60/100
#963 nationally
Monument Health Rapid City Hospital
353 Fairmont Blvd, Rapid City, SD 57701 · (605) 755-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Monument Health Rapid City Hospital billed $3.99 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
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 180
- inpatient and outpatient combined
- Rank in SD
- #11
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 57% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 67% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,221 | $1,723 | $676 | -45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
719 | $20,382 | $2,732 | +5% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
634 | $6,826 | $2,027 | -47% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
437 | $71,189 | $19,840 | +9% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
325 | $10,562 | $1,901 | -7% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
318 | $25,701 | $5,118 | -6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
301 | $7,642 | $1,619 | -24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
295 | $17,210 | $3,143 | -10% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
294 | $10,359 | $1,890 | -12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
274 | $15,900 | $3,251 | -37% |
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 |
|---|---|---|---|
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$104,940 | $19,210 | +56% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$120,173 | $26,789 | +50% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$53,086 | $8,461 | +48% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$73,790 | $17,269 | +48% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$50,812 | $15,009 | +41% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$62,668 | $7,499 | +41% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$93,312 | $19,625 | +39% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$74,593 | $15,427 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit |
$15,995 | $5,574 | -59% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$413,314 | $235,436 | -53% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,826 | $2,027 | -47% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,723 | $676 | -45% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$22,960 | $8,358 | -39% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$41,081 | $17,418 | -38% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,350 | $1,571 | -38% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$15,900 | $3,251 | -37% |
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.