66/100
#747 nationally
Avera St Mary's Hospital
801 E Sioux, Pierre, SD 57501 · (605) 224-3100
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Avera St Mary's Hospital billed $3.99 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
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in SD
- #8
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 63% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 50% 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 |
269 | $2,381 | $686 | -24% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
177 | $10,710 | $2,308 | -9% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
128 | $23,502 | $2,731 | +21% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
108 | $1,828 | $2,045 | -86% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
91 | $55,153 | $16,693 | -15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
91 | $50,717 | $13,067 | -19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
83 | $5,627 | $1,589 | -44% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
69 | $35,279 | $7,018 | -12% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
66 | $15,296 | $3,211 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
59 | $10,161 | $3,465 | -51% |
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 |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$39,684 | $7,820 | +30% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$23,502 | $2,731 | +21% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,547 | $3,201 | +13% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$34,555 | $7,155 | +10% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$18,518 | $3,139 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$43,651 | $11,140 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$36,879 | $9,764 | -6% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,710 | $2,308 | -9% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$1,828 | $2,045 | -86% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,161 | $3,465 | -51% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,753 | $1,614 | -49% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,637 | $1,608 | -46% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,627 | $1,589 | -44% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$103,888 | $41,791 | -42% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$11,483 | $2,853 | -35% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,667 | $5,196 | -32% |
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.