SANFORD USD MEDICAL CENTER
SIOUX FALLS, SD 57117 · Acute Care Hospitals
155 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
155
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.7x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to SD hospitals
Understanding Your Costs
When you receive a bill from SANFORD USD MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SANFORD USD MEDICAL CENTER lists chargemaster rates that average 5.7x the corresponding Medicare reimbursement amount across 155 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in SD has a chargemaster-to-Medicare ratio of 4.3x, with ratios across the state ranging from 1.6x to 6.5x. At 5.7x, this facility’s average ratio is above the state median. 15 hospitals in SD report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at SANFORD USD MEDICAL CENTER is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $38,963, while Medicare reimburses $4,229 for the same procedure — a ratio of 9.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
SANFORD USD MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $38,963 | $4,229 | 9.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,062 | $5,490 | 8.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $34,413 | $4,016 | 8.6x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $102,608 | $12,805 | 8.0x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $71,582 | $9,083 | 7.9x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,839 | $12,578 | 7.7x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $122,220 | $16,117 | 7.6x | 0th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $27,710 | $3,681 | 7.5x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $41,367 | $5,645 | 7.3x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $49,952 | $6,894 | 7.3x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $58,984 | $8,154 | 7.2x | 1th | Compare your bill |
| SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WIT | 623 | $80,286 | $11,169 | 7.2x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $91,910 | $13,026 | 7.1x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $21,405 | $3,066 | 7.0x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $105,770 | $15,168 | 7.0x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,142 | $19,402 | 6.9x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $33,455 | $4,884 | 6.8x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $154,333 | $22,650 | 6.8x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $36,234 | $5,331 | 6.8x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $70,083 | $10,314 | 6.8x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $51,177 | $7,551 | 6.8x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,080 | $7,246 | 6.8x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $62,565 | $9,288 | 6.7x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $89,399 | $13,417 | 6.7x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $181,632 | $27,374 | 6.6x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $38,323 | $5,810 | 6.6x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,222 | $6,546 | 6.6x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $164,477 | $25,194 | 6.5x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $137,356 | $21,054 | 6.5x | 0th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $37,010 | $5,685 | 6.5x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $45,125 | $6,932 | 6.5x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $55,766 | $8,579 | 6.5x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $64,603 | $9,947 | 6.5x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $72,468 | $11,209 | 6.5x | 0th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $55,532 | $8,611 | 6.5x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $35,617 | $5,533 | 6.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $100,125 | $15,638 | 6.4x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $202,603 | $31,726 | 6.4x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $38,605 | $6,062 | 6.4x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $73,559 | $11,629 | 6.3x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $69,572 | $11,020 | 6.3x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,152 | $3,383 | 6.3x | 0th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $34,696 | $5,558 | 6.2x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $78,509 | $12,651 | 6.2x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $83,017 | $13,380 | 6.2x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,261 | $6,527 | 6.2x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $63,351 | $10,288 | 6.2x | 0th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $41,045 | $6,664 | 6.2x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,581 | $5,297 | 6.2x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $203,090 | $33,075 | 6.1x | 1th | Compare your bill |
Showing 50 of 155 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across SD hospitals
15 hospitals in SD report pricing data to CMS. This facility's average ratio of 5.7x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About SANFORD USD MEDICAL CENTER
How much does SANFORD USD MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, SANFORD USD MEDICAL CENTER's listed chargemaster rates average 5.7x the Medicare reimbursement amount across 155 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at SANFORD USD MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at SANFORD USD MEDICAL CENTER is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $38,963 compared to Medicare reimbursement of $4,229 — a ratio of 9.2x. Source: CMS IPPS Provider Summary.
Is SANFORD USD MEDICAL CENTER expensive compared to other SD hospitals?
SANFORD USD MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.7x. Ratios vary significantly across SD hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for SANFORD USD MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from SANFORD USD MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does SANFORD USD MEDICAL CENTER in SIOUX FALLS, SD accept Medicare?
SANFORD USD MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SANFORD USD MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.