Avera Heart Hospital Of South Dakota

4500 W 69th St · Sioux Falls, SD 57108

🤖AI Overview

⚠️ This hospital charges 6.0x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$194.6M

Medicare Payments

$32.3M

Discharges

1,643

Avg Length of Stay

3.4 days

Markup Ratio

6.0x

Risk Score

1.34

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Avera Heart Hospital Of South Dakota charges an average of $118,424 per discharge, but Medicare only pays $19,677 — a markup of 6.0x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

6.0x

State Avg

4.8x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$118,424

State Avg

$70,595

National Avg

$69,838

Avg Length of Stay

This Hospital

3.4 days

State Avg

4.9 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

2.9%

65–74

43.7%

75–84

37.3%

85+

16.1%

Gender

38.9%

Female

61.1%

Male

Dual Eligibility

7.0%

Dual Eligible

93.0%

Non-Dual

Race & Ethnicity

White

95.0%

Native American

1.8%

Other

2.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Ischemic Heart Disease

73.3%

Atrial Fibrillation

51.1%

Heart Failure

50.4%

Diabetes

38.0%

Arthritis

37.1%

Chronic Kidney Disease

37.0%

COPD

25.9%

Mood Disorders

20.9%

Anxiety

20.7%

Depression

20.1%

Cancer

18.6%

Tobacco Use

18.6%

Osteoporosis

14.4%

Stroke/TIA

11.1%

Substance Use

7.8%

Asthma

6.8%

Alzheimer's/Dementia

4.8%

Parkinson's

2.1%

Bipolar Disorder

1.5%

Personality Disorders

1.0%

PTSD

0.9%

Schizophrenia/Psychosis

0.8%

ADHD/Conduct Disorders

0.5%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.