86/100
#162 nationally
Brookings Health System
300 22Nd Ave, Brookings, SD 57006 · (605) 696-9000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Brookings Health System billed $2.79 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in SD
- #2
- 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 75% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 88% 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 |
165 | $5,390 | $2,329 | -54% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
90 | $14,204 | $2,724 | -27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
60 | $29,135 | $13,194 | -53% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
52 | $933 | $686 | -70% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
45 | $29,812 | $13,464 | -54% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
45 | $10,242 | $3,250 | -50% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
43 | $3,715 | $2,045 | -71% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
35 | $28,672 | $8,937 | -34% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
23 | $5,180 | $1,939 | -54% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
21 | $4,986 | $1,628 | -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 |
|---|---|---|---|
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$24,518 | $5,529 | -24% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$23,376 | $5,718 | -26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$14,204 | $2,724 | -27% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$27,430 | $7,269 | -30% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$28,672 | $8,937 | -34% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$29,579 | $9,242 | -37% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,812 | $3,500 | -48% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$18,308 | $5,537 | -48% |
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 |
$3,715 | $2,045 | -71% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$933 | $686 | -70% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$17,883 | $7,183 | -55% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$10,523 | $3,474 | -55% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$5,180 | $1,939 | -54% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$29,812 | $13,464 | -54% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,390 | $2,329 | -54% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,196 | $1,614 | -54% |
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.