Pierre, SD 57501 · CMS Certification Number 430015. 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 | $16,664 | $56,684 | 3.4× | $13,067 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 60 beds
South Dakota has no certificate-of-need law.
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In 2024 Medicare paid Avera St Mary's Hospital an average of $16,664 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $13,067 per outpatient case (APC 5115, 91 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,684, 3.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Avera St Mary's Hospital more than 89% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.