facebook tracking Peritoneal adhesiolysis with complications cost in South Dakota: 1 hospitals compared (DRG 336)

Peritoneal adhesiolysis with complications in South Dakota

What 1 hospital in South Dakota charged and were paid for a Medicare hospital stay for peritoneal adhesiolysis with complications (DRG 336), from 2024 Medicare claims.

DRG 336 Inpatient 2024 Medicare data
Average charge $73,679 Hospital list price billed
Average payment $16,851 Medicare + patient + other payers
Medicare paid $13,654 Average per stay
Volume 15 Medicare hospital stays

Hospitals in South Dakota billed an average of $73,679 for peritoneal adhesiolysis with complications, about 4.4 times the average total payment of $16,851. That payment is 25% below the U.S. average of $22,553.

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 $16,851Billed $73,679

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: peritoneal adhesiolysis 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
Sanford Usd Medical CenterSioux Falls 15 $73,679 $16,851 $13,654
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Peritoneal adhesiolysis with complications in other states

Questions

How much does peritoneal adhesiolysis with complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for peritoneal adhesiolysis with complications (DRG 336) at 1 hospital in South Dakota was billed at $73,679 on average, while the average total payment was $16,851, of which Medicare paid $13,654. 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.