Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in South Dakota
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$89,103typical hospital bill
$23,099typical amount paid
$20,301–$28,557range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $89,103 for this stay in 2024, about 3.9 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 | 12 | $83,907 | $20,301 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 19 | $113,603 | $23,099 | |
| Monument Health Rapid City Hospital | Rapid City | 17 | $89,103 | $28,557 |
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.