Infection needing surgery, with major complications in South Dakota
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$178,959typical hospital bill
$40,587typical amount paid
$33,843–$53,967range paid across 5 hospitals
South Dakota hospitals billed Medicare a typical $178,959 for this stay in 2024, about 4.4 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 | 27 | $119,627 | $33,843 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 84 | $188,354 | $39,321 | |
| Sanford Usd Medical Center | Sioux Falls | 108 | $178,959 | $40,587 | |
| Avera St Mary's Hospital | Pierre | 11 | $103,888 | $41,791 | |
| Monument Health Rapid City Hospital | Rapid City | 97 | $185,799 | $53,967 |
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.