facebook tracking Level 3 Vascular Procedures cost in South Dakota: 15 hospitals compared (APC 5183)

Level 3 Vascular Procedures in South Dakota

What 15 hospitals in South Dakota charged and were paid for level 3 vascular procedures (APC 5183), from 2024 Medicare claims.

APC 5183 Outpatient 2024 Medicare data
Average charge $16,911 Hospital list price billed
Average allowed $3,026 Medicare's payment + patient's share
Medicare paid $2,406 Average per service
State rank #31 of 49 1 = lowest average payment

Hospitals in South Dakota billed an average of $16,911 for level 3 vascular procedures, about 5.6 times the average medicare-allowed amount of $3,026. That payment is about the same as the U.S. average of $3,030.

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 $3,026Billed $16,911

About 18¢ was paid for every $1 hospitals in South Dakota billed for this service.

South Dakota hospitals: level 3 vascular 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
Avera McKennan Hospital & University Health CenterSioux Falls 300 $16,210 $2,973 $2,365
Rapid City Regional HospitalRapid City 295 $17,210 $3,143 $2,494
Sanford Usd Medical CenterSioux Falls 219 $22,900 $2,930 $2,335
Avera Heart Hospital of South Dakota LLCSioux Falls 161 $16,153 $2,970 $2,365
Avera St LukesAberdeen 87 $11,177 $2,961 $2,351
Prairie Lakes Hosp & Care CtrWatertown 62 $10,159 $3,201 $2,547
St Mary's Healthcare CenterPierre 33 $21,547 $3,201 $2,550
Avera Sacred Heart HospitalYankton 22 $13,098 $3,201 $2,550
Same Day Surgery Center LLCRapid City 21 $9,449 $2,875 $2,268
Sanford Medical Center AberdeenAberdeen 16 $12,993 $2,988 $2,381
Brookings HospitalBrookings – – – –
Spearfish Regional HospitalSpearfish – – – –
Dunes Surgical HospitalNorth Sioux City – – – –
Sioux Falls Surgical Hospital LLPSioux Falls – – – –
Black Hills Surgical Hospital LLPRapid City – – – –
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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.

Lowest

Highest

Level 3 Vascular Procedures in other states

Questions

How much does level 3 vascular procedures cost in South Dakota?

In 2024 Medicare data, level 3 vascular procedures (APC 5183) at 15 hospitals in South Dakota was billed at $16,911 on average, while the average medicare-allowed amount was $3,026, of which Medicare paid $2,406. 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 5.6 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.