CMS Price Transparency Data

Total knee replacement

Facility: Sanford Usd Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11,554
about 0.9× the $13,117 Medicare rate · typically $8,779–$13,829
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,253
About the fair price
about $1,699 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $11,554 This hospital $13,253

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 6 SD hospitals compared.

Cheapest $2,653 Priciest $13,441

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

A fair price for a Total knee replacement is about $11,554 (about 0.9× the $13,117 Medicare rate). Sanford Usd Medical Center charges insurers about $13,253 — 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 $13,253 101%
Blue Cross Blue Shieldmajor $5,833 - $24,830 44%
Aetnamajor $13,253 101%
HealthPartners $13,253 101%
Sanford Health Plan $1,284 - $12,223 10%
UCare $13,124 - $13,794 100%
+ 1 smaller / regional plan $13,510 - $13,794
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