61/100
#905 nationally
Avera St Lukes
305 S State St Post Office Box 4450, Aberdeen, SD 57401 · (605) 622-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Avera St Lukes billed $4.47 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in SD
- #10
- 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 46% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 72% 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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
316 | $2,423 | $637 | -23% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
198 | $7,585 | $1,894 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
168 | $46,156 | $12,258 | -26% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
165 | $20,635 | $2,664 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
161 | $61,302 | $14,137 | -6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
150 | $9,708 | $1,520 | -4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
148 | $20,669 | $2,552 | +6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
146 | $11,669 | $1,800 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
128 | $29,421 | $6,707 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
114 | $15,225 | $3,268 | -26% |
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 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$15,750 | $1,591 | +38% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$27,628 | $3,511 | +22% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$20,635 | $2,664 | +17% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$62,912 | $11,236 | +14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,669 | $2,552 | +6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,669 | $1,800 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,616 | $1,784 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,708 | $1,520 | -4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit |
$7,894 | $6,245 | -80% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$35,504 | $11,370 | -50% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$19,081 | $7,965 | -50% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$33,204 | $9,444 | -44% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$29,989 | $10,004 | -42% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$11,064 | $3,019 | -42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$11,177 | $2,961 | -42% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,585 | $1,894 | -41% |
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.