insurers · median $809
Typical for a hospital with this service line
Ultrasound
CPT 76770
$922 - $1,120
from 4 insurers · median $986
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,021 - $1,241
from 4 insurers · median $1,093
Typical for a hospital with this service line
X-ray and bone density
CPT 72100
$487 - $592
from 4 insurers · median $521
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$1,192 - $1,449
from 4 insurers · median $1,275
Typical for a hospital with this service line
CT imaging
CPT 70491
$3,537
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,491 - $3,027
from 4 insurers · median $2,664
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$216 - $263
from 4 insurers · median $232
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$2,491 - $3,027
from 4 insurers · median $2,664
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 844% | 0 | 0 |
| Insurer B* | 23 | 762% | 0 | 0 |
| Insurer C* | 23 | 753% | 0 | 0 |
| Insurer D* | 24 | 694% | 10 | 10 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Pioneer Memorial Hospital And Health.
315 North Washington Street, Viborg, SD 57070
(605) 326-5161
The nearest hospitals of similar type and size. Their rates are compared with Pioneer Memorial Hospital And Health for the same insurers and services above.
Freeman Regional Health Services
Rates about the same as Pioneer Memorial Hospital And Health (23 services)
Landmann-Jungman Memorial Hospital Avera
Rates about the same as Pioneer Memorial Hospital And Health (24 services)
Hawarden Regional Healthcare
▼ Rates typically 58% lower than Pioneer Memorial Hospital And Health (23 services)
Hegg Health Center Avera
Rates about the same as Pioneer Memorial Hospital And Health (23 services)
St. Michael S Hospital Avera
Rates about the same as Pioneer Memorial Hospital And Health (23 services)
Sioux Center Health Avera
Rates about the same as Pioneer Memorial Hospital And Health (23 services)
Sanford Medical Center Vermillion
Sanford Medical Center Canton
Sanford Medical Center Clear Lake
Sanford Chamberlain Medical Center
About Pioneer Memorial Hospital And Health's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Pioneer Memorial Hospital And Health range from $3,621 to $4,401 across 4 insurers. Cigna's rate is $3,896. The median at nearby comparable hospitals is $2,625. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pioneer Memorial Hospital And Health range from $4,184 to $5,084 across 4 insurers. Aetna's rate is $4,184. The median at nearby comparable hospitals is $4,093. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pioneer Memorial Hospital And Health range from $345 to $420 across 4 insurers. Cigna's rate is $371. The median at nearby comparable hospitals is $374. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pioneer Memorial Hospital And Health has 12 beds. Facility type: Critical Access Hospital.
Pioneer Memorial Hospital And Health is located at 315 North Washington Street, Viborg, SD 57070. Its main phone number is (605) 326-5161.
Pioneer Memorial Hospital And Health's CMS Certification Number (CCN), also called its Medicare provider number, is 431328.
The National Provider Identifier (NPI) on file for Pioneer Memorial Hospital And Health is 1598713281.
Pioneer Memorial Hospital And Health is affiliated with Sanford Health.
Pioneer Memorial Hospital And Health lists 18 in-network payers, including Avera Health Plans, BCBS, Cigna, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
113 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers