Pneumonia, with complications in South Dakota
MS-DRG 194: Simple pneumonia and pleurisy with cc
$31,756typical hospital bill
$7,128typical amount paid
$5,718–$7,952range paid across 4 hospitals
South Dakota hospitals billed Medicare a typical $31,756 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Brookings Health System | Brookings | 14 | $23,376 | $5,718 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 32 | $33,875 | $6,943 | |
| Sanford Usd Medical Center | Sioux Falls | 50 | $35,852 | $7,313 | |
| Monument Health Rapid City Hospital | Rapid City | 14 | $29,637 | $7,952 |
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.