CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Sanford Usd Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,404
about 1.3× the $14,117 Medicare rate · typically $14,764–$19,022
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,320
About the fair price
about $84 under the fair price · 1.3× Medicare
Medicare pays $14,117 Fair price $18,404 This hospital $18,320

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 $8,876 Priciest $29,400

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

A fair price for a Sepsis treatment (inpatient stay) is about $18,404 (about 1.3× the $14,117 Medicare rate). Sanford Usd Medical Center charges insurers about $18,320 — 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 $17,376 - $35,594 123%
Blue Cross Blue Shieldmajor $17,376 123%
Aetnamajor $17,376 123%
HealthPartners $15,057 - $21,479 107%
Medica $31,595 - $33,807 224%
Sanford Health Plan $16,026 - $25,389 114%
UCare $17,207 122%
+ 1 smaller / regional plan $17,713
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