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Sanford Usd Medical Center: what a joint replacement costs

Sioux Falls, SD 57117 · CMS Certification Number 430027. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,083
364 Medicare cases, APC 5115
Inpatient here
$15,396
12 Medicare stays, MS-DRG 470

Medicare prices at Sanford Usd Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,396$81,3605.3×$12,083
Shoulder replacement———$17,096
Hip replacement after a fracture (DRG 522)$17,229$69,3154.0×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 545 beds

South Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Sanford Usd Medical Center for a knee or hip replacement?

In 2024 Medicare paid Sanford Usd Medical Center an average of $15,396 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $12,083 per outpatient case (APC 5115, 364 cases).

What is Sanford Usd Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,360, 5.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Sanford Usd Medical Center compare with other South Dakota hospitals?

Medicare paid Sanford Usd Medical Center more than 67% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.