Level 5 Urology and Related Services in South Dakota
What 11 hospitals in South Dakota charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$21,925
Hospital list price billed
Average allowed
$4,936
Medicare's payment + patient's share
Medicare paid
$3,926
Average per service
State rank
#32 of 49
1 = lowest average payment
Hospitals in South Dakota billed an average of $21,925 for level 5 urology and related services, about 4.4 times the average medicare-allowed amount of $4,936. That payment is about the same as the U.S. average of $4,934.
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 $4,936Billed $21,925
About 23¢ was paid for every $1 hospitals in South Dakota billed for this service.
South Dakota hospitals: level 5 urology and related services
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 | 318 | $25,701 | $5,118 | $4,061 |
| Avera McKennan Hospital & University Health CenterSioux Falls | 236 | $22,770 | $4,818 | $3,832 |
| Dunes Surgical HospitalNorth Sioux City | 211 | $19,469 | $4,833 | $3,846 |
| Sanford Usd Medical CenterSioux Falls | 208 | $21,880 | $4,757 | $3,790 |
| Avera Sacred Heart HospitalYankton | 70 | $19,673 | $5,196 | $4,137 |
| Sioux Falls Surgical Hospital LLPSioux Falls | 70 | $19,188 | $4,851 | $3,864 |
| Avera St LukesAberdeen | 67 | $22,263 | $4,851 | $3,865 |
| St Mary's Healthcare CenterPierre | 50 | $18,667 | $5,196 | $4,137 |
| Prairie Lakes Hosp & Care CtrWatertown | 41 | $15,111 | $5,196 | $4,140 |
| Sanford Medical Center AberdeenAberdeen | 15 | $15,000 | $4,851 | $3,865 |
| Brookings HospitalBrookings | – | – | – | – |
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 | $4,757 |
|---|---|
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $4,818 |
| Dunes Surgical HospitalNorth Sioux City, SD | $4,833 |
| Avera St LukesAberdeen, SD | $4,851 |
| Sanford Medical Center AberdeenAberdeen, SD | $4,851 |
Highest
| Avera Sacred Heart HospitalYankton, SD | $5,196 |
|---|---|
| St Mary's Healthcare CenterPierre, SD | $5,196 |
| Prairie Lakes Hosp & Care CtrWatertown, SD | $5,196 |
| Rapid City Regional HospitalRapid City, SD | $5,118 |
| Sioux Falls Surgical Hospital LLPSioux Falls, SD | $4,851 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in South Dakota?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 11 hospitals in South Dakota was billed at $21,925 on average, while the average medicare-allowed amount was $4,936, of which Medicare paid $3,926. 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 4.4 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.