US Health Care Costs

Avera McKennan Hospital & University Health Center

1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117 · (605) 322-8000

General hospitalVoluntary non-profit - PrivateEmergency roomCMS rating ★★★★★

The money

$22what care cost the hospital for every $100 it billed
$104.5Mnet income, all sources
−7.6%margin on patient care alone
$16.9Mcost of charity care (1.6% of costs)
$21.2Munpaid bills written off (bad debt)
563beds

From the hospital's Medicare cost report for the year ending June 2025. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid.

Billed (list price)Actually paid (Medicare + patient)

StayMedicare staysBilledPaid
Sepsis, with major complications 871424$82,876$16,293
Psychoses 885320$29,592$11,486
Heart failure, with major complications 291177$51,481$10,780
Lung infection, with major complications 177130$63,243$13,315
Pneumonia, with major complications 193127$50,123$10,765
Respiratory failure 189116$51,451$10,209
Stroke, with major complications 064109$95,702$16,324
Stomach or intestinal bleeding, with complications 378102$33,276$8,118
Stroke, with complications or clot-busting drug 06595$56,984$8,554
Hip or thigh bone surgery (not replacement), with complications 48193$85,654$16,402
Infection needing surgery, with major complications 85384$188,354$39,321
Bowel surgery, with complications 33079$84,688$17,690
Stomach or intestinal bleeding, with major complications 37773$73,685$14,163
Urinary tract infection 69073$32,540$6,689
Dehydration and electrolyte problems, with major complications 64070$49,659$10,287
Hip or knee replacement 47069$78,560$14,573
Kidney failure, with major complications 68269$55,078$11,906
Sepsis 87265$48,793$8,833
Other kidney and urinary problems, with major complications 69864$55,851$12,884
Revision of Hip or Knee Replacement with Cc 46762$118,118$25,635
Kidney failure, with complications 68359$34,500$7,458
Other kidney and urinary problems, with complications 69959$37,380$8,324
Skin infection (cellulitis) 60358$30,004$7,444
Neuroses Except Depressive 88258$15,185$7,978
Back problems (no surgery) 55256$40,603$8,162
Craniotomy and Endovascular Intracranial Procedures with Mcc 02554$209,924$38,156
Stomach and digestive disorders 39253$30,478$6,701
Urinary tract infection, with major complications 68952$47,347$9,621
Breathing problem needing a ventilator (up to 4 days) 20851$126,008$21,942
Spinal fusion (lower or mid back) 46051$157,755$28,782
Bowel surgery, with major complications 32948$152,478$34,946
Kidney and Ureter Procedures for Non-Neoplasm with Cc 66048$43,495$10,628
Mini-stroke (TIA) 06946$39,767$6,722
Fainting 31244$36,880$7,322
Heart attack, with major complications 28043$78,982$13,860
Hip or thigh bone surgery (not replacement), with major complications 48043$135,299$23,630
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 02341$225,722$46,130
Bowel obstruction, with complications 38941$28,363$6,709
Dehydration and electrolyte problems 64139$34,729$6,565
Degenerative nerve disorders (e.g. Parkinson's, dementia) 05738$54,219$10,706
Hip replacement after a hip fracture 52236$79,721$16,317
Other digestive problems, with complications 39435$42,390$7,938
Seizures 10134$54,180$7,586
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98134$216,826$40,140
Pneumonia, with complications 19432$33,875$6,943
Other Digestive System Diagnoses with Mcc 39332$51,399$13,085
Disorders of the Biliary Tract with Cc 44532$46,572$9,497
Extracranial Procedures Without Cc/Mcc 03930$48,026$8,994
Other Disorders of Nervous System with Cc 09230$54,957$8,750
Major Small and Large Bowel Procedures Without Cc/Mcc 33130$66,814$13,415
Coagulation Disorders 81330$43,079$12,463
Stomach and digestive disorders, with major complications 39129$37,350$10,171
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 65929$109,104$21,408
Carotid Artery Stent Procedures with Cc 03528$133,604$19,323
Other circulation problems, with major complications 31428$88,319$17,998
Other Disorders of Nervous System with Mcc 09127$67,349$14,164
Other Kidney and Urinary Tract Procedures with Mcc 67327$130,566$30,588
Other Vascular Procedures with Cc 25326$99,510$22,109
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 37226$36,126$8,429
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 17525$51,546$11,142
Irregular heartbeat, with major complications 30825$37,002$9,315
Disorders of the Biliary Tract with Mcc 44425$57,254$12,855
Other Cerebrovascular Disorders with Cc 07124$63,059$8,885
Laparoscopic Cholecystectomy Without C.d.e. with Cc 41824$60,929$13,230
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 44124$59,764$14,123
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 49324$104,898$17,872
Delirium and other mental confusion 88424$54,219$12,281
Traumatic Stupor and Coma >1 Hour with Mcc 08223$112,809$17,811
Gastrointestinal Obstruction with Mcc 38823$74,684$12,408
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 41723$70,895$17,962
Revision of Hip or Knee Replacement Without Cc/Mcc 46823$115,415$20,103
Postoperative and Post-Traumatic Infections with Mcc 86223$76,297$14,375
Other Cerebrovascular Disorders with Mcc 07022$77,238$14,555
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 84722$61,178$11,625
Complications of Treatment with Cc 92022$45,581$8,421
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 37121$58,864$13,347
Fracture or sprain (not hip or thigh) 56321$34,082$7,451
Kidney and Ureter Procedures for Neoplasm with Cc 65721$63,363$14,342
Anemia and blood disorders 81221$43,807$7,590
Seizures with Mcc 10020$70,807$14,896
Dysequilibrium 14920$33,076$6,348
Major Joint or Limb Reattachment Procedures of Upper Extremities 48320$90,299$19,068
Endocrine Disorders with Cc 64420$38,957$8,710
Septicemia or Severe Sepsis with Mv >96 Hours 87020$306,742$56,885
Depressive Neuroses 88120$22,209$7,929
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 98220$107,063$19,114
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 02719$140,128$18,493
Degenerative Nervous System Disorders with Mcc 05619$100,611$20,702
Lung infection, with complications 17819$47,433$8,285
COPD, with major complications 19019$32,022$8,572
Cirrhosis and Alcoholic Hepatitis with Mcc 43219$67,351$15,540
Disorders of Pancreas Except Malignancy with Mcc 43819$57,442$13,292
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 51619$70,563$15,513
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 52119$113,603$23,099
Diabetes, with complications 63819$29,683$7,540
Other O.r. Procedures for Injuries with Mcc 90719$178,477$34,047
Signs and Symptoms Without Mcc 94819$38,743$6,720
Disorders of Pancreas Except Malignancy with Cc 43918$30,033$7,131
Diabetes, with major complications 63718$57,623$11,649
Complications of Treatment with Mcc 91918$54,151$14,457
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 95618$145,252$28,132
Carotid Artery Stent Procedures Without Cc/Mcc 03617$97,131$15,686
Respiratory Neoplasms with Mcc 18017$79,738$14,272
Stomach, Esophageal and Duodenal Procedures with Mcc 32617$199,967$40,972
Malignancy of Hepatobiliary System or Pancreas with Mcc 43517$64,512$13,895
Cervical Spinal Fusion with Cc 47217$122,360$22,328
Endocrine Disorders with Mcc 64317$88,140$15,560
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 66117$45,913$8,932
Other Kidney and Urinary Tract Procedures with Cc 67417$92,486$19,424
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 89717$18,035$7,127
Poisoning and Toxic Effects of Drugs with Mcc 91717$51,435$11,974
Irregular heartbeat, with complications 30916$28,359$6,121
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 54316$46,184$9,061
Anemia and blood disorders, with major complications 81116$54,805$11,485
Other O.r. Procedures for Injuries with Cc 90816$67,856$15,672
Autologous Bone Marrow Transplant with Cc/Mcc 01615$134,270$47,299
Traumatic Stupor and Coma >1 Hour with Cc 08315$73,263$11,241
Other Major Cardiovascular Procedures with Mcc 27015$183,304$41,801
Digestive Malignancy with Mcc 37415$93,321$18,545
Major Male Pelvic Procedures Without Cc/Mcc 70815$70,178$11,733
Infectious and Parasitic Diseases with O.r. Procedures with Cc 85415$68,794$15,396
Acute Adjustment Reaction and Psychosocial Dysfunction 88015$38,439$8,143
Craniotomy and Endovascular Intracranial Procedures with Cc 02614$153,911$22,778
Nervous System Neoplasms with Mcc 05414$56,045$11,959
Major Chest Procedures with Mcc 16314$126,787$34,265
Other Circulatory System O.r. Procedures 26414$104,300$25,159
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 46414$87,578$21,980
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 54214$67,391$14,799
Kidney Transplant 65214$338,888$22,932
Postoperative and Post-Traumatic Infections Without Mcc 86314$33,891$7,854
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 06613$39,025$5,968
Interstitial Lung Disease with Mcc 19613$62,545$15,180
Other Respiratory System Diagnoses with Mcc 20513$61,660$14,243
Other Major Cardiovascular Procedures with Cc 27113$150,721$26,416
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 46313$150,345$38,543
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 65813$63,780$11,685
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 84613$100,545$21,566
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 02012$422,630$78,079
Carotid Artery Stent Procedures with Mcc 03412$211,754$32,850
Heart attack, with complications 28112$46,262$7,559
Peripheral Vascular Disorders with Mcc 29912$70,129$14,756
Gastrointestinal Obstruction Without Cc/Mcc 39012$26,242$4,950
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 46912$139,122$25,493
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 55612$40,106$7,258
Major Male Pelvic Procedures with Cc/Mcc 70712$79,071$16,137
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 85612$159,237$32,346
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 23911$146,492$32,431
High blood pressure 30511$32,495$6,533
Other Digestive System O.r. Procedures with Mcc 35611$164,702$28,674
Multiple Level Spinal Fusion Except Cervical Without Mcc 44811$217,152$31,239
Combined Anterior and Posterior Spinal Fusion with Cc 45411$281,382$49,503
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 48211$60,292$13,579
Knee Procedures with Principal Diagnosis of Infection with Cc 48611$97,094$16,914
Fractures of Hip and Pelvis Without Mcc 53611$21,519$6,698
Cellulitis with Mcc 60211$72,046$12,417
Major Bladder Procedures with Cc 65411$111,264$20,455
Lymphoma and Non-Acute Leukemia with Mcc 84011$98,500$23,533
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 85711$89,537$17,402

Cash and insurer prices for this hospital haven't been added yet. Every US hospital must publish them; search the hospital's website for "price transparency" or "standard charges".