Yankton, SD 57078 · CMS Certification Number 430012. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,236 | $60,904 | 3.8× | $13,048 |
| Shoulder replacement | — | — | — | $18,061 |
| Hip replacement after a fracture (DRG 522) | $18,187 | $60,102 | 3.3× | — |
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 144 beds
South Dakota has no certificate-of-need law.
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In 2024 Medicare paid Avera Sacred Heart Hospital an average of $16,236 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $13,048 per outpatient case (APC 5115, 158 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,904, 3.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Yankton Medical Clinic Avera - Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,196 by Medicare for a knee replacement (CPT 27447), $8,040 less than an inpatient stay at Avera Sacred Heart Hospital. Not every patient is a surgery-center candidate.
Medicare paid Avera Sacred Heart Hospital more than 78% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.