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Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Sanford Usd Medical Center

1305 W 18TH ST, Sioux Falls, SD 57117

CMS Overall Rating ★★★★★
Factual Overview

Sanford Usd Medical Center is a Acute Care Hospitals (Voluntary non-profit - Private) operating in Sioux Falls, SD. Mapped commercial insurance prices across 140 procedures average 2.49x the Medicare baseline. The facility holds a CMS quality rating of 5/5 stars with a patient recommendation score of 75%.

Facility Overview

Setting: rural Bed Count: 452 Beds Teaching Status: Teaching Hospital Annual Discharges: 24,681

Patient Experience

Recommendation Rate: 75% High Patient Rating: 75% ER Wait Time (Med): 196 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 140 codes Avg Markup vs Medicare: 2.49x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
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Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
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Bunion correction surgery
CPT Code: 28296
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Knee arthroscopy with meniscus repair
CPT Code: 29881
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Heart stent placement (inpatient stay)
MS-DRG Code: 322
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Blood transfusion
CPT Code: 36430
 $1,036 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
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Upper endoscopy with biopsy
CPT Code: 43239
 $2,540 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
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Colonoscopy (diagnostic)
CPT Code: 45378
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Colonoscopy with biopsy
CPT Code: 45380
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Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
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Gallbladder removal (laparoscopic)
CPT Code: 47562
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Inguinal hernia repair
CPT Code: 49505
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Vaginal delivery (full package)
CPT Code: 59400
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C-section delivery (full package)
CPT Code: 59510
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Cataract surgery with lens implant
CPT Code: 66984
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CT scan, head (no contrast)
CPT Code: 70450
 $2,334 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,649 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,933 Calc
CT scan, sinuses
CPT Code: 70486
 $2,199 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $3,142 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,781 Calc
X-ray, chest (single view)
CPT Code: 71045
 $307 Calc
X-ray, chest (two views)
CPT Code: 71046
 $381 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,570 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $506 Calc
X-ray, lower back
CPT Code: 72110
 $776 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,715 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,652 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,555 Calc
X-ray, pelvis
CPT Code: 72170
 $392 Calc
CT scan, pelvis
CPT Code: 72192
 $2,350 Calc
X-ray, shoulder
CPT Code: 73030
 $462 Calc
X-ray, hand
CPT Code: 73130
 $433 Calc
X-ray, hip
CPT Code: 73502
 $358 Calc
X-ray, ankle
CPT Code: 73610
 $467 Calc
X-ray, foot
CPT Code: 73630
 $488 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $3,285 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,235 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,883 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $892 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,130 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $825 Calc
Ultrasound, pelvis
CPT Code: 76856
 $996 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
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Screening mammogram (both breasts)
CPT Code: 77067
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Blood test, basic metabolic panel
CPT Code: 80048
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Blood test, comprehensive metabolic panel
CPT Code: 80053
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Blood test, cholesterol (lipid panel)
CPT Code: 80061
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Blood test, liver function panel
CPT Code: 80076
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Urinalysis (automated, with microscopy)
CPT Code: 81001
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Blood test, amylase
CPT Code: 82150
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Blood test, vitamin D
CPT Code: 82306
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Blood test, calcium
CPT Code: 82310
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Blood test, creatinine (kidney)
CPT Code: 82565
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Blood test, vitamin B12
CPT Code: 82607
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Blood test, ferritin (iron stores)
CPT Code: 82728
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Blood test, glucose (blood sugar)
CPT Code: 82947
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Blood test, average blood sugar (A1c)
CPT Code: 83036
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Blood test, lipase
CPT Code: 83690
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Blood test, magnesium
CPT Code: 83735
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Blood test, potassium
CPT Code: 84132
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Blood test, PSA (prostate screen)
CPT Code: 84153
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Blood test, sodium
CPT Code: 84295
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Blood test, thyroid (TSH)
CPT Code: 84443
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Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
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Blood test, hemoglobin
CPT Code: 85018
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Blood test, complete blood count (CBC)
CPT Code: 85025
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Blood test, clotting time (PT/INR)
CPT Code: 85610
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Blood test, clotting time (PTT)
CPT Code: 85730
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Hepatitis C antibody test
CPT Code: 86803
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Blood antibody screen
CPT Code: 86850
 $13 Calc
Culture, blood
CPT Code: 87040
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Culture, bacterial
CPT Code: 87070
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Sepsis treatment (inpatient stay)
MS-DRG Code: 871
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Hepatitis B immune globulin
HCPCS Code: 90371
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Rabies immune globulin
HCPCS Code: 90375
 $4,098 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $26 Calc
Typhoid vaccine
HCPCS Code: 90675
 $524 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $326 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $359 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $336 Calc
Varicella (chickenpox) vaccine
HCPCS Code: 90716
 $386 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $235 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $26 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $327 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $257 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $290 Calc
Family therapy session
CPT Code: 90847
 $286 Calc
Group therapy session
CPT Code: 90853
 $213 Calc
Care planning with family
CPT Code: 90887
 $195 Calc
Review of medical records for care
CPT Code: 90889
 Contact Desk Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $312 Calc
Speech therapy (group session)
CPT Code: 92508
 $84 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $336 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,846 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,437 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $288 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,698 Calc
Neurobehavioral status check
CPT Code: 96116
 $414 Calc
Psychological testing evaluation
CPT Code: 96136
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Psychological testing by technician
CPT Code: 96138
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Physical therapy (therapeutic exercise)
CPT Code: 97110
 $130 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $129 Calc
Physical therapy (gait training)
CPT Code: 97116
 $120 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $134 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $134 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $125 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $328 Calc
Orthotic fitting and training
CPT Code: 97760
 $247 Calc
Prosthetic fitting and training
CPT Code: 97761
 $122 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $369 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $278 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $614 Calc
Flu vaccine injection
HCPCS Code: G0008
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Pneumonia vaccine injection
HCPCS Code: G0009
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Colorectal cancer screening
HCPCS Code: G0010
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Prostate cancer screening (blood test)
HCPCS Code: G0103
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Colorectal cancer screening (alternative)
HCPCS Code: G0145
 $90 Calc
Injection procedure for pain management
HCPCS Code: G0260
 $1,790 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
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Electrical stimulation therapy
HCPCS Code: G0283
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Hospital observation (per hour)
HCPCS Code: G0378
 $90 Calc
Trauma team activation
HCPCS Code: G0390
 $6,026 Calc
Drug screening test
HCPCS Code: G0480
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Extended office visit (prolonged)
HCPCS Code: G2212
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Behavioral health assessment
HCPCS Code: H0001
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Behavioral health counseling (per session)
HCPCS Code: H0008
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Behavioral health counseling (group)
HCPCS Code: H0009
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Behavioral health residential care
HCPCS Code: H0011
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Mental health services (assessment)
HCPCS Code: H0031
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Mental health services (therapy)
HCPCS Code: H0032
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Community mental health services
HCPCS Code: H0038
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Behavioral health day program
HCPCS Code: H2012
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Behavioral health outpatient services
HCPCS Code: H2015
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Behavioral health living support
HCPCS Code: H2019
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Residential substance abuse treatment
HCPCS Code: H2035
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