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Black Hills Surgical Hospital LLC: what a joint replacement costs

Rapid City, SD 57703 · CMS Certification Number 430091. 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
$12,099
Medicare allowed amount, 286 cases, APC 5115
Inpatient here
$13,127
Avg total payment (incl. patient share), 420 Medicare stays, MS-DRG 470

Medicare prices at Black Hills Surgical Hospital LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,127$43,4393.3×$12,099
Shoulder replacement$17,371$45,7192.6×$16,805

Quality

Complications after hip or knee replacement: 2.5% (no different from the national rate). Readmissions: 3.8%. For-profit · Acute · 26 beds

South Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Black Hills Surgical Hospital LLC for a knee or hip replacement?

In 2024 the average total payment to Black Hills Surgical Hospital LLC for an inpatient hip or knee replacement stay was $13,127 (MS-DRG 470, 420 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,099 per outpatient case (APC 5115, 286 cases).

What is Black Hills Surgical Hospital LLC's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,439, 3.3× 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 Black Hills Surgical Hospital LLC compare with other South Dakota hospitals?

Black Hills Surgical Hospital LLC's average total payment per Medicare stay is lower than 78% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.