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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 Medicare allowed amount
Hospital, overnight
$15,073
Median avg total payment (incl. patient share), 9 hospitals

South Dakota has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 the median average total payment to South Dakota hospitals was $15,073 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 9 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,322 per outpatient case. An orthopedic surgery center is paid about $8,196 for a knee.

Which South Dakota hospitals have the lowest Medicare payment for a joint replacement?

Sioux Falls Specialty Hospital Llp ($13,015), Black Hills Surgical Hospital LLC ($13,127), Avera St Lukes ($13,146) (average total payment per inpatient stay, patient share included).

What do South Dakota hospitals list for a joint replacement?

The median list (chargemaster) price is $60,904, about 4.0× the median average total payment for a Medicare stay.

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.