South Dakota / Brookings Health System
CMS certification 430008 · Brookings, SD · 6 entries in CMS's price-transparency list
Brookings Health System: charges and Medicare payments
Brookings Health System reported 147 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.84 times what it was paid — among the lower ratios in South Dakota, number 10 of 12 hospitals with at least 100 stays (state median 3.53×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 45 stays at an average charge of $29,812, 67% below the national average. It also billed 579 outpatient services, charging 3.34 times what Medicare paid.
- 1Medicare inpatient stays 147
- 2Charge ÷ paid, inpatient 2.84×
- 3Rank in SD (highest ratio = 1) 10 of 12
- 4CMS price-transparency actions 6
Inpatient stays
For the 7 DRGs that can be compared with the national average, Brookings Health System charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 45 | $29,812 | -67% | $13,464 |
| 291 Heart Failure and Shock with MCC | 35 | $28,672 | -49% | $8,937 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $27,688 | -61% | $11,484 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $29,579 | -51% | $9,242 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $23,376 | -39% | $5,718 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $24,518 | -39% | $5,529 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $27,430 | -44% | $7,269 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 165 | $5,390 | $2,329 |
| Comprehensive Observation Services | 90 | $14,204 | $2,724 |
| Level 5 Musculoskeletal Procedures | 60 | $29,135 | $13,194 |
| Level 2 Urology and Related Services | 52 | $933 | $686 |
| Level 3 Musculoskeletal Procedures | 45 | $10,242 | $3,250 |
| Level 3 Urology and Related Services | 43 | $3,715 | $2,045 |
| Level 1 Nerve Procedures | 23 | $5,179 | $1,939 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $4,986 | $1,628 |
| Level 4 Urology and Related Services | 19 | $10,812 | $3,500 |
| Level 1 Laparoscopy and Related Services | 18 | $18,308 | $5,537 |
| Level 2 Musculoskeletal Procedures | 17 | $5,196 | $1,614 |
| Level 4 Musculoskeletal Procedures | 15 | $17,883 | $7,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $10,523 | $3,474 |
Against the South Dakota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Brookings Health System charged $29,812 on average, 56% less than the South Dakota average of $67,007, and was paid $13,464 against a state average of $17,025. For Heart Failure and Shock with MCC (DRG 291), Brookings Health System charged $28,672 on average, 35% less than the South Dakota average of $44,214, and was paid $8,937 against a state average of $11,100. For Respiratory Infections and Inflammations with MCC (DRG 177), Brookings Health System charged $27,688 on average, 49% less than the South Dakota average of $53,881, and was paid $11,484 against a state average of $14,370. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Brookings Health System charged $29,579 on average, 28% less than the South Dakota average of $41,232, and was paid $9,242 against a state average of $11,334. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,390 was 33% below the state average of $7,991. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,204 was 23% below the state average of $18,366. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $29,135 was 40% below the state average of $48,584. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $933 was 60% below the state average of $2,357.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Brookings Health System in Brookings, SD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-03 (CMS case 230)
- CAP Request — 2023-06-08 (CMS case 230)
- Closure Notice — 2023-12-07 (CMS case 230)
- Warning Notice — 2026-02-05 (CMS case 6948)
- CAP Request — 2026-05-15 (CMS case 6948)
- Closure Notice — 2026-05-22 (CMS case 6948)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.