CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Sanford Usd Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$32
about 0.8× the $40 Medicare rate · typically $15–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Above the fair price
about $14 over the fair price · 1.1× Medicare
Medicare pays $40 Fair price $32 This hospital $46

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 2 charge more and 2 charge less, among the 5 SD hospitals compared.

Cheapest $31 Priciest $138

Black dot = this hospital, among the 5 SD hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $32 (about 0.8× the $40 Medicare rate). Sanford Usd Medical Center charges insurers about $46 — 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 $32. 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.

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 $43 106%
Blue Cross Blue Shieldmajor $43 - $83 106%
Aetnamajor $43 106%
HealthPartners $43 106%
Sanford Health Plan $40 - $47 99%
UCare $43 106%
+ 1 smaller / regional plan $44
Government programs also on file: Medicare.

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