Pulmonary edema and respiratory failure in South Dakota
What 10 hospitals in South Dakota charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$44,956
Hospital list price billed
Average payment
$11,455
Medicare + patient + other payers
Medicare paid
$9,325
Average per stay
State rank
#28 of 50
1 = lowest average payment
Hospitals in South Dakota billed an average of $44,956 for pulmonary edema and respiratory failure, about 3.9 times the average total payment of $11,455. That payment is 6% below the U.S. average of $12,197.
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 $11,455Billed $44,956
About 25¢ was paid for every $1 hospitals in South Dakota billed for this stay.
South Dakota hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Rapid City Regional HospitalRapid City | 150 | $45,465 | $13,237 | $10,822 |
| Avera McKennan Hospital & University Health CenterSioux Falls | 116 | $51,451 | $10,209 | $8,333 |
| Sanford Usd Medical CenterSioux Falls | 106 | $58,600 | $11,296 | $8,587 |
| Prairie Lakes Hosp & Care CtrWatertown | 47 | $22,129 | $9,898 | $8,675 |
| Avera St LukesAberdeen | 18 | $29,298 | $8,423 | $7,119 |
| Avera Sacred Heart HospitalYankton | 15 | $29,034 | $11,557 | $8,852 |
| Spearfish Regional HospitalSpearfish | 14 | $37,072 | $13,070 | $10,444 |
| Pine Ridge Ihs HospitalPine Ridge | 14 | $15,612 | $13,283 | $12,234 |
| St Mary's Healthcare CenterPierre | 11 | $42,006 | $10,701 | $9,514 |
| Sanford Medical Center AberdeenAberdeen | 11 | $33,232 | $9,689 | $8,205 |
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 | $8,423 |
|---|---|
| Sanford Medical Center AberdeenAberdeen, SD | $9,689 |
| Prairie Lakes Hosp & Care CtrWatertown, SD | $9,898 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $10,209 |
| St Mary's Healthcare CenterPierre, SD | $10,701 |
Highest
| Pine Ridge Ihs HospitalPine Ridge, SD | $13,283 |
|---|---|
| Rapid City Regional HospitalRapid City, SD | $13,237 |
| Spearfish Regional HospitalSpearfish, SD | $13,070 |
| Avera Sacred Heart HospitalYankton, SD | $11,557 |
| Sanford Usd Medical CenterSioux Falls, SD | $11,296 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in South Dakota?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 10 hospitals in South Dakota was billed at $44,956 on average, while the average total payment was $11,455, of which Medicare paid $9,325. 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 3.9 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.