Level 4 Pacemaker and Similar Procedures in South Dakota
What 4 hospitals in South Dakota charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$109,212
Hospital list price billed
Average allowed
$18,956
Medicare's payment + patient's share
Medicare paid
$17,324
Average per service
State rank
#33 of 47
1 = lowest average payment
Hospitals in South Dakota billed an average of $109,212 for level 4 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $18,956. That payment is 1% above the U.S. average of $18,685.
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 $18,956Billed $109,212
About 17¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 4 pacemaker and similar 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 | 35 | $88,100 | $19,518 | $17,886 |
| Avera Heart Hospital of South Dakota LLCSioux Falls | 27 | $136,581 | $18,227 | $16,595 |
| Prairie Lakes Hosp & Care CtrWatertown | – | – | – | – |
| Sanford Usd Medical CenterSioux Falls | – | – | – | – |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in South Dakota?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 4 hospitals in South Dakota was billed at $109,212 on average, while the average medicare-allowed amount was $18,956, of which Medicare paid $17,324. 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 5.8 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.