54/100
#1,145 nationally
Sioux Falls Specialty Hospital
910 East 20Th Street, Sioux Falls, SD 57105 · (605) 334-6730
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sioux Falls Specialty Hospital billed $4.45 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
- 4.4x
- volume-weighted across all its priced work
- Procedures priced
- 30
- inpatient and outpatient combined
- Rank in SD
- #12
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 49% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 20% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
1,213 | $45,509 | $12,287 | -27% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
401 | $43,367 | $6,636 | +9% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
393 | $12,375 | $1,807 | +9% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
335 | $21,492 | $3,014 | +5% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
277 | $70,519 | $17,356 | -15% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
132 | $10,309 | $1,498 | -8% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
122 | $11,923 | $3,812 | -42% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
76 | $40,571 | $9,644 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
72 | $16,096 | $3,268 | -22% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
70 | $19,188 | $4,851 | -30% |
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 |
|---|---|---|---|
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$58,888 | $6,412 | +125% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$82,251 | $6,271 | +114% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$215,158 | $28,105 | +48% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$25,657 | $2,922 | +35% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$148,479 | $29,027 | +32% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$40,830 | $5,490 | +19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$12,375 | $1,807 | +9% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$43,367 | $6,636 | +9% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$5,174 | $1,591 | -55% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$65,696 | $23,256 | -49% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$55,339 | $17,319 | -46% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$11,923 | $3,812 | -42% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$10,542 | $2,664 | -40% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$8,095 | $1,910 | -37% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$69,210 | $18,336 | -36% |
|
Knee Procedures without Principal Diagnosis of Infection with Complications/mcc
MS-DRG 488 · Inpatient stay |
$40,820 | $13,953 | -35% |
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.