Price AtlasInteractive atlas · All states · techysurgeon.comSanford 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.
Medicare prices at Sanford Usd Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,396 | $81,360 | 5.3× | $12,083 |
| Shoulder replacement | — | — | — | $17,096 |
| Hip replacement after a fracture (DRG 522) | $17,229 | $69,315 | 4.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,374 | 2.0× | $17,553–$34,205 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $34,205 | 2.2× | 1 |
| Medica | $31,374 | 2.0× | 1 |
| HealthPartners | $17,553 | 1.1× | 1 |
From the hospital's price-transparency file (2026-03-04); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-04); commercial plans, dollar-amount contracts only.
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 the average total payment to Sanford Usd Medical Center for an inpatient hip or knee replacement stay was $15,396 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Sanford Usd Medical Center's average total payment per Medicare stay is higher than 67% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sanford Usd Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $31,374 across 3 insurers, ranging from $17,553 to $34,205.