Hip or thigh bone surgery (not replacement), with major complications in South Dakota
MS-DRG 480: Hip and femur procedures except major joint with mcc
$110,275typical hospital bill
$24,194typical amount paid
$19,338–$30,331range paid across 4 hospitals
South Dakota hospitals billed Medicare a typical $110,275 for this stay in 2024, about 4.6 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 | 14 | $76,105 | $19,338 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 43 | $135,299 | $23,630 | |
| Sanford Usd Medical Center | Sioux Falls | 33 | $116,603 | $24,759 | |
| Monument Health Rapid City Hospital | Rapid City | 55 | $103,948 | $30,331 |
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.