facebook tracking Coronary bypass without cardiac catheterization without major complications cost in South Dakota: 3 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in South Dakota

What 3 hospitals in South Dakota charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $162,098 Hospital list price billed
Average payment $32,061 Medicare + patient + other payers
Medicare paid $27,818 Average per stay
State rank #9 of 42 1 = lowest average payment

Hospitals in South Dakota billed an average of $162,098 for coronary bypass without cardiac catheterization without major complications, about 5.1 times the average total payment of $32,061. That payment is 15% below the U.S. average of $37,830.

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 $32,061Billed $162,098

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: coronary bypass without 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
Avera Heart Hospital of South Dakota LLCSioux Falls 80 $165,769 $28,378 $26,397
Sanford Usd Medical CenterSioux Falls 37 $135,881 $32,104 $27,520
Rapid City Regional HospitalRapid City 21 $194,308 $46,018 $33,760
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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 Heart Hospital of South Dakota LLCSioux Falls, SD$28,378
Sanford Usd Medical CenterSioux Falls, SD$32,104
Rapid City Regional HospitalRapid City, SD$46,018

Highest

Rapid City Regional HospitalRapid City, SD$46,018
Sanford Usd Medical CenterSioux Falls, SD$32,104
Avera Heart Hospital of South Dakota LLCSioux Falls, SD$28,378

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 3 hospitals in South Dakota was billed at $162,098 on average, while the average total payment was $32,061, of which Medicare paid $27,818. 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 5.1 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.