Spinal fusion (lower or mid back) in South Dakota
MS-DRG 460: Spinal fusion except cervical without mcc
$133,468typical hospital bill
$28,444typical amount paid
$24,719–$38,601range paid across 6 hospitals
South Dakota hospitals billed Medicare a typical $133,468 for this stay in 2024, about 4.7 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 | |
|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes | 20 | $109,181 | $24,719 | |
| Black Hills Surgical Hospital LLC | Rapid City | 27 | $81,611 | $25,044 | |
| Sioux Falls Specialty Hospital | Sioux Falls | 17 | $215,158 | $28,105 | |
| Avera McKennan Hospital & University Health Center | Sioux Falls | 51 | $157,755 | $28,782 | |
| Avera Sacred Heart Hospital | Yankton | 11 | $99,632 | $31,445 | |
| Monument Health Rapid City Hospital | Rapid City | 16 | $170,169 | $38,601 |
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.