Heart failure, with major complications in South Dakota
MS-DRG 291: Heart failure and shock with mcc
$39,840typical hospital bill
$10,780typical amount paid
$8,685–$12,808range paid across 11 hospitals
South Dakota hospitals billed Medicare a typical $39,840 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 Heart Hospital of South Dakota | Sioux Falls | 53 | $37,990 | $8,685 | |
| Avera St Lukes | Aberdeen | 55 | $33,854 | $8,920 | |
| Brookings Health System | Brookings | 35 | $28,672 | $8,937 | |
| Sanford Medical Center Aberdeen | Aberdeen | 30 | $25,941 | $9,844 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 42 | $16,177 | $10,323 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 177 | $51,481 | $10,780 | |
| Sanford Usd Medical Center | Sioux Falls | 190 | $52,658 | $11,051 | |
| Avera St Mary's Hospital | Pierre | 17 | $43,651 | $11,140 | |
| Avera Sacred Heart Hospital | Yankton | 56 | $39,840 | $11,737 | |
| Monument Health Spearfish Hospital | Spearfish | 12 | $40,454 | $12,740 | |
| Monument Health Rapid City Hospital | Rapid City | 221 | $47,358 | $12,808 |
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.