Sanford Usd Medical Center
Sanford USD Medical Center in Sioux Falls, SD charges 5.7x the Medicare reimbursement rate across 155 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Sioux Falls, SD 57117 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
5.71x
Charge / Medicare rate
Max markup
9.21x
Worst procedure
Procedures analyzed
155
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $38,963 | $19,481 | — | 9.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,062 | $24,031 | — | 8.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $34,413 | $17,207 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $102,608 | $51,304 | — | 8x |
| DIABETES WITH MCC | 637 | $71,582 | $35,791 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,839 | $48,419 | — | 7.7x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $122,220 | $61,110 | — | 7.6x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $27,710 | $13,855 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $41,367 | $20,684 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $49,952 | $24,976 | — | 7.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $58,984 | $29,492 | — | 7.2x |
| SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WIT | 623 | $80,286 | $40,143 | — | 7.2x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $91,910 | $45,955 | — | 7.1x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $21,405 | $10,703 | — | 7x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $105,770 | $52,885 | — | 7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,142 | $66,571 | — | 6.9x |
| HYPERTENSION WITHOUT MCC | 305 | $33,455 | $16,728 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $154,333 | $77,166 | — | 6.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $36,234 | $18,117 | — | 6.8x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $70,083 | $35,041 | — | 6.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $51,177 | $25,589 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,080 | $24,540 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $62,565 | $31,283 | — | 6.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $89,399 | $44,700 | — | 6.7x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $181,632 | $90,816 | — | 6.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $38,323 | $19,162 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,222 | $21,611 | — | 6.6x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $164,477 | $82,239 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $137,356 | $68,678 | — | 6.5x |
| RENAL FAILURE WITH CC | 683 | $37,010 | $18,505 | — | 6.5x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $45,125 | $22,562 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $55,766 | $27,883 | — | 6.5x |
| RENAL FAILURE WITH MCC | 682 | $64,603 | $32,302 | — | 6.5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $72,468 | $36,234 | — | 6.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $55,532 | $27,766 | — | 6.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $35,617 | $17,809 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $100,125 | $50,063 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $202,603 | $101,302 | — | 6.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $38,605 | $19,303 | — | 6.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $73,559 | $36,779 | — | 6.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $69,572 | $34,786 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,152 | $10,576 | — | 6.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $34,696 | $17,348 | — | 6.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $78,509 | $39,255 | — | 6.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $83,017 | $41,508 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,261 | $20,131 | — | 6.2x |
| CELLULITIS WITHOUT MCC | 603 | $41,045 | $20,522 | — | 6.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $63,351 | $31,676 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,581 | $16,290 | — | 6.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $203,090 | $101,545 | — | 6.1x |
Showing 50 of 155 procedures
How SANFORD USD MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use