facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in South Dakota: 4 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in South Dakota

What 4 hospitals in South Dakota charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $45,987 Hospital list price billed
Average payment $9,328 Medicare + patient + other payers
Medicare paid $7,428 Average per stay
State rank #15 of 45 1 = lowest average payment

Hospitals in South Dakota billed an average of $45,987 for circulatory disorders except ami, with cardiac catheterization without major complications, about 4.9 times the average total payment of $9,328. That payment is 10% below the U.S. average of $10,394.

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 $9,328Billed $45,987

About 20¢ 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:

South Dakota hospitals: circulatory disorders except ami, with cardiac catheterization 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 51 $50,637 $9,410 $7,000
Rapid City Regional HospitalRapid City 34 $40,589 $10,469 $8,864
Avera St LukesAberdeen 12 $37,097 $7,530 $6,421
Avera Heart Hospital of South Dakota LLCSioux Falls 12 $50,409 $7,543 $6,183
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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.

Lowest

Avera St LukesAberdeen, SD$7,530
Avera Heart Hospital of South Dakota LLCSioux Falls, SD$7,543
Sanford Usd Medical CenterSioux Falls, SD$9,410
Rapid City Regional HospitalRapid City, SD$10,469

Highest

Rapid City Regional HospitalRapid City, SD$10,469
Sanford Usd Medical CenterSioux Falls, SD$9,410
Avera Heart Hospital of South Dakota LLCSioux Falls, SD$7,543
Avera St LukesAberdeen, SD$7,530

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 4 hospitals in South Dakota was billed at $45,987 on average, while the average total payment was $9,328, of which Medicare paid $7,428. 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 4.9 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.