CMS Price Transparency Data

Community mental health services

Facility: Sanford Usd Medical Center

Billing Code: H0038 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$13
modeled fair price · typically $6–$21
modeled estimate · not a bill or quote
What this hospital charges insurers
$16
Above the fair price
about $3 over the fair price
Fair price $13 This hospital $16

How we calculate the fair BaseRate →

A fair price for a Community mental health services is about $13. Sanford Usd Medical Center charges insurers about $16 — above the fair price. Located in Sioux Falls, SD.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $13. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $16 —

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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