CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,173 - $4,093
from 2 insurers ยท median $2,633
Typical for a hospital with this service line
Avera Health ยท Flandreau, SD
33
In-network payers
258
Disclosed rate categories
18
Beds
Avera Flandreau Hospital is an 18-bed voluntary non-profit - private hospital in Flandreau, SD, affiliated with Avera Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 258 disclosed rate categories.
CCN (Medicare provider number)
431310
NPI
1295747608
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Avera Flandreau Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,173 - $4,093
from 2 insurers ยท median $2,633
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,173 - $1,326
from 2 insurers ยท median $1,250
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,173 - $3,341
from 2 insurers ยท median $2,257
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,173 - $2,579
from 2 insurers ยท median $1,876
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,520 - $3,422
from 2 insurers ยท median $2,471
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,520 - $2,730
from 2 insurers ยท median $2,125
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,520 - $2,622
from 2 insurers ยท median $2,071
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$4,822
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,863
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,838
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,520 - $2,730
from 2 insurers ยท median $2,125
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,748
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery ยท Inpatient
MS-DRG 470
$21,139 - $32,055
from 4 insurers ยท median $24,431
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$374
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$5,137
negotiated rate
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 47562
$14,332
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$20,702
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery ยท Inpatient
MS-DRG 743
$13,597 - $34,811
from 4 insurers ยท median $18,536
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$354
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$6,117
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$720
negotiated rate
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$15 - $149
from 2 insurers ยท median $82
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,978
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58558
$8,338
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 11 | 624% | 0 | 8 |
| Insurer B* | 24 | 411% | 8 | 10 |
| Insurer C* | 2 | - | 1 | 0 |
| Insurer D* | 2 | - | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Avera Flandreau Hospital.
214 North Prairie Street, Flandreau, SD 57028
(605) 997-2433
About Avera Flandreau Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avera Flandreau Hospital range from $1,520 to $3,422 across 2 insurers. Cigna's rate is $1,520. The median at nearby comparable hospitals is $4,388. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Avera Flandreau Hospital range from $1,173 to $4,093 across 2 insurers. Aetna's rate is $4,093. The median at nearby comparable hospitals is $4,597. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Avera Flandreau Hospital range from $4,822 to $4,822 across 1 insurers. Aetna's rate is $4,822. The median at nearby comparable hospitals is $1,785. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Avera Flandreau Hospital range from $374 to $374 across 1 insurers. The median at nearby comparable hospitals is $478. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Avera Flandreau Hospital range from $21,139 to $32,055 across 4 insurers. Aetna's rate is $25,849. The median at nearby comparable hospitals is $11,443. What a patient pays depends on their plan's deductible, coinsurance and network status.
Avera Flandreau Hospital has 18 beds. Facility type: Critical Access Hospital.
Avera Flandreau Hospital is located at 214 North Prairie Street, Flandreau, SD 57028. Its main phone number is (605) 997-2433.
Avera Flandreau Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 431310.
The National Provider Identifier (NPI) on file for Avera Flandreau Hospital is 1295747608.
Avera Flandreau Hospital is affiliated with Avera Health.
Avera Flandreau Hospital lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
258 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers