Heart valve replacement through a catheter (TAVR) in South Dakota
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$197,251typical hospital bill
$37,641typical amount paid
$33,874–$45,891range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $197,251 for this stay in 2024, about 5.2 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 | |
|---|---|---|---|---|---|
| Avera Heart Hospital of South Dakota | Sioux Falls | 147 | $203,883 | $33,874 | |
| Sanford Usd Medical Center | Sioux Falls | 133 | $154,424 | $37,641 | |
| Monument Health Rapid City Hospital | Rapid City | 47 | $197,251 | $45,891 |
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.