Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc in South Dakota
MS-DRG 269: Aortic and heart assist procedures except pulsation balloon without mcc
$159,860typical hospital bill
$34,123typical amount paid
$29,305–$40,721range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $159,860 for this stay in 2024, about 4.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Avera Heart Hospital of South Dakota | Sioux Falls | 49 | $159,860 | $29,305 | |
| Sanford Usd Medical Center | Sioux Falls | 24 | $128,466 | $34,123 | |
| Monument Health Rapid City Hospital | Rapid City | 30 | $162,159 | $40,721 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.