Avera Sacred Heart Hospital
AVERA SACRED HEART HOSPITAL in Yankton, SD charges 4.3x the Medicare reimbursement rate on average across 27 analyzed procedures at this nonprofit-private facility.
Yankton, SD 57078 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
4.29x
Charge / Medicare rate
Max markup
6.75x
Worst procedure
Procedures analyzed
27
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 |
|---|---|---|---|---|---|
| CELLULITIS WITHOUT MCC | 603 | $39,008 | $19,504 | — | 6.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $123,447 | $61,724 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,693 | $9,347 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $28,933 | $14,466 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,999 | $13,499 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,815 | $12,407 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $33,144 | $16,572 | — | 5.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,569 | $16,785 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,470 | $12,235 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,811 | $20,905 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,759 | $20,880 | — | 4.5x |
| RENAL FAILURE WITH MCC | 682 | $47,084 | $23,542 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,226 | $15,613 | — | 4.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $55,605 | $27,803 | — | 4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,400 | $15,700 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,214 | $18,107 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,798 | $9,899 | — | 3.8x |
| RENAL FAILURE WITH CC | 683 | $23,424 | $11,712 | — | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $59,481 | $29,740 | — | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $55,601 | $27,800 | — | 3.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $29,649 | $14,825 | — | 3.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $44,813 | $22,406 | — | 3.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $95,070 | $47,535 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $45,311 | $22,656 | — | 3.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $23,589 | $11,795 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $25,214 | $12,607 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $94,789 | $47,394 | — | 2.7x |
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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