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South Dakota: one knee, three prices

What Medicare pays South Dakota hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,196
Median Medicare knee rate, 2 orthopedic surgery centers
Hospital, same day
$12,322
Median outpatient allowed
Hospital, overnight
$15,073
Median inpatient paid, 9 hospitals

South Dakota has no certificate-of-need law.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Sioux Falls Specialty Hospital LlpSioux Falls$13,015$56,376$12,287
Black Hills Surgical Hospital LLCRapid City$13,127$43,439$12,099
Avera St LukesAberdeen$13,146$53,635$12,258
Avera McKennan Hospital & University Health CenterSioux Falls$14,573$78,560$12,213
Prairie Lakes HospitalWatertown$15,073$62,359$12,882
Sanford Usd Medical CenterSioux Falls$15,396$81,360$12,083
Avera Sacred Heart HospitalYankton$16,236$60,904$13,048
Avera St Mary's HospitalPierre$16,664$56,684$13,067
Monument Health Rapid City HospitalRapid City$18,425$90,376$12,967

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Monument Health Rapid City HospitalRapid City$18,425$90,376$12,967
Avera St Mary's HospitalPierre$16,664$56,684$13,067
Avera Sacred Heart HospitalYankton$16,236$60,904$13,048
Sanford Usd Medical CenterSioux Falls$15,396$81,360$12,083
Prairie Lakes HospitalWatertown$15,073$62,359$12,882
Avera McKennan Hospital & University Health CenterSioux Falls$14,573$78,560$12,213
Avera St LukesAberdeen$13,146$53,635$12,258
Black Hills Surgical Hospital LLCRapid City$13,127$43,439$12,099
Sioux Falls Specialty Hospital LlpSioux Falls$13,015$56,376$12,287

Every South Dakota hospital (13)

Orthopedic surgery centers (2)

Questions

How much does Medicare pay for a knee replacement in South Dakota?

In 2024 Medicare paid South Dakota hospitals a median $15,073 per inpatient hip or knee replacement stay (MS-DRG 470, 9 hospitals) and a median $12,322 per outpatient case. An orthopedic surgery center is paid about $8,196 for a knee.

Which South Dakota hospitals does Medicare pay least for a joint replacement?

Sioux Falls Specialty Hospital Llp ($13,015), Black Hills Surgical Hospital LLC ($13,127), Avera St Lukes ($13,146).

What do South Dakota hospitals list for a joint replacement?

The median list (chargemaster) price is $60,904, about 4.0× what Medicare pays.

Does South Dakota have a certificate-of-need law?

South Dakota has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1988.