Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in South Dakota
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$115,508typical hospital bill
$24,180typical amount paid
$22,867–$25,493range paid across 2 hospitals
South Dakota hospitals billed Medicare a typical $115,508 for this stay in 2024, about 4.8 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 | 11 | $91,894 | $22,867 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 12 | $139,122 | $25,493 |
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.