CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Sanford Usd Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,964
about 1.3× the $23,504 Medicare rate · typically $24,543–$33,339
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,948
About the fair price
about $16 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $29,964 This hospital $29,948

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 1 charge more and 1 charge less, among the 3 SD hospitals compared.

Cheapest $26,507 Priciest $46,240

Black dot = this hospital, among the 3 SD hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $29,964 (about 1.3× the $23,504 Medicare rate). Sanford Usd Medical Center charges insurers about $29,948 — 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 $27,880 - $55,983 119%
Blue Cross Blue Shieldmajor $27,880 119%
Aetnamajor $27,880 119%
HealthPartners $23,677 - $33,777 101%
Medica $52,542 - $56,222 224%
Sanford Health Plan $25,715 - $42,222 109%
UCare $27,609 117%
+ 1 smaller / regional plan $28,421
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