78/100
#391 nationally
Black Hills Surgical Hospital Llc
216 Anamaria Dr, Rapid City, SD 57703 · (605) 721-4700
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Black Hills Surgical Hospital Llc billed $3.29 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 29
- inpatient and outpatient combined
- Rank in SD
- #5
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 66% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 88% of U.S. hospitals.
Better than 52% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
426 | $20,554 | $6,668 | -48% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
420 | $43,439 | $13,127 | -46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
286 | $44,521 | $12,099 | -29% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
285 | $4,763 | $1,800 | -58% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
263 | $9,267 | $3,018 | -55% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
248 | $4,705 | $2,169 | -60% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
203 | $5,165 | $1,501 | -54% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
106 | $45,719 | $17,371 | -55% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
65 | $111,721 | $32,376 | -37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
47 | $5,945 | $1,724 | -49% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$31,107 | $6,412 | +19% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
$106,185 | $17,803 | +17% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$120,325 | $29,027 | +7% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$96,265 | $20,306 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$44,521 | $12,099 | -29% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
$95,945 | $29,004 | -33% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$111,721 | $32,376 | -37% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$135,225 | $44,693 | -39% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$4,655 | $2,600 | -74% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$5,394 | $2,931 | -70% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$20,638 | $9,644 | -65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$3,556 | $1,520 | -65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$12,442 | $5,410 | -65% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$5,889 | $2,632 | -64% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$14,212 | $6,114 | -64% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$4,705 | $2,169 | -60% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.