Level 2 Excision/Biopsy/Incision and Drainage in South Dakota
What 15 hospitals in South Dakota charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$8,297
Hospital list price billed
Average allowed
$1,526
Medicare's payment + patient's share
Medicare paid
$1,214
Average per service
State rank
#31 of 49
1 = lowest average payment
Hospitals in South Dakota billed an average of $8,297 for level 2 excision/biopsy/incision and drainage, about 5.4 times the average medicare-allowed amount of $1,526. That payment is about the same as the U.S. average of $1,539.
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 $1,526Billed $8,297
About 18¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 2 excision/biopsy/incision and drainage
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 |
|---|---|---|---|---|
| Sanford Usd Medical CenterSioux Falls | 761 | $7,037 | $1,484 | $1,181 |
| Avera McKennan Hospital & University Health CenterSioux Falls | 729 | $10,963 | $1,491 | $1,186 |
| Rapid City Regional HospitalRapid City | 301 | $7,642 | $1,619 | $1,288 |
| Avera St LukesAberdeen | 150 | $9,708 | $1,520 | $1,209 |
| Prairie Lakes Hosp & Care CtrWatertown | 113 | $5,143 | $1,628 | $1,296 |
| St Mary's Healthcare CenterPierre | 83 | $5,627 | $1,589 | $1,265 |
| Spearfish Regional HospitalSpearfish | 82 | $6,342 | $1,618 | $1,285 |
| Avera Sacred Heart HospitalYankton | 48 | $7,876 | $1,628 | $1,297 |
| Sanford Medical Center AberdeenAberdeen | 43 | $5,679 | $1,520 | $1,209 |
| Brookings HospitalBrookings | 21 | $4,986 | $1,628 | $1,297 |
| Sioux Falls Surgical Hospital LLPSioux Falls | 21 | $9,134 | $1,520 | $1,204 |
| Black Hills Surgical Hospital LLPRapid City | 16 | $3,556 | $1,520 | $1,211 |
| Dunes Surgical HospitalNorth Sioux City | – | – | – | – |
| Same Day Surgery Center LLCRapid City | – | – | – | – |
| Avera Heart Hospital of South Dakota LLCSioux 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 | $1,484 |
|---|---|
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $1,491 |
| Black Hills Surgical Hospital LLPRapid City, SD | $1,520 |
| Avera St LukesAberdeen, SD | $1,520 |
| Sanford Medical Center AberdeenAberdeen, SD | $1,520 |
Highest
| Prairie Lakes Hosp & Care CtrWatertown, SD | $1,628 |
|---|---|
| Brookings HospitalBrookings, SD | $1,628 |
| Avera Sacred Heart HospitalYankton, SD | $1,628 |
| Rapid City Regional HospitalRapid City, SD | $1,619 |
| Spearfish Regional HospitalSpearfish, SD | $1,618 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in South Dakota?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 15 hospitals in South Dakota was billed at $8,297 on average, while the average medicare-allowed amount was $1,526, of which Medicare paid $1,214. 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 5.4 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.