facebook tracking Cellulitis without major complications cost in South Dakota: 6 hospitals compared (DRG 603)

Cellulitis without major complications in South Dakota

What 6 hospitals in South Dakota charged and were paid for a Medicare hospital stay for cellulitis without major complications (DRG 603), from 2024 Medicare claims.

DRG 603 Inpatient 2024 Medicare data
Average charge $29,285 Hospital list price billed
Average payment $8,002 Medicare + patient + other payers
Medicare paid $6,088 Average per stay
State rank #26 of 50 1 = lowest average payment

Hospitals in South Dakota billed an average of $29,285 for cellulitis without major complications, about 3.7 times the average total payment of $8,002. That payment is 7% below the U.S. average of $8,642.

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 $8,002Billed $29,285

About 27¢ was paid for every $1 hospitals in South Dakota billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Dakota:

Major complications $13,872 DRG 602 · U.S. average No major complications $8,002 DRG 603 · this page

South Dakota hospitals: cellulitis without major complications

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
Sanford Usd Medical CenterSioux Falls 73 $29,955 $8,237 $5,601
Avera McKennan Hospital & University Health CenterSioux Falls 58 $30,004 $7,444 $5,663
Rapid City Regional HospitalRapid City 51 $32,124 $8,629 $7,095
Avera Sacred Heart HospitalYankton 16 $18,627 $7,655 $5,989
St Mary's Healthcare CenterPierre 13 $39,684 $7,820 $6,816
Prairie Lakes Hosp & Care CtrWatertown 12 $12,610 $7,268 $6,180
Cellulitis without major complications: all states All South Dakota hospitals South Dakota hospital finances
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Lowest and highest payments in South Dakota

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Cellulitis without major complications in other states

Delaware · $8,249 Idaho · $7,939 Michigan · $7,843 Minnesota · $8,157 New Hampshire · $8,007 Pennsylvania · $7,774 South Carolina · $7,908 Virginia · $7,741

Questions

How much does cellulitis without major complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for cellulitis without major complications (DRG 603) at 6 hospitals in South Dakota was billed at $29,285 on average, while the average total payment was $8,002, of which Medicare paid $6,088. 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 3.7 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.