Heart attack, with complications in South Dakota
MS-DRG 281: Acute myocardial infarction, discharged alive with cc
$40,773typical hospital bill
$7,559typical amount paid
$6,259–$9,215range paid across 5 hospitals
South Dakota hospitals billed Medicare a typical $40,773 for this stay in 2024, about 5.4 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 | |
|---|---|---|---|---|---|
| Avera St Lukes | Aberdeen | 19 | $35,567 | $6,259 | |
| Avera Heart Hospital of South Dakota | Sioux Falls | 18 | $42,580 | $6,512 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 12 | $46,262 | $7,559 | |
| Sanford Usd Medical Center | Sioux Falls | 66 | $40,773 | $7,987 | |
| Monument Health Rapid City Hospital | Rapid City | 30 | $35,242 | $9,215 |
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.