Avera Health · Gregory, SD
31
In-network payers
193
Disclosed rate categories
25
Beds
3
Care quality
Avera Gregory Hospital is a 25-bed voluntary non-profit - private hospital in Gregory, SD, affiliated with Avera Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 193 disclosed rate categories.
CCN (Medicare provider number)
431338
NPI
1275562027
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
3
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 Gregory 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.
Childbirth · Inpatient
MS-DRG 807
$6,607 - $10,353
from 3 insurers · median $9,480
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,396 - $14,305
from 3 insurers · median $13,482
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$1,173 - $4,093
from 2 insurers · median $2,633
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,173 - $1,326
from 2 insurers · median $1,250
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,173 - $3,341
from 2 insurers · median $2,257
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,173 - $2,579
from 2 insurers · median $1,876
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,607 - $10,353
from 3 insurers · median $9,480
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
MRI imaging
CPT 70553
$1,520 - $3,422
from 2 insurers · median $2,471
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,520 - $2,730
from 2 insurers · median $2,125
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,520 - $2,622
from 2 insurers · 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 · 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 · Inpatient
MS-DRG 470
$21,139 - $32,055
from 4 insurers · median $24,431
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$374
negotiated rate
Typical for a hospital with this service line
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 · Inpatient
MS-DRG 743
$13,597 - $34,811
from 4 insurers · median $18,536
Hospital reports obstetrics / child birth 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 · median $82
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* | 24 | 674% | 11 | 4 |
| Insurer B* | 14 | 624% | 0 | 0 |
| Insurer C* | 2 | - | 0 | 0 |
| Insurer D* | 5 | - | 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 Gregory Hospital.
400 Park Avenue, Gregory, SD 57533
(605) 835-8394
The nearest hospitals of similar type and size. Their rates are compared with Avera Gregory Hospital for the same insurers and services above.
Community Memorial Hospital
▲ Rates typically 40% higher than Avera Gregory Hospital (15 services)
Winner Regional Healthcare Center
▼ Rates typically 54% lower than Avera Gregory Hospital (8 services)
Sanford Chamberlain Medical Center
Rates about the same as Avera Gregory Hospital (21 services)
Rock County Hospital
▲ Rates typically 9% higher than Avera Gregory Hospital (6 services)
Brown County Hospital
▼ Rates typically 22% lower than Avera Gregory Hospital (17 services)
West Holt Memorial Hospital
▼ Rates typically 40% lower than Avera Gregory Hospital (18 services)
St. Michael S Hospital Avera
Avera Weskota Memorial Hospital
Avera St. Benedict Crh Clinic - Parkston
Avera Dells Area Hospital
About Avera Gregory Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avera Gregory Hospital range from $1,520 to $3,422 across 2 insurers. Cigna's rate is $1,520. The median at nearby comparable hospitals is $2,854. 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 Gregory Hospital range from $1,173 to $4,093 across 2 insurers. Aetna's rate is $4,093. The median at nearby comparable hospitals is $4,568. 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 Gregory Hospital range from $4,822 to $4,822 across 1 insurers. Aetna's rate is $4,822. The median at nearby comparable hospitals is $1,754. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Avera Gregory Hospital range from $6,607 to $10,353 across 3 insurers. UnitedHealthcare's rate is $10,353. 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 Gregory Hospital range from $374 to $374 across 1 insurers. Aetna's rate is $374. The median at nearby comparable hospitals is $359. 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 Gregory Hospital range from $21,139 to $32,055 across 4 insurers. Aetna's rate is $25,849. What a patient pays depends on their plan's deductible, coinsurance and network status.
Avera Gregory Hospital has 25 beds. Facility type: Critical Access Hospital.
Avera Gregory Hospital is located at 400 Park Avenue, Gregory, SD 57533. Its main phone number is (605) 835-8394.
Avera Gregory Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 431338.
The National Provider Identifier (NPI) on file for Avera Gregory Hospital is 1275562027.
Avera Gregory Hospital is affiliated with Avera Health.
Avera Gregory Hospital lists 31 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
193 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.
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{
"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