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Avera Sacred Heart Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,196
Yankton Medical Clinic Avera - Surgery Center, same ZIP
Outpatient here
$13,048
Medicare allowed amount, 158 cases, APC 5115
Inpatient here
$16,236
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Avera Sacred Heart Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,236$60,9043.8×$13,048
Shoulder replacement———$18,061
Hip replacement after a fracture (DRG 522)$18,187$60,1023.3×—

Quality

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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Questions

How much does Medicare pay Avera Sacred Heart Hospital for a knee or hip replacement?

In 2024 the average total payment to Avera Sacred Heart Hospital for an inpatient hip or knee replacement stay was $16,236 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,048 per outpatient case (APC 5115, 158 cases).

What is Avera Sacred Heart Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,904, 3.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Avera Sacred Heart Hospital?

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.

How does Avera Sacred Heart Hospital compare with other South Dakota hospitals?

Avera Sacred Heart Hospital's average total payment per Medicare stay is higher than 78% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.