Madison Regional Health System
323 SW 10TH ST, Madison, SD 57042
Madison Regional Health System in Madison, SD has an average Medicare payment of $14,782 and a Value Score of C (58/100). Compare prices for 16 procedures. Based on CMS inpatient data.
About Madison Regional Health System
Madison Regional Health System does not carry an overall CMS Hospital Compare star rating — typically because the hospital is too small, too specialized, or reports too few of the underlying measures to compute the composite. Outcome measures are mixed: 0 mortality, 0 safety, and 0 readmission measures rate better than benchmark; 0 mortality, 0 safety, and 0 rate worse. The composite outcome score is 50/100.
Average Medicare payment per documented procedure at Madison Regional Health System is $14,782, near the national median for acute-care hospitals. The combined value score — quality versus cost — works out to 58/100, an above-average showing.
Ownership is non-profit, the dominant pattern in U.S. acute care. Non-profit hospitals generally reinvest operating margins rather than distribute them; the federal CMS measure set treats them identically to other ownership categories for reporting purposes. The CMS payment record for Madison Regional Health System lists 16 distinct DRG codes — a mid-range procedure mix, including Cesarean Section without CC/MCC, Heart Failure and Shock with CC, Hip and Femur Procedures Except Major Joint with MCC. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Cesarean Section without CC/MCC DRG 766 · Obstetric | $6,871 |
Heart Failure and Shock with CC DRG 292 · Cardiac | $6,587 |
Hip and Femur Procedures Except Major Joint with MCC DRG 480 · Orthopedic | $16,498 |
Cardiac Arrhythmia and Conduction Disorders with MCC DRG 308 · Cardiac | $10,179 |
Major Hip and Knee Joint Replacement DRG 470 · Orthopedic | $20,099 |
Intracranial Hemorrhage or Cerebral Infarction with MCC DRG 065 · Neurological | $8,113 |
Signs and Symptoms without MCC DRG 948 · Other | $6,795 |
Transient Ischemia DRG 069 · Neurological | $5,768 |
Respiratory System Diagnosis with Ventilator Support >96 Hours DRG 208 · Respiratory | $56,741 |
Cervical Spinal Fusion without CC/MCC DRG 473 · Orthopedic | $16,003 |
Kidney and Urinary Tract Infections without MCC DRG 690 · Renal | $7,813 |
Pulmonary Edema and Respiratory Failure DRG 189 · Respiratory | $10,770 |
Spinal Fusion (Non-Cervical) with MCC DRG 460 · Orthopedic | $27,895 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $12,067 |
Simple Pneumonia and Pleurisy with CC DRG 194 · Respiratory | $6,747 |
GI Hemorrhage with MCC DRG 378 · Digestive | $17,563 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Madison Regional Health System Compares
Madison Regional Health System has an average Medicare payment of $14,782, 10% above the South Dakota state average of $13,386. That is 7% lower than the national hospital average of $15,878. Most of its procedures fall under Orthopedic, where the typical payment is $26,891 (45% below this hospital's average). Its Value Score of C (58/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Madison Regional Health System Cost & Quality FAQ
Madison Regional Health System has an average payment of $14,782 across 16 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Madison Regional Health System does not currently have a CMS star rating on file. Quality measures may still be available for individual metrics like mortality and readmission rates.
Madison Regional Health System has a Value Score of C (58/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are critical access hospitals.
Yes, Madison Regional Health System offers emergency services. The hospital is located at 323 SW 10TH ST, Madison, SD 57042. Phone: (605) 256-6551.
Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.