Avera Mckennan Hospital And University Health Center
Sioux Falls, South Dakota 57105-1007
Billing Grade
F
Relative fairness percentile: P95
Avg Markup
53.6x
CMS Stars
N/A
Patient Experience
Not Reported
Got a bill from this hospital?
Scan it in 30 seconds to check line items against CMS benchmarks.
Scan My BillBilling Profile
Last updated: 2026-02-18
Average markup vs Medicare: 53.6x
Cash/self-pay discount avg: 0.0%
Charity care (% revenue): N/A
State rank by markup: 1
Billing Grade Position
This hospital marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| CPT | Description | Hospital | Medicare | Markup |
|---|---|---|---|---|
| 45378 | Diagnostic colonoscopy | $17202.73 | $164.67 | 104.5x |
| 43239 | Egd biopsy single/multiple | $11803.78 | $123.58 | 95.5x |
| 49650 | Lap ing hernia repair init | $28838.55 | $424.19 | 68.0x |
| 44970 | Laparoscopy appendectomy | $27914.39 | $578.17 | 48.3x |
| 23472 | Shoulder Replacement | $62762.72 | $1300.30 | 48.3x |
| 20610 | Joint Injection (drainage) | $1891.57 | $39.75 | 47.6x |
| 47562 | Laparoscopic cholecystectomy | $26496.97 | $631.95 | 41.9x |
| 49505 | Prp i/hern init reduc >5 yr | $20742.39 | $508.03 | 40.8x |
| 27447 | Total Knee Replacement | $46261.35 | $1159.35 | 39.9x |
| 29881 | Knee Arthroscopy | $19483.54 | $515.71 | 37.8x |
| 11042 | Wound Debridement | $981.07 | $55.78 | 17.6x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Avera Mckennan Hospital And University Health Center
Last updated: 2026-02-18
Avera Mckennan Hospital And University Health Center currently shows a billing grade of F with an average markup around 53.6x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, still request the cash/self-pay schedule in writing. If no discount is offered, ask for a supervisor review, payment-plan options, and item-level justification.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
Nearby Hospitals
Avera Queen Of Peace Hospital
· Grade F
· 45.4x
Avera Sacred Heart Hospital
· Grade F
· 37.5x
Avera St. Benedict Health Center
· Grade F
· 37.5x
Avera St. Luke’s Hospital
· Grade F
· 25.1x
Avera St. Mary's Hospital
· Grade F
· 47.8x
Brookings Health System
· Grade F
· 9.0x
Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.