What 5 hospitals in South Dakota charged and were paid for level 2 abdominal/peritoneal/biliary and related procedures (APC 5342), from 2024 Medicare claims.
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.
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 McKennan Hospital & University Health CenterSioux Falls | – | – | – | – |
| Sanford Usd Medical CenterSioux Falls | – | – | – | – |
| Spearfish Regional HospitalSpearfish | – | – | – | – |
| Dunes Surgical HospitalNorth Sioux City | – | – | – | – |
| Same Day Surgery Center LLCRapid City | – | – | – | – |
In 2024 Medicare data, level 2 abdominal/peritoneal/biliary and related procedures (APC 5342) at 5 hospitals in South Dakota was billed at – on average, while the average medicare-allowed amount was –. Your own cost depends on your insurance, deductible and the hospital.
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. 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.