US Health Care Costs

COPD, with major complications in South Dakota

MS-DRG 190: Chronic obstructive pulmonary disease with mcc

$32,022typical hospital bill
$8,735typical amount paid
$8,572–$9,428range paid across 3 hospitals

South Dakota hospitals billed Medicare a typical $32,022 for this stay in 2024, about 3.7 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)

HospitalCityMedicare staysBilledPaid
Avera McKennan Hospital & University Health CenterSioux Falls19$32,022$8,572
Sanford Medical Center AberdeenAberdeen11$26,536$8,735
Sanford Usd Medical CenterSioux Falls56$50,051$9,428

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.