52/100
#1,202 nationally
Sanford Usd Medical Center
1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117 · (605) 333-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sanford Usd Medical Center billed $4.76 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 213
- inpatient and outpatient combined
- Rank in SD
- #13
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 39% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 71% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
920 | $22,999 | $2,998 | -9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
761 | $7,037 | $1,484 | -30% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
646 | $6,049 | $1,873 | -53% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
385 | $58,007 | $10,084 | -14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
366 | $18,399 | $2,501 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
364 | $52,934 | $12,083 | -15% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
301 | $10,070 | $1,746 | -14% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
294 | $8,159 | $1,763 | -28% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
290 | $82,896 | $16,716 | +27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
226 | $30,949 | $5,281 | -12% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$98,458 | $15,008 | +38% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$74,780 | $13,865 | +33% |
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay |
$92,256 | $14,261 | +33% |
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$87,133 | $8,664 | +30% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$82,896 | $16,716 | +27% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$41,323 | $8,998 | +27% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$14,662 | $2,142 | +25% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$51,632 | $9,115 | +25% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Neurostimulator and Related Procedures
APC 5461 · Hospital outpatient visit |
$5,925 | $3,128 | -74% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$2,691 | $1,402 | -58% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,049 | $1,873 | -53% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$40,105 | $15,170 | -49% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$9,288 | $2,612 | -47% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$16,773 | $4,573 | -44% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$6,507 | $1,477 | -42% |
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay |
$28,259 | $9,223 | -41% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.