Heart procedure through a catheter (e.g. ablation, valve clip) in South Dakota
MS-DRG 274: Percutaneous and other intracardiac procedures without mcc
$117,184typical hospital bill
$25,060typical amount paid
$22,308–$31,480range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $117,184 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 | 120 | $140,429 | $22,308 | |
| Sanford Usd Medical Center | Sioux Falls | 121 | $89,264 | $25,060 | |
| Monument Health Rapid City Hospital | Rapid City | 64 | $117,184 | $31,480 |
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.