Know What Your Health Care Costs
When you have the opportunity to shop for medical services, it’s important to contact your own insurance carrier to understand which costs will be covered and which will be your responsibility.
Sanford Health has established a process to help you find out what an anticipated visit or procedure would cost.
To request a price estimate, log in to your My Sanford Chart account from a desktop computer and select "Billing" then "Estimates" to get started. Or, call us at (877) 701-0779. Our office hours are 8 a.m. to 5 p.m. Monday through Friday.
Patients can also see price estimates for several Hospital services online using our price estimate tool.
You also can browse the lists below.
Beginning Jan. 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services require hospitals and health systems to post their “current, standard charges.”
Beginning July 1, 2019, a state law in Minnesota requires primary care clinics to report the amounts for their 25 most frequent procedures or services that cost more than $25.
On this page, you can access the standard prices, or charges, for all Sanford Health-owned hospitals as well as primary care clinics in Minnesota.
Information About Good Faith Estimates
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
For patients initiating a dispute through the CMS Independent Dispute Resolution (IDR) process, please include the following Sanford contact information on your submission form:
Email Address: PFSACCTS@sanfordhealth.org
Phone number: (877) 629-2999
Inclusion of this information will ensure Sanford’s prompt response to your dispute.
Provider Based Billing
Provider Based designation is a Medicare status for clinics designated to be outpatient hospital departments of the hospital. Patients will receive billing statements for professional and facility fees.
Sanford clinics designated as Provider Based have the name ‘Sanford’ as part of the clinic name. Clinics that are not Provider Based have the name ‘Sanford Health’ as part of the clinic name. Learn more about Provider Based Billing.
How to Use the Hospital Pricing Information List
Simply click on the state where your hospital is located. Find the hospital you would like to review. Then click the hospital name to read or download the price estimates document on your computer or mobile device.
- The prices listed are the amounts Sanford Health would bill an insurer. The amounts may not be what you will pay out-of-pocket.
- The prices listed were in effect as of December 31, 2019 and reflect the annual price changes that were implemented on July 1, 2019. In some cases, charges may change during the year and may have been updated since December 31, 2019.
- Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.
- Hospital charges may also include bundled rates for procedures, personnel, services and supplies. For example, room rates may include the space, equipment, nursing personnel and supplies.
Where to Find More Information
To search and compare average prices among other facilities, visit the Hospital Associations of Minnesota, South Dakota and Iowa websites:
COVID-19 Pricing Information
COVID-19 Diagnostic Laboratory Testing Price
Shown in the table below is the price of various COVID-19 diagnostic laboratory tests offered at most Sanford hospital and clinic laboratories. Most insurance companies, as well as government programs like Medicare and Medicaid, have taken steps to ensure coverage to eliminate any patient or out-of-pocket costs for COVID-19 testing at this time.
|SARS-COV-2 COVID-19 AMP PRB HIGH THROUGHPUT||87635/U0003||$152|
|RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN (COVID, INFLUENZA A & B)||87636/U24OU||$437|
|RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN (COVID, INFLUENZA A & B, RSV)||87637/U241U||$576|
|CORONAVIRUS ANTIGEN IA||87426||$75|
|SARS-COV-2 COVID-19 ANTIBODY||86769||$89|
Sanford also offers the SARS- COV-2 Covid-19 Antibody test (CPT code 86769) direct to consumer for a discounted cash price of $50. This is the only COVID test that can be requested without a physician order and must be paid out of pocket by the consumer with no insurance billing.
Hospital Pricing Information
Thief River Falls, MN
Clear Lake, SD
Sioux Falls, SD