Does Monument Health Spearfish Hospital publish its standard charges and chargemaster?

Yes. Monument Health Spearfish Hospital publishes a machine-readable file with 42,689 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Monument Health Spearfish Hospital charge for procedures?

Monument Health Spearfish Hospital (Spearfish, SD) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · SD · CCN 430048

Monument Health Spearfish Hospital

Spearfish, SD, 57783-

20 bedsAcute Care Hospitals2

Compliance grade

97/100

Rates published

42,689

last crawl 2026-05-24

Procedures tracked

135

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All SD hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://monument.health/wp-content/uploads/2025/02/460360899_Monument-Health-Network-Inc-Spearfish-Hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychotherapy 60 minutes	CPT	90837	5	$446	$446	$287	$6,236	32.8×	$6,236
emergency
ED visit level 1	CPT	99281	5	$333	$333	$313.02	$5,377	38.4×	$5,377
ED visit level 2	CPT	99282	5	$531	$531	$499.14	$5,379	22.7×	$5,379
ED visit level 3	CPT	99283	5	$851	$851	$799.94	$5,380	13.3×	$5,380
ED visit level 4	CPT	99284	5	$1,381	$1,381	$1,298.14	$5,381	8.1×	$5,381
ED visit level 5	CPT	99285	5	$1,968	$1,968	$1,849.92	$5,382	5.2×	$5,382
Critical care, first hour	CPT	99291	5	$2,988	$2,988	$2,808.72	$5,399	5.0×	$5,399
imaging
CT head without contrast	CPT	70450	6	$2,250	$2,250	$966	$5,914	28.6×	$5,914
CT head with contrast	CPT	70460	6	$2,709	$2,709	$966	$5,967	25.5×	$5,967
CT head with and without contrast	CPT	70470	6	$3,402	$3,402	$966	$5,967	22.4×	$5,967
CT neck with contrast	CPT	70491	6	$3,053	$3,053	$966	$5,967	21.8×	$5,967
MRI brain without contrast	CPT	70551	6	$3,896	$3,896	$841	$5,915	14.6×	$5,915
MRI brain with and without contrast	CPT	70553	6	$5,242	$5,242	$1,176	$5,968	10.1×	$5,968
Chest X-ray single view	CPT	71045	7	$424	$424	$41.69	$398.56	4.2×	$5,913
Chest X-ray 2 views	CPT	71046	7	$454	$454	$54.14	$426.76	4.3×	$5,913
CT chest without contrast	CPT	71250	6	$2,416	$2,416	$363	$5,914	27.5×	$5,914
CT chest with contrast	CPT	71260	6	$3,238	$3,238	$966	$5,967	21.2×	$5,967
CT chest with and without contrast	CPT	71270	6	$3,549	$3,549	$966	$5,967	20.5×	$5,967
MRI chest without contrast	CPT	71550	6	$3,531	$3,531	$841	$5,915	13.7×	$5,915
Lumbosacral spine X-ray	CPT	72100	7	$471	$471	$64.97	$442.74	4.3×	$5,914
CT cervical spine without contrast	CPT	72125	6	$2,416	$2,416	$363	$5,914	29.4×	$5,914
CT thoracic spine without contrast	CPT	72128	6	$2,416	$2,416	$363	$5,914	29.7×	$5,914
CT lumbar spine without contrast	CPT	72131	6	$2,363	$2,363	$363	$5,914	29.1×	$5,914
MRI cervical spine without contrast	CPT	72141	6	$3,967	$3,967	$841	$5,915	14.9×	$5,915
MRI thoracic spine without contrast	CPT	72146	6	$3,967	$3,967	$841	$5,915	15.9×	$5,915
MRI lumbar spine without contrast	CPT	72148	6	$3,967	$3,967	$841	$5,915	15.7×	$5,915
MRI cervical spine with and without contrast	CPT	72156	6	$5,210	$5,210	$1,176	$5,968	11.0×	$5,968
MRI lumbar spine with contrast	CPT	72158	6	$5,352	$5,352	$1,176	$5,968	10.9×	$5,968
CT pelvis without contrast	CPT	72192	6	$2,187	$2,187	$363	$5,914	29.6×	$5,914
CT pelvis with contrast	CPT	72193	6	$2,680	$2,680	$966	$5,967	21.2×	$5,967
Shoulder X-ray	CPT	73030	7	$415	$415	$55.76	$390.1	4.2×	$5,913
Humerus X-ray	CPT	73060	7	$356	$356	$51.97	$334.64	3.7×	$5,913
Hand X-ray 3 views	CPT	73130	7	$364	$364	$60.1	$342.16	3.7×	$5,913
MRI upper extremity joint without contrast	CPT	73221	6	$4,357	$4,357	$841	$5,915	14.2×	$5,915
MRI upper extremity joint with and without contrast	CPT	73223	6	$5,185	$5,185	$1,176	$5,968	9.8×	$5,968
Knee X-ray 1-2 views	CPT	73560	7	$328	$328	$55.22	$308.32	3.3×	$5,913
Ankle X-ray 3 views	CPT	73610	7	$339	$339	$60.1	$318.66	3.5×	$5,913
MRI lower extremity joint without contrast	CPT	73721	6	$3,846	$3,846	$841	$5,915	12.6×	$5,915
MRI lower extremity joint with and without contrast	CPT	73723	6	$5,058	$5,058	$1,176	$5,968	9.4×	$5,968
CT abdomen with contrast	CPT	74160	6	$3,693	$3,693	$966	$5,967	20.8×	$5,967
CT abdomen with and without contrast	CPT	74170	6	$4,142	$4,142	$966	$5,967	17.8×	$5,967
CT abdomen and pelvis without contrast	CPT	74176	6	$4,329	$4,329	$966	$5,915	16.2×	$5,915
CT abdomen and pelvis with contrast	CPT	74177	6	$5,690	$5,690	$966	$5,968	10.9×	$5,968
CT abdomen and pelvis with and without contrast	CPT	74178	6	$5,514	$5,514	$966	$5,968	10.4×	$5,968
MRI abdomen without contrast	CPT	74181	6	$4,345	$4,345	$841	$5,915	15.2×	$5,915
MRI abdomen with and without contrast	CPT	74183	6	$5,284	$5,284	$1,176	$5,968	10.5×	$5,968
Abdominal ultrasound complete	CPT	76700	8	$1,400	$1,400	$190.57	$1,172.5	7.9×	$5,914
Abdominal ultrasound limited	CPT	76705	8	$1,068	$1,068	$142.93	$894.45	6.1×	$5,914
Retroperitoneal ultrasound complete	CPT	76770	8	$1,068	$1,068	$177.04	$894.45	6.2×	$5,914
Obstetric ultrasound first trimester	CPT	76801	7	$601	$601	$179.74	$564.94	4.0×	$5,914
Obstetric ultrasound after first trimester	CPT	76805	7	$593	$593	$202.48	$557.42	3.7×	$5,914
Transvaginal ultrasound	CPT	76830	7	$704	$704	$172.17	$661.76	4.5×	$5,914
Pelvic ultrasound complete	CPT	76856	8	$1,249	$1,249	$155.38	$1,046.04	7.3×	$5,914
Scrotal ultrasound	CPT	76870	8	$1,195	$1,195	$164.59	$1,000.82	7.6×	$5,914
Diagnostic mammography unilateral	CPT	77065	4	$515	$515	$204.65	$217.33	1.5×	$484.1
Diagnostic mammography bilateral	CPT	77066	4	$704	$704	$230	$258.25	1.4×	$661.76
Screening mammography bilateral	CPT	77067	4	$588	$588	$209.52	$219.76	1.4×	$552.72
EKG tracing only	CPT	93005	5	$293	$293	$87	$6,140	52.1×	$6,140
Transthoracic echocardiogram complete	CPT	93306	5	$2,911	$2,911	$1,047	$5,916	9.9×	$5,916
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	5	$26,761	$26,761	$12,604	$17,696	1.1×	$18,590
COPD w MCC	MS-DRG	190	5	$20,486	$20,486	$7,297	$7,297	0.65×	$12,915
COPD w CC	MS-DRG	191	5	$20,534	$20,534	$5,582.23	$5,582.23	0.63×	$9,879.65
COPD w/o CC/MCC	MS-DRG	192	5	$24,679	$24,679	$4,205.36	$4,205.36	0.60×	$7,442.8
Simple pneumonia & pleurisy w CC	MS-DRG	194	5	$19,078	$19,078	$5,328.17	$5,328.17	0.63×	$9,430
AMI discharged alive w MCC	MS-DRG	280	5	$37,086	$37,086	$10,665	$10,665	0.68×	$18,876
AMI discharged alive w CC	MS-DRG	281	5	$19,060	$19,060	$5,989.64	$5,989.64	0.62×	$10,601
AMI discharged alive w/o CC/MCC	MS-DRG	282	5	$18,685	$18,685	$4,711.53	$4,711.53	0.60×	$8,338.65
Heart failure & shock w MCC	MS-DRG	291	5	$30,804	$30,804	$8,478.29	$8,478.29	0.66×	$15,005
Heart failure & shock w CC	MS-DRG	292	5	$37,733	$37,733	$5,595.88	$5,595.88	0.63×	$9,903.8
Cardiac arrhythmia w MCC	MS-DRG	308	5	$21,794	$21,794	$7,835.66	$7,835.66	0.65×	$13,868
Cardiac arrhythmia w CC	MS-DRG	309	5	$20,892	$20,892	$4,803.8	$4,803.8	0.62×	$8,501.95
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	$11,483	$11,483	$3,635.5	$5,257.23	0.85×	$6,434.25
GI hemorrhage w CC	MS-DRG	378	5	$16,334	$16,334	$6,406.15	$6,406.15	0.64×	$11,338
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	5	$23,396	$23,396	$5,070.21	$7,331.83	0.91×	$8,973.45
Kidney/UTI w MCC	MS-DRG	689	5	$19,735	$19,735	$7,604.34	$7,604.34	0.65×	$13,458
Kidney/UTI w/o MCC	MS-DRG	690	5	$20,861	$20,861	$5,215.11	$5,215.11	0.63×	$9,229.9
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	5	$36,913	$36,913	$12,749	$12,749	0.68×	$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	0.65×	$11,857
lab
Basic metabolic panel (BMP)	CPT	80048	4	$179	$179	$13.54	$14.1	0.44×	$168.26
Electrolyte panel	CPT	80051	5	$125	$125	$7.01	$11.37	0.48×	$71
Comprehensive metabolic panel	CPT	80053	4	$200	$200	$11.28	$16.78	0.38×	$188
Lipid panel	CPT	80061	4	$135	$135	$14.1	$21.66	0.57×	$126.9
Renal function panel	CPT	80069	4	$174	$174	$14.08	$42.54	1.6×	$163.56
Hepatic function panel	CPT	80076	4	$174	$174	$12.99	$42	1.6×	$163.56
Urinalysis automated	CPT	81003	4	$49	$49	$3.79	$16.9	1.2×	$46.06
Glucose quantitative	CPT	82947	4	$74	$74	$6.5	$20.75	1.2×	$69.56
Hemoglobin A1c	CPT	83036	4	$92	$92	$15.7	$31.6	1.2×	$86.48
Thyroid stimulating hormone (TSH)	CPT	84443	4	$192	$192	$18.8	$27.07	0.57×	$180.48
Complete blood count with automated differential	CPT	85025	4	$135	$135	$9.4	$12.45	0.47×	$126.9
Complete blood count without differential	CPT	85027	4	$107	$107	$10.29	$22.15	1.0×	$100.58
Urine culture identification	CPT	87088	4	$81	$81	$12.99	$26.5	1.2×	$76.14
Tissue exam by pathologist level IV	CPT	88305	5	$323	$323	$114	$6,074	59.3×	$6,074
maternity
Fetal non-stress test	CPT	59025	5	$1,111	$1,484	$521	$5,795	30.8×	$5,795
Vaginal delivery only	CPT	59409	5	$4,583	$4,583	$3,103.88	$5,797	2.6×	$5,798
preventive
Upper GI endoscopy diagnostic	CPT	43235	4	$6,189.83	$5,792.02	$2,665	$5,677	6.2×	$5,677
Upper GI endoscopy with biopsy	CPT	43239	4	$13,204	$6,911.01	$2,665	$5,677	5.9×	$5,677
Sigmoidoscopy diagnostic	CPT	45330	4	$3,326.62	$3,326.62	$2,997	$5,688	6.7×	$5,688
Sigmoidoscopy with biopsy	CPT	45331	1	$3,836.46	$3,836.46	$2,997	$2,997	3.4×	$2,997
Colonoscopy diagnostic	CPT	45378	4	$4,493.86	$4,493.86	$2,997	$5,688	6.5×	$5,688
Colonoscopy with biopsy	CPT	45380	4	$7,052.84	$5,559.27	$2,997	$5,689	4.7×	$5,689
Colonoscopy with polyp removal	CPT	45385	4	$5,795.69	$5,782.14	$2,997	$5,689	4.7×	$5,689
surgery
Total shoulder arthroplasty	CPT	23472	4	$75,091	$75,091	$5,479	$5,479	1.3×	$28,831
Total hip replacement	CPT	27130	4	$59,511	$59,511	$5,478	$5,478	1.3×	$28,831
Total knee replacement	CPT	27447	4	$66,963	$66,963	$5,478	$5,478	1.3×	$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	17.2×	$5,637
Shoulder arthroscopy with rotator cuff repair	CPT	29827	4	$44,547	$44,547	$5,477	$5,477	1.7×	$14,620
Knee arthroscopy with meniscectomy	CPT	29881	4	$18,227	$18,227	$5,476	$5,476	2.7×	$5,637
ACL reconstruction	CPT	29888	4	$58,009	$58,009	$5,477	$5,477	1.6×	$14,620
Major small/large bowel procedures w MCC	MS-DRG	329	5	$62,523	$62,523	$29,837	$29,837	0.69×	$52,807
Major small/large bowel procedures w CC	MS-DRG	330	5	$59,246	$59,246	$15,359	$22,211	0.96×	$27,183
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	5	$50,599	$50,599	$10,728	$15,513	0.94×	$18,987
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	5	$39,552	$39,552	$10,776	$10,776	0.65×	$19,072
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	5	$34,392	$34,392	$8,561.46	$8,561.46	0.63×	$15,152
Laparoscopic appendectomy	CPT	44970	4	$23,073	$22,625	$5,742	$5,742	3.7×	$9,392
Major joint replacement w/o MCC	MS-DRG	470	5	$72,718	$66,520	$12,252	$17,717	0.94×	$21,683
Laparoscopic cholecystectomy	CPT	47562	1	$21,286	$21,286	$9,866	$9,866	5.6×	$9,866
Lap cholecystectomy with cholangiography	CPT	47563	4	$22,941	$22,941	$5,742	$5,742	3.1×	$9,866
Hip & femur procedures except major joint w MCC	MS-DRG	480	5	$55,053	$55,053	$19,110	$19,110	0.68×	$33,822
Hip & femur procedures except major joint w CC	MS-DRG	481	5	$54,390	$54,390	$13,482	$13,482	0.66×	$23,861
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	5	$50,102	$50,102	$10,308	$10,308	0.65×	$18,244
Open umbilical hernia repair	CPT	49560	1	$13,063	$13,063	$10,315	$10,315	5.4×	$10,315
Umbilical hernia repair age 5+	CPT	49585	1	$28,428	$28,428	$9,028	$9,028	6.9×	$9,028
Lap inguinal hernia repair	CPT	49650	4	$27,289	$27,289	$5,742	$5,742	5.1×	$9,028
Total abdominal hysterectomy	CPT	58150	1	$30,470	$30,470	$13,993	$13,993	14.3×	$13,993
Vaginal hysterectomy	CPT	58260	4	$29,858	$29,858	$5,799	$5,799	3.2×	$8,497
Lap-assisted vaginal hysterectomy	CPT	58550	4	$37,830	$37,830	$5,742	$5,742	3.9×	$13,993
Lap-assisted vaginal hysterectomy >250g	CPT	58552	4	$34,458	$34,458	$5,743	$5,743	2.6×	$13,993
Lap salpingo-oophorectomy	CPT	58661	4	$23,509	$23,509	$5,742	$5,742	2.8×	$8,005
OR procedure for obesity w MCC	MS-DRG	619	5	$86,937	$86,937	$17,716	$17,716	0.65×	$31,355
OR procedure for obesity w CC	MS-DRG	620	5	$57,258	$57,258	$10,377	$15,006	0.93×	$18,366
OR procedure for obesity w/o CC/MCC	MS-DRG	621	5	$53,697	$53,697	$9,498.44	$9,498.44	0.63×	$16,811
Complex cataract surgery	CPT	66982	4	$11,342	$11,342	$5,003	$5,881	2.7×	$5,881
Cataract surgery with lens implant	CPT	66984	4	$9,730.41	$9,730.41	$5,003	$5,881	2.7×	$5,881
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	5	$50,059	$50,059	$7,788.88	$11,264	0.92×	$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

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