facebook tracking Implantation Wireless PA Pressure Monitor cost in South Dakota: 4 hospitals compared (APC 5200)

Implantation Wireless PA Pressure Monitor in South Dakota

What 4 hospitals in South Dakota charged and were paid for implantation wireless pa pressure monitor (APC 5200), from 2024 Medicare claims.

APC 5200 Outpatient 2024 Medicare data
Average charge $163,789 Hospital list price billed
Average allowed $26,923 Medicare's payment + patient's share
Medicare paid $25,291 Average per service
State rank #14 of 21 1 = lowest average payment

Hospitals in South Dakota billed an average of $163,789 for implantation wireless pa pressure monitor, about 6.1 times the average medicare-allowed amount of $26,923. That payment is 6% below the U.S. average of $28,588.

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 $26,923Billed $163,789

About 16¢ was paid for every $1 hospitals in South Dakota billed for this service.

South Dakota hospitals: implantation wireless pa pressure monitor

Every South Dakota hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Avera Heart Hospital of South Dakota LLCSioux Falls 19 $196,751 $27,171 $25,539
Sanford Usd Medical CenterSioux Falls 17 $126,948 $26,645 $25,013
Prairie Lakes Hosp & Care CtrWatertown – – – –
Rapid City Regional HospitalRapid City – – – –
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Implantation Wireless PA Pressure Monitor in other states

Questions

How much does implantation wireless pa pressure monitor cost in South Dakota?

In 2024 Medicare data, implantation wireless pa pressure monitor (APC 5200) at 4 hospitals in South Dakota was billed at $163,789 on average, while the average medicare-allowed amount was $26,923, of which Medicare paid $25,291. 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 service in South Dakota, average charges were 6.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.