Hip or thigh bone surgery (not replacement), with complications in South Dakota
MS-DRG 481: Hip and femur procedures except major joint with cc
$60,598typical hospital bill
$17,121typical amount paid
$14,262–$20,930range paid across 7 hospitals
South Dakota hospitals billed Medicare a typical $60,598 for this stay in 2024, about 3.5 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 | 33 | $57,702 | $14,262 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 93 | $85,654 | $16,402 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 21 | $50,355 | $16,451 | |
| Sanford Usd Medical Center | Sioux Falls | 88 | $81,428 | $17,121 | |
| Avera St Mary's Hospital | Pierre | 12 | $60,598 | $17,592 | |
| Avera Sacred Heart Hospital | Yankton | 25 | $58,077 | $17,896 | |
| Monument Health Rapid City Hospital | Rapid City | 93 | $67,895 | $20,930 |
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.