Fracture or sprain (not hip or thigh) in South Dakota
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$32,524typical hospital bill
$7,355typical amount paid
$7,260–$7,451range paid across 2 hospitals
South Dakota hospitals billed Medicare a typical $32,524 for this stay in 2024, about 4.4 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 | |
|---|---|---|---|---|---|
| Sanford Usd Medical Center | Sioux Falls | 19 | $30,965 | $7,260 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 21 | $34,082 | $7,451 |
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.