Heart catheterization, with major complications in South Dakota
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$77,409typical hospital bill
$19,751typical amount paid
$14,412–$20,780range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $77,409 for this stay in 2024, about 3.9 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 | 43 | $64,800 | $14,412 | |
| Sanford Usd Medical Center | Sioux Falls | 54 | $87,065 | $19,751 | |
| Monument Health Rapid City Hospital | Rapid City | 50 | $77,409 | $20,780 |
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.