How many shoppable procedure prices are published for Sanford Vermillion Medical Center?

Sanford Vermillion Medical Center in Vermillion, SD currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Sanford Vermillion Medical Center

20 South Plum Street, Vermillion, SD 57069 · 93 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

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

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness85

Price Logic98

Peer Alignment73

Clean Billing90

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Sanford Vermillion Medical Center prices shoppable and inpatient services (8.3× to 6.2× 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 (73/100 safety score) with 82% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (8.3× 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×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

8.3× Medicare

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

Back-Door Captive & ER0.75× Divergence

6.2× 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

8.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.1× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

2.2× MedicareFair

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

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Sanford Vermillion Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,324	$4,324	$448	9.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,264	$4,264	$511	8.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,099	$4,099	$1,021	4.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,813	$3,813	$303	12.6×
MRI, lower back (no contrast) CPT Code: `72148`	$3,374	$3,374	$338	10.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,292	$3,292	$369	8.9×
Trauma team activation HCPCS Code: `G0390`	$3,074	$3,074	$1,453	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,914	$2,914	$343	8.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,418	$2,418	$258	9.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,299	$2,299	$242	9.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,126	$2,126	$583	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,018	$2,018	$168	12.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,022	$2,022	$169	12.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,888	$1,888	$167	11.3×
CT scan, pelvis CPT Code: `72192`	$1,830	$1,830	$163	11.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,757	$1,757	$160	11.0×
CT scan, sinuses CPT Code: `70486`	$1,706	$1,706	$166	10.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,186	$1,186	$272	4.4×
Blood transfusion CPT Code: `36430`	$990	$990	$498	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$878	$878	$134	6.6×
Rabies immune globulin HCPCS Code: `90375`	$806	$806	$322	2.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$749	$749	$126	5.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$709	$709	$132	5.4×
Ultrasound, pelvis CPT Code: `76856`	$629	$629	$130	4.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$574	$574	$148	3.9×
Screening mammogram (both breasts) CPT Code: `77067`	$459	$459	$123	3.7×
X-ray, lower back CPT Code: `72110`	$419	$419	$112	3.7×
X-ray, hip CPT Code: `73502`	$330	$330	$93	3.5×
X-ray, hand CPT Code: `73130`	$302	$302	$93	3.2×
X-ray, shoulder CPT Code: `73030`	$296	$296	$92	3.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$262	$262	$64	4.1×
Speech therapy (language evaluation) CPT Code: `92507`	$267	$267	$86	3.1×
X-ray, ankle CPT Code: `73610`	$284	$284	$93	3.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$275	$275	$93	3.0×
X-ray, pelvis CPT Code: `72170`	$287	$287	$110	2.6×
X-ray, foot CPT Code: `73630`	$258	$258	$92	2.8×
X-ray, chest (two views) CPT Code: `71046`	$257	$257	$93	2.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$234	$234	$166	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$243	$243	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$246	$246	$185	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$206	$206	$123	1.7×
Family therapy session CPT Code: `90847`	$225	$225	$173	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$231	$231	$201	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$166	$166	$87	1.9×
X-ray, chest (single view) CPT Code: `71045`	$172	$172	$92	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$128	$128	$34	3.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$130	$130	$35	3.7×
Physical therapy (gait training) CPT Code: `97116`	$114	$114	$33	3.5×
Occupational therapy (self-care training) CPT Code: `97535`	$125	$125	$38	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$123	$123	$38	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$127	$40	3.2×
Orthotic fitting and training CPT Code: `97760`	$141	$141	$51	2.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$114	$114	$38	3.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$95	$95	$35	2.7×
Prosthetic fitting and training CPT Code: `97761`	$120	$120	$45	2.7×
Typhoid vaccine HCPCS Code: `90675`	$519	$519	$347	1.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$165	$165	$27	6.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$113	$113	$11	10.3×
Culture, blood CPT Code: `87040`	$98	$98	$11	8.9×
Culture, bacterial CPT Code: `87070`	$71	$71	$9	7.9×
Hepatitis C antibody test CPT Code: `86803`	$87	$87	$15	5.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$96	$20	4.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$90	$90	$19	4.7×
Blood test, vitamin D CPT Code: `82306`	$114	$114	$31	3.7×
Pneumococcal vaccine HCPCS Code: `90732`	$111	$111	$140	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$82	$82	$9	9.1×
Blood test, liver function panel CPT Code: `80076`	$82	$82	$9	9.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$84	$84	$18	4.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$85	$56	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$103	$103	$111	0.9×
Blood test, amylase CPT Code: `82150`	$63	$63	$7	9.0×
Blood test, lipase CPT Code: `83690`	$61	$61	$7	8.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$50	$6	8.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$57	$8	7.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$80	$80	$14	5.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	$54	$10	5.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$74	$14	5.3×
Blood test, vitamin B12 CPT Code: `82607`	$74	$74	$16	4.6×
Speech therapy (group session) CPT Code: `92508`	$79	$79	$27	2.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$38	$3	12.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$40	$40	$4	10.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, calcium CPT Code: `82310`	$33	$33	$5	6.6×
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Hepatitis B vaccine HCPCS Code: `90744`	$70	$70	$37	1.9×
Blood antibody screen CPT Code: `86850`	$69	$69	$46	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$66	$66	$86	0.8×
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	9.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	7.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$32	$32	$5	6.4×
Blood test, potassium CPT Code: `84132`	$31	$31	$5	6.2×
Blood test, sodium CPT Code: `84295`	$30	$30	$5	6.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$25	$25	1.0×

Showing top 25 high-impact procedures of 93 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.3%

Audit a Bill or Quote at Sanford Vermillion Medical Center (Zero PHI Required)

CMS CCN: 431336

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $4,324

Insurer Median $4,324

1. Amount on Your Bill or Quote ($) Pre-filled with Sanford Vermillion Medical Center’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 501(r) AGB Cap: $3,260 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $3,260

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.3% of gross = $3,260).

Step 2 · Cash vs. Insurance Arbitrage Save $1,081 Paying Cash

Self-Pay Cash Rate ($4,324) Beats Your Bill

Sanford Vermillion Medical Center's published 45 CFR § 180 self-pay cash rate is $4,324 (vs. $4,324 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,957 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($5,405) is $4,957 above the denoised Fair BaseRate ($448) and 15.2× 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 (60.3% 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 Composite73/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait107 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-07-09·administrative_or_closure
Met Requirements
Recorded
2024-07-23·administrative_or_closure
Closure Notice
Recorded
2024-05-31·cap_corrective_action
CAP Request
Recorded
2024-02-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (39 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sanford Vermillion Medical Center.

Price Index: 1.00× regional baseline

Quality: 59/100 CMS composite

Median Household Income$58,794U.S. Census ACS

Local Uninsured Share9.3%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 431336 EIN 460388596

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 431336) ↗ Verify IRS Form 990 (EIN 460388596) ↗ CMS HCRIS Cost Reports ↗

Published MRF File460388596_sanford-vermillion-hospital_standardcharges.csv

Publication / Vintage2026-03-04 · 51.29 MB

Validated Rate Rows4,440 (CMS v3.0.0)

File Integrity Digest2aaf212695efff1e05b1…

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.

Submit MRF Update Correction Policy