South Dakota / Sanford Usd Medical Center
CMS certification 430027 · Sioux Falls, SD · 5 entries in CMS's price-transparency list
Sanford Usd Medical Center: charges and Medicare payments
Sanford Usd Medical Center reported 5,684 Medicare inpatient stays across 158 DRGs in 2024. Across them it charged 4.56 times what it was paid — among the higher ratios in South Dakota, number 3 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: 290 stays at an average charge of $82,896, 8% below the national average. It also billed 8,099 outpatient services, charging 6.3 times what Medicare paid.
- 1Medicare inpatient stays 5,684
- 2Charge ÷ paid, inpatient 4.56×
- 3Rank in SD (highest ratio = 1) 3 of 12
- 4CMS price-transparency actions 5
Inpatient stays
For the 158 DRGs that can be compared with the national average, Sanford Usd Medical Center charged more than the national average in 12 (8%). 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 | 290 | $82,896 | -8% | $16,716 |
| 291 Heart Failure and Shock with MCC | 190 | $52,658 | -7% | $11,051 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 135 | $60,381 | -20% | $13,288 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 133 | $154,424 | -30% | $37,641 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 121 | $89,264 | -43% | $25,060 |
| 378 Gastrointestinal Hemorrhage with CC | 116 | $41,469 | -15% | $8,970 |
| 193 Simple Pneumonia and Pleurisy with MCC | 112 | $53,257 | -11% | $11,100 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 108 | $178,959 | -22% | $40,587 |
| 189 Pulmonary Edema and Respiratory Failure | 106 | $58,600 | +2% | $11,296 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 99 | $54,216 | -3% | $9,137 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 98 | $97,588 | -15% | $15,176 |
| 177 Respiratory Infections and Inflammations with MCC | 91 | $60,831 | -14% | $13,584 |
| 690 Kidney and Urinary Tract Infections without MCC | 91 | $30,578 | -19% | $7,105 |
| 481 Hip and Femur Procedures except Major Joint with CC | 88 | $81,428 | -19% | $17,121 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 85 | $30,912 | -23% | $7,138 |
| 603 Cellulitis without MCC | 73 | $29,955 | -20% | $8,237 |
| 377 Gastrointestinal Hemorrhage with MCC | 72 | $75,324 | -12% | $14,952 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 72 | $69,315 | -32% | $17,229 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 71 | $88,680 | -11% | $16,378 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 71 | $138,859 | -15% | $22,681 |
| 683 Renal Failure with CC | 70 | $33,956 | -17% | $8,095 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 66 | $40,773 | -19% | $7,987 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $36,448 | -2% | $7,633 |
| 682 Renal Failure with MCC | 62 | $60,522 | -8% | $13,190 |
| 330 Major Small and Large Bowel Procedures with CC | 61 | $96,107 | -19% | $20,206 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 59 | $41,761 | -15% | $9,707 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 56 | $50,051 | -1% | $9,428 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 54 | $87,065 | -22% | $19,751 |
| 552 Medical Back Problems without MCC | 54 | $40,263 | -18% | $10,261 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $49,795 | -17% | $10,674 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 52 | $206,803 | -11% | $40,422 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 51 | $50,637 | -21% | $9,410 |
| 194 Simple Pneumonia and Pleurisy with CC | 50 | $35,852 | -7% | $7,313 |
| 312 Syncope and Collapse | 48 | $36,503 | -20% | $7,580 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 46 | $83,384 | -25% | $18,640 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 46 | $28,804 | -20% | $6,844 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $46,047 | -10% | $10,239 |
| 270 Other Major Cardiovascular Procedures with MCC | 41 | $216,988 | -16% | $46,055 |
| 394 Other Digestive System Diagnoses with CC | 40 | $39,508 | -16% | $8,774 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $55,089 | -25% | $13,658 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 39 | $127,378 | -6% | $20,988 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 39 | $46,761 | -31% | $10,728 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 38 | $63,178 | -29% | $16,438 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 38 | $62,040 | -33% | $13,662 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 38 | $34,787 | -27% | $9,237 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 37 | $135,881 | -36% | $32,104 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 37 | $124,874 | -22% | $27,714 |
| 271 Other Major Cardiovascular Procedures with CC | 36 | $133,620 | -23% | $31,944 |
| 329 Major Small and Large Bowel Procedures with MCC | 35 | $177,474 | -17% | $38,614 |
| 389 Gastrointestinal Obstruction with CC | 35 | $30,339 | -22% | $7,097 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 35 | $151,081 | -30% | $39,901 |
| 071 Other Cerebrovascular Disorders with CC | 34 | $47,670 | -6% | $9,774 |
| 445 Disorders of The Biliary Tract with CC | 34 | $47,259 | -19% | $9,400 |
| 035 Carotid Artery Stent Procedures with CC | 33 | $93,661 | -17% | $18,266 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 33 | $116,603 | -16% | $24,759 |
| 948 Signs and Symptoms without MCC | 33 | $30,467 | -20% | $7,535 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 32 | $254,314 | -9% | $49,620 |
| 163 Major Chest Procedures with MCC | 32 | $143,618 | -32% | $35,385 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $57,759 | -5% | $12,083 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 31 | $62,388 | -27% | $13,822 |
Showing the 60 most frequent of 158 DRGs.
Outpatient services
Against the South Dakota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sanford Usd Medical Center charged $82,896 on average, 24% more than the South Dakota average of $67,007, and was paid $16,716 against a state average of $17,025. For Heart Failure and Shock with MCC (DRG 291), Sanford Usd Medical Center charged $52,658 on average, 19% more than the South Dakota average of $44,214, and was paid $11,051 against a state average of $11,100. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sanford Usd Medical Center charged $60,381 on average, 7% more than the South Dakota average of $56,620, and was paid $13,288 against a state average of $13,155. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Sanford Usd Medical Center charged $154,424 on average, 16% less than the South Dakota average of $182,813, and was paid $37,641 against a state average of $37,133. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,999 was 7% above the state average of $21,419. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,037 was 16% below the state average of $8,333. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,049 was 16% below the state average of $7,172. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $58,007 was 8% below the state average of $63,097.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sanford Usd Medical Center in Sioux Falls, SD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-14 (CMS case 1016)
- CAP Request — 2023-08-07 (CMS case 1016)
- Closure Notice — 2023-10-09 (CMS case 1016)
- Warning Notice — 2025-03-24 (CMS case 3376)
- Closure Notice — 2025-06-25 (CMS case 3376)
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.