Hospital · CCN 430015

Avera St Mary's Hospital

801 E Sioux, Pierre, SD 57501 · Hughes County
Part of Avera Health · 50 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

9 admission types 34 outpatient services price file: failed 1 Medicare-file findings

Billed per dollar paid, all admissions

3.38×

$10.6M billed against $3.1M paid across 200 Medicare discharges; the national figure is 5.03×.

2.1%

of adults in Hughes County have medical debt in collections

7.6%

uninsured in the county · state 10.0%

$76K

median household income

3.4×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

34.0%

obesity in the countyⓘ

10.8%

diagnosed diabetes (PLACES)

6.3%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$55,153

$16,693

3.3× st 3.9×

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

$56,684

$16,664

3.4× st 3.8×

291

Heart failure and shock with mcc

$43,651

$11,140

3.9× st 4.0×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$36,879

$9,764

3.8× st 4.2×

603

Cellulitis without mcc

$39,684

$7,820

5.1× st 3.7×

389

Gastrointestinal obstruction with cc

$34,555

$7,155

4.8× st 4.1×

481

Hip and femur procedures except major joint with cc

$60,598

$17,592

3.4× st 4.1×

189

Pulmonary edema and respiratory failure

$42,006

$10,701

3.9× st 3.9×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$103,888

$41,791

2.5× st 4.0×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5372

Level 2 Urology and Related Services

269

$2,381

$686

3.5×

5491

Level 1 Intraocular Procedures

177

$10,710

$2,308

4.6×

8011

Comprehensive Observation Services

128

$23,502

$2,731

8.6×

5373

Level 3 Urology and Related Services

108

$1,828

$2,045

0.9×

5115

Level 5 Musculoskeletal Procedures

$50,717

$13,067

3.9×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$5,627

$1,589

3.5×

5114

Level 4 Musculoskeletal Procedures

$35,279

$7,018

5.0×

5113

Level 3 Musculoskeletal Procedures

$15,296

$3,211

4.8×

5374

Level 4 Urology and Related Services

$10,161

$3,465

2.9×

5361

Level 1 Laparoscopy and Related Services

$28,772

$5,794

5.0×

5431

Level 1 Nerve Procedures

$8,701

$1,915

4.5×

5375

Level 5 Urology and Related Services

$18,667

$5,196

3.6×

5112

Level 2 Musculoskeletal Procedures

$5,753

$1,614

3.6×

5183

Level 3 Vascular Procedures

$21,547

$3,201

6.7×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$11,483

$2,853

4.0×

5182

Level 2 Vascular Procedures

$4,637

$1,608

2.9×

5414

Level 4 Gynecologic Procedures

$18,518

$3,139

5.9×

5493

Level 3 Intraocular Procedures

$19,099

$5,248

3.6×

5415

Level 5 Gynecologic Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5432

Level 2 Nerve Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5303

Level 3 Upper GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5302

Level 2 Upper GI Procedures

—

03 · Its own price file

What the hospital's price-transparency file says

Not read: HTTP 403 (blocked).

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

APC 5373

info

out_allowed_exceeds_charge

allowed amount $2,045 exceeds the submitted charge $1,828

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Avera St Mary's Hospital — standard charges file · SD
· fetched 2026-08-23 · blocked

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.