CMS did not publish an overall star rating for this hospital; hospitals that report too few quality measures are not rated.
Source: CMS Care Compare, July 2026 releaseER figures are medians, not live waitsAbout the data
Visiting Avera Missouri River Health Center
Gettysburg, SD 57442
County: Potter Directions Apple Maps Call (605) 765-2488
- Photo ID and your insurance, Medicare or Medicaid card
- A list of your medicines, doses and allergies
- Your doctor's name and phone number
- A phone charger
Nearby hospitals
- 33mi Bowdle Hospital - Critical Access Hospital Bowdle, SD · Emergency room · median ER visit 1 hr 42 min Call Bowdle Hospital - Critical Access Hospital Directions to Bowdle Hospital - Critical Access Hospital (Google Maps) Details for Bowdle Hospital - Critical Access Hospital
- 40mi Faulkton Area Medical Center Faulkton, SD · Emergency room · median ER visit 2 hr 2 min Call Faulkton Area Medical Center Directions to Faulkton Area Medical Center (Google Maps) Details for Faulkton Area Medical Center
- 44mi Mobridge Regional Hospital - Critical Access Hospital Mobridge, SD · Emergency room · median ER visit 1 hr 20 min Call Mobridge Regional Hospital - Critical Access Hospital Directions to Mobridge Regional Hospital - Critical Access Hospital (Google Maps) Details for Mobridge Regional Hospital - Critical Access Hospital
Quick answers about Avera Missouri River Health Center
How long is the ER wait at Avera Missouri River Health Center?
CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 1 hr 52 min in the Avera Missouri River Health Center emergency room (the average across South Dakota hospitals is 1 hr 54 min). 0% of ER patients left before being seen. For tonight's wait, call (605) 765-2488. In an emergency, call 911.
What is the phone number for Avera Missouri River Health Center?
The main phone number for Avera Missouri River Health Center is (605) 765-2488, from Medicare's hospital records.
Call (605) 765-2488What is the address of Avera Missouri River Health Center?
Avera Missouri River Health Center is at 606 East Garfield, Gettysburg, SD 57442.
Directions (opens Google Maps)Does Avera Missouri River Health Center have an emergency room?
Yes. Avera Missouri River Health Center has an emergency department, according to Medicare data.
Quality and performance
Centers for Medicare & Medicaid Services · data as of July 2026
Patients treated and sent home from the emergency department at Avera Missouri River Health Center spend a median of 1 hour 52 minutes there. That is about the same as the average across South Dakota hospitals (1 hour 54 minutes).
Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Avera Missouri River Health Center. For a medical emergency, call 911.
Compare ER waits across South Dakota · Other Critical Access hospitals in South Dakota · How we source this data · Something wrong on this page? Tell us
Infections, complications and deaths
Centers for Medicare & Medicaid Services · compared with hospitals nationwide
Death rates within 30 days
| Patients treated for | This hospital | U.S. |
|---|---|---|
| Pneumonia patients | 16.5% | 15.2% |
| Hospital-wide, all conditions | 3.7% | 3.9% |
Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.
"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted). Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.
What insurance does Avera Missouri River Health Center accept?
Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 431302). Medicare Advantage plans have their own networks, which this section does not cover.
2027 Marketplace plans in South Dakota that list this hospital
| Insurer | Plans in network | Network | Network tier |
|---|---|---|---|
| Avera Health Plans | 30 of 30 plans | CONNECTPLUS, DIRECTCONNECT | Connectplus |
| Wellmark Blue Cross Blue Shield | 14 of 14 plans | BLUERX-ESSENTIALS | Bluerx-Essentials |
| Sanford Health Plan | 8 of 54 plans | SIMPLICITY | Simplicity |
2027 plan year, individual Marketplace (ACA) plans only.Health insurance in South Dakota
Plans that include this hospital: Wellmark Bronze HDHP EPO HSA Qualified, Wellmark Bronze Traditional EPO, Wellmark Gold Traditional EPO, Wellmark Silver Traditional EPO, Wellmark Standard Bronze EPO, Wellmark Standard Gold EPO Compare plans
Adults in South Dakota qualify for Medicaid up to 133% of the poverty line. Ask the hospital which South Dakota Medicaid plans it takes.
What insurance does Avera Missouri River Health Center accept?
In the 2027 HealthCare.gov Marketplace plan data (insurer network files loaded November 4, 2026), Avera Missouri River Health Center is in network for 3 Marketplace insurers in South Dakota: Avera Health Plans (30 of 30 plans), Wellmark Blue Cross Blue Shield (14 of 14 plans) and Sanford Health Plan (8 of 54 plans). This covers Marketplace (ACA) plans only, not Medicare Advantage, Medicaid or employer plans. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.
Does Avera Missouri River Health Center take Medicare?
Avera Missouri River Health Center is a Medicare-certified hospital (CMS Certification Number 431302), according to CMS hospital data. Medicare Advantage plans have their own networks, which this page does not cover; check with your plan before you get care.
Does Avera Missouri River Health Center accept Avera Health Plans?
Avera Missouri River Health Center is in network for 30 of 30 plans that Avera Health Plans sells on the South Dakota Marketplace in 2027, according to Avera Health Plans's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.
Does Avera Missouri River Health Center accept Wellmark Blue Cross Blue Shield?
Avera Missouri River Health Center is in network for 14 of 14 plans that Wellmark Blue Cross Blue Shield sells on the South Dakota Marketplace in 2027, according to Wellmark Blue Cross Blue Shield's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.
Does Avera Missouri River Health Center accept Sanford Health Plan?
Avera Missouri River Health Center is in network for 8 of 54 plans that Sanford Health Plan sells on the South Dakota Marketplace in 2027, according to Sanford Health Plan's network file loaded November 4, 2026. Not every Sanford Health Plan plan includes it. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.
Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.
Readmissions and return visits
Centers for Medicare & Medicaid Services · Medicare patients · Jul 2023 – Jun 2025
Back in the hospital within 30 days
| After a stay for | This hospital | U.S. | CMS comparison |
|---|---|---|---|
| Pneumonia | 17.7% | 17.3% | Not compared |
Return trips after a stay or procedure
Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.
Timely and effective care
Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025
Avera Missouri River Health Center's emergency department is classed by CMS as low volume.
| Measure | This hospital | U.S. |
|---|---|---|
| Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 564 patients. | 112 min | 162 min |
| Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 15 patients. | 149 min | 257 min |
| Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 74 patients. | 246 min | 287 min |
| Patients who left the ER before being seenLower is better. 629 patients. | 0% | 2% |
| Health care workers vaccinated against fluHigher is better. 53 patients. | 91% | 78% |
CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. About the data.
Care after a stay at Avera Missouri River Health Center
Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.
Skilled nursing facilities nearby
- <0.1mi Avera Oahe Manor Gettysburg, SD · 40 beds Medicare overall 4 of 5 stars
Skilled nursing ratings and inspections at Nursing Homes In Each State
Source: CMS Care Compare. Distances are approximate.
Doctors at Avera Missouri River Health Center
13 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 9 specialties.
Size and finances
Medicare cost report · fiscal year ending Jun 2025
As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare South Dakota hospital finances.
Who owns Avera Missouri River Health Center
Medicare enrollment and ownership records (PECOS)
Medicare lists the hospital's legal name as Avera Gettysburg, a non-profit organization, incorporated 1952.
29 doctors and other clinicians list Avera Missouri River Health Center as a hospital affiliation in Medicare's clinician directory.
Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.
Non-profit finances
IRS Form 990 · tax year ending Jun 2023 · Avera Gettysburg (EIN 46-0234354)
As filed with the IRS by Avera Gettysburg. Matched by name and address, so check the filing to confirm it's the right organization. See the full Form 990 filings · Non-profit hospital finances.
The area around Avera Missouri River Health Center
HRSA shortage designations and BLS pay data
Primary care: Potter is a federally designated health professional shortage area. Highest shortage score 15.
Mental health: Potter is a federally designated health professional shortage area. Highest shortage score 19.
Dental: Potter is a federally designated health professional shortage area. Highest shortage score 11.
Nurse pay: registered nurses in South Dakota earn a median $78,060 a year. Healthcare salaries in South Dakota.
Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. South Dakota shortage areas
Closest other hospitals
Healthcare pay in South Dakota
Registered nurses across South Dakota (all employers) earned a median of $78,060 a year (BLS, May 2025).Registered Nurse (RN) salary in South DakotaNurse Practitioner salary in South DakotaRespiratory Therapist salary in South DakotaHealthcare salaries in South Dakota
Cite this data
Writing about Avera Missouri River Health Center? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.