Sepsis, with major complications in South Dakota
MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc
$49,220typical hospital bill
$16,493typical amount paid
$13,464–$20,847range paid across 10 hospitals
South Dakota hospitals billed Medicare a typical $49,220 for this stay in 2024, about 3.0 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 | 45 | $29,812 | $13,464 | |
| Sanford Medical Center Aberdeen | Aberdeen | 62 | $30,705 | $13,643 | |
| Avera St Lukes | Aberdeen | 161 | $61,302 | $14,137 | |
| Prairie Lakes Healthcare System, Inc | Watertown | 78 | $22,927 | $15,402 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 424 | $82,876 | $16,293 | |
| Avera St Mary's Hospital | Pierre | 91 | $55,153 | $16,693 | |
| Sanford Usd Medical Center | Sioux Falls | 290 | $82,896 | $16,716 | |
| Avera Sacred Heart Hospital | Yankton | 138 | $43,287 | $17,042 | |
| Monument Health Rapid City Hospital | Rapid City | 437 | $71,189 | $19,840 | |
| Monument Health Spearfish Hospital | Spearfish | 35 | $40,916 | $20,847 |
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.