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Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-03-04

Sanford Hospital Webster - Cah

1401 W First St Post Office Box 489, Webster, SD 57274 · 80 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).90/100 · Verified
90/100Self-Pay Cash Beats Insurance 54% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic98Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment72Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing78Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score69/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait111 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Sanford Hospital Webster - Cah prices shoppable and inpatient services (11.6× to 8.7× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in SDU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (69/100 safety score) with 72% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.7% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
  • Commercial insurance median sits at 1.00× Fair BaseRate (11.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 10.9× Medicare (26¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
11.6× Medicare

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

Back-Door Captive & ER0.75× Divergence
8.7× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
11.6× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
2.5× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.0× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
2.5× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
2.6× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.0× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
54% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 69/100Fair

Procedure Prices at Sanford Hospital Webster - Cah

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$4,458 10.0×
Sleep study (overnight, in lab)
CPT Code: 95810
$4,370 4.3×
MRI, brain (with and without contrast)
CPT Code: 70553
$4,156 8.1×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$3,744 12.4×
MRI, lower back (no contrast)
CPT Code: 72148
$3,181 9.4×
MRI, brain (no contrast)
CPT Code: 70551
$3,007 8.8×
MRI, knee or other leg joint
CPT Code: 73721
$2,919 7.9×
CT scan, head (with and without contrast)
CPT Code: 70470
$2,621 10.2×
CT scan, head (with contrast)
CPT Code: 70460
$2,447 10.1×
CT scan, lower back (lumbar spine)
CPT Code: 72131
$2,376 14.1×
Rabies immune globulin
HCPCS Code: 90375
$2,333 7.2×
Trauma team activation
HCPCS Code: G0390
$2,356 1.6×
CT scan, neck (cervical spine)
CPT Code: 72125
$2,254 13.3×
CT scan, chest (no contrast)
CPT Code: 71250
$2,095 12.5×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$2,103 3.6×
CT scan, sinuses
CPT Code: 70486
$2,034 12.3×
CT scan, head (no contrast)
CPT Code: 70450
$1,978 12.4×
CT scan, pelvis
CPT Code: 72192
$1,926 11.8×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$1,169 4.3×
Ultrasound, abdomen (complete)
CPT Code: 76700
$1,000 7.5×
Blood transfusion
CPT Code: 36430
$987 2.0×
Ultrasound, thyroid and neck
CPT Code: 76536
$783 5.9×
Ultrasound, abdomen (limited)
CPT Code: 76705
$750 6.0×
Ultrasound, pelvis
CPT Code: 76856
$720 5.5×
X-ray, lower back
CPT Code: 72110
$616 5.5×
Showing top 25 high-impact procedures of 80 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 70.7%

Audit a Bill or Quote at Sanford Hospital Webster - Cah (Zero PHI Required)

CMS CCN: 431311
CPT 74177
Fair BaseRate™ $448
Medicare Rate $356
Self-Pay Cash $4,458
Insurer Median $4,458
Pre-filled with Sanford Hospital Webster - Cah’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $3,938 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,938

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.7% of gross = $3,938).

Step 2 · Cash vs. Insurance Arbitrage Save $1,115 Paying Cash

Self-Pay Cash Rate ($4,458) Beats Your Bill

Sanford Hospital Webster - Cah's published 45 CFR § 180 self-pay cash rate is $4,458 (vs. $4,458 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,125 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($5,573) is $5,125 above the denoised Fair BaseRate ($448) and 15.7× the $356 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) 501(c)(3) Nonprofit Hospital

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

EIN: 460388596
Filing Period: 201104
Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (70.7% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite69/100
Median ER Wait111 min
Left ER Before Seen0%
Unplanned Readmissionsame

Source: CMS Hospital Care Compare. 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sanford Hospital Webster - Cah.

Price Index: 1.05× regional baseline
Quality: 57/100 CMS composite
Median Household Income$62,270U.S. Census ACS
Local Uninsured Share7.5%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 90/100 · Verified CMS CCN 431311 EIN 460388596

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

Published MRF File460388596_sanford-webster-hospital_standardcharges.csv
Publication / Vintage2026-03-04 · 36.20 MB
Validated Rate Rows3,480 (CMS v3.0.0)
File Integrity Digestd250f4da55087c80f1bd…

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.