Avera Mckennan Hospital & University Health Center
AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER in Sioux Falls, SD charges 5.8x the Medicare reimbursement rate across 149 analyzed procedures, reflecting typical pricing patterns for nonprofit-private healthcare facilities.
Sioux Falls, SD 57117 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.76x
Charge / Medicare rate
Max markup
15.54x
Worst procedure
Procedures analyzed
149
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $301,241 | $150,621 | — | 15.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $69,691 | $34,846 | — | 12.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $164,330 | $82,165 | — | 9x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $137,456 | $68,728 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,647 | $16,823 | — | 8.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $67,919 | $33,959 | — | 8.4x |
| SEIZURES WITHOUT MCC | 101 | $49,320 | $24,660 | — | 8.3x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $109,680 | $54,840 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $52,301 | $26,151 | — | 8.2x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $102,948 | $51,474 | — | 8.2x |
| DIABETES WITH CC | 638 | $43,535 | $21,768 | — | 8.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,374 | $18,687 | — | 7.8x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $185,069 | $92,535 | — | 7.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $63,214 | $31,607 | — | 7.4x |
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $69,691 | $34,845 | — | 7.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $106,267 | $53,134 | — | 7.2x |
| CELLULITIS WITH MCC | 602 | $76,660 | $38,330 | — | 7.1x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $56,685 | $28,343 | — | 7x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $33,436 | $16,718 | — | 7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $52,182 | $26,091 | — | 6.8x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $42,706 | $21,353 | — | 6.6x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $88,598 | $44,299 | — | 6.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $49,609 | $24,804 | — | 6.6x |
| HYPERTENSION WITHOUT MCC | 305 | $30,212 | $15,106 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,958 | $15,979 | — | 6.5x |
| DYSEQUILIBRIUM | 149 | $29,519 | $14,759 | — | 6.5x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $43,446 | $21,723 | — | 6.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $235,419 | $117,710 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,935 | $14,968 | — | 6.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $77,644 | $38,822 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,175 | $16,588 | — | 6.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $57,143 | $28,571 | — | 6.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $31,604 | $15,802 | — | 6.4x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $68,454 | $34,227 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,047 | $15,523 | — | 6.4x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $56,648 | $28,324 | — | 6.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $54,763 | $27,381 | — | 6.3x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 743 | $47,169 | $23,585 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $36,765 | $18,383 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $60,050 | $30,025 | — | 6.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $76,521 | $38,261 | — | 6.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $125,217 | $62,608 | — | 6.3x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $43,537 | $21,769 | — | 6.2x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $75,145 | $37,572 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,809 | $20,405 | — | 6.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $100,496 | $50,248 | — | 6.2x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $94,369 | $47,184 | — | 6.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,735 | $17,867 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $42,335 | $21,168 | — | 6.1x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $86,411 | $43,206 | — | 6.1x |
Showing 50 of 149 procedures
How AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use