Knee procedures with principal diagnosis of infection with complications in South Dakota
What 1 hospital in South Dakota charged and were paid for a Medicare hospital stay for knee procedures with principal diagnosis of infection with complications (DRG 486), from 2024 Medicare claims.
Average charge
$97,094
Hospital list price billed
Average payment
$16,914
Medicare + patient + other payers
Medicare paid
$15,002
Average per stay
Volume
11
Medicare hospital stays
Hospitals in South Dakota billed an average of $97,094 for knee procedures with principal diagnosis of infection with complications, about 5.7 times the average total payment of $16,914. That payment is 27% below the U.S. average of $23,210.
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 $16,914Billed $97,094
About 17¢ was paid for every $1 hospitals in South Dakota billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in South Dakota:
South Dakota hospitals: knee procedures with principal diagnosis of infection with 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 McKennan Hospital & University Health CenterSioux Falls | 11 | $97,094 | $16,914 | $15,002 |
Knee procedures with principal diagnosis of infection with complications in other states
Questions
How much does knee procedures with principal diagnosis of infection with complications cost in South Dakota?
In 2024 Medicare data, a hospital stay for knee procedures with principal diagnosis of infection with complications (DRG 486) at 1 hospital in South Dakota was billed at $97,094 on average, while the average total payment was $16,914, of which Medicare paid $15,002. 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 5.7 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.