CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Sanford Usd Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,771
about 1.4× the $5,676 Medicare rate · typically $6,532–$8,766
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,968
About the fair price
about $197 over the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $7,771 This hospital $7,968

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

On the higher side — 3 of 4 other SD hospitals charge less.

Cheapest $3,925 Priciest $11,692

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,771 (about 1.4× the $5,676 Medicare rate). Sanford Usd Medical Center charges insurers about $7,968 — 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 $7,891 - $14,155 139%
Blue Cross Blue Shieldmajor $7,891 139%
Aetnamajor $7,891 139%
HealthPartners $5,987 - $8,541 105%
Medica $12,680 - $13,568 223%
Sanford Health Plan $7,278 - $10,190 128%
UCare $7,815 138%
+ 1 smaller / regional plan $8,044
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