▸ Hospital · SD · CCN 430048
Monument Health Spearfish Hospital
1440 NORTH MAIN, SPEARFISH, SD, 57783-
20 bedsAcute Care Hospitals2
Compliance grade
A
97/100
Procedures tracked
135
of 209 target codes
Payers
8
with negotiated rates
Rates published
42,689
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $446 | $446 | $287 | $6,236 | $6,236 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 5 | $333 | $333 | $313.02 | $5,377 | $5,377 |
| ED visit level 2 | CPT | 99282 | 5 | $531 | $531 | $499.14 | $5,379 | $5,379 |
| ED visit level 3 | CPT | 99283 | 5 | $851 | $851 | $799.94 | $5,380 | $5,380 |
| ED visit level 4 | CPT | 99284 | 5 | $1,381 | $1,381 | $1,298.14 | $5,381 | $5,381 |
| ED visit level 5 | CPT | 99285 | 5 | $1,968 | $1,968 | $1,849.92 | $5,382 | $5,382 |
| Critical care, first hour | CPT | 99291 | 5 | $2,988 | $2,988 | $2,808.72 | $5,399 | $5,399 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $2,250 | $2,250 | $966 | $5,914 | $5,914 |
| CT head with contrast | CPT | 70460 | 6 | $2,709 | $2,709 | $966 | $5,967 | $5,967 |
| CT head with and without contrast | CPT | 70470 | 6 | $3,402 | $3,402 | $966 | $5,967 | $5,967 |
| CT neck with contrast | CPT | 70491 | 6 | $3,053 | $3,053 | $966 | $5,967 | $5,967 |
| MRI brain without contrast | CPT | 70551 | 6 | $3,896 | $3,896 | $841 | $5,915 | $5,915 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $5,242 | $5,242 | $1,176 | $5,968 | $5,968 |
| Chest X-ray single view | CPT | 71045 | 7 | $424 | $424 | $41.69 | $398.56 | $5,913 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $454 | $454 | $54.14 | $426.76 | $5,913 |
| CT chest without contrast | CPT | 71250 | 6 | $2,416 | $2,416 | $363 | $5,914 | $5,914 |
| CT chest with contrast | CPT | 71260 | 6 | $3,238 | $3,238 | $966 | $5,967 | $5,967 |
| CT chest with and without contrast | CPT | 71270 | 6 | $3,549 | $3,549 | $966 | $5,967 | $5,967 |
| MRI chest without contrast | CPT | 71550 | 6 | $3,531 | $3,531 | $841 | $5,915 | $5,915 |
| Lumbosacral spine X-ray | CPT | 72100 | 7 | $471 | $471 | $64.97 | $442.74 | $5,914 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $2,416 | $2,416 | $363 | $5,914 | $5,914 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $2,416 | $2,416 | $363 | $5,914 | $5,914 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $2,363 | $2,363 | $363 | $5,914 | $5,914 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $3,967 | $3,967 | $841 | $5,915 | $5,915 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $3,967 | $3,967 | $841 | $5,915 | $5,915 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $3,967 | $3,967 | $841 | $5,915 | $5,915 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $5,210 | $5,210 | $1,176 | $5,968 | $5,968 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $5,352 | $5,352 | $1,176 | $5,968 | $5,968 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,187 | $2,187 | $363 | $5,914 | $5,914 |
| CT pelvis with contrast | CPT | 72193 | 6 | $2,680 | $2,680 | $966 | $5,967 | $5,967 |
| Shoulder X-ray | CPT | 73030 | 7 | $415 | $415 | $55.76 | $390.1 | $5,913 |
| Humerus X-ray | CPT | 73060 | 7 | $356 | $356 | $51.97 | $334.64 | $5,913 |
| Hand X-ray 3 views | CPT | 73130 | 7 | $364 | $364 | $60.1 | $342.16 | $5,913 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $4,357 | $4,357 | $841 | $5,915 | $5,915 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $5,185 | $5,185 | $1,176 | $5,968 | $5,968 |
| Knee X-ray 1-2 views | CPT | 73560 | 7 | $328 | $328 | $55.22 | $308.32 | $5,913 |
| Ankle X-ray 3 views | CPT | 73610 | 7 | $339 | $339 | $60.1 | $318.66 | $5,913 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $3,846 | $3,846 | $841 | $5,915 | $5,915 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $5,058 | $5,058 | $1,176 | $5,968 | $5,968 |
| CT abdomen with contrast | CPT | 74160 | 6 | $3,693 | $3,693 | $966 | $5,967 | $5,967 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $4,142 | $4,142 | $966 | $5,967 | $5,967 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $4,329 | $4,329 | $966 | $5,915 | $5,915 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $5,690 | $5,690 | $966 | $5,968 | $5,968 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 6 | $5,514 | $5,514 | $966 | $5,968 | $5,968 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $4,345 | $4,345 | $841 | $5,915 | $5,915 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $5,284 | $5,284 | $1,176 | $5,968 | $5,968 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,400 | $1,400 | $190.57 | $1,172.5 | $5,914 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $1,068 | $1,068 | $142.93 | $894.45 | $5,914 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $1,068 | $1,068 | $177.04 | $894.45 | $5,914 |
| Obstetric ultrasound first trimester | CPT | 76801 | 7 | $601 | $601 | $179.74 | $564.94 | $5,914 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 7 | $593 | $593 | $202.48 | $557.42 | $5,914 |
| Transvaginal ultrasound | CPT | 76830 | 7 | $704 | $704 | $172.17 | $661.76 | $5,914 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $1,249 | $1,249 | $155.38 | $1,046.04 | $5,914 |
| Scrotal ultrasound | CPT | 76870 | 8 | $1,195 | $1,195 | $164.59 | $1,000.82 | $5,914 |
| Diagnostic mammography unilateral | CPT | 77065 | 4 | $515 | $515 | $204.65 | $217.33 | $484.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 4 | $704 | $704 | $230 | $258.25 | $661.76 |
| Screening mammography bilateral | CPT | 77067 | 4 | $588 | $588 | $209.52 | $219.76 | $552.72 |
| EKG tracing only | CPT | 93005 | 5 | $293 | $293 | $87 | $6,140 | $6,140 |
| Transthoracic echocardiogram complete | CPT | 93306 | 5 | $2,911 | $2,911 | $1,047 | $5,916 | $5,916 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $26,761 | $26,761 | $12,604 | $17,696 | $18,590 |
| COPD w MCC | MS-DRG | 190 | 5 | $20,486 | $20,486 | $7,297 | $7,297 | $12,915 |
| COPD w CC | MS-DRG | 191 | 5 | $20,534 | $20,534 | $5,582.23 | $5,582.23 | $9,879.65 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | $24,679 | $24,679 | $4,205.36 | $4,205.36 | $7,442.8 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $19,078 | $19,078 | $5,328.17 | $5,328.17 | $9,430 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | $37,086 | $37,086 | $10,665 | $10,665 | $18,876 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $19,060 | $19,060 | $5,989.64 | $5,989.64 | $10,601 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | $18,685 | $18,685 | $4,711.53 | $4,711.53 | $8,338.65 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | $30,804 | $30,804 | $8,478.29 | $8,478.29 | $15,005 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $37,733 | $37,733 | $5,595.88 | $5,595.88 | $9,903.8 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | $21,794 | $21,794 | $7,835.66 | $7,835.66 | $13,868 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | $20,892 | $20,892 | $4,803.8 | $4,803.8 | $8,501.95 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | $11,483 | $11,483 | $3,635.5 | $5,257.23 | $6,434.25 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | $16,334 | $16,334 | $6,406.15 | $6,406.15 | $11,338 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | $23,396 | $23,396 | $5,070.21 | $7,331.83 | $8,973.45 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | $19,735 | $19,735 | $7,604.34 | $7,604.34 | $13,458 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | $20,861 | $20,861 | $5,215.11 | $5,215.11 | $9,229.9 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | $36,913 | $36,913 | $12,749 | $12,749 | $22,564 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | $21,602 | $21,602 | $6,699.2 | $6,699.2 | $11,857 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 4 | $179 | $179 | $13.54 | $14.1 | $168.26 |
| Electrolyte panel | CPT | 80051 | 5 | $125 | $125 | $7.01 | $11.37 | $71 |
| Comprehensive metabolic panel | CPT | 80053 | 4 | $200 | $200 | $11.28 | $16.78 | $188 |
| Lipid panel | CPT | 80061 | 4 | $135 | $135 | $14.1 | $21.66 | $126.9 |
| Renal function panel | CPT | 80069 | 4 | $174 | $174 | $14.08 | $42.54 | $163.56 |
| Hepatic function panel | CPT | 80076 | 4 | $174 | $174 | $12.99 | $42 | $163.56 |
| Urinalysis automated | CPT | 81003 | 4 | $49 | $49 | $3.79 | $16.9 | $46.06 |
| Glucose quantitative | CPT | 82947 | 4 | $74 | $74 | $6.5 | $20.75 | $69.56 |
| Hemoglobin A1c | CPT | 83036 | 4 | $92 | $92 | $15.7 | $31.6 | $86.48 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 4 | $192 | $192 | $18.8 | $27.07 | $180.48 |
| Complete blood count with automated differential | CPT | 85025 | 4 | $135 | $135 | $9.4 | $12.45 | $126.9 |
| Complete blood count without differential | CPT | 85027 | 4 | $107 | $107 | $10.29 | $22.15 | $100.58 |
| Urine culture identification | CPT | 87088 | 4 | $81 | $81 | $12.99 | $26.5 | $76.14 |
| Tissue exam by pathologist level IV | CPT | 88305 | 5 | $323 | $323 | $114 | $6,074 | $6,074 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 5 | $1,111 | $1,484 | $521 | $5,795 | $5,795 |
| Vaginal delivery only | CPT | 59409 | 5 | $4,583 | $4,583 | $3,103.88 | $5,797 | $5,798 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 4 | $6,189.83 | $5,792.02 | $2,665 | $5,677 | $5,677 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 4 | $13,204 | $6,911.01 | $2,665 | $5,677 | $5,677 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 4 | $3,326.62 | $3,326.62 | $2,997 | $5,688 | $5,688 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 1 | $3,836.46 | $3,836.46 | $2,997 | $2,997 | $2,997 |
| Colonoscopy diagnostic | CPT | 45378 | 4 | $4,493.86 | $4,493.86 | $2,997 | $5,688 | $5,688 |
| Colonoscopy with biopsy | CPT | 45380 | 4 | $7,052.84 | $5,559.27 | $2,997 | $5,689 | $5,689 |
| Colonoscopy with polyp removal | CPT | 45385 | 4 | $5,795.69 | $5,782.14 | $2,997 | $5,689 | $5,689 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 4 | $75,091 | $75,091 | $5,479 | $5,479 | $28,831 |
| Total hip replacement | CPT | 27130 | 4 | $59,511 | $59,511 | $5,478 | $5,478 | $28,831 |
| Total knee replacement | CPT | 27447 | 4 | $66,963 | $66,963 | $5,478 | $5,478 | $28,831 |
| Knee revision arthroplasty single component | CPT | 27486 | 0 | $34,469 | $34,469 | — | — | — |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | $39,273 | $39,273 | $5,637 | $5,637 | $5,637 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | $44,547 | $44,547 | $5,477 | $5,477 | $14,620 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $18,227 | $18,227 | $5,476 | $5,476 | $5,637 |
| ACL reconstruction | CPT | 29888 | 4 | $58,009 | $58,009 | $5,477 | $5,477 | $14,620 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | $62,523 | $62,523 | $29,837 | $29,837 | $52,807 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $59,246 | $59,246 | $15,359 | $22,211 | $27,183 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | $50,599 | $50,599 | $10,728 | $15,513 | $18,987 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | $39,552 | $39,552 | $10,776 | $10,776 | $19,072 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $34,392 | $34,392 | $8,561.46 | $8,561.46 | $15,152 |
| Laparoscopic appendectomy | CPT | 44970 | 4 | $23,073 | $22,625 | $5,742 | $5,742 | $9,392 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $72,718 | $66,520 | $12,252 | $17,717 | $21,683 |
| Laparoscopic cholecystectomy | CPT | 47562 | 1 | $21,286 | $21,286 | $9,866 | $9,866 | $9,866 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 4 | $22,941 | $22,941 | $5,742 | $5,742 | $9,866 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | $55,053 | $55,053 | $19,110 | $19,110 | $33,822 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | $54,390 | $54,390 | $13,482 | $13,482 | $23,861 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | $50,102 | $50,102 | $10,308 | $10,308 | $18,244 |
| Open umbilical hernia repair | CPT | 49560 | 1 | $13,063 | $13,063 | $10,315 | $10,315 | $10,315 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | $28,428 | $28,428 | $9,028 | $9,028 | $9,028 |
| Lap inguinal hernia repair | CPT | 49650 | 4 | $27,289 | $27,289 | $5,742 | $5,742 | $9,028 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | $30,470 | $30,470 | $13,993 | $13,993 | $13,993 |
| Vaginal hysterectomy | CPT | 58260 | 4 | $29,858 | $29,858 | $5,799 | $5,799 | $8,497 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 4 | $37,830 | $37,830 | $5,742 | $5,742 | $13,993 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 4 | $34,458 | $34,458 | $5,743 | $5,743 | $13,993 |
| Lap salpingo-oophorectomy | CPT | 58661 | 4 | $23,509 | $23,509 | $5,742 | $5,742 | $8,005 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | $86,937 | $86,937 | $17,716 | $17,716 | $31,355 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | $57,258 | $57,258 | $10,377 | $15,006 | $18,366 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | $53,697 | $53,697 | $9,498.44 | $9,498.44 | $16,811 |
| Complex cataract surgery | CPT | 66982 | 4 | $11,342 | $11,342 | $5,003 | $5,881 | $5,881 |
| Cataract surgery with lens implant | CPT | 66984 | 4 | $9,730.41 | $9,730.41 | $5,003 | $5,881 | $5,881 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | $50,059 | $50,059 | $7,788.88 | $11,264 | $13,785 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 8)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 134 | $5,689 |
| Medicare | 113 | $5,914 |
| UnitedHealthcare | 113 | $5,914 |
| Humana | 112 | $5,914 |
| tlc advantage llc [3081189] | 74 | $901.93 |
| healthpartners [3081368] | 64 | $3,346.25 |
| avera health plans 46045 [3081018] | 36 | $2,661.44 |
| healthpartners sx009 [3081102] | 32 | $54.68 |