40/100
#1,585 nationally
Avera Heart Hospital Of South Dakota
4500 W 69Th St, Sioux Falls, SD 57108 · (605) 977-7000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Avera Heart Hospital Of South Dakota billed $6.13 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
- 6.1x
- volume-weighted across all its priced work
- Procedures priced
- 53
- inpatient and outpatient combined
- Rank in SD
- #15
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 21% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 48% of U.S. hospitals.
Better than 69% 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 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
783 | $22,386 | $3,049 | -11% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
404 | $76,329 | $10,240 | +13% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
278 | $103,356 | $22,135 | -22% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
237 | $71,916 | $9,897 | +40% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
166 | $109,913 | $16,129 | +15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
161 | $16,153 | $2,970 | -15% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
147 | $203,883 | $33,874 | +8% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
120 | $140,429 | $22,308 | +13% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
112 | $113,708 | $14,283 | +12% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
107 | $49,287 | $7,965 | +30% |
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 |
|---|---|---|---|
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
$196,751 | $27,171 | +44% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$136,581 | $18,227 | +43% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$71,916 | $9,897 | +40% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$196,626 | $30,752 | +32% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$190,410 | $24,347 | +31% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$49,287 | $7,965 | +30% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$40,993 | $5,306 | +18% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$109,913 | $16,129 | +15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$20,107 | $5,193 | -34% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$32,783 | $8,129 | -31% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
$240,617 | $52,430 | -28% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$64,800 | $14,412 | -26% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$26,667 | $5,152 | -26% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$103,356 | $22,135 | -22% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$19,895 | $4,007 | -21% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
$76,904 | $15,943 | -19% |
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.