facebook tracking Coagulation disorders cost in South Dakota: 3 hospitals compared (DRG 813)

Coagulation disorders in South Dakota

What 3 hospitals in South Dakota charged and were paid for a Medicare hospital stay for coagulation disorders (DRG 813), from 2024 Medicare claims.

DRG 813 Inpatient 2024 Medicare data
Average charge $51,301 Hospital list price billed
Average payment $15,618 Medicare + patient + other payers
Medicare paid $14,084 Average per stay
State rank #20 of 39 1 = lowest average payment

Hospitals in South Dakota billed an average of $51,301 for coagulation disorders, about 3.3 times the average total payment of $15,618. That payment is 12% below the U.S. average of $17,707.

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 $15,618Billed $51,301

About 30¢ was paid for every $1 hospitals in South Dakota billed for this stay.

South Dakota hospitals: coagulation disorders

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 McKennan Hospital & University Health CenterSioux Falls 30 $43,079 $12,463 $10,644
Rapid City Regional HospitalRapid City 30 $50,084 $15,058 $13,953
Sanford Usd Medical CenterSioux Falls 19 $66,203 $21,487 $19,721
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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

Highest

Coagulation disorders in other states

Questions

How much does coagulation disorders cost in South Dakota?

In 2024 Medicare data, a hospital stay for coagulation disorders (DRG 813) at 3 hospitals in South Dakota was billed at $51,301 on average, while the average total payment was $15,618, of which Medicare paid $14,084. 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 3.3 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.