facebook tracking Percutaneous and other intracardiac procedures without major complications cost in South Dakota: 3 hospitals compared (DRG 274)

Percutaneous and other intracardiac procedures without major complications in South Dakota

What 3 hospitals in South Dakota charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274), from 2024 Medicare claims.

DRG 274 Inpatient 2024 Medicare data
Average charge $115,253 Hospital list price billed
Average payment $25,325 Medicare + patient + other payers
Medicare paid $23,384 Average per stay
State rank #20 of 44 1 = lowest average payment

Hospitals in South Dakota billed an average of $115,253 for percutaneous and other intracardiac procedures without major complications, about 4.6 times the average total payment of $25,325. That payment is 8% below the U.S. average of $27,497.

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 $25,325Billed $115,253

About 22¢ was paid for every $1 hospitals in South Dakota billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Dakota:

South Dakota hospitals: percutaneous and other intracardiac procedures without major 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
Sanford Usd Medical CenterSioux Falls 121 $89,264 $25,060 $23,299
Avera Heart Hospital of South Dakota LLCSioux Falls 120 $140,429 $22,308 $20,624
Rapid City Regional HospitalRapid City 64 $117,184 $31,480 $28,722
Advertisement

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 Heart Hospital of South Dakota LLCSioux Falls, SD$22,308
Sanford Usd Medical CenterSioux Falls, SD$25,060
Rapid City Regional HospitalRapid City, SD$31,480

Highest

Rapid City Regional HospitalRapid City, SD$31,480
Sanford Usd Medical CenterSioux Falls, SD$25,060
Avera Heart Hospital of South Dakota LLCSioux Falls, SD$22,308

Percutaneous and other intracardiac procedures without major complications in other states

Questions

How much does percutaneous and other intracardiac procedures without major complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274) at 3 hospitals in South Dakota was billed at $115,253 on average, while the average total payment was $25,325, of which Medicare paid $23,384. 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 4.6 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.