Sanford Health · Canton, SD
26
In-network payers
201
Disclosed rate categories
11
Beds
Sanford Medical Center Canton is an 11-bed voluntary non-profit - private hospital in Canton, SD, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 201 disclosed rate categories.
CCN (Medicare provider number)
431333
NPI
1740244540
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
11
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 Sanford Medical Center Canton 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
$3,749 - $4,136
from 4 insurers · median $3,895
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,855 - $1,943
from 4 insurers · median $1,905
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,397 - $3,563
from 4 insurers · median $3,529
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,234 - $2,342
from 4 insurers · median $2,284
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,726 - $2,899
from 4 insurers · median $2,808
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,933 - $4,121
from 4 insurers · median $4,059
Typical for a hospital with this service line
Mammography
CPT 77067
$386 - $478
from 4 insurers · median $402
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,111 - $3,325
from 4 insurers · median $3,232
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,766 - $3,004
from 4 insurers · median $2,873
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$291 - $372
from 4 insurers · median $303
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,814 - $2,949
from 4 insurers · median $2,882
Typical for a hospital with this service line
Ultrasound
CPT 76705
$725 - $788
from 4 insurers · median $764
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$4,178
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58571
$22,686
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,739
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$798 - $972
from 4 insurers · median $942
Typical for a hospital with this service line
Ultrasound
CPT 76856
$698 - $852
from 4 insurers · median $825
Typical for a hospital with this service line
Ultrasound
CPT 76830
$661 - $760
from 4 insurers · median $736
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,894 - $4,317
from 4 insurers · median $4,182
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$411 - $517
from 4 insurers · median $502
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,320 - $1,383
from 4 insurers · median $1,346
Typical for a hospital with this service line
Ultrasound
CPT 76536
$706 - $744
from 4 insurers · median $720
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$15,951
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,785
negotiated rate
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* | 19 | 798% | 0 | 0 |
| Insurer B* | 19 | 784% | 0 | 0 |
| Insurer C* | 19 | 761% | 0 | 0 |
| Insurer D* | 24 | 636% | 15 | 6 |
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 Sanford Medical Center Canton.
440 North Hiawatha Drive, Canton, SD 57013
(605) 764-1400
The nearest hospitals of similar type and size. Their rates are compared with Sanford Medical Center Canton for the same insurers and services above.
Hegg Health Center Avera
Rates about the same as Sanford Medical Center Canton (24 services)
Avera Merrill Pioneer
▼ Rates typically 15% lower than Sanford Medical Center Canton (24 services)
Hawarden Regional Healthcare
▼ Rates typically 59% lower than Sanford Medical Center Canton (20 services)
Sioux Center Health Avera
▼ Rates typically 6% lower than Sanford Medical Center Canton (24 services)
Orange City Municipal Hospital
▼ Rates typically 52% lower than Sanford Medical Center Canton (21 services)
Avera Dells Area Hospital
▼ Rates typically 15% lower than Sanford Medical Center Canton (24 services)
Sanford Medical Center Clear Lake
Sanford Hospital Webster
Pioneer Memorial Hospital And Health
Sanford Medical Center Vermillion
About Sanford Medical Center Canton's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Medical Center Canton range from $3,933 to $4,121 across 4 insurers. Blue Cross Blue Shield's rate is $4,051. The median at nearby comparable hospitals is $3,422. 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 Sanford Medical Center Canton range from $3,749 to $4,136 across 4 insurers. Aetna's rate is $4,136. The median at nearby comparable hospitals is $4,093. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sanford Medical Center Canton range from $4,178 to $4,178 across 1 insurers. Aetna's rate is $4,178. The median at nearby comparable hospitals is $3,726. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sanford Medical Center Canton range from $386 to $478 across 4 insurers. Aetna's rate is $478. The median at nearby comparable hospitals is $374. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Medical Center Canton has 11 beds. Facility type: Critical Access Hospital.
Sanford Medical Center Canton is located at 440 North Hiawatha Drive, Canton, SD 57013. Its main phone number is (605) 764-1400.
Sanford Medical Center Canton's CMS Certification Number (CCN), also called its Medicare provider number, is 431333.
The National Provider Identifier (NPI) on file for Sanford Medical Center Canton is 1740244540.
Sanford Medical Center Canton is affiliated with Sanford Health.
Sanford Medical Center Canton lists 26 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
201 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