Lung infection, with major complications in South Dakota
MS-DRG 177: Respiratory infections and inflammations with mcc
$45,233typical hospital bill
$13,252typical amount paid
$11,236–$16,693range paid across 8 hospitals
South Dakota hospitals billed Medicare a typical $45,233 for this stay in 2024, about 3.4 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 | 18 | $62,912 | $11,236 | |
| Brookings Health System | Brookings | 15 | $27,688 | $11,484 | |
| Sanford Medical Center Aberdeen | Aberdeen | 14 | $31,608 | $12,091 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 18 | $19,677 | $13,188 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 130 | $63,243 | $13,315 | |
| Sanford Usd Medical Center | Sioux Falls | 91 | $60,831 | $13,584 | |
| Avera Sacred Heart Hospital | Yankton | 38 | $33,934 | $14,399 | |
| Monument Health Rapid City Hospital | Rapid City | 142 | $56,531 | $16,693 |
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.