Medicine & Surgery · Inpatient
Spinal fusion except cervical without MCC
MS-DRG 460
$39,664 - $92,341
from 2 insurers · median $66,002
Blue Cross$92,341
Insurer A*$39,664
Medicare $28,862
28 Medicare discharges for this DRG in CMS hospital data
Short Term Acute Care HospitalVoluntary Non-Profit - Private
Avera Sacred Heart Hospital
Avera Health · Yankton, SD
501 Summit Avenue, Yankton, SD 57078(605) 668-8000
35
In-network payers
193
Disclosed rate categories
99
Beds
5
Care quality
About this hospital
Avera Sacred Heart Hospital is a 99-bed voluntary non-profit - private hospital in Yankton, SD, affiliated with Avera Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 193 disclosed rate categories.
CCN (Medicare provider number)
430012
NPI
1770693954
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
99
Care Quality
5
Insurance Accepted
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.
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health
Prices for common services
The 24 services Avera Sacred Heart 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.
Medicine & Surgery · Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$20,136 - $54,370
from 2 insurers · median $37,253
Blue Cross$54,370
Insurer A*$20,136
Medicare $13,380
43 Medicare discharges for this DRG in CMS hospital data
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,173 - $4,199
from 2 insurers · median $2,686
Aetna$4,199
Insurer A*$1,173
Medicare $375
Common here, based on CMS Medicare volume
Childbirth · Inpatient
Vaginal delivery, hospital stay
MS-DRG 807
$6,650
negotiated rate
Cigna$6,650
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
Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$7,866
negotiated rate
Aetna$7,866
Medicare $3,481
15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
Cesarean delivery, hospital stay
MS-DRG 788
$10,856
negotiated rate
Cigna$10,856
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
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$5,639
negotiated rate
Blue CrossNot published
Insurer A*$5,639
Medicare $2,482
426 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CT head or brain without contrast
CPT 70450
$1,173 - $1,372
from 2 insurers · median $1,273
Aetna$1,372
Insurer A*$1,173
Medicare $112
Common here, based on CMS Medicare volume
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$6,591
negotiated rate
Aetna$6,591
Medicare $1,392
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$2,424
negotiated rate
Aetna$2,424
Medicare $588
Common here, based on CMS Medicare volume
CT imaging
CT of the chest, with contrast
CPT 71260
$1,148 - $2,166
from 2 insurers · median $1,657
Aetna$2,166
Insurer A*$1,148
Medicare $189
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$1,173 - $3,197
from 2 insurers · median $2,185
Aetna$3,197
Insurer A*$1,173
Medicare $257
Common here, based on CMS Medicare volume
MRI imaging
MRI brain before and after contrast
CPT 70553
$1,520 - $3,423
from 2 insurers · median $2,472
Cigna$1,520
Insurer A*$3,423
Medicare $375
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
Cervical spinal fusion without CC or MCC
MS-DRG 473
$27,640 - $52,875
from 2 insurers · median $40,258
Blue Cross$52,875
Insurer A*$27,640
Medicare $16,162
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$11,538
negotiated rate
Blue CrossNot published
Insurer A*$11,538
Medicare $6,502
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
MRI lower-extremity joint without contrast
CPT 73721
$1,520 - $2,730
from 2 insurers · median $2,125
Cigna$1,520
Insurer A*$2,730
Medicare $257
Common here, based on CMS Medicare volume
Digestive procedures
Laparoscopic repair of an initial inguinal hernia
CPT 49650
$15,863
negotiated rate
Aetna$15,863
Medicare $6,502
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
MRI lumbar spine without contrast
CPT 72148
$1,487 - $2,730
from 2 insurers · median $2,109
Cigna$1,487
Insurer A*$2,730
Medicare $257
Common here, based on CMS Medicare volume
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$3,656
negotiated rate
Aetna$3,656
Medicare $975
Common here, based on CMS Medicare volume
MRI imaging
MRI of the brain, without contrast
CPT 70551
$1,520 - $2,609
from 2 insurers · median $2,065
Cigna$1,520
Insurer A*$2,609
Medicare $257
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$3,330
negotiated rate
Aetna$3,330
Medicare $1,287
Common here, based on CMS Medicare volume
Mammography
Screening mammography, bilateral
CPT 77067
$416
negotiated rate
Insurer A*$416
Medicare $97
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$3,539
negotiated rate
Aetna$3,539
Medicare $1,287
Common here, based on CMS Medicare volume
Childbirth · Inpatient
Vaginal birth after prior cesarean, hospital stay
MS-DRG 807
$6,650
negotiated rate
Cigna$6,650
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
How the insurers pay at Avera Sacred Heart Hospital
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* | 14 | 617% | 0 | 0 |
| Insurer B* | 18 | 466% | 0 | 0 |
| Insurer C* | 3 | - | 0 | 0 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 Sacred Heart Hospital.
Location
501 Summit Avenue, Yankton, SD 57078
(605) 668-8000
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Avera Sacred Heart Hospital for the same insurers and services above.
Chi Health Nebraska Heart
Lincoln, NE · 153 mi · 63 bedsView rates
Too few shared services to compare rates
Kansas Heart Hospital
Wichita, KS · 354 mi · 54 bedsView rates
▼ Rates typically 81% lower than Avera Sacred Heart Hospital (21 services)
Avera Fox Run Health Campus
Yankton, SDView rates
Avera St. Mary S Hospital
Pierre, SDView rates
Avera St. Luke’S Hospital
Aberdeen, SDView rates
Avera Heart Hospital Of South Dakota
Sioux Falls, SDView rates
Frequently asked questions
About Avera Sacred Heart Hospital's rates and hospital price transparency.
How much does an MRI cost at Avera Sacred Heart Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avera Sacred Heart Hospital range from $1,520 to $3,423 across 2 insurers. Cigna's rate is $1,520. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Avera Sacred Heart Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Avera Sacred Heart Hospital range from $1,173 to $4,199 across 2 insurers. Aetna's rate is $4,199. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Avera Sacred Heart Hospital?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Avera Sacred Heart Hospital range from $3,330 to $3,330 across 1 insurers. Aetna's rate is $3,330. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does giving birth cost at Avera Sacred Heart Hospital?
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Avera Sacred Heart Hospital range from $6,650 to $6,650 across 1 insurers. Cigna's rate is $6,650. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Avera Sacred Heart Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Avera Sacred Heart Hospital range from $416 to $416 across 1 insurers. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does hip or knee replacement cost at Avera Sacred Heart Hospital?
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Avera Sacred Heart Hospital range from $20,136 to $54,370 across 2 insurers. Blue Cross Blue Shield's rate is $54,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Avera Sacred Heart Hospital have?
Avera Sacred Heart Hospital has 99 beds. Facility type: Short Term Acute Care Hospital.
Where is Avera Sacred Heart Hospital and what is its phone number?
Avera Sacred Heart Hospital is located at 501 Summit Avenue, Yankton, SD 57078. Its main phone number is (605) 668-8000.
What is Avera Sacred Heart Hospital's CCN (Medicare provider number)?
Avera Sacred Heart Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 430012.
What is Avera Sacred Heart Hospital's NPI number?
The National Provider Identifier (NPI) on file for Avera Sacred Heart Hospital is 1770693954.
What health system is Avera Sacred Heart Hospital part of?
Avera Sacred Heart Hospital is affiliated with Avera Health.
Which insurance plans are in network at Avera Sacred Heart Hospital?
Avera Sacred Heart Hospital lists 35 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.
What price transparency data is available for Avera Sacred Heart Hospital?
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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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
Running price transparency at a hospital like this one?
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.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
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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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers