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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,015 | $56,376 | 4.3× | $12,287 |
| Shoulder replacement | $17,319 | $55,339 | 3.2× | $17,356 |
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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In 2024 Medicare paid Sioux Falls Specialty Hospital Llp an average of $13,015 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $12,287 per outpatient case (APC 5115, 1213 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,376, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Sioux Falls Specialty Hospital Llp less than 89% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.