47/100
#1,338 nationally
Avera Mckennan Hospital & University Health Center
1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117 · (605) 322-8000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Avera Mckennan Hospital & University Health Center billed $5.13 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 206
- inpatient and outpatient combined
- Rank in SD
- #14
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 32% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 65% 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 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
729 | $10,963 | $1,491 | +9% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
644 | $9,517 | $1,771 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
586 | $56,353 | $12,213 | -10% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
519 | $12,112 | $1,806 | +7% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
498 | $10,920 | $1,901 | -15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
428 | $28,096 | $2,648 | +59% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
424 | $82,876 | $16,293 | +27% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
416 | $5,148 | $633 | +64% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
413 | $20,649 | $2,547 | +6% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
320 | $29,592 | $11,486 | -18% |
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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,148 | $633 | +64% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$28,096 | $2,648 | +59% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$217,152 | $31,239 | +54% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$63,059 | $8,885 | +42% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
$133,604 | $19,323 | +40% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$72,046 | $12,417 | +40% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
$97,131 | $15,686 | +38% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
$88,140 | $15,560 | +34% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit |
$10,771 | $5,226 | -72% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 463 · Inpatient stay |
$150,345 | $38,543 | -47% |
|
Neuroses Except Depressive
MS-DRG 882 · Inpatient stay |
$15,185 | $7,978 | -45% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$18,035 | $7,127 | -45% |
|
Autologous Bone Marrow Transplant with Complications/mcc
MS-DRG 016 · Inpatient stay |
$134,270 | $47,299 | -44% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$35,636 | $7,202 | -40% |
|
Level 1 Neurostimulator and Related Procedures
APC 5461 · Hospital outpatient visit |
$14,379 | $3,190 | -37% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
$87,578 | $21,980 | -36% |
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.