Pneumonia, with major complications in South Dakota
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$29,734typical hospital bill
$10,765typical amount paid
$9,242–$13,674range paid across 9 hospitals
South Dakota hospitals billed Medicare a typical $29,734 for this stay in 2024, about 2.8 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 | |
|---|---|---|---|---|---|
| Brookings Health System | Brookings | 14 | $29,579 | $9,242 | |
| Avera St Lukes | Aberdeen | 23 | $38,696 | $9,277 | |
| Sanford Medical Center Aberdeen | Aberdeen | 22 | $23,885 | $10,310 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 37 | $18,170 | $10,547 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 127 | $50,123 | $10,765 | |
| Sanford Usd Medical Center | Sioux Falls | 112 | $53,257 | $11,100 | |
| Avera Sacred Heart Hospital | Yankton | 18 | $29,734 | $11,442 | |
| Monument Health Rapid City Hospital | Rapid City | 116 | $36,087 | $12,800 | |
| Monument Health Spearfish Hospital | Spearfish | 13 | $29,405 | $13,674 |
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.