Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in South Dakota
What 2 hospitals in South Dakota charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$257,070
Hospital list price billed
Average payment
$54,288
Medicare + patient + other payers
Medicare paid
$50,122
Average per stay
Volume
34
Medicare hospital stays
Hospitals in South Dakota billed an average of $257,070 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.7 times the average total payment of $54,288. That payment is 35% below the U.S. average of $83,705.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $54,288Billed $257,070
About 21¢ was paid for every $1 hospitals in South Dakota billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in South Dakota:
South Dakota hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every South Dakota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Avera Heart Hospital of South Dakota LLCSioux Falls | 20 | $240,617 | $52,430 | $47,099 |
| Sanford Usd Medical CenterSioux Falls | 14 | $280,574 | $56,942 | $54,440 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in South Dakota?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 2 hospitals in South Dakota was billed at $257,070 on average, while the average total payment was $54,288, of which Medicare paid $50,122. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in South Dakota, average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.