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Sioux Falls Specialty Hospital Llp: what a joint replacement costs

Sioux Falls, SD 57105 · CMS Certification Number 430090. 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,287
Medicare allowed amount, 1213 cases, APC 5115
Inpatient here
$13,015
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Sioux Falls Specialty Hospital Llp

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,015$56,3764.3×$12,287
Shoulder replacement$17,319$55,3393.2×$17,356

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 7.6%. For-profit · Acute · 33 beds

South Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Sioux Falls Specialty Hospital Llp for a knee or hip replacement?

In 2024 the average total payment to Sioux Falls Specialty Hospital Llp for an inpatient hip or knee replacement stay was $13,015 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,287 per outpatient case (APC 5115, 1213 cases).

What is Sioux Falls Specialty Hospital Llp's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,376, 4.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Sioux Falls Specialty Hospital Llp compare with other South Dakota hospitals?

Sioux Falls Specialty Hospital Llp's average total payment per Medicare stay is lower than 89% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.