Avera Heart Hospital of South Dakota is a for-profit short-term acute care hospital in Sioux Falls, South Dakota. Its CMS Certification Number (CCN) is 430095 and its NPI is 1023003969.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Sioux Falls, SD
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. South Dakota hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $328$282–$328 · 4 rates | 98th percentile · state median $290, mean $272 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $610$396–$610 · 12 rates | 98th percentile · state median $470, mean $461 |
| MRI, brain, with and without contrast | 70553 | $680$441–$680 · 12 rates | 98th percentile · state median $556, mean $522 |
| Colonoscopy, diagnostic | 45378 | $906$492–$926 · 12 rates | 100th percentile · state median $514, mean $619 |
See UnitedHealthcare rates for every billing code at Avera Heart Hospital of South Dakota
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
5 out of 5 stars
0 better5 no different0 worsethan national
1 better1 no different0 worsethan national
1 better4 no different0 worsethan national
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Quick answers about Avera Heart Hospital of South Dakota.
Avera Heart Hospital of South Dakota's CMS Certification Number (CCN) is 430095. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Avera Heart Hospital of South Dakota bills under National Provider Identifier (NPI) 1023003969.
Avera Heart Hospital of South Dakota bills insurers under tax ID (EIN) 56-2143771, held by HEART HOSPITAL OF SOUTH DAKOTA LLC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Avera Heart Hospital of South Dakota is enrolled in Medicare as a short-term acute care hospital with for-profit ownership. Its legal business name is Heart Hospital of South Dakota LLC.
Avera Heart Hospital of South Dakota is at 4500 W 69th St, Sioux Falls, SD 57108.
Avera Heart Hospital of South Dakota has a CMS overall star rating of 5 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Avera Heart Hospital of South Dakota reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.