ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in South Dakota
What 1 hospital in South Dakota charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$413,314
Hospital list price billed
Average payment
$235,436
Medicare + patient + other payers
Medicare paid
$182,276
Average per stay
Volume
12
Medicare hospital stays
Hospitals in South Dakota billed an average of $413,314 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 1.8 times the average total payment of $235,436. That payment is 4% below the U.S. average of $246,178.
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 $235,436Billed $413,314
About 57¢ was paid for every $1 hospitals in South Dakota billed for this stay.
South Dakota hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 |
|---|---|---|---|---|
| Rapid City Regional HospitalRapid City | 12 | $413,314 | $235,436 | $182,276 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in South Dakota?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 1 hospital in South Dakota was billed at $413,314 on average, while the average total payment was $235,436, of which Medicare paid $182,276. 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 1.8 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.