Dehydration and electrolyte problems, with major complications in South Dakota
MS-DRG 640: Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
$38,800typical hospital bill
$10,571typical amount paid
$8,993–$13,725range paid across 6 hospitals
South Dakota hospitals billed Medicare a typical $38,800 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Avera St Lukes | Aberdeen | 19 | $30,705 | $8,993 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 70 | $49,659 | $10,287 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 14 | $18,507 | $10,468 | |
| Sanford Usd Medical Center | Sioux Falls | 53 | $49,795 | $10,674 | |
| Avera Sacred Heart Hospital | Yankton | 11 | $24,562 | $11,331 | |
| Monument Health Rapid City Hospital | Rapid City | 49 | $46,895 | $13,725 |
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.