What 3 hospitals in South Dakota charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190), from 2024 Medicare claims.
Hospitals in South Dakota billed an average of $43,060 for chronic obstructive pulmonary disease with major complications, about 4.7 times the average total payment of $9,150. That payment is 13% below the U.S. average of $10,575.
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.
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:
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 | 56 | $50,051 | $9,428 | $7,910 |
| Avera McKennan Hospital & University Health CenterSioux Falls | 19 | $32,022 | $8,572 | $7,047 |
| Sanford Medical Center AberdeenAberdeen | 11 | $26,536 | $8,735 | $7,845 |
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.
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $8,572 |
|---|---|
| Sanford Medical Center AberdeenAberdeen, SD | $8,735 |
| Sanford Usd Medical CenterSioux Falls, SD | $9,428 |
| Sanford Usd Medical CenterSioux Falls, SD | $9,428 |
|---|---|
| Sanford Medical Center AberdeenAberdeen, SD | $8,735 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $8,572 |
In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190) at 3 hospitals in South Dakota was billed at $43,060 on average, while the average total payment was $9,150, of which Medicare paid $7,711. Your own cost depends on your insurance, deductible and the hospital.
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.