Hip or knee replacement in South Dakota
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$60,904typical hospital bill
$15,073typical amount paid
$13,015–$18,425range paid across 9 hospitals
South Dakota hospitals billed Medicare a typical $60,904 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Sioux Falls Specialty Hospital | Sioux Falls | 30 | $56,376 | $13,015 | |
| Black Hills Surgical Hospital LLC | Rapid City | 420 | $43,439 | $13,127 | |
| Avera St Lukes | Aberdeen | 62 | $53,635 | $13,146 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 69 | $78,560 | $14,573 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 29 | $62,359 | $15,073 | |
| Sanford Usd Medical Center | Sioux Falls | 12 | $81,360 | $15,396 | |
| Avera Sacred Heart Hospital | Yankton | 20 | $60,904 | $16,236 | |
| Avera St Mary's Hospital | Pierre | 18 | $56,684 | $16,664 | |
| Monument Health Rapid City Hospital | Rapid City | 18 | $90,376 | $18,425 |
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.