facebook tracking Septicemia or severe sepsis without ventilator >96 hours with major complications cost in South Dakota: 10 hospitals compared (DRG 871)

Septicemia or severe sepsis without ventilator >96 hours with major complications in South Dakota

What 10 hospitals in South Dakota charged and were paid for a Medicare hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871), from 2024 Medicare claims.

DRG 871 Inpatient 2024 Medicare data
Average charge $66,790 Hospital list price billed
Average payment $17,011 Medicare + patient + other payers
Medicare paid $14,869 Average per stay
State rank #28 of 50 1 = lowest average payment

Hospitals in South Dakota billed an average of $66,790 for septicemia or severe sepsis without ventilator >96 hours with major complications, about 3.9 times the average total payment of $17,011. That payment is 7% below the U.S. average of $18,230.

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 $17,011Billed $66,790

About 25¢ 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: septicemia or severe sepsis without ventilator >96 hours with 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
Rapid City Regional HospitalRapid City 437 $71,189 $19,840 $17,396
Avera McKennan Hospital & University Health CenterSioux Falls 424 $82,876 $16,293 $13,685
Sanford Usd Medical CenterSioux Falls 290 $82,896 $16,716 $14,297
Avera St LukesAberdeen 161 $61,302 $14,137 $12,724
Avera Sacred Heart HospitalYankton 138 $43,287 $17,042 $15,643
St Mary's Healthcare CenterPierre 91 $55,153 $16,693 $15,635
Prairie Lakes Hosp & Care CtrWatertown 78 $22,926 $15,402 $14,189
Sanford Medical Center AberdeenAberdeen 62 $30,705 $13,643 $11,750
Brookings HospitalBrookings 45 $29,812 $13,464 $12,377
Spearfish Regional HospitalSpearfish 35 $40,916 $20,847 $17,471
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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

Brookings HospitalBrookings, SD$13,464
Sanford Medical Center AberdeenAberdeen, SD$13,643
Avera St LukesAberdeen, SD$14,137
Prairie Lakes Hosp & Care CtrWatertown, SD$15,402
Avera McKennan Hospital & University Health CenterSioux Falls, SD$16,293

Highest

Spearfish Regional HospitalSpearfish, SD$20,847
Rapid City Regional HospitalRapid City, SD$19,840
Avera Sacred Heart HospitalYankton, SD$17,042
Sanford Usd Medical CenterSioux Falls, SD$16,716
St Mary's Healthcare CenterPierre, SD$16,693

Septicemia or severe sepsis without ventilator >96 hours with major complications in other states

Questions

How much does septicemia or severe sepsis without ventilator >96 hours with major complications cost in South Dakota?

In 2024 Medicare data, a hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871) at 10 hospitals in South Dakota was billed at $66,790 on average, while the average total payment was $17,011, of which Medicare paid $14,869. 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.