What 15 hospitals in South Dakota charged and were paid for level 3 vascular procedures (APC 5183), from 2024 Medicare claims.
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.
About 18¢ was paid for every $1 hospitals in South Dakota billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Same Day Surgery Center LLCRapid City, SD | $2,875 |
|---|---|
| Sanford Usd Medical CenterSioux Falls, SD | $2,930 |
| Avera St LukesAberdeen, SD | $2,961 |
| Avera Heart Hospital of South Dakota LLCSioux Falls, SD | $2,970 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $2,973 |
| Prairie Lakes Hosp & Care CtrWatertown, SD | $3,201 |
|---|---|
| Avera Sacred Heart HospitalYankton, SD | $3,201 |
| St Mary's Healthcare CenterPierre, SD | $3,201 |
| Rapid City Regional HospitalRapid City, SD | $3,143 |
| Sanford Medical Center AberdeenAberdeen, SD | $2,988 |
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.
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.