Medical Facilities Corporation · Sioux Falls, SD
33
Beds
Sioux Falls Specialty Hospital is a 33-bed proprietary hospital in Sioux Falls, SD, affiliated with Medical Facilities Corporation.
CCN (Medicare provider number)
430090
NPI
1316946809
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
33
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 Sioux Falls Specialty Hospital 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.
Gynecology
CPT 58571
$5,685 - $19,636
from 4 insurers · median $18,293
76 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$4,338 - $9,835
from 4 insurers · median $6,202
335 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$10,910 - $26,283
from 4 insurers · median $14,431
401 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74177
$768 - $1,450
from 4 insurers · median $882
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$878 - $1,539
from 4 insurers · median $1,063
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$771 - $3,744
from 4 insurers · median $2,787
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$4,338 - $12,683
from 4 insurers · median $6,048
22 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicine & Surgery
CPT 29826
$3,328 - $16,048
from 4 insurers · median $11,618
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$3,107 - $5,506
from 4 insurers · median $3,723
393 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$4,445 - $6,702
from 4 insurers · median $5,215
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,251 - $3,275
from 4 insurers · median $2,670
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,728 - $3,372
from 4 insurers · median $2,401
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$4,338 - $9,835
from 4 insurers · median $6,202
335 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$621 - $1,488
from 4 insurers · median $819
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$8,319 - $22,942
from 4 insurers · median $10,862
76 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 27446
$12,390 - $27,310
from 4 insurers · median $20,760
1213 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$2,251 - $3,275
from 4 insurers · median $2,670
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,511 - $11,176
from 4 insurers · median $10,422
Typical for a hospital with this service line
MRI imaging
CPT 73721
$489 - $3,423
from 4 insurers · median $2,549
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$489 - $3,675
from 4 insurers · median $2,736
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,937 - $12,947
from 4 insurers · median $10,958
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,739 - $3,073
from 4 insurers · median $2,369
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,511 - $8,263
from 4 insurers · median $5,941
Typical for a hospital with this service line
CT imaging
CPT 71260
$621 - $1,421
from 4 insurers · median $838
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* | 24 | 294% | 5 | 0 |
| Insurer B* | 24 | 187% | 9 | 9 |
| Insurer C* | 24 | 185% | 20 | 2 |
| Insurer D* | 24 | 157% | 12 | 5 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 Sioux Falls Specialty Hospital.
910 East 20th Street, Sioux Falls, SD 57105
(605) 334-6730
The nearest hospitals of similar type and size. Their rates are compared with Sioux Falls Specialty Hospital for the same insurers and services above.
Avera Heart Hospital Of South Dakota
▲ Rates typically 25% higher than Sioux Falls Specialty Hospital (22 services)
Dunes Surgical Hospital
▼ Rates typically 40% lower than Sioux Falls Specialty Hospital (24 services)
Nebraska Spine Hospital
▲ Rates typically 122% higher than Sioux Falls Specialty Hospital (9 services)
Midwest Surgical Hospital
▼ Rates typically 36% lower than Sioux Falls Specialty Hospital (14 services)
Lincoln Surgical Hospital
▼ Rates typically 25% lower than Sioux Falls Specialty Hospital (12 services)
Chi Health Nebraska Heart
▲ Rates typically 28% higher than Sioux Falls Specialty Hospital (24 services)
Sanford Usd Medical Center
Avera Mckennan Hospital & University Health Center
Black Hills Surgical Hospital
About Sioux Falls Specialty Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sioux Falls Specialty Hospital range from $771 to $3,744 across 4 insurers. Blue Cross Blue Shield's rate is $771. The median at nearby comparable hospitals is $1,574. 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 Sioux Falls Specialty Hospital range from $768 to $1,450 across 4 insurers. Aetna's rate is $827. The median at nearby comparable hospitals is $1,180. 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 Sioux Falls Specialty Hospital range from $2,251 to $3,275 across 4 insurers. Cigna's rate is $3,275. The median at nearby comparable hospitals is $1,570. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sioux Falls Specialty Hospital has 33 beds. Facility type: Short Term Acute Care Hospital.
Sioux Falls Specialty Hospital is located at 910 East 20th Street, Sioux Falls, SD 57105. Its main phone number is (605) 334-6730.
Sioux Falls Specialty Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 430090.
The National Provider Identifier (NPI) on file for Sioux Falls Specialty Hospital is 1316946809.
Sioux Falls Specialty Hospital is affiliated with Medical Facilities Corporation.
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.
For hospital finance and compliance teams
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