Sanford Health · Sioux Falls, SD
29
In-network payers
309
Disclosed rate categories
545
Beds
5
Care quality
Sanford Usd Medical Center is a 545-bed voluntary non-profit - private hospital in Sioux Falls, SD, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 309 disclosed rate categories.
CCN (Medicare provider number)
430027
NPI
1821017880
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
545
Care Quality
5
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 Usd Medical Center 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
$472 - $5,378
from 4 insurers · median $4,777
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,734
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$3,840 - $5,252
from 2 insurers · median $4,546
72 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$12,644 - $22,686
from 2 insurers · median $17,665
145 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$14,535
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$678 - $3,134
from 4 insurers · median $2,628
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,744 - $5,519
from 4 insurers · median $4,442
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$301 - $4,664
from 4 insurers · median $4,102
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,087 - $7,798
from 2 insurers · median $7,443
226 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$472 - $5,265
from 4 insurers · median $4,629
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,172 - $12,150
from 2 insurers · median $9,661
226 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$226 - $3,270
from 4 insurers · median $2,419
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,113 - $3,889
from 4 insurers · median $2,788
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,922 - $8,259
from 4 insurers · median $7,575
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$54,050 - $63,103
from 2 insurers · median $58,576
13 Medicare discharges for this DRG in CMS hospital data
X-ray and bone density
CPT 71046
$112 - $419
from 4 insurers · median $390
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$301 - $3,915
from 4 insurers · median $3,542
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$135 - $1,836
from 2 insurers · median $986
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$301 - $3,617
from 4 insurers · median $3,249
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$252 - $468
from 2 insurers · median $360
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$7,087 - $9,236
from 2 insurers · median $8,162
226 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,449 - $2,957
from 2 insurers · median $2,203
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$12,107 - $12,644
from 2 insurers · median $12,375
145 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70551
$301 - $3,460
from 4 insurers · median $3,220
Common here, based on CMS Medicare volume
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* | 15 | 1448% | 12 | 0 |
| Insurer B* | 12 | 1438% | 7 | 0 |
| Insurer C* | 21 | 420% | 15 | 5 |
| Insurer D* | 22 | 124% | 2 | 19 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 2 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 Usd Medical Center.
1305 West 18th Street, Sioux Falls, SD 57105
(605) 333-1000
The nearest hospitals of similar type and size. Their rates are compared with Sanford Usd Medical Center for the same insurers and services above.
Avera Mckennan Hospital & University Health Center
▼ Rates typically 16% lower than Sanford Usd Medical Center (22 services)
Unitypoint Health St Lukes Regional Medical Center
▼ Rates typically 81% lower than Sanford Usd Medical Center (15 services)
Mercyone Siouxland Medical Center
▼ Rates typically 49% lower than Sanford Usd Medical Center (22 services)
Chi Health Immanuel
▼ Rates typically 27% lower than Sanford Usd Medical Center (22 services)
Nebraska Methodist Hospital
▼ Rates typically 42% lower than Sanford Usd Medical Center (22 services)
The Nebraska Medical Center
▼ Rates typically 43% lower than Sanford Usd Medical Center (22 services)
Avera Heart Hospital Of South Dakota
Sioux Falls Specialty Hospital
Sanford Aberdeen Medical Center
About Sanford Usd Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Usd Medical Center range from $472 to $5,265 across 4 insurers. Blue Cross Blue Shield's rate is $472. The median at nearby comparable hospitals is $1,035. 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 Usd Medical Center range from $472 to $5,378 across 4 insurers. Aetna's rate is $4,214. The median at nearby comparable hospitals is $874. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sanford Usd Medical Center range from $1,449 to $2,957 across 2 insurers. Aetna's rate is $2,957. The median at nearby comparable hospitals is $4,233. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sanford Usd Medical Center range from $10,734 to $10,734 across 1 insurers. UnitedHealthcare's rate is $10,734. 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 Usd Medical Center range from $252 to $468 across 2 insurers. Aetna's rate is $468. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Usd Medical Center has 545 beds. Facility type: Short Term Acute Care Hospital.
Sanford Usd Medical Center is located at 1305 West 18th Street, Sioux Falls, SD 57105. Its main phone number is (605) 333-1000.
Sanford Usd Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 430027.
The National Provider Identifier (NPI) on file for Sanford Usd Medical Center is 1821017880.
Sanford Usd Medical Center is affiliated with Sanford Health.
Sanford Usd Medical Center lists 29 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.
309 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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