Hospital · CCN 430095
Avera Heart Hospital Of South Dakota
4500 W 69th St, Sioux Falls, SD 57108 · Lincoln County
Part of Avera Health · 53 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
39 admission types 20 outpatient services price file: failed
Billed per dollar paid, all admissions
5.94×
$179.2M billed against $30.2M paid across 1,405 Medicare discharges; the national figure is 5.03×.
0.5%
of adults in Lincoln County have medical debt in collections
6.6%
uninsured in the county · state 10.0%
$102K
median household income
5.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
34.9%
obesity in the countyⓘ
8.8%
diagnosed diabetes (PLACES)
5.1%
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
267
Endovascular cardiac valve replacement and supplement procedures without mcc
147
$203,883
$33,874
6.0× st 4.9×
274
Percutaneous and other intracardiac procedures without mcc
120
$140,429
$22,308
6.3× st 4.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
112
$113,708
$14,283
8.0× st 6.0×
236
Coronary bypass without cardiac catheterization without mcc
80
$165,769
$28,378
5.8× st 5.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
66
$19,895
$4,007
5.0× st 4.5×
291
Heart failure and shock with mcc
53
$37,990
$8,685
4.4× st 4.0×
309
Cardiac arrhythmia and conduction disorders with cc
50
$20,107
$5,193
3.9× st 4.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
49
$159,860
$29,305
5.5× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
46
$157,887
$20,001
7.9× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
43
$64,800
$14,412
4.5× st 4.2×
271
Other major cardiovascular procedures with cc
40
$153,210
$23,884
6.4× st 5.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
38
$250,872
$44,285
5.7× st 4.8×
164
Major chest procedures with cc
38
$91,374
$17,651
5.2× st 4.8×
243
Permanent cardiac pacemaker implant with cc
38
$97,480
$14,929
6.5× st 4.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
36
$200,836
$35,410
5.7× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
35
$59,268
$10,483
5.7× st 4.4×
039
Extracranial procedures without cc/mcc
31
$49,404
$7,885
6.3× st 5.2×
253
Other vascular procedures with cc
31
$110,068
$17,645
6.2× st 4.7×
270
Other major cardiovascular procedures with mcc
27
$191,197
$33,956
5.6× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$32,783
$8,129
4.0× st 3.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
23
$209,461
$37,098
5.6× st 5.0×
244
Permanent cardiac pacemaker implant without cc/mcc
22
$87,561
$12,575
7.0× st 5.8×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
20
$160,888
$20,953
7.7× st 5.7×
235
Coronary bypass without cardiac catheterization with mcc
20
$230,410
$41,378
5.6× st 5.6×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
20
$240,617
$52,430
4.6× st 4.7×
163
Major chest procedures with mcc
18
$165,680
$29,198
5.7× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
18
$42,580
$6,512
6.5× st 5.1×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
16
$179,982
$28,748
6.3× st 4.5×
035
Carotid artery stent procedures with cc
16
$76,904
$15,943
4.8× st 5.0×
242
Permanent cardiac pacemaker implant with mcc
14
$116,085
$25,113
4.6× st 4.4×
252
Other vascular procedures with mcc
14
$190,410
$24,347
7.8× st 4.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
14
$274,369
$53,267
5.2× st 4.2×
038
Extracranial procedures with cc
14
$58,125
$11,033
5.3× st 5.4×
036
Carotid artery stent procedures without cc/mcc
12
$61,019
$12,525
4.9× st 4.3×
229
Other cardiothoracic procedures without mcc
12
$149,492
$21,876
6.8× st 5.1×
165
Major chest procedures without cc/mcc
12
$68,262
$12,956
5.3× st 5.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$48,756
$11,757
4.1× st 4.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$50,409
$7,543
6.7× st 4.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$37,013
$5,611
6.6× st 5.6×
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
5191
Level 1 Endovascular Procedures
783
$22,386
$3,049
7.3×
5193
Level 3 Endovascular Procedures
404
$76,329
$10,240
7.5×
5213
Level 3 Electrophysiologic Procedures
278
$103,356
$22,135
4.7×
5223
Level 3 Pacemaker and Similar Procedures
237
$71,916
$9,897
7.3×
5194
Level 4 Endovascular Procedures
166
$109,913
$16,129
6.8×
5183
Level 3 Vascular Procedures
161
$16,153
$2,970
5.4×
5222
Level 2 Pacemaker and Similar Procedures
107
$49,287
$7,965
6.2×
5184
Level 4 Vascular Procedures
81
$26,667
$5,152
5.2×
5192
Level 2 Endovascular Procedures
81
$40,993
$5,306
7.7×
5232
Level 2 ICD and Similar Procedures
59
$196,626
$30,752
6.4×
8011
Comprehensive Observation Services
52
$18,787
$2,566
7.3×
5224
Level 4 Pacemaker and Similar Procedures
27
$136,581
$18,227
7.5×
5212
Level 2 Electrophysiologic Procedures
22
$37,124
$7,002
5.3×
5200
Implantation Wireless PA Pressure Monitor
19
$196,751
$27,171
7.2×
5182
Level 2 Vascular Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Not read: HTTP 403 (blocked).
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- · 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.