facebook tracking Major small and large bowel procedures with complications cost in South Dakota: 5 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in South Dakota

What 5 hospitals in South Dakota charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $86,017 Hospital list price billed
Average payment $19,395 Medicare + patient + other payers
Medicare paid $16,885 Average per stay
State rank #8 of 47 1 = lowest average payment

Hospitals in South Dakota billed an average of $86,017 for major small and large bowel procedures with complications, about 4.4 times the average total payment of $19,395. That payment is 15% below the U.S. average of $22,927.

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 $19,395Billed $86,017

About 23¢ was paid for every $1 hospitals in South Dakota billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in South Dakota:

South Dakota hospitals: major small and large bowel procedures with complications

Every South Dakota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Avera McKennan Hospital & University Health CenterSioux Falls 79 $84,688 $17,690 $15,836
Sanford Usd Medical CenterSioux Falls 61 $96,107 $20,206 $16,467
Rapid City Regional HospitalRapid City 28 $98,854 $23,935 $20,726
Avera St LukesAberdeen 24 $67,724 $16,596 $15,286
Prairie Lakes Hosp & Care CtrWatertown 14 $55,234 $21,194 $19,678
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Lowest and highest payments in South Dakota

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Avera St LukesAberdeen, SD$16,596
Avera McKennan Hospital & University Health CenterSioux Falls, SD$17,690
Sanford Usd Medical CenterSioux Falls, SD$20,206
Prairie Lakes Hosp & Care CtrWatertown, SD$21,194
Rapid City Regional HospitalRapid City, SD$23,935

Highest

Rapid City Regional HospitalRapid City, SD$23,935
Prairie Lakes Hosp & Care CtrWatertown, SD$21,194
Sanford Usd Medical CenterSioux Falls, SD$20,206
Avera McKennan Hospital & University Health CenterSioux Falls, SD$17,690
Avera St LukesAberdeen, SD$16,596

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 5 hospitals in South Dakota was billed at $86,017 on average, while the average total payment was $19,395, of which Medicare paid $16,885. 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 stay 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 Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.