Level 3 Intraocular Procedures in South Dakota
What 7 hospitals in South Dakota charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Average charge
$17,630
Hospital list price billed
Average allowed
$4,957
Medicare's payment + patient's share
Medicare paid
$3,949
Average per service
State rank
#32 of 42
1 = lowest average payment
Hospitals in South Dakota billed an average of $17,630 for level 3 intraocular procedures, about 3.6 times the average medicare-allowed amount of $4,957. That payment is 2% below the U.S. average of $5,041.
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 $4,957Billed $17,630
About 28¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 3 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 |
|---|---|---|---|---|
| Black Hills Surgical Hospital LLPRapid City | 19 | $11,574 | $4,900 | $3,904 |
| Sanford Usd Medical CenterSioux Falls | 14 | $24,694 | $4,805 | $3,828 |
| St Mary's Healthcare CenterPierre | 11 | $19,099 | $5,248 | $4,181 |
| Avera Sacred Heart HospitalYankton | – | – | – | – |
| Spearfish Regional HospitalSpearfish | – | – | – | – |
| Dunes Surgical HospitalNorth Sioux City | – | – | – | – |
| 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 | $4,805 |
|---|---|
| Black Hills Surgical Hospital LLPRapid City, SD | $4,900 |
| St Mary's Healthcare CenterPierre, SD | $5,248 |
Highest
| St Mary's Healthcare CenterPierre, SD | $5,248 |
|---|---|
| Black Hills Surgical Hospital LLPRapid City, SD | $4,900 |
| Sanford Usd Medical CenterSioux Falls, SD | $4,805 |
Level 3 Intraocular Procedures in other states
Questions
How much does level 3 intraocular procedures cost in South Dakota?
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 7 hospitals in South Dakota was billed at $17,630 on average, while the average medicare-allowed amount was $4,957, of which Medicare paid $3,949. 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 3.6 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.