CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sanford Usd Medical Center

Billing Code: 66984 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,418
about 1.0× the $2,358 Medicare rate · typically $2,305–$2,607
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,349
About the fair price
about $69 under the fair price · 1.0× Medicare
Medicare pays $2,358 Fair price $2,418 This hospital $2,349

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 2 charge more and 3 charge less, among the 7 SD hospitals compared.

Cheapest $587 Priciest $4,881

Black dot = this hospital, among the 7 SD hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $2,418 (about 1.0× the $2,358 Medicare rate). Sanford Usd Medical Center charges insurers about $2,349 — about the fair price. Located in Sioux Falls, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,349 100%
Blue Cross Blue Shieldmajor $1,033 - $4,397 44%
Aetnamajor $2,349 100%
HealthPartners $2,349 100%
Sanford Health Plan $537 - $2,167 23%
UCare $2,326 - $2,442 99%
+ 1 smaller / regional plan $2,395 - $2,442
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals