Watertown, SD 57201 · CMS Certification Number 430005. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,073 | $62,359 | 4.1× | $12,882 |
| Shoulder replacement | — | — | — | $18,669 |
| Hip replacement after a fracture (DRG 522) | $16,710 | $53,854 | 3.2× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 81 beds
South Dakota has no certificate-of-need law.
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In 2024 Medicare paid Prairie Lakes Hospital an average of $15,073 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $12,882 per outpatient case (APC 5115, 111 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,359, 4.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sanford Clinic Watertown Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,196 by Medicare for a knee replacement (CPT 27447), $6,877 less than an inpatient stay at Prairie Lakes Hospital. Not every patient is a surgery-center candidate.
Medicare paid Prairie Lakes Hospital more than 56% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.