Avera Dells Area Hospital - Cah billing
909 N Iowa Ave, Dell Rapids, South Dakota 57022
1. Call billing
Have your account number ready. Ask for an itemized bill and ask whether you can apply for financial assistance.
2. See if you qualify for free or discounted care
As a nonprofit hospital, Avera Dells Area Hospital - Cah must have a written financial assistance policy under IRS rule 501(r). You can usually apply up to 240 days after your first bill, even if it went to collections.
3. Send it in writing
A written request creates a record. Fill in your details, then print, email or mail it to Avera Dells Area Hospital - Cah billing.
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Get letterRequest an itemized billEvery charge, with its billing code. Start here.
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Create letterApply for financial assistanceCover letter for the hospital's application, with a request to pause collections.
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Start disputeDispute a chargeFor duplicate lines, services you didn't get, or prices you want explained.
Have your itemized bill?
Upload a photo or PDF. We'll compare each line to what Medicare pays and flag anything worth questioning.
Avera Dells Area Hospital - Cah in Dell Rapids, South Dakota receives a BillKarma billing grade of F based on an average markup of 23.7x Medicare rates across 5 procedures in their published price transparency file. This places it among the 10 most expensive hospitals in South Dakota by markup ratio. The highest individual markups are for Egd biopsy single/multiple (41.7x Medicare) and Diagnostic colonoscopy (27.6x Medicare). Patients with scheduled procedures at this hospital should review costs and compare nearby alternatives before confirming — charges at D and F grade hospitals are significantly above the national average.
Common procedure prices
Last updated: 2026-10-21
Estimates assume 20% coinsurance after deductible. Actual costs depend on your plan's negotiated rates, coinsurance, and out-of-pocket maximum. .
Your Insurance Plan
| Code | Description | Hospital charge | Medicare pays | Markup |
|---|---|---|---|---|
| 43239 | Egd biopsy single/multiple | $5156.84 | $123.58 | 41.7× |
| 45378 | Diagnostic colonoscopy | $4542.68 | $164.67 | 27.6× |
| 45385 | Colonoscopy w/lesion removal | $5486.65 | $223.45 | 24.6× |
| 70551 | Mri brain stem w/o dye | $3076.00 | $195.40 | 15.7× |
| 20610 | Joint Injection (drainage) | $352.33 | $39.75 | 8.9× |
Highlighted: charged at 5× or more what Medicare pays for the same code.
How to dispute a bill from Avera Dells Area Hospital - Cah
Last updated: 2026-10-21
Location
Location map unavailable for this hospital.
Map shows Avera Dells Area Hospital - Cah at 909 N IOWA AVE, Dell Rapids, South Dakota, 57022. Nearby hospitals within 50 miles include Avera Flandreau Hospital - Cah, Avera Gregory Hospital, Avera Mckennan Hospital & University Health Center.
Nearby hospitals
- Avera Flandreau Hospital - Cah Flandreau · Grade F
- Avera Gregory Hospital Gregory · Grade F
- Avera Mckennan Hospital & University Health Center Sioux Falls · Grade F
- Avera Queen Of Peace Mitchell · Grade F
- Avera Sacred Heart Hospital Yankton · Grade F