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The Price of Medicare Procedures in South Dakota



This table shows the 100 most frequently charged procedures/diagnosis in South Dakota to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 South-Dakota 80 $18385 $5233 $13152
Acute Myocardial Infarction Discharged Alive With Complications
 South-Dakota 90 $22941 $7819 $15122
Acute Myocardial Infarction Discharged Alive With Major Complications
 South-Dakota 176 $31063 $12049 $19014
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 South-Dakota 95 $14376 $4609 $9767
Atherosclerosis No Major Complications
 South-Dakota 53 $12725 $4054 $8671
Back And Neck Proc Exc Spinal Fusion No Complications
 South-Dakota 116 $26308 $6550 $19758
Bronchitis And Asthma No Complications
 South-Dakota 11 $14079 $4152 $9927
Bronchitis And Asthma With Complications
 South-Dakota 62 $19420 $5611 $13809
Cardiac Arrhythmia And Conduction Disorders No Complications
 South-Dakota 326 $11097 $3958 $7139
Cardiac Arrhythmia And Conduction Disorders With Complications
 South-Dakota 252 $15474 $5548 $9926
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 South-Dakota 163 $21525 $8013 $13512
Cellulitis No Major Complications
 South-Dakota 359 $16907 $5721 $11186
Cellulitis With Major Complications
 South-Dakota 31 $38257 $10519 $27738
Cervical Spinal Fusion No Complications
 South-Dakota 87 $62460 $13250 $49210
Chest Pain
 South-Dakota 276 $12898 $3930 $8968
Chronic Obstructive Pulmonary Disease No Complications
 South-Dakota 245 $13230 $5062 $8168
Chronic Obstructive Pulmonary Disease With Complications
 South-Dakota 272 $18961 $6780 $12181
Chronic Obstructive Pulmonary Disease With Major Complications
 South-Dakota 255 $26316 $8541 $17775
Circulatory Disorders Except Ami With Card Cath No Major Complications
 South-Dakota 378 $19973 $7178 $12795
Circulatory Disorders Except Ami With Card Cath With Major Complications
 South-Dakota 15 $35696 $11413 $24283
Cranial And Peripheral Nerve Disorders No Major Complications
 South-Dakota 48 $21861 $6862 $14999
Degenerative Nervous System Disorders No Major Complications
 South-Dakota 40 $18765 $6348 $12417
Diabetes With Complications
 South-Dakota 73 $18189 $5880 $12309
Disorders Of Pancreas Except Malignancy With Complications
 South-Dakota 45 $31071 $7141 $23930
Dysequilibrium
 South-Dakota 51 $14908 $4812 $10096
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 South-Dakota 581 $16558 $4947 $11611
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 South-Dakota 70 $30338 $8591 $21747
Extracranial Procedures No Complications
 South-Dakota 156 $21771 $6706 $15065
Fractures Of Hip And Pelvis No Major Complications
 South-Dakota 59 $15282 $5074 $10208
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 South-Dakota 54 $11823 $4912 $6911
Gi Hemorrhage No Complications
 South-Dakota 89 $12783 $4755 $8028
Gi Hemorrhage With Complications
 South-Dakota 417 $20140 $6973 $13167
Gi Hemorrhage With Major Complications
 South-Dakota 120 $38279 $12355 $25924
Gi Obstruction No Complications
 South-Dakota 94 $12559 $4317 $8242
Gi Obstruction With Complications
 South-Dakota 135 $21383 $6416 $14967
Heart Failure And Shock No Complications
 South-Dakota 199 $13538 $4504 $9034
Heart Failure And Shock With Complications
 South-Dakota 539 $20249 $6951 $13298
Heart Failure And Shock With Major Complications
 South-Dakota 355 $32036 $10468 $21568
Hip And Femur Procedures Except Major Joint No Complications
 South-Dakota 118 $30102 $10377 $19725
Hip And Femur Procedures Except Major Joint With Complications
 South-Dakota 411 $37215 $12728 $24487
Hip And Femur Procedures Except Major Joint With Major Complications
 South-Dakota 93 $65118 $22196 $42922
Hypertension No Major Complications
 South-Dakota 44 $12407 $4914 $7493
Infectious And Parasitic Diseases Or Procedure With Major Complications
 South-Dakota 95 $134486 $44449 $90037
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 South-Dakota 166 $15905 $5658 $10247
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 South-Dakota 324 $21591 $8164 $13427
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 South-Dakota 153 $39455 $13417 $26038
Kidney And Urinary Tract Infections No Major Complications
 South-Dakota 414 $15560 $5388 $10172
Kidney And Urinary Tract Infections With Major Complications
 South-Dakota 90 $29213 $8841 $20372
Laparoscopic Cholecystectomy No Cde No Complications
 South-Dakota 77 $26463 $9065 $17398
Laparoscopic Cholecystectomy No Cde With Complications
 South-Dakota 94 $39911 $11846 $28065
Major Cardiovasc Procedures No Major Complications
 South-Dakota 209 $81259 $20516 $60743
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 South-Dakota 38 $24589 $8262 $16327
Major Joint Replacement Of Lower Extremity No Major Complications
 South-Dakota 2721 $38663 $13408 $25255
Major Joint Replacement Of Lower Extremity With Major Complications
 South-Dakota 80 $60660 $23230 $37430
Major Small And Large Bowel Procedures With Complications
 South-Dakota 299 $56425 $17973 $38452
Major Small And Large Bowel Procedures With Major Complications
 South-Dakota 189 $116211 $39563 $76648
Medical Back Problems No Major Complications
 South-Dakota 234 $16554 $5721 $10833
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 South-Dakota 430 $13808 $4608 $9200
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 South-Dakota 75 $29126 $8089 $21037
Other Circulatory System Diagnoses With Complications
 South-Dakota 13 $26696 $6036 $20660
Other Circulatory System Diagnoses With Major Complications
 South-Dakota 68 $36594 $15272 $21322
Other Digestive System Diagnoses With Complications
 South-Dakota 92 $23931 $6734 $17197
Other Kidney And Urinary Tract Diagnoses With Complications
 South-Dakota 64 $23802 $7673 $16129
Other Kidney And Urinary Tract Diagnoses With Major Complications
 South-Dakota 30 $34404 $12246 $22158
Other Vascular Procedures No Complications
 South-Dakota 263 $37444 $16260 $21184
Other Vascular Procedures With Complications
 South-Dakota 119 $55093 $16337 $38756
Other Vascular Procedures With Major Complications
 South-Dakota 65 $68402 $21722 $46680
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 South-Dakota 108 $37066 $22060 $15006
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 South-Dakota 483 $40632 $31141 $9491
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 South-Dakota 116 $59819 $20433 $39386
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 South-Dakota 171 $38875 $11759 $27116
Peripheral Vascular Disorders No Complications
 South-Dakota 30 $13954 $5239 $8715
Peripheral Vascular Disorders With Complications
 South-Dakota 84 $18378 $6588 $11790
Permanent Cardiac Pacemaker Implant No Complications
 South-Dakota 153 $33076 $13937 $19139
Permanent Cardiac Pacemaker Implant With Complications
 South-Dakota 125 $44928 $17500 $27428
Poisoning And Toxic Effects Of Drugs No Major Complications
 South-Dakota 68 $13269 $4849 $8420
Poisoning And Toxic Effects Of Drugs With Major Complications
 South-Dakota 11 $48169 $15430 $32739
Psychoses
 South-Dakota 497 $14756 $6586 $8170
Pulmonary Edema And Respiratory Failure
 South-Dakota 138 $29470 $9719 $19751
Pulmonary Embolism No Major Complications
 South-Dakota 149 $19558 $7181 $12377
Red Blood Cell Disorders No Major Complications
 South-Dakota 99 $23290 $6357 $16933
Red Blood Cell Disorders With Major Complications
 South-Dakota 28 $25748 $9445 $16303
Renal Failure No Complications
 South-Dakota 48 $16275 $5023 $11252
Renal Failure With Complications
 South-Dakota 329 $23317 $7475 $15842
Renal Failure With Major Complications
 South-Dakota 157 $40694 $11543 $29151
Respiratory Infections And Inflammations With Complications
 South-Dakota 176 $31217 $10097 $21120
Respiratory Infections And Inflammations With Major Complications
 South-Dakota 123 $46127 $14243 $31884
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 South-Dakota 42 $132470 $46709 $85761
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 South-Dakota 186 $58384 $16537 $41847
Seizures No Major Complications
 South-Dakota 73 $16903 $5574 $11329
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 South-Dakota 174 $23704 $8103 $15601
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 South-Dakota 484 $48931 $14819 $34112
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 South-Dakota 34 $180909 $47733 $133176
Signs And Symptoms No Major Complications
 South-Dakota 130 $17806 $4894 $12912
Simple Pneumonia And Pleurisy No Complications
 South-Dakota 313 $13201 $4874 $8327
Simple Pneumonia And Pleurisy With Complications
 South-Dakota 787 $19923 $6760 $13163
Simple Pneumonia And Pleurisy With Major Complications
 South-Dakota 375 $28119 $10152 $17967
Spinal Fusion Except Cervical No Major Complications
 South-Dakota 512 $99750 $25424 $74326
Syncope And Collapse
 South-Dakota 206 $15267 $5194 $10073
Transient Ischemia
 South-Dakota 165 $14243 $5074 $9169


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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