Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in South Dakota
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$260,595typical hospital bill
$54,686typical amount paid
$52,430–$56,942range paid across 2 hospitals
South Dakota hospitals billed Medicare a typical $260,595 for this stay in 2024, about 4.8 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 | 20 | $240,617 | $52,430 | |
| Sanford Usd Medical Center | Sioux Falls | 14 | $280,574 | $56,942 |
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.