Sanford Health · Vermillion, SD
27
In-network payers
201
Disclosed rate categories
25
Beds
Sanford Medical Center Vermillion is a 25-bed voluntary non-profit - private hospital in Vermillion, SD, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 201 disclosed rate categories.
CCN (Medicare provider number)
431336
NPI
1790721280
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Vermillion 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
$4,136 - $4,729
from 4 insurers · median $4,581
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,834 - $1,922
from 4 insurers · median $1,894
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,563 - $4,170
from 4 insurers · median $4,039
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,726 - $2,956
from 4 insurers · median $2,863
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,219 - $2,326
from 4 insurers · median $2,276
Typical for a hospital with this service line
MRI imaging
CPT 70553
$4,068 - $4,664
from 4 insurers · median $4,517
Typical for a hospital with this service line
Mammography
CPT 77067
$478 - $502
from 4 insurers · median $486
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,325 - $3,691
from 4 insurers · median $3,575
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,004 - $3,187
from 4 insurers · median $3,087
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,403 - $4,212
from 4 insurers · median $4,092
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$2,866 - $3,601
from 4 insurers · median $3,487
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$268 - $372
from 4 insurers · median $278
Typical for a hospital with this service line
Ultrasound
CPT 76705
$725 - $819
from 4 insurers · median $793
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 - $945
from 4 insurers · median $915
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$411 - $550
from 4 insurers · median $535
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,894 - $4,484
from 4 insurers · median $4,343
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$113 - $148
from 4 insurers · median $120
Typical for a hospital with this service line
Ultrasound
CPT 76856
$656 - $698
from 4 insurers · median $682
Typical for a hospital with this service line
Ultrasound
CPT 76536
$706 - $775
from 4 insurers · median $751
Typical for a hospital with this service line
Ultrasound
CPT 76642
$377 - $513
from 4 insurers · median $497
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,238 - $1,332
from 4 insurers · median $1,287
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* | 21 | 767% | 0 | 0 |
| Insurer B* | 21 | 754% | 19 | 0 |
| Insurer C* | 21 | 732% | 18 | 0 |
| Insurer D* | 24 | 657% | 14 | 5 |
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 Vermillion.
20 South Plum Street, Vermillion, SD 57069
(605) 677-3500
The nearest hospitals of similar type and size. Their rates are compared with Sanford Medical Center Vermillion for the same insurers and services above.
Hawarden Regional Healthcare
▼ Rates typically 59% lower than Sanford Medical Center Vermillion (22 services)
Providence Medical Center
▼ Rates typically 16% lower than Sanford Medical Center Vermillion (21 services)
Floyd Valley Healthcare
▼ Rates typically 6% lower than Sanford Medical Center Vermillion (23 services)
Sioux Center Health Avera
▼ Rates typically 8% lower than Sanford Medical Center Vermillion (23 services)
Hegg Health Center Avera
Rates about the same as Sanford Medical Center Vermillion (23 services)
Osmond General Hospital
Rates about the same as Sanford Medical Center Vermillion (20 services)
Pioneer Memorial Hospital And Health
Sanford Hospital Webster
Sanford Medical Center Clear Lake
Sanford Chamberlain Medical Center
About Sanford Medical Center Vermillion's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Medical Center Vermillion range from $4,068 to $4,664 across 4 insurers. Blue Cross Blue Shield's rate is $4,584. The median at nearby comparable hospitals is $3,049. 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 Vermillion range from $4,136 to $4,729 across 4 insurers. Aetna's rate is $4,136. The median at nearby comparable hospitals is $4,048. 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 Vermillion range from $4,178 to $4,178 across 1 insurers. Aetna's rate is $4,178. The median at nearby comparable hospitals is $3,704. 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 Vermillion range from $478 to $502 across 4 insurers. UnitedHealthcare's rate is $479. The median at nearby comparable hospitals is $326. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Medical Center Vermillion has 25 beds. Facility type: Critical Access Hospital.
Sanford Medical Center Vermillion is located at 20 South Plum Street, Vermillion, SD 57069. Its main phone number is (605) 677-3500.
Sanford Medical Center Vermillion's CMS Certification Number (CCN), also called its Medicare provider number, is 431336.
The National Provider Identifier (NPI) on file for Sanford Medical Center Vermillion is 1790721280.
Sanford Medical Center Vermillion is affiliated with Sanford Health.
Sanford Medical Center Vermillion lists 27 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