Revision of Hip or Knee Replacement Without Cc/Mcc in South Dakota
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$69,210typical hospital bill
$18,354typical amount paid
$18,336–$20,103range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $69,210 for this stay in 2024, about 3.8 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 | |
|---|---|---|---|---|---|
| Sioux Falls Specialty Hospital | Sioux Falls | 41 | $69,210 | $18,336 | |
| Black Hills Surgical Hospital LLC | Rapid City | 28 | $58,622 | $18,354 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 23 | $115,415 | $20,103 |
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.