South Dakota / Sanford Aberdeen Medical Center
CMS certification 430097 · Aberdeen, SD · 4 entries in CMS's price-transparency list
Sanford Aberdeen Medical Center: charges and Medicare payments
Sanford Aberdeen Medical Center reported 187 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 2.56 times what it was paid — among the lower ratios in South Dakota, number 11 of 12 hospitals with at least 100 stays (state median 3.53×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 62 stays at an average charge of $30,705, 66% below the national average. It also billed 657 outpatient services, charging 5.65 times what Medicare paid.
- 1Medicare inpatient stays 187
- 2Charge ÷ paid, inpatient 2.56×
- 3Rank in SD (highest ratio = 1) 11 of 12
- 4CMS price-transparency actions 4
Inpatient stays
For the 9 DRGs that can be compared with the national average, Sanford Aberdeen Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 62 | $30,705 | -66% | $13,643 |
| 291 Heart Failure and Shock with MCC | 30 | $25,941 | -54% | $9,844 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $23,885 | -60% | $10,310 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $31,608 | -55% | $12,091 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $19,433 | -52% | $6,578 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $29,563 | -61% | $12,170 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $28,458 | -23% | $6,567 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $33,232 | -42% | $9,689 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $26,536 | -48% | $8,735 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 232 | $14,822 | $2,566 |
| Level 1 Endovascular Procedures | 74 | $22,543 | $3,060 |
| Level 2 Urology and Related Services | 57 | $1,509 | $640 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 43 | $5,679 | $1,520 |
| Level 3 Urology and Related Services | 41 | $3,041 | $1,910 |
| Level 5 Musculoskeletal Procedures | 39 | $43,952 | $12,322 |
| Level 4 Musculoskeletal Procedures | 28 | $22,119 | $6,707 |
| Level 3 Musculoskeletal Procedures | 23 | $8,423 | $3,035 |
| Level 1 Nerve Procedures | 22 | $6,819 | $1,810 |
| Level 2 Musculoskeletal Procedures | 19 | $7,303 | $1,507 |
| Level 3 Endovascular Procedures | 17 | $50,771 | $10,305 |
| Level 3 Vascular Procedures | 16 | $12,993 | $2,988 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $14,510 | $3,244 |
| Level 4 Urology and Related Services | 15 | $10,563 | $3,268 |
| Level 5 Urology and Related Services | 15 | $15,000 | $4,851 |
Against the South Dakota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sanford Aberdeen Medical Center charged $30,705 on average, 54% less than the South Dakota average of $67,007, and was paid $13,643 against a state average of $17,025. For Heart Failure and Shock with MCC (DRG 291), Sanford Aberdeen Medical Center charged $25,941 on average, 41% less than the South Dakota average of $44,214, and was paid $9,844 against a state average of $11,100. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sanford Aberdeen Medical Center charged $23,885 on average, 42% less than the South Dakota average of $41,232, and was paid $10,310 against a state average of $11,334. For Respiratory Infections and Inflammations with MCC (DRG 177), Sanford Aberdeen Medical Center charged $31,608 on average, 41% less than the South Dakota average of $53,881, and was paid $12,091 against a state average of $14,370. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,822 was 19% below the state average of $18,366. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,543 was 5% above the state average of $21,419. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,509 was 36% below the state average of $2,357. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,679 was 32% below the state average of $8,333.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sanford Aberdeen Medical Center in Aberdeen, SD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-16 (CMS case 1944)
- CAP Request — 2024-05-24 (CMS case 1944)
- Closure Notice — 2024-07-12 (CMS case 1944)
- Met Requirements — 2025-07-09 (CMS case 5609)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.