78/100
#405 nationally
Monument Health Spearfish Hospital
1440 N Main St, Spearfish, SD 57783 · (605) 644-4000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Monument Health Spearfish 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
- 26
- inpatient and outpatient combined
- Rank in SD
- #6
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 82% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 86% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
155 | $60,504 | $13,194 | -3% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
85 | $25,895 | $5,670 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
82 | $6,342 | $1,618 | -37% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
69 | $14,162 | $2,717 | -27% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
60 | $30,382 | $6,873 | -24% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
60 | $9,250 | $2,340 | -21% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
57 | $7,351 | $1,910 | -37% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
56 | $74,240 | $18,365 | -11% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
52 | $9,002 | $1,614 | -20% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
51 | $15,418 | $3,199 | -24% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$60,504 | $13,194 | -3% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$40,454 | $12,740 | -7% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$31,315 | $5,880 | -9% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$35,522 | $6,548 | -10% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$74,240 | $18,365 | -11% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,716 | $1,939 | -14% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$71,796 | $21,749 | -16% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$19,417 | $3,474 | -16% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$4,726 | $1,535 | -59% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$2,820 | $1,531 | -56% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$34,098 | $10,327 | -43% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,351 | $1,910 | -37% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$40,916 | $20,847 | -37% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,342 | $1,618 | -37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$29,405 | $13,674 | -37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$19,887 | $8,069 | -35% |
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.