How many shoppable procedure prices are published for Dunes Surgical Hospital?

Dunes Surgical Hospital in Dakota Dunes, SD currently has 135 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Dunes Surgical Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Dunes Surgical Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 38 Beds · urban Updated: 2026-04-07

Dunes Surgical Hospital

600 N Sioux Point Road, Dakota Dunes, SD 57049 · 135 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.48×vs. Fair Market Price

Typical commercial prices here are +48% above the fair benchmark (1.48×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness95

Price Logic74

Peer Alignment73

Clean Billing69

Real Cash Discount16

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.48× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +45% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Dunes Surgical Hospital prices routine shoppable procedures at 1.8× Medicare (median 1.33× Fair BaseRate) while upper-quartile commercial rates jump +45% to 1.93× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#11 of 14 in SD · 71st State Percentile#2,604 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 83% patient recommendation (69/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.33× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.93×) jump +45% above the median procedure ratio (Q50 1.33×)
Consolidated metro market (HHI 5,135) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+45% Upper Tail

Q25 1.00× · Q50 1.33× · Q75 1.93×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

61% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at Dunes Surgical Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 135 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$13,430	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,441	$13,523	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$21,008	$12,038	$19,432	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$22,135	$8,876	$19,087	0.5×
Inguinal hernia repair CPT Code: `49505`	$5,296	$7,652	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,832	$6,547	$6,109	1.1×
Bunion correction surgery CPT Code: `28296`	$4,955	$5,575	$3,446	unverified
Breast lump removal CPT Code: `19120`	$5,834	$4,293	$3,875	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$3,962	$2,975	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,771	$3,925	$8,223	0.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,955	$3,696	$3,372	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,299	$2,680	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,378	$2,540	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,600	$1,872	$1,021	1.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,806	$1,563	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,399	$1,402	$981	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	$1,388	$1,314	$987	1.3×
Injection procedure for pain management HCPCS Code: `G0260`	$1,059	$840	$855	1.0×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$796	$257	3.1×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$796	$269	3.0×
Behavioral health day treatment HCPCS Code: `H0010`	—	$796	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$796	$364	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$589	$734	$511	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$844	$670	$583	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$375	$600	$303	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$589	$600	$448	1.3×
Blood transfusion CPT Code: `36430`	$664	$583	$498	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$168	$600	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$281	$600	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$281	$600	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$375	$521	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$375	$521	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$375	$521	$369	1.4×
Neurobehavioral status check CPT Code: `96116`	$480	$433	$231	1.9×
Psychological testing by technician CPT Code: `96138`	$610	$433	$395	1.1×
Psychological testing evaluation CPT Code: `96136`	$196	$433	$128	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	$393	$406	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$347	$123	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$222	$294	$151	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$375	$298	$272	1.1×
Rabies immune globulin HCPCS Code: `90375`	$466	$286	$322	0.9×
Ultrasound, pelvis CPT Code: `76856`	$168	$259	$130	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$168	$259	$134	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$281	$110	unverified
CT scan, pelvis CPT Code: `72192`	$168	$227	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$168	$227	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$168	$227	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$168	$227	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$168	$227	$169	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$244	$244	$185	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$264	$87	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	$218	$201	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$168	$169	$126	1.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$129	$65	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	—	$131	$86	1.5×
Care planning with family CPT Code: `90887`	—	$139	$107	1.3×
X-ray, pelvis CPT Code: `72170`	$168	$134	$110	1.2×
X-ray, lower back CPT Code: `72110`	$168	$134	$112	1.2×
Review of medical records for care CPT Code: `90889`	—	$129	$114	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$138	$123	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$138	$148	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$244	$154	$166	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$244	$154	$181	0.9×
Family therapy session CPT Code: `90847`	$244	$139	$173	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$138	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	$93	$34	2.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$93	$35	2.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$93	$38	2.4×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$93	$38	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$93	$40	2.3×
Prosthetic fitting and training CPT Code: `97761`	—	$93	$45	2.1×
Orthotic fitting and training CPT Code: `97760`	—	$93	$51	1.8×
X-ray, shoulder CPT Code: `73030`	$139	$110	$92	1.2×
X-ray, foot CPT Code: `73630`	$139	$110	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$139	$110	$93	1.2×
X-ray, hand CPT Code: `73130`	$139	$110	$93	1.2×
X-ray, ankle CPT Code: `73610`	$139	$110	$93	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$132	—
Group therapy session CPT Code: `90853`	$136	$85	$100	0.8×
Typhoid vaccine HCPCS Code: `90675`	$522	$278	$347	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$185	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$184	$124	$116	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	—	$116	$140	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$57	$25	2.3×
Behavioral health living support HCPCS Code: `H2019`	—	$77	$34	2.3×
Blood test, vitamin D CPT Code: `82306`	$48	$46	$31	1.5×
Blood antibody screen CPT Code: `86850`	$83	$61	$46	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$94	$74	$64	1.2×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$77	$88	0.9×
X-ray, chest (single view) CPT Code: `71045`	$139	$61	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$139	$61	$93	0.7×
X-ray, hip CPT Code: `73502`	$139	$61	$93	0.7×
Mental health services (assessment) HCPCS Code: `H0031`	—	$77	$140	0.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$77	$157	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$45	$14	3.2×
Physical therapy (gait training) CPT Code: `97116`	—	$45	$33	1.4×
Blood test, magnesium CPT Code: `83735`	$11	$15	$7	2.1×
Blood test, vitamin B12 CPT Code: `82607`	$24	$27	$16	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$30	$32	$19	1.7×
Blood test, calcium CPT Code: `82310`	$8	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$8	$8	$5	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$22	$22	$14	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$22	$22	$14	1.6×
Blood test, lipase CPT Code: `83690`	$11	$11	$7	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$27	$28	$18	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$17	$17	$11	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$6	$6	$4	1.5×
Blood test, amylase CPT Code: `82150`	$10	$10	$7	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$31	$27	$20	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$43	$34	$27	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	—	$45	$38	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	—	$43	$37	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$73	$49	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$73	$49	$49	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$47	$56	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$67	$111	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$50	$86	0.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$14	$6	2.3×
Culture, bacterial CPT Code: `87070`	$14	$18	$9	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$12	$15	$8	1.9×
Culture, blood CPT Code: `87040`	$17	$19	$11	1.7×
Hepatitis C antibody test CPT Code: `86803`	$23	$24	$15	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$43	$39	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$73	$23	$49	0.5×
Behavioral health day program HCPCS Code: `H2012`	—	$13	$100	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$14	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$13	$13	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$5	$5	$3	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$16	$10	unverified
Blood test, potassium CPT Code: `84132`	$8	$8	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$6	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$4	$4	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$7	$5	unverified

Showing top 25 high-impact procedures of 135 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Dunes Surgical Hospital (Zero PHI Required)

CMS CCN: 430089

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $13,430

1. Amount on Your Bill or Quote ($) Pre-filled with Dunes Surgical Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Dunes Surgical Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$962 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($14,375) is $962 above the denoised Fair BaseRate ($13,413) and 1.1× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 460423353

Public IRS & CMS ownership records classify Dunes Surgical Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)79%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5.5%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Dunes Surgical Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-16·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (170 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Dunes Surgical Hospital.

Price Index: 1.35× regional baseline

Quality: 66/100 CMS composite

Median Household Income$84,137U.S. Census ACS

Local Uninsured Share5.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 68/100 · Caution CMS CCN 430089 EIN 460423353

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 430089) ↗ Verify IRS Form 990 (EIN 460423353) ↗ CMS HCRIS Cost Reports ↗

Published MRF File460423353_DunesSurgicalHospital_standardcharges.json

Publication / Vintage2026-04-07 · 24.23 MB

Validated Rate Rows1,112 (CMS v3.0.0)

File Integrity Digest1f7d06384ceb971ab21b…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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