80/100
#334 nationally
Avera Sacred Heart Hospital
501 Summit St, Yankton, SD 57078 · (605) 668-8000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Avera Sacred Heart Hospital billed $3.31 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
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in SD
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 74% of U.S. hospitals.
Better than 85% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 92% 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 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
426 | $10,531 | $2,337 | -10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
158 | $46,115 | $13,048 | -26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
148 | $14,046 | $2,748 | -28% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
138 | $43,287 | $17,042 | -34% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
70 | $19,673 | $5,196 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
56 | $39,840 | $11,737 | -8% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
51 | $12,601 | $3,501 | -39% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
49 | $12,927 | $3,197 | -37% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
48 | $7,876 | $1,628 | -22% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
44 | $25,149 | $7,053 | -37% |
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 |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$39,840 | $11,737 | -8% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$16,531 | $3,139 | -9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,531 | $2,337 | -10% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$32,397 | $8,884 | -17% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$38,886 | $10,861 | -18% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$24,391 | $6,445 | -20% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$18,252 | $3,474 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,876 | $1,628 | -22% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$3,788 | $1,614 | -66% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$3,423 | $1,608 | -60% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$5,243 | $1,939 | -54% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$37,956 | $16,910 | -50% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$24,562 | $11,331 | -49% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$23,536 | $8,470 | -43% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$40,159 | $11,034 | -41% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$20,919 | $5,794 | -40% |
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.