facebook tracking Level 2 Endovascular Procedures cost in South Dakota: 8 hospitals compared (APC 5192)

Level 2 Endovascular Procedures in South Dakota

What 8 hospitals in South Dakota charged and were paid for level 2 endovascular procedures (APC 5192), from 2024 Medicare claims.

APC 5192 Outpatient 2024 Medicare data
Average charge $33,036 Hospital list price billed
Average allowed $5,455 Medicare's payment + patient's share
Medicare paid $4,342 Average per service
State rank #30 of 48 1 = lowest average payment

Hospitals in South Dakota billed an average of $33,036 for level 2 endovascular procedures, about 6.1 times the average medicare-allowed amount of $5,455. That payment is about the same as the U.S. average of $5,463.

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 $5,455Billed $33,036

About 17¢ was paid for every $1 hospitals in South Dakota billed for this service.

South Dakota hospitals: level 2 endovascular 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
Rapid City Regional HospitalRapid City 120 $24,025 $5,739 $4,572
Sanford Usd Medical CenterSioux Falls 85 $37,718 $5,255 $4,187
Avera Heart Hospital of South Dakota LLCSioux Falls 81 $40,993 $5,306 $4,216
Avera McKennan Hospital & University Health CenterSioux Falls 79 $40,316 $5,359 $4,269
Prairie Lakes Hosp & Care CtrWatertown 33 $19,507 $5,739 $4,573
Avera St LukesAberdeen 28 $29,829 $5,206 $4,117
Avera Sacred Heart HospitalYankton – – – –
Sanford Medical Center AberdeenAberdeen – – – –
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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.

Level 2 Endovascular Procedures in other states

Questions

How much does level 2 endovascular procedures cost in South Dakota?

In 2024 Medicare data, level 2 endovascular procedures (APC 5192) at 8 hospitals in South Dakota was billed at $33,036 on average, while the average medicare-allowed amount was $5,455, of which Medicare paid $4,342. 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.