Heart attack, with major complications in South Dakota
MS-DRG 280: Acute myocardial infarction, discharged alive with mcc
$55,148typical hospital bill
$12,729typical amount paid
$10,483–$16,696range paid across 6 hospitals
South Dakota hospitals billed Medicare a typical $55,148 for this stay in 2024, about 4.3 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 Heart Hospital of South Dakota | Sioux Falls | 35 | $59,268 | $10,483 | |
| Avera St Lukes | Aberdeen | 60 | $48,540 | $11,406 | |
| Sanford Medical Center Aberdeen | Aberdeen | 12 | $29,563 | $12,170 | |
| Sanford Usd Medical Center | Sioux Falls | 135 | $60,381 | $13,288 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 43 | $78,982 | $13,860 | |
| Monument Health Rapid City Hospital | Rapid City | 46 | $51,028 | $16,696 |
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.