Healthcare Pricing Data: SIOUX FALLS, SD
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.6x
Across all procedures
vs National Average
-18%
Chargemaster rates
About This Data
SIOUX FALLS, SD has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.6x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in SIOUX FALLS is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $266,365 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $209,261 | 3 | 5.9x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $136,652 | 3 | 4.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $110,590 | 3 | 6.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $103,530 | 3 | 4.4x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $96,644 | 3 | 6.3x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $77,201 | 3 | 6.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $67,471 | 3 | 5.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $64,415 | 3 | 8.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,815 | 3 | 5.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $46,473 | 3 | 6.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,831 | 3 | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,544 | 3 | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,426 | 3 | 6.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $266,365 | 2 | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $256,066 | 2 | 5.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $233,270 | 2 | 4.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $225,180 | 2 | 4.5x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $223,378 | 2 | 5.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $206,255 | 2 | 4.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $202,917 | 2 | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $198,091 | 2 | 5.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $188,877 | 2 | 5.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $178,235 | 2 | 5.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $174,786 | 2 | 5.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $169,891 | 2 | 5.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $165,820 | 2 | 5.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $163,724 | 2 | 4.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $158,236 | 2 | 6.4x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $145,805 | 2 | 5.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $144,571 | 2 | 6.2x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in SIOUX FALLS With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error