Hip replacement after a hip fracture in South Dakota
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$69,315typical hospital bill
$17,229typical amount paid
$14,740–$21,749range paid across 7 hospitals
South Dakota hospitals billed Medicare a typical $69,315 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 | |
|---|---|---|---|---|---|
| Avera St Lukes | Aberdeen | 21 | $59,188 | $14,740 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 36 | $79,721 | $16,317 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 26 | $53,854 | $16,710 | |
| Sanford Usd Medical Center | Sioux Falls | 72 | $69,315 | $17,229 | |
| Avera Sacred Heart Hospital | Yankton | 20 | $60,102 | $18,187 | |
| Monument Health Rapid City Hospital | Rapid City | 29 | $71,369 | $20,316 | |
| Monument Health Spearfish Hospital | Spearfish | 11 | $71,796 | $21,749 |
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.