62/100
#869 nationally
Dunes Surgical Hospital
600 N Sioux Point Road, Dakota Dunes, SD 57049 · (605) 232-3332
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Dunes Surgical Hospital billed $4.12 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.1x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in SD
- #9
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 50% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 56% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
485 | $44,549 | $12,300 | -29% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
464 | $2,590 | $638 | -17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
441 | $7,436 | $1,899 | -42% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
228 | $11,500 | $1,800 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
211 | $19,469 | $4,833 | -29% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
187 | $5,864 | $2,176 | -50% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
179 | $8,980 | $3,268 | -57% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
164 | $74,380 | $17,256 | -10% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
150 | $38,572 | $6,636 | -3% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
113 | $20,810 | $2,992 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$16,074 | $1,469 | +43% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$41,834 | $5,490 | +22% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$29,646 | $6,412 | +13% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$20,843 | $3,019 | +10% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,130 | $2,664 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$20,810 | $2,992 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,500 | $1,800 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$38,572 | $6,636 | -3% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$8,980 | $3,268 | -57% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,864 | $2,176 | -50% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,436 | $1,899 | -42% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$26,098 | $8,635 | -41% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$67,529 | $17,016 | -34% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$148,651 | $40,743 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$19,469 | $4,833 | -29% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$44,549 | $12,300 | -29% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.