Level 1 Intraocular Procedures in South Dakota
What 10 hospitals in South Dakota charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$7,975
Hospital list price billed
Average allowed
$2,280
Medicare's payment + patient's share
Medicare paid
$1,813
Average per service
State rank
#37 of 49
1 = lowest average payment
Hospitals in South Dakota billed an average of $7,975 for level 1 intraocular procedures, about 3.5 times the average medicare-allowed amount of $2,280. That payment is 3% above the U.S. average of $2,208.
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 $2,280Billed $7,975
About 29¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 1 intraocular procedures
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 |
|---|---|---|---|---|
| Prairie Lakes Hosp & Care CtrWatertown | 489 | $5,971 | $2,332 | $1,856 |
| Avera Sacred Heart HospitalYankton | 426 | $10,531 | $2,337 | $1,861 |
| Black Hills Surgical Hospital LLPRapid City | 248 | $4,705 | $2,169 | $1,722 |
| Dunes Surgical HospitalNorth Sioux City | 187 | $5,864 | $2,176 | $1,730 |
| St Mary's Healthcare CenterPierre | 177 | $10,710 | $2,308 | $1,832 |
| Brookings HospitalBrookings | 165 | $5,390 | $2,329 | $1,853 |
| Sanford Usd Medical CenterSioux Falls | 144 | $14,662 | $2,142 | $1,706 |
| Spearfish Regional HospitalSpearfish | 60 | $9,250 | $2,340 | $1,862 |
| Avera McKennan Hospital & University Health CenterSioux Falls | – | – | – | – |
| Sioux Falls Surgical Hospital LLPSioux Falls | – | – | – | – |
Lowest and highest allowed amounts in South Dakota
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sanford Usd Medical CenterSioux Falls, SD | $2,142 |
|---|---|
| Black Hills Surgical Hospital LLPRapid City, SD | $2,169 |
| Dunes Surgical HospitalNorth Sioux City, SD | $2,176 |
| St Mary's Healthcare CenterPierre, SD | $2,308 |
| Brookings HospitalBrookings, SD | $2,329 |
Highest
| Spearfish Regional HospitalSpearfish, SD | $2,340 |
|---|---|
| Avera Sacred Heart HospitalYankton, SD | $2,337 |
| Prairie Lakes Hosp & Care CtrWatertown, SD | $2,332 |
| Brookings HospitalBrookings, SD | $2,329 |
| St Mary's Healthcare CenterPierre, SD | $2,308 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in South Dakota?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 10 hospitals in South Dakota was billed at $7,975 on average, while the average medicare-allowed amount was $2,280, of which Medicare paid $1,813. 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 3.5 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.