P&P, Paid & Penalized

Public Medicare data, made visible.

State

South Dakota

8 of 16 hospitals take a cut in FY2027: 57% of the 14 measured on at least one condition. The average cut, counting all 16 hospitals, is 0.27%, the 31st-largest among the 49 states and DC in the program. Estimated total: $579Kestimate.

South Dakota · FY2027Compared with all hospitals nationally

1Hospitals

16

2Penalized

57%

of 14 measured · −26 pts vs nation

3Average cut

0.27%

−0.08 pts vs nation

4Cut 1% or more

1

6% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$579Kestimate

Hospitals on the map

Figure 1. 8 of the 16 hospitals here take a cut; the largest, 1.71%, is at Sioux Falls Specialty Hospital.
Sanford Usd Medical Center, Sioux Falls, SD: no cutBlack Hills Surgical Hospital LLC, Rapid City, SD: no cutAvera Heart Hospital of South Dakota, Sioux Falls, SD: no cutAvera St Mary's Hospital, Pierre, SD: no cutMonument Health Spearfish Hospital, Spearfish, SD: no cutPHS Indian Hospital at Rosebud, Rosebud, SD: no cutDunes Surgical Hospital, Dakota Dunes, SD: no cutSanford Medical Center Aberdeen, Aberdeen, SD: no cutAvera McKennan Hospital & University Health Center, Sioux Falls, SD: cut 0.03%Prairie Lakes Healthcare System, Inc, Watertown, SD: cut 0.24%Pine Ridge Ihs Hospital, Pine Ridge, SD: cut 0.20%Monument Health Rapid City Hospital, Rapid City, SD: cut 0.26%Brookings Health System, Brookings, SD: cut 0.26%Avera St Lukes, Aberdeen, SD: cut 0.67%Avera Sacred Heart Hospital, Yankton, SD: cut 0.88%Sioux Falls Specialty Hospital, Sioux Falls, SD: cut 1.71% Sanford Usd Medical Center, Sioux Falls, SD: no cutBlack Hills Surgical Hospital LLC, Rapid City, SD: no cutAvera Heart Hospital of South Dakota, Sioux Falls, SD: no cutAvera St Mary's Hospital, Pierre, SD: no cutMonument Health Spearfish Hospital, Spearfish, SD: no cutPHS Indian Hospital at Rosebud, Rosebud, SD: no cutDunes Surgical Hospital, Dakota Dunes, SD: no cutSanford Medical Center Aberdeen, Aberdeen, SD: no cutAvera McKennan Hospital & University Health Center, Sioux Falls, SD: cut 0.03%Prairie Lakes Healthcare System, Inc, Watertown, SD: cut 0.24%Pine Ridge Ihs Hospital, Pine Ridge, SD: cut 0.20%Monument Health Rapid City Hospital, Rapid City, SD: cut 0.26%Brookings Health System, Brookings, SD: cut 0.26%Avera St Lukes, Aberdeen, SD: cut 0.67%Avera Sacred Heart Hospital, Yankton, SD: cut 0.88%Sioux Falls Specialty Hospital, Sioux Falls, SD: cut 1.71%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%

Dots are sized by Medicare volume and shaded by cut. Select one to open it.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
Sioux Falls Specialty HospitalSioux Falls1.71%$4.5M
Avera Sacred Heart HospitalYankton0.88%$11.6M
Avera St LukesAberdeen0.67%$17.8M
Brookings Health SystemBrookings0.26%$3.8M
Monument Health Rapid City HospitalRapid City0.26%$85.8M
Prairie Lakes Healthcare System, IncWatertown0.24%$6.8M
Pine Ridge Ihs HospitalPine Ridge0.20%$1.4M
Avera McKennan Hospital & University Health CenterSioux Falls0.03%$97.2M
Avera Heart Hospital of South DakotaSioux Falls0.00%$36.6M
Avera St Mary's HospitalPierre0.00%$5.6M
Black Hills Surgical Hospital LLCRapid City0.00%$12.5M
Dunes Surgical HospitalDakota Dunes0.00%$4.2M
Monument Health Spearfish HospitalSpearfish0.00%$3.4M
PHS Indian Hospital at RosebudRosebud0.00%$833K
Sanford Medical Center AberdeenAberdeen0.00%$4.3M
Sanford Usd Medical CenterSioux Falls0.00%$94.8M

Size of the cuts

Figure 2. 8 of the 16 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.27%.
0%10%20%30%40%50% No cut: 8 here (50%); 20% of all hospitals0.0% to 0.1%: 1 here (6%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 4 here (25%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 1 here (6%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 1 here (6%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 1 here (6%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.27%none 0%10%20%30%40%50% No cut: 8 here (50%); 20% of all hospitals0.0% to 0.1%: 1 here (6%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 4 here (25%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 1 here (6%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 1 here (6%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 1 here (6%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.27%none

Bars: South Dakota. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—850%20%
0.0%0.1%16%18%
0.1%0.2%00%11%
0.2%0.3%425%10%
0.3%0.4%00%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%16%4%
0.7%0.8%00%3%
0.8%0.9%16%3%
0.9%1.0%00%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%00%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%16%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. Most of the 16 hospitals here are in group 1.
Group 1: 9 hospitals, average cut 0.42%Group 1avg cut 0.42%9Group 2: 4 hospitals, average cut 0.07%Group 2avg cut 0.07%4Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: no hospital hereGroup 4none0Group 5: 2 hospitals, average cut 0.10%Group 5avg cut 0.10%2 Group 1: 9 hospitals, average cut 0.42%Group 1avg cut 0.42%9Group 2: 4 hospitals, average cut 0.07%Group 2avg cut 0.07%4Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: no hospital hereGroup 4none0Group 5: 2 hospitals, average cut 0.10%Group 5avg cut 0.10%2

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 190.42%
Group 240.07%
Group 310.00%
Group 40none
Group 520.10%

Which conditions drive the penalties here

Figure 4. Hip/knee replacement is the largest part of the estimated dollars here, 44%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Heart attack1 of 520%COPD: 4 of 8 measured hospitals penalized, 50%; all hospitals 50%COPD4 of 850%Heart failure: 2 of 11 measured hospitals penalized, 18%; all hospitals 50%Heart failure2 of 1118%Pneumonia: 2 of 10 measured hospitals penalized, 20%; all hospitals 50%Pneumonia2 of 1020%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 4 of 9 measured hospitals penalized, 44%; all hospitals 50%Hip/knee4 of 944% Heart attack: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Heart attack1 of 5 measured20%COPD: 4 of 8 measured hospitals penalized, 50%; all hospitals 50%COPD4 of 8 measured50%Heart failure: 2 of 11 measured hospitals penalized, 18%; all hospitals 50%Heart failure2 of 11 measured18%Pneumonia: 2 of 10 measured hospitals penalized, 20%; all hospitals 50%Pneumonia2 of 10 measured20%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 4 of 9 measured hospitals penalized, 44%; all hospitals 50%Hip/knee replacement4 of 9 measured44%

Share of estimated dollars

Hip/knee replacement: $252K of the modeled dollars, 44%Hip/knee≈ $252K44%Bypass surgery: $214K of the modeled dollars, 37%Bypass (CABG)≈ $214K37%Pneumonia: $52K of the modeled dollars, 9%Pneumonia≈ $52K9%COPD: $37K of the modeled dollars, 6%COPD≈ $37K6%Heart failure: $22K of the modeled dollars, 4%Heart failure≈ $22K4%Heart attack: $2K of the modeled dollars, 0%Heart attack≈ $2K0% Hip/knee replacement: $252K of the modeled dollars, 44%Hip/knee replacement≈ $252K44%Bypass surgery: $214K of the modeled dollars, 37%Bypass surgery≈ $214K37%Pneumonia: $52K of the modeled dollars, 9%Pneumonia≈ $52K9%COPD: $37K of the modeled dollars, 6%COPD≈ $37K6%Heart failure: $22K of the modeled dollars, 4%Heart failure≈ $22K4%Heart attack: $2K of the modeled dollars, 0%Heart attack≈ $2K0%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack5120%50%$2K0%
COPD8450%50%$37K6%
Heart failure11218%50%$22K4%
Pneumonia10220%50%$52K9%
Bypass surgery3133%49%$214K37%
Hip/knee replacement9444%50%$252K44%

Average cut over time

Figure 5. In FY2027, the average cut in South Dakota was 0.27%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 3% cap FY2013: 0.03% here; 0.28% across all hospitals in the programFY2014: 0.04% here; 0.26% across all hospitals in the programFY2015: 0.03% here; 0.50% across all hospitals in the programFY2016: 0.09% here; 0.49% across all hospitals in the programFY2017: 0.02% here; 0.60% across all hospitals in the programFY2018: 0.09% here; 0.61% across all hospitals in the programFY2019: 0.12% here; 0.59% across all hospitals in the programFY2020: 0.20% here; 0.60% across all hospitals in the programFY2021: 0.13% here; 0.58% across all hospitals in the programFY2022: 0.35% here; 0.54% across all hospitals in the programFY2023: 0.12% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.09% here; 0.33% across all hospitals in the programFY2026: 0.29% here; 0.35% across all hospitals in the programFY2027: 0.27% here; 0.35% across all hospitals in the program0.27% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 2%3% cap FY2013: 0.03% here; 0.28% across all hospitals in the programFY2014: 0.04% here; 0.26% across all hospitals in the programFY2015: 0.03% here; 0.50% across all hospitals in the programFY2016: 0.09% here; 0.49% across all hospitals in the programFY2017: 0.02% here; 0.60% across all hospitals in the programFY2018: 0.09% here; 0.61% across all hospitals in the programFY2019: 0.12% here; 0.59% across all hospitals in the programFY2020: 0.20% here; 0.60% across all hospitals in the programFY2021: 0.13% here; 0.58% across all hospitals in the programFY2022: 0.35% here; 0.54% across all hospitals in the programFY2023: 0.12% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.09% here; 0.33% across all hospitals in the programFY2026: 0.29% here; 0.35% across all hospitals in the programFY2027: 0.27% here; 0.35% across all hospitals in the program0.27% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in South Dakota that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.03%0.28%
FY20140.04%0.26%
FY20150.03%0.50%
FY20160.09%0.49%
FY20170.02%0.60%
FY20180.09%0.61%
FY20190.12%0.59%
FY20200.20%0.60%
FY20210.13%0.58%
FY20220.35%0.54%
FY20230.12%0.33%
FY20240.20%0.34%
FY20250.09%0.33%
FY20260.29%0.35%
FY20270.27%0.35%

Metro areas

Largest first, by hospitals. A metro area across a state line counts the hospitals in this state only.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas963%0.25%0$250K
Sioux Falls, SD-MN450%0.43%1$106K
Rapid City, SD250%0.13%0$223K
Sioux City, IA-NE-SD (SD part)1—0.00%0$0

Download the table as a CSV

Hospitals in South Dakota

Largest cut first. Select a hospital to open its page.

Hospitals in South Dakota, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 4300901.71%$77K1Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Hip/knee replacement33
Avera Sacred Heart HospitalYankton, SD · CCN 4300120.88%$102K1Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: COPD, Heart failure, Pneumonia, and Hip/knee replacement144
Avera St LukesAberdeen, SD · CCN 4300140.67%$119K1Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack and Hip/knee replacement109
Monument Health Rapid City HospitalRapid City, SD · CCN 4300770.26%$223K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Bypass surgery and Hip/knee replacement417
Brookings Health SystemBrookings, SD · CCN 4300080.26%$10K1Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Pneumonia49
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 4300050.24%$16K1Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Heart failure81
Pine Ridge Ihs HospitalPine Ridge, SD · CCN 4300980.20%$3K5Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD45
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 4300160.03%$29K2Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD505
Avera St Mary's HospitalPierre, SD · CCN 4300150.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted60
Sanford Usd Medical CenterSioux Falls, SD · CCN 4300270.00%$02Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingNo condition counted545
Monument Health Spearfish HospitalSpearfish, SD · CCN 4300480.00%$02Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted44
PHS Indian Hospital at RosebudRosebud, SD · CCN 4300840.00%$05Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted29
Dunes Surgical HospitalDakota Dunes, SD · CCN 4300890.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted38
Black Hills Surgical Hospital LLCRapid City, SD · CCN 4300910.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted26
Avera Heart Hospital of South DakotaSioux Falls, SD · CCN 4300950.00%$01Heart attack: measured, adds nothing; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: too few cases to be measured; Bypass surgery: measured, adds nothing; Hip/knee replacement: too few cases to be measuredNo condition counted53
Sanford Medical Center AberdeenAberdeen, SD · CCN 4300970.00%$03Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted48

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