Combined Anterior and Posterior Spinal Fusion with Cc in South Dakota
MS-DRG 454: Combined anterior and posterior spinal fusion with cc
$185,390typical hospital bill
$47,098typical amount paid
$40,743–$78,451range paid across 4 hospitals
South Dakota hospitals billed Medicare a typical $185,390 for this stay in 2024, about 3.9 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 | |
|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes | 28 | $148,651 | $40,743 | |
| Black Hills Surgical Hospital LLC | Rapid City | 25 | $135,225 | $44,693 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 11 | $281,382 | $49,503 | |
| Monument Health Rapid City Hospital | Rapid City | 11 | $222,130 | $78,451 |
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.