Major Chest Procedures with Mcc in South Dakota
MS-DRG 163: Major chest procedures with mcc
$152,096typical hospital bill
$34,825typical amount paid
$29,198–$46,226range paid across 4 hospitals
South Dakota hospitals billed Medicare a typical $152,096 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 Heart Hospital of South Dakota | Sioux Falls | 18 | $165,680 | $29,198 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 14 | $126,787 | $34,265 | |
| Sanford Usd Medical Center | Sioux Falls | 32 | $143,618 | $35,385 | |
| Monument Health Rapid City Hospital | Rapid City | 14 | $160,573 | $46,226 |
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.