CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sanford Usd Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,232
about 1.3× the $14,044 Medicare rate · typically $15,360–$18,977
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,197
About the fair price
about $35 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $18,232 This hospital $18,197

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 6 SD hospitals compared.

Cheapest $12,038 Priciest $28,252

Black dot = this hospital, among the 6 SD hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,232 (about 1.3× the $14,044 Medicare rate). Sanford Usd Medical Center charges insurers about $18,197 — 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 $17,265 - $34,205 123%
Blue Cross Blue Shieldmajor $17,265 123%
Aetnamajor $17,265 123%
HealthPartners $14,467 - $20,639 103%
Medica $31,374 - $33,571 223%
Sanford Health Plan $15,924 - $25,211 113%
UCare $17,097 122%
+ 1 smaller / regional plan $17,600
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