Sioux Falls, SD 57117 · CMS Certification Number 430016. 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 | $14,573 | $78,560 | 5.4× | $12,213 |
| Shoulder replacement | $19,068 | $90,299 | 4.7× | $17,434 |
| Hip replacement after a fracture (DRG 522) | $16,317 | $79,721 | 4.9× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 505 beds
South Dakota has no certificate-of-need law.
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In 2024 Medicare paid Avera McKennan Hospital & University Health Center an average of $14,573 per inpatient hip or knee replacement stay (MS-DRG 470, 69 stays) and $12,213 per outpatient case (APC 5115, 586 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,560, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Avera McKennan Hospital & University Health Center less than 56% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.