CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Sanford Usd Medical Center

Billing Code: 90656 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
modeled fair price · typically $18–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
About the fair price
about $3 over the fair price
Fair price $20 This hospital $23 Cash price $26 Hospital's list price $33

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

One of the lower prices — 2 of 4 other SD hospitals charge more for the same procedure.

Cheapest $19 Priciest $55

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

A fair price for a Flu vaccine (high dose) is about $20. Sanford Usd Medical Center charges insurers about $23, or about $26 in cash — 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 $22 - $29 —
Blue Cross Blue Shieldmajor $20 - $24 —
Aetnamajor $24 - $25 —
Health Net $30 —
HealthPartners $11 - $24 —
Medica $22 - $24 —
Sanford Health Plan $22 - $23 —
Security Health Plan $18 —
UCare $23 - $24 —
+ 2 smaller / regional plans $24 - $30
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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