Does Sioux Falls Specialty Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at Sioux Falls Specialty Hospital. The closest hospitals that do: Avera McKennan Hospital & University Health Center (0.1 mi), Sanford Usd Medical Center (1.4 mi) and Sioux Falls VA Medical Center (2.2 mi). In a medical emergency, call 911.

Where is Sioux Falls Specialty Hospital?

910 East 20th Street, Sioux Falls, SD 57105, in Minnehaha County, South Dakota.

What is the phone number of Sioux Falls Specialty Hospital?

(605) 334-6730, as listed by Medicare (CMS).

What is the Medicare star rating of Sioux Falls Specialty Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Does Medicare reduce its payments to Sioux Falls Specialty Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Sioux Falls Specialty Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.8906; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Sioux Falls Specialty Hospital

Quick answers

Does Sioux Falls Specialty Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at Sioux Falls Specialty Hospital. The closest hospitals that do: Avera McKennan Hospital & University Health Center (0.1 mi), Sanford Usd Medical Center (1.4 mi) and Sioux Falls VA Medical Center (2.2 mi). In a medical emergency, call 911.
Where is Sioux Falls Specialty Hospital?: 910 East 20th Street, Sioux Falls, SD 57105, in Minnehaha County, South Dakota.
What is the phone number of Sioux Falls Specialty Hospital?: (605) 334-6730, as listed by Medicare (CMS).
What is the Medicare star rating of Sioux Falls Specialty Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to Sioux Falls Specialty Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Sioux Falls Specialty Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.8906; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4][5]

Family Medicine
Physical Therapy
Total Joint and Spine Surgery
Pain Management
Imaging
Total Joint Replacement
Spine Surgery

Procedures^[5][6]

Joint replacement surgery
Spine surgery
Pediatric (children's) surgery

Programs and centers^[4][5][7][8]

Recovery Care Unit
Recovery Care Unit (overnight/inpatient stay)
Total Joint Academy
Spine Academy class

Visiting and practical information

Visiting	Recovery Care Unit visiting 10:30 a.m.-9 p.m. daily; caregivers may stay around the clock. Two visitors per patient 6 a.m.-6 p.m^[9][8]
Parking	Valet parking at the front entrance (20th Street), Monday-Friday 5 a.m.-6 p.m^[9][7]
Interpreters and languages	Free in-person and video interpreters, plus sign language interpreters and written materials in other languages^[10]
Patient portal	https://www.sfsh.com/patient-portal

Recognition^[4]

ACHC Accreditation

Doctors and clinicians (182)

182 doctors and other clinicians list Sioux Falls Specialty Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (182)

Adam R. Norenberg, NPNurse Practitioner
Alex J. Hannemann, MDUrology
Alexandra A. Pudwill, CNACertified Registered Nurse Anesthetist (CRNA)
Alexandra K. Mimmack, PAPhysician Assistant
Alison L. SerckNurse Practitioner
Alissa Moen, PAPhysician Assistant
Allison WestPhysician Assistant
Alyssa M. Green, DOAnesthesiology
Amanda Benson, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda Mork, CNACertified Registered Nurse Anesthetist (CRNA)
Amber N. Chambers, PAPhysician Assistant
Amber Van Voorst, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew A. Davies, NPNurse Practitioner
Andrew Cooperman, MDDiagnostic Radiology
Andrew E. Tyan, MDDiagnostic Radiology
Andrew G. Lohse, MDAnesthesiology
Andrew J. Woodrow, MDDiagnostic Radiology
Andrew R. Mortenson, MDAnesthesiology
Andrew S. MacgregorPhysician Assistant
Angela H. Mathiason, PAPhysician Assistant
Angela J. Majeres, PAPhysician Assistant
Anthony Fiegen, MDOrthopedic Surgery
April E. Labat, NPNurse Practitioner
Audra L. Steinborn, CNACertified Registered Nurse Anesthetist (CRNA)

And 158 more: the button below opens the full list.

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Avera McKennan Hospital & University Health Center0.1 mi · Sioux Falls, SD · Acute Care Hospital
Sanford Usd Medical Center1.4 mi · Sioux Falls, SD · Acute Care Hospital
Sioux Falls VA Medical Center2.2 mi · Sioux Falls, SD · Federal/VA Acute Care Hospital
Avera Heart Hospital of South Dakota4.6 mi · Sioux Falls, SD · Acute Care Hospital
Sanford Canton-Inwood Medical Center - CAH18 mi · Canton, SD · Critical Access Hospital

Find the closest emergency room to where you are →

Other hospitals near Sioux Falls

Select Specialty Hospital - South Dakota1.4 mi · Sioux Falls, SD · Long-Term Acute Care Hospital
Lifescape2.1 mi · Sioux Falls, SD · Children's Hospital

All hospitals in Sioux Falls · Hospitals in Minnehaha County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Good Samaritan Society Sioux Falls Center1.7 mi · Sioux Falls, SD · 2 of 5 stars
Avantara Norton1.9 mi · Sioux Falls, SD
Good Samaritan Society Luther Manor1.9 mi · Sioux Falls, SD · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Avera @ Home1.1 mi · Sioux Falls, SD · 5 of 5 stars
St Croix Hospice4.0 mi · Sioux Falls, SD · 3 of 5 stars
Sanford Hospice4.7 mi · Sioux Falls, SD · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Home Health1.1 mi · Sioux Falls, SD · 4 of 5 stars
Avera @ Home4.0 mi · Sioux Falls, SD · 4 of 5 stars
Sanford Home Health4.7 mi · Sioux Falls, SD · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Sanford Health - Dialysis Unit1.5 mi · Sioux Falls, SD · 5 of 5 stars
Sanford Usd Medical Center - Hemodialysis1.5 mi · Sioux Falls, SD · 4 of 5 stars
DaVita Sioux Falls Community Dialysis4.0 mi · Sioux Falls, SD · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Rivers Edge Aesthetic Surgery1.5 mi · Sioux Falls, SD
Ophthalmology Ltd Eye Surgery Center LLC4.0 mi · Sioux Falls, SD
Usc Ambulatory Surgical Center, Prof LLC4.0 mi · Sioux Falls, SD

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Falls Community Health School Based Health Services/Terry Redlin1.1 mi · Sioux Falls, SD · Community health center
Falls Community Health1.5 mi · Sioux Falls, SD · Community health center
Falls Community Health/Hawthorne Site1.6 mi · Sioux Falls, SD · Community health center

Clinics and urgent care

THVC Services of SD, P.C.1.1 mi · Sioux Falls, SD · Urgent care center
Sanford Clinic Lennox16 mi · Lennox, SD · Rural health clinic
Parker Medical Clinic23 mi · Parker, SD · Rural health clinic

Pharmacies

Hy-Vee Inc1.1 mi · Sioux Falls, SD · Community/retail pharmacy
Sanford Medical Center1.1 mi · Sioux Falls, SD · Community/retail pharmacy
Sanford Medical Center1.1 mi · Sioux Falls, SD · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sioux Falls Specialty Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	5 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	81%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	83%National average: 80%
“Always” got help as soon as they wanted	84%National average: 64%
Staff “always” explained medicines before giving them	75%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	82%National average: 73%
Completed surveys	148Response rate: 53%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	4.2%
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2023 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	15.4%
Readmitted within 30 days: hip or knee replacement	7.6%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD; Readmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Not reported to Medicare: infections caught in the hospital, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Sioux Falls Specialty Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.8906Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Hip or knee replacement	1.2516More readmissions than expected
No result published	Heart attack; Heart failure; Pneumonia; COPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.94Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Sioux Falls Best hospitals in Sioux Falls

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Sioux Falls Specialty Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Show the prices of 54 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT NEW	$241.74	$181.31	$96.45 – $241.74
New patient office visit (about 30–44 minutes): 10 of 127 insurance plan rates AETNA — AETNA: $96.45 AETNA. — AETNA.: $96.45 ALL SAVERS — ALL SAVERS: $198.23 ALLEGIANCE — ALLEGIANCE: $205.48 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $205.48 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $205.48 APWU — APWU: $205.48 APWU HEALTH PLAN — APWU HEALTH PLAN: $205.48 AUXIANT — AUXIANT: $205.48 AVERA HEALTH PLANS — AVERA HEALTH PLANS: $128.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT NEW	$330.87	$248.15	$132.02 – $330.87
New patient office visit (about 45–59 minutes): 10 of 127 insurance plan rates AETNA — AETNA: $132.02 AETNA. — AETNA.: $132.02 ALL SAVERS — ALL SAVERS: $271.31 ALLEGIANCE — ALLEGIANCE: $281.24 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $281.24 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $281.24 APWU — APWU: $281.24 APWU HEALTH PLAN — APWU HEALTH PLAN: $281.24 AUXIANT — AUXIANT: $281.24 AVERA HEALTH PLANS — AVERA HEALTH PLANS: $175.36
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT NEW	$320.14	$240.11	$127.74 – $322.92
New patient office visit (about 60–74 minutes): 10 of 127 insurance plan rates AETNA — AETNA: $127.74 AETNA. — AETNA.: $127.74 ALL SAVERS — ALL SAVERS: $262.52 ALLEGIANCE — ALLEGIANCE: $272.12 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $272.12 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $272.12 APWU — APWU: $272.12 APWU HEALTH PLAN — APWU HEALTH PLAN: $272.12 AUXIANT — AUXIANT: $272.12 AVERA HEALTH PLANS — AVERA HEALTH PLANS: $169.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT EST	$193.36	$145.02	$77.15 – $193.36
Established patient office visit (about 20–29 minutes): 10 of 127 insurance plan rates AETNA — AETNA: $77.15 AETNA. — AETNA.: $77.15 ALL SAVERS — ALL SAVERS: $158.56 ALLEGIANCE — ALLEGIANCE: $164.36 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $164.36 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $164.36 APWU — APWU: $164.36 APWU HEALTH PLAN — APWU HEALTH PLAN: $164.36 AUXIANT — AUXIANT: $164.36 AVERA HEALTH PLANS — AVERA HEALTH PLANS: $102.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT EST	$233.78	$175.34	$93.28 – $233.78
Established patient office visit (about 30–39 minutes): 10 of 127 insurance plan rates AETNA — AETNA: $93.28 AETNA. — AETNA.: $93.28 ALL SAVERS — ALL SAVERS: $191.70 ALLEGIANCE — ALLEGIANCE: $198.71 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $198.71 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $198.71 APWU — APWU: $198.71 APWU HEALTH PLAN — APWU HEALTH PLAN: $198.71 AUXIANT — AUXIANT: $198.71 AVERA HEALTH PLANS — AVERA HEALTH PLANS: $123.90

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$117.89	$88.42	$8.04 – $117.89
Basic metabolic panel (blood test): 10 of 149 insurance plan rates AETNA — AETNA: $47.04 AETNA. — AETNA.: $47.04 ALL SAVERS — ALL SAVERS: $67.18 ALLEGIANCE — ALLEGIANCE: $100.21 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $100.21 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $100.21 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $8.04 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $8.04 APWU — APWU: $100.21 APWU HEALTH PLAN — APWU HEALTH PLAN: $100.21
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$117.89	$88.42	$10.03 – $117.89
Comprehensive metabolic panel (blood test): 10 of 149 insurance plan rates AETNA — AETNA: $47.04 AETNA. — AETNA.: $47.04 ALL SAVERS — ALL SAVERS: $71.66 ALLEGIANCE — ALLEGIANCE: $100.21 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $100.21 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $100.21 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $10.03 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $10.03 APWU — APWU: $100.21 APWU HEALTH PLAN — APWU HEALTH PLAN: $100.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$98.43	$73.82	$12.72 – $98.43
Cholesterol panel (lipid panel): 10 of 149 insurance plan rates AETNA — AETNA: $39.27 AETNA. — AETNA.: $39.27 ALL SAVERS — ALL SAVERS: $71.66 ALLEGIANCE — ALLEGIANCE: $83.67 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $83.67 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $83.67 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $12.72 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $12.72 APWU — APWU: $83.67 APWU HEALTH PLAN — APWU HEALTH PLAN: $83.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$74.63	$55.97	$8.25 – $74.63
Kidney function panel: 10 of 149 insurance plan rates AETNA — AETNA: $29.78 AETNA. — AETNA.: $29.78 ALL SAVERS — ALL SAVERS: $25.08 ALLEGIANCE — ALLEGIANCE: $63.44 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $63.44 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $63.44 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $8.25 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $8.25 APWU — APWU: $63.44 APWU HEALTH PLAN — APWU HEALTH PLAN: $63.44
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$68.24	$51.18	$7.76 – $68.24
Liver function panel: 10 of 149 insurance plan rates AETNA — AETNA: $27.23 AETNA. — AETNA.: $27.23 ALL SAVERS — ALL SAVERS: $67.18 ALLEGIANCE — ALLEGIANCE: $58 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $58 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $58 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $7.76 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $7.76 APWU — APWU: $58 APWU HEALTH PLAN — APWU HEALTH PLAN: $58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$58.41	$43.81	$3.01 – $58.41
Urine test (automated, with microscope): 10 of 149 insurance plan rates AETNA — AETNA: $23.31 AETNA. — AETNA.: $23.31 ALL SAVERS — ALL SAVERS: $51.05 ALLEGIANCE — ALLEGIANCE: $49.65 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $49.65 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $49.65 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $3.01 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $3.01 APWU — APWU: $49.65 APWU HEALTH PLAN — APWU HEALTH PLAN: $49.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$47.60	$35.70	$2.14 – $47.60
Urine test (automated, without microscope): 10 of 149 insurance plan rates AETNA — AETNA: $18.99 AETNA. — AETNA.: $18.99 ALL SAVERS — ALL SAVERS: $24.18 ALLEGIANCE — ALLEGIANCE: $40.46 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $40.46 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $40.46 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $2.14 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $2.14 APWU — APWU: $40.46 APWU HEALTH PLAN — APWU HEALTH PLAN: $40.46
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$71.39	$53.54	$17.47 – $71.66
PSA (prostate specific antigen) blood test: 10 of 149 insurance plan rates AETNA — AETNA: $28.49 AETNA. — AETNA.: $28.49 ALL SAVERS — ALL SAVERS: $71.66 ALLEGIANCE — ALLEGIANCE: $60.68 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $60.68 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $60.68 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $17.47 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $17.47 APWU — APWU: $60.68 APWU HEALTH PLAN — APWU HEALTH PLAN: $60.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$114.65	$85.99	$15.96 – $114.65
Thyroid stimulating hormone (TSH) test: 10 of 149 insurance plan rates AETNA — AETNA: $45.75 AETNA. — AETNA.: $45.75 ALL SAVERS — ALL SAVERS: $83.30 ALLEGIANCE — ALLEGIANCE: $97.45 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $97.45 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $97.45 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $15.96 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $15.96 APWU — APWU: $97.45 APWU HEALTH PLAN — APWU HEALTH PLAN: $97.45
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$137.36	$103.02	$7.38 – $137.36
Complete blood count (CBC) with differential: 10 of 149 insurance plan rates AETNA — AETNA: $54.81 AETNA. — AETNA.: $54.81 ALL SAVERS — ALL SAVERS: $41.20 ALLEGIANCE — ALLEGIANCE: $116.76 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $116.76 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $116.76 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $7.38 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $7.38 APWU — APWU: $116.76 APWU HEALTH PLAN — APWU HEALTH PLAN: $116.76
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$87.61	$65.71	$6.15 – $87.61
Complete blood count (CBC), automated: 10 of 149 insurance plan rates AETNA — AETNA: $34.96 AETNA. — AETNA.: $34.96 ALL SAVERS — ALL SAVERS: $38.52 ALLEGIANCE — ALLEGIANCE: $74.47 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $74.47 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $74.47 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $6.15 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $6.15 APWU — APWU: $74.47 APWU HEALTH PLAN — APWU HEALTH PLAN: $74.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$67.06	$50.30	$4.08 – $67.06
Blood clotting time test (prothrombin time, PT): 10 of 149 insurance plan rates AETNA — AETNA: $26.76 AETNA. — AETNA.: $26.76 ALL SAVERS — ALL SAVERS: $42.10 ALLEGIANCE — ALLEGIANCE: $57 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $57 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $57 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $4.08 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $4.08 APWU — APWU: $57 APWU HEALTH PLAN — APWU HEALTH PLAN: $57
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$75.71	$56.78	$5.71 – $451.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 149 insurance plan rates AETNA — AETNA: $30.21 AETNA. — AETNA.: $30.21 ALL SAVERS — ALL SAVERS: $451.47 ALLEGIANCE — ALLEGIANCE: $64.35 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $64.35 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $64.35 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $5.71 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $5.71 APWU — APWU: $64.35 APWU HEALTH PLAN — APWU HEALTH PLAN: $64.35

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	$1,821.06	$1,365.80	$55.64 – $1,821.06
CT scan of the head or brain, without contrast: 10 of 253 insurance plan rates AARP — AARP: $107.41 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $107.41 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $107.41 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $107.41 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $107.41 ACE USA Senior Care — ACE USA Senior Care: $107.41 ACM — ACM: $107.41 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $107.41 AETNA — AETNA: $726.60 AETNA MEDICARE — AETNA MEDICARE: $110.63
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$4,580.50	$3,435.38	$191.81 – $4,580.50
MRI of the brain, before and after contrast: 10 of 253 insurance plan rates AARP — AARP: $358.35 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $358.35 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $358.35 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $358.35 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $358.35 ACE USA Senior Care — ACE USA Senior Care: $358.35 ACM — ACM: $358.35 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $358.35 AETNA — AETNA: $1,827.62 AETNA MEDICARE — AETNA MEDICARE: $369.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$290.59	$217.94	$22.81 – $290.59
Chest X-ray, 2 views: 10 of 253 insurance plan rates AARP — AARP: $89.39 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $89.39 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $89.39 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $89.39 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $89.39 ACE USA Senior Care — ACE USA Senior Care: $89.39 ACM — ACM: $89.39 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $89.39 AETNA — AETNA: $115.95 AETNA MEDICARE — AETNA MEDICARE: $92.07
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$2,196.28	$1,647.21	$95.65 – $2,196.28
X-ray of the lower spine, at least 4 views: 10 of 245 insurance plan rates AARP — AARP: $107.41 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $107.41 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $107.41 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $107.41 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $107.41 ACE USA Senior Care — ACE USA Senior Care: $107.41 ACM — ACM: $107.41 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $107.41 AETNA — AETNA: $876.32 AETNA MEDICARE — AETNA MEDICARE: $110.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	$4,496.39	$3,372.29	$121.58 – $4,496.39
MRI of the lower back (lumbar spine), without contrast: 10 of 253 insurance plan rates AARP — AARP: $245.72 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $245.72 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $245.72 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $245.72 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $245.72 ACE USA Senior Care — ACE USA Senior Care: $245.72 ACM — ACM: $245.72 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $245.72 AETNA — AETNA: $1,794.06 AETNA MEDICARE — AETNA MEDICARE: $253.09
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/DYE	$382.83	$287.12	$93.89 – $1,079.41
CT scan of the pelvis, with contrast: 10 of 253 insurance plan rates AARP — AARP: $179.73 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $179.73 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $179.73 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $179.73 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $179.73 ACE USA Senior Care — ACE USA Senior Care: $179.73 ACM — ACM: $179.73 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $179.73 AETNA — AETNA: $152.75 AETNA MEDICARE — AETNA MEDICARE: $185.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	$4,188.32	$3,141.24	$121.58 – $4,188.32
MRI of a leg joint (such as the knee), without contrast: 10 of 253 insurance plan rates AARP — AARP: $245.72 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $245.72 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $245.72 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $245.72 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $245.72 ACE USA Senior Care — ACE USA Senior Care: $245.72 ACM — ACM: $245.72 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $245.72 AETNA — AETNA: $1,671.14 AETNA MEDICARE — AETNA MEDICARE: $253.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	$1,774.08	$1,330.56	$191.81 – $1,774.08
CT scan of the abdomen and pelvis, with contrast: 10 of 253 insurance plan rates AARP — AARP: $358.35 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $358.35 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $358.35 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $358.35 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $358.35 ACE USA Senior Care — ACE USA Senior Care: $358.35 ACM — ACM: $358.35 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $358.35 AETNA — AETNA: $707.86 AETNA MEDICARE — AETNA MEDICARE: $369.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$667.46	$500.60	$55.64 – $667.46
Ultrasound of the abdomen, complete: 10 of 253 insurance plan rates AARP — AARP: $107.41 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $107.41 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $107.41 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $107.41 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $107.41 ACE USA Senior Care — ACE USA Senior Care: $107.41 ACM — ACM: $107.41 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $107.41 AETNA — AETNA: $266.32 AETNA MEDICARE — AETNA MEDICARE: $110.63
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$521.08	$390.81	$55.64 – $521.08
Transvaginal ultrasound: 10 of 253 insurance plan rates AARP — AARP: $107.41 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $107.41 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $107.41 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $107.41 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $107.41 ACE USA Senior Care — ACE USA Senior Care: $107.41 ACM — ACM: $107.41 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $107.41 AETNA — AETNA: $207.91 AETNA MEDICARE — AETNA MEDICARE: $110.63

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	$223.94	$167.96	$25.01 – $223.94
Electrocardiogram (ECG/EKG) with reading: 10 of 147 insurance plan rates AETNA — AETNA: $89.35 AETNA. — AETNA.: $89.35 ALL SAVERS — ALL SAVERS: $134.36 ALLEGIANCE — ALLEGIANCE: $190.35 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $190.35 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $190.35 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $25.65 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $25.65 APWU — APWU: $190.35 APWU HEALTH PLAN — APWU HEALTH PLAN: $190.35

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$325.54	$244.16	$21.97 – $325.54
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 152 insurance plan rates AETNA — AETNA: $129.89 AETNA. — AETNA.: $129.89 ALL SAVERS — ALL SAVERS: $150.45 ALLEGIANCE — ALLEGIANCE: $276.71 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $276.71 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $276.71 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $24.88 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $24.88 APWU — APWU: $276.71 APWU HEALTH PLAN — APWU HEALTH PLAN: $276.71
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$312.97	$234.73	$73.33 – $355.69
Physical therapy evaluation (low complexity): 10 of 152 insurance plan rates AETNA — AETNA: $124.88 AETNA. — AETNA.: $124.88 ALL SAVERS — ALL SAVERS: $355.69 ALLEGIANCE — ALLEGIANCE: $266.03 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $266.03 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $266.03 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $73.33 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $73.33 APWU — APWU: $266.03 APWU HEALTH PLAN — APWU HEALTH PLAN: $266.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$469.74	$352.31	$73.33 – $469.74
Physical therapy evaluation (moderate complexity): 10 of 152 insurance plan rates AETNA — AETNA: $187.43 AETNA. — AETNA.: $187.43 ALL SAVERS — ALL SAVERS: $355.69 ALLEGIANCE — ALLEGIANCE: $399.28 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $399.28 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $399.28 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $73.33 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $73.33 APWU — APWU: $399.28 APWU HEALTH PLAN — APWU HEALTH PLAN: $399.28
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$493.77	$370.33	$73.33 – $493.77
Physical therapy evaluation (high complexity): 10 of 152 insurance plan rates AETNA — AETNA: $197.01 AETNA. — AETNA.: $197.01 ALL SAVERS — ALL SAVERS: $355.69 ALLEGIANCE — ALLEGIANCE: $419.71 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $419.71 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $419.71 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $73.33 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $73.33 APWU — APWU: $419.71 APWU HEALTH PLAN — APWU HEALTH PLAN: $419.71

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	$5,308.05	$3,981.04	$1,298.69 – $7,999.32
Removal of breast growth (open surgery): 10 of 253 insurance plan rates AARP — AARP: $4,049.20 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $4,049.20 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $4,049.20 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $4,049.20 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $4,049.20 ACE USA Senior Care — ACE USA Senior Care: $4,049.20 ACM — ACM: $4,049.20 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $4,049.20 AETNA — AETNA: $3,511 AETNA MEDICARE — AETNA MEDICARE: $4,170.68
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	$31,694.02	$23,770.52	$5,685 – $31,694.02
Total hip replacement: 10 of 253 insurance plan rates AARP — AARP: $13,254.37 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $13,254.37 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,254.37 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,254.37 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $13,254.37 ACE USA Senior Care — ACE USA Senior Care: $13,254.37 ACM — ACM: $13,254.37 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $13,254.37 AETNA — AETNA: $5,685 AETNA MEDICARE — AETNA MEDICARE: $13,652
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	$31,694.02	$23,770.52	$5,685 – $31,694.02
Total knee replacement: 10 of 253 insurance plan rates AARP — AARP: $13,254.37 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $13,254.37 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,254.37 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,254.37 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $13,254.37 ACE USA Senior Care — ACE USA Senior Care: $13,254.37 ACM — ACM: $13,254.37 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $13,254.37 AETNA — AETNA: $5,685 AETNA MEDICARE — AETNA MEDICARE: $13,652
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	$19,635.09	$14,726.32	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19,635.09
Shoulder arthroscopy: shaving of shoulder bone: 10 of 134 insurance plan rates AETNA — AETNA: $3,511 AETNA. — AETNA.: $3,511 ALL SAVERS — ALL SAVERS: $16,100.77 ALLEGIANCE — ALLEGIANCE: $16,689.83 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $16,689.83 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $16,689.83 APWU — APWU: $16,689.83 APWU HEALTH PLAN — APWU HEALTH PLAN: $16,689.83 AUXIANT — AUXIANT: $16,689.83 BCBS — BCBS: $3,446.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	$12,032.97	$9,024.73	$1,414.73 – $12,032.97
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 253 insurance plan rates AARP — AARP: $3,377.20 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $3,377.20 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $3,377.20 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $3,377.20 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $3,377.20 ACE USA Senior Care — ACE USA Senior Care: $3,377.20 ACM — ACM: $3,377.20 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $3,377.20 AETNA — AETNA: $4,338 AETNA MEDICARE — AETNA MEDICARE: $3,478.52
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	$11,834.46	$8,875.85	$2,469.55 – $12,289.80
Removal of tonsils and adenoids (under age 12): 10 of 253 insurance plan rates AARP — AARP: $6,182.21 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $6,182.21 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $6,182.21 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $6,182.21 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $6,182.21 ACE USA Senior Care — ACE USA Senior Care: $6,182.21 ACM — ACM: $6,182.21 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $6,182.21 AETNA — AETNA: $3,511 AETNA MEDICARE — AETNA MEDICARE: $6,367.68
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$3,786.11	$2,839.58	$429.79 – $3,786.11
Upper GI endoscopy (diagnostic): 10 of 253 insurance plan rates AARP — AARP: $937.33 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $937.33 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $937.33 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $937.33 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $937.33 ACE USA Senior Care — ACE USA Senior Care: $937.33 ACM — ACM: $937.33 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $937.33 AETNA — AETNA: $2,290 AETNA MEDICARE — AETNA MEDICARE: $965.45
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$4,126.05	$3,094.54	$429.79 – $4,126.05
Upper GI endoscopy with biopsy: 10 of 253 insurance plan rates AARP — AARP: $937.33 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $937.33 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $937.33 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $937.33 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $937.33 ACE USA Senior Care — ACE USA Senior Care: $937.33 ACM — ACM: $937.33 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $937.33 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $965.45
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$3,662.87	$2,747.15	$432.66 – $3,662.87
Colonoscopy (diagnostic): 10 of 253 insurance plan rates AARP — AARP: $957.18 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $957.18 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $957.18 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $957.18 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $957.18 ACE USA Senior Care — ACE USA Senior Care: $957.18 ACM — ACM: $957.18 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $957.18 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $985.90
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$4,006.98	$3,005.24	$563.79 – $4,006.98
Colonoscopy with biopsy: 10 of 253 insurance plan rates AARP — AARP: $1,232.16 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $1,232.16 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $1,232.16 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $1,232.16 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $1,232.16 ACE USA Senior Care — ACE USA Senior Care: $1,232.16 ACM — ACM: $1,232.16 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $1,232.16 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $1,269.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	$4,006.98	$3,005.24	$563.79 – $4,006.98
Colonoscopy with removal of polyps (snare): 10 of 253 insurance plan rates AARP — AARP: $1,232.16 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $1,232.16 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $1,232.16 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $1,232.16 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $1,232.16 ACE USA Senior Care — ACE USA Senior Care: $1,232.16 ACM — ACM: $1,232.16 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $1,232.16 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $1,269.13
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLOREC CNCR SCR;COLNSCPY NO HI RSK	$3,867.80	$2,900.85	$432.66 – $3,867.80
Screening colonoscopy (not high risk): 10 of 253 insurance plan rates AARP — AARP: $957.18 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $957.18 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $957.18 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $957.18 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $957.18 ACE USA Senior Care — ACE USA Senior Care: $957.18 ACM — ACM: $957.18 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $957.18 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $985.90
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$17,133.45	$12,850.09	$2,498.41 – $17,133.45
Gallbladder removal by laparoscope: 10 of 253 insurance plan rates AARP — AARP: $6,228.97 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $6,228.97 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $6,228.97 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $6,228.97 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $6,228.97 ACE USA Senior Care — ACE USA Senior Care: $6,228.97 ACM — ACM: $6,228.97 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $6,228.97 AETNA — AETNA: $4,937 AETNA MEDICARE — AETNA MEDICARE: $6,415.84
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	$9,689.97	$7,267.48	$1,665.79 – $9,689.97
Groin (inguinal) hernia repair, age 5 or older: 10 of 253 insurance plan rates AARP — AARP: $3,698.49 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $3,698.49 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $3,698.49 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $3,698.49 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $3,698.49 ACE USA Senior Care — ACE USA Senior Care: $3,698.49 ACM — ACM: $3,698.49 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $3,698.49 AETNA — AETNA: $4,338 AETNA MEDICARE — AETNA MEDICARE: $3,809.45
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	$7,310.21	$5,482.66	$847.93 – $7,310.21
Prostate biopsy: 10 of 163 insurance plan rates AETNA — AETNA: $3,073 AETNA. — AETNA.: $3,073 ALL SAVERS — ALL SAVERS: $5,994.37 ALLEGIANCE — ALLEGIANCE: $6,213.68 ALLEGIANCE BENEFIT PLAN MANAGEMENT — ALLEGIANCE BENEFIT PLAN MANAGEMENT: $6,213.68 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEMS: $6,213.68 AMERIGROUP (IA MEDICAID) — AMERIGROUP (IA MEDICAID): $1,570.19 AMERIHEALTH CARITAS (IA MEDICAID) — AMERIHEALTH CARITAS (IA MEDICAID): $1,570.19 APWU — APWU: $6,213.68 APWU HEALTH PLAN — APWU HEALTH PLAN: $6,213.68
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	$28,069.82	$21,052.37	$3,793.87 – $28,069.82
Prostate removal by laparoscope (radical prostatectomy): 10 of 252 insurance plan rates AARP — AARP: $10,966.50 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $10,966.50 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $10,966.50 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $10,966.50 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $10,966.50 ACE USA Senior Care — ACE USA Senior Care: $10,966.50 ACM — ACM: $10,966.50 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $10,966.50 AETNA — AETNA: $4,937 AETNA MEDICARE — AETNA MEDICARE: $11,295.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	$10,109.68	$7,582.26	$1,437.95 – $10,109.68
Hysteroscopy with biopsy of the uterus lining: 10 of 253 insurance plan rates AARP — AARP: $3,360.20 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $3,360.20 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $3,360.20 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $3,360.20 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $3,360.20 ACE USA Senior Care — ACE USA Senior Care: $3,360.20 ACM — ACM: $3,360.20 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $3,360.20 AETNA — AETNA: $3,511 AETNA MEDICARE — AETNA MEDICARE: $3,461.01
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$2,745.25	$2,058.94	$335.46 – $2,745.25
Spinal injection, lower back (epidural), with imaging guidance: 10 of 253 insurance plan rates AARP — AARP: $723.92 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $723.92 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $723.92 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $723.92 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $723.92 ACE USA Senior Care — ACE USA Senior Care: $723.92 ACM — ACM: $723.92 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $723.92 AETNA — AETNA: $2,290 AETNA MEDICARE — AETNA MEDICARE: $745.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	$3,201.87	$2,401.40	$443.67 – $3,201.87
Nerve root injection, lower back, with imaging guidance: 10 of 253 insurance plan rates AARP — AARP: $904.38 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $904.38 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $904.38 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $904.38 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $904.38 ACE USA Senior Care — ACE USA Senior Care: $904.38 ACM — ACM: $904.38 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $904.38 AETNA — AETNA: $2,290 AETNA MEDICARE — AETNA MEDICARE: $931.51
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$6,736.93	$5,052.70	$853.93 – $6,736.93
Carpal tunnel release: 10 of 253 insurance plan rates AARP — AARP: $1,999.82 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $1,999.82 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $1,999.82 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $1,999.82 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $1,999.82 ACE USA Senior Care — ACE USA Senior Care: $1,999.82 ACM — ACM: $1,999.82 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $1,999.82 AETNA — AETNA: $3,073 AETNA MEDICARE — AETNA MEDICARE: $2,059.82
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATARACT SURG W/IOL 1 STAGE	$7,232.02	$5,424.02	$1,101.05 – $7,232.02
Cataract removal with lens implant: 10 of 253 insurance plan rates AARP — AARP: $2,183.90 AARP MEDICARE ADVANTAGE — AARP MEDICARE ADVANTAGE: $2,183.90 AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $2,183.90 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $2,183.90 ACE MEDICARE SUPPLEMENT — ACE MEDICARE SUPPLEMENT: $2,183.90 ACE USA Senior Care — ACE USA Senior Care: $2,183.90 ACM — ACM: $2,183.90 ADMINISTRATIVE CONCEPTS INC — ADMINISTRATIVE CONCEPTS INC: $2,183.90 AETNA — AETNA: $6,702 AETNA MEDICARE — AETNA MEDICARE: $2,249.42

Source: Sioux Falls Specialty Hospital’s standard charges file (clariti-health.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	910 East 20th Street, Sioux Falls, SD 57105
County	Minnehaha County
State	South Dakota
Phone	(605) 334‑6730
Emergency services	Not listed
Ownership	Proprietary
Medicare overall rating	Not rated by CMS
CMS Certification Number	430090
Name in Medicare records	SIOUX FALLS SPECIALTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	sfsh.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Sioux Falls Specialty Hospital — sfsh.com
Total Joint Academy & Spine Surgery - Sioux Falls Specialty Hospital — sfsh.com
Preparing for a Visit - Sioux Falls Specialty Hospital — sfsh.com
Locations/Directions - Sioux Falls Specialty Hospital — sfsh.com
Recovery Care Unit - Sioux Falls Specialty Hospital — sfsh.com
When You Arrive - Sioux Falls Specialty Hospital — sfsh.com
Notice of Nondiscrimination and Accessibility Requirements — sfsh.com