CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,173 - $4,013
from 2 insurers · median $2,593
Cigna$1,173
Insurer A*$4,013
Medicare $375Nearby hospitals $4,13637% below nearby hospitals
Common here, based on CMS Medicare volume
Short Term Acute Care HospitalVoluntary Non-Profit - Private
Avera St. Mary S Hospital
Avera Health · Pierre, SD
801 East Sioux Avenue, Pierre, SD 57501(605) 224-3100
40
In-network payers
163
Disclosed rate categories
50
Beds
3
Care quality
About this hospital
Avera St. Mary S Hospital is a 50-bed voluntary non-profit - private hospital in Pierre, SD, affiliated with Avera Health. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 163 disclosed rate categories.
CCN (Medicare provider number)
430015
NPI
1669457180
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
50
Care Quality
3
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 HealthCenteneDean Health Plan
Prices for common services
The 24 services Avera St. Mary S 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.
Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$8,338
negotiated rate
Aetna$8,338
Medicare $3,482Nearby hospitals $4,94669% above nearby hospitals
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$20,062 - $21,839
from 2 insurers · median $20,950
AetnaNot published
Insurer A*$20,062
Insurer B*$21,839
Medicare $14,004Nearby hospitals $31,89034% below nearby hospitals
17 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
Vaginal delivery, hospital stay
MS-DRG 807
$7,633
negotiated rate
Cigna$7,633
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 neonatal nursery services to CMS
Digestive procedures
Laparoscopic repair of an initial inguinal hernia
CPT 49650
$20,702
negotiated rate
Aetna$20,702
Medicare $6,503Nearby hospitals $10,84791% above nearby hospitals
53 Medicare claims in Level 1 Laparoscopy and Related Services (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 neonatal nursery services to CMS
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$10,683
negotiated rate
Aetna$10,683
Medicare $6,503Nearby hospitals $8,30629% above nearby hospitals
53 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CT head or brain without contrast
CPT 70450
$1,027 - $1,173
from 2 insurers · median $1,100
Cigna$1,173
Insurer A*$1,027
Medicare $112Nearby hospitals $1,80439% below nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$1,148 - $3,341
from 2 insurers · median $2,244
Cigna$1,148
Insurer A*$3,341
Medicare $257Nearby hospitals $3,39634% below nearby hospitals
Common here, based on CMS Medicare volume
MRI imaging
MRI brain before and after contrast
CPT 70553
$1,520 - $3,422
from 2 insurers · median $2,471
Cigna$1,520
Insurer A*$3,422
Medicare $375Nearby hospitals $4,61947% below nearby hospitals
Common here, based on CMS Medicare volume
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$4,755
negotiated rate
Aetna$4,755
Medicare $1,393Nearby hospitals $4,13315% above nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$6,059
negotiated rate
Aetna$6,059
Medicare $2,483Nearby hospitals $4,69529% above nearby hospitals
177 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$1,858
negotiated rate
Insurer A*$1,858
Medicare $588Nearby hospitals $96193% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Laparoscopic gallbladder removal with bile-duct imaging
CPT 47563
$13,198
negotiated rate
Aetna$13,198
Medicare $6,503Nearby hospitals $9,66637% above nearby hospitals
53 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
Arthroscopic knee meniscectomy
CPT 29881
$8,686
negotiated rate
Aetna$8,686
Medicare $3,520Nearby hospitals $6,86826% above nearby hospitals
66 Medicare claims in Level 3 Musculoskeletal Procedures (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 $257Nearby hospitals $2,86626% below nearby hospitals
Common here, based on CMS Medicare volume
MRI imaging
MRI lumbar spine without contrast
CPT 72148
$1,520 - $2,624
from 2 insurers · median $2,072
Cigna$1,520
Insurer A*$2,624
Medicare $257Nearby hospitals $3,12234% below nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$4,303
negotiated rate
Aetna$4,303
Medicare $1,287Nearby hospitals $3,10639% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$3,613
negotiated rate
Aetna$3,613
Medicare $976Nearby hospitals $2,73932% above nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT of the chest, without contrast
CPT 71250
$1,000 - $1,173
from 2 insurers · median $1,087
Cigna$1,173
Insurer A*$1,000
Medicare $112Nearby hospitals $1,65634% below nearby hospitals
Common here, based on CMS Medicare volume
Urology
Shock-wave treatment of kidney stones
CPT 50590
$10,577
negotiated rate
Aetna$10,577
Medicare $3,792Nearby hospitals $6,78756% above nearby hospitals
59 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
Cervical spinal fusion without CC or MCC
MS-DRG 473
$27,640 - $57,475
from 2 insurers · median $42,558
AetnaNot published
Insurer A*$27,640
Insurer B*$57,475
Medicare $16,162Nearby hospitals $43,198In line with nearby hospitals
Hospital reports orthopedic surgery services to CMS
MRI imaging
MRI of the brain, without contrast
CPT 70551
$1,520 - $2,730
from 2 insurers · median $2,125
Cigna$1,520
Insurer A*$2,730
Medicare $257Nearby hospitals $2,93228% below nearby hospitals
Common here, based on CMS Medicare volume
Urology
Diagnostic examination of the bladder with a scope
CPT 52000
$1,476
negotiated rate
Aetna$1,476
Medicare $750Nearby hospitals $1,00048% above nearby hospitals
269 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
How the insurers pay at Avera St. Mary S 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* | 12 | 624% | 0 | 0 |
| Insurer B* | 20 | 356% | 12 | 5 |
| Insurer C* | 2 | - | 1 | 1 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 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 St. Mary S Hospital.
Location
801 East Sioux Avenue, Pierre, SD 57501
(605) 224-3100
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Avera St. Mary S Hospital for the same insurers and services above.
Sanford Aberdeen Medical Center
Aberdeen, SD · 120 mi · 48 bedsView rates
▼ Rates typically 22% lower than Avera St. Mary S Hospital (22 services)
Prairie Lakes Health Care Center
Watertown, SD · 163 mi · 81 bedsView rates
Rates about the same as Avera St. Mary S Hospital (16 services)
Monument Health Spearfish Hospital
Spearfish, SD · 174 mi · 44 bedsView rates
▲ Rates typically 15% higher than Avera St. Mary S Hospital (20 services)
Brookings Health System
Brookings, SD · 177 mi · 49 bedsView rates
Rates about the same as Avera St. Mary S Hospital (12 services)
Sanford Regional Hospital Worthington
Worthington, MN · 241 mi · 48 bedsView rates
▼ Rates typically 22% lower than Avera St. Mary S Hospital (21 services)
Columbus Community Hospital
Columbus, NE · 250 mi · 50 bedsView rates
▲ Rates typically 46% higher than Avera St. Mary S Hospital (14 services)
Avera Mckennan Hospital & University Health Center
Sioux Falls, SDView rates
Avera Fox Run Health Campus
Yankton, SDView rates
Avera Heart Hospital Of South Dakota
Sioux Falls, SDView rates
Avera Queen Of Peace Hospital
Mitchell, SDView rates
Frequently asked questions
About Avera St. Mary S Hospital's rates and hospital price transparency.
How much does an MRI cost at Avera St. Mary S Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avera St. Mary S Hospital range from $1,520 to $3,422 across 2 insurers. Cigna's rate is $1,520. The median at nearby comparable hospitals is $4,619. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Avera St. Mary S Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Avera St. Mary S Hospital range from $1,173 to $4,013 across 2 insurers. Cigna's rate is $1,173. The median at nearby comparable hospitals is $4,136. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Avera St. Mary S Hospital?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Avera St. Mary S Hospital range from $4,303 to $4,303 across 1 insurers. Aetna's rate is $4,303. The median at nearby comparable hospitals is $3,106. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does giving birth cost at Avera St. Mary S Hospital?
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Avera St. Mary S Hospital range from $7,633 to $7,633 across 1 insurers. Cigna's rate is $7,633. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does hip or knee replacement cost at Avera St. Mary S Hospital?
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Avera St. Mary S Hospital range from $20,062 to $21,839 across 2 insurers. The median at nearby comparable hospitals is $31,890. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Avera St. Mary S Hospital have?
Avera St. Mary S Hospital has 50 beds. Facility type: Short Term Acute Care Hospital.
Where is Avera St. Mary S Hospital and what is its phone number?
Avera St. Mary S Hospital is located at 801 East Sioux Avenue, Pierre, SD 57501. Its main phone number is (605) 224-3100.
What is Avera St. Mary S Hospital's CCN (Medicare provider number)?
Avera St. Mary S Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 430015.
What is Avera St. Mary S Hospital's NPI number?
The National Provider Identifier (NPI) on file for Avera St. Mary S Hospital is 1669457180.
What health system is Avera St. Mary S Hospital part of?
Avera St. Mary S Hospital is affiliated with Avera Health.
Which insurance plans are in network at Avera St. Mary S Hospital?
Avera St. Mary S Hospital lists 40 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 St. Mary S Hospital?
163 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