Heart valve replacement through a catheter (TAVR), with major complications in South Dakota
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$236,234typical hospital bill
$48,496typical amount paid
$44,285–$63,473range paid across 3 hospitals
South Dakota hospitals billed Medicare a typical $236,234 for this stay in 2024, about 4.9 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 | 38 | $250,872 | $44,285 | |
| Sanford Usd Medical Center | Sioux Falls | 12 | $235,911 | $48,496 | |
| Monument Health Rapid City Hospital | Rapid City | 24 | $236,234 | $63,473 |
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.