▸ Hospital · SD · CCN 430077
Monument Health Rapid City Hospital
353 FAIRMONT BLVD, RAPID CITY, SD, 57701
416 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
146
of 209 target codes
Payers
30
with negotiated rates
Rates published
56,040
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | $65,121 | $65,121 | $12,743 | $13,328 | $15,714 |
| Psychotherapy 30 minutes | CPT | 90832 | 27 | $353 | $353 | $57.95 | $292.99 | $338.88 |
| Psychotherapy 45 minutes | CPT | 90834 | 27 | $390 | $390 | $74.04 | $323.7 | $374.4 |
| Psychotherapy 60 minutes | CPT | 90837 | 27 | $428 | $428 | $109.46 | $355.24 | $410.88 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 30 | $319 | $319 | $10.53 | $225.7 | $306.24 |
| ED visit level 2 | CPT | 99282 | 30 | $509 | $509 | $38.58 | $360.12 | $488.64 |
| ED visit level 3 | CPT | 99283 | 30 | $817 | $817 | $65.65 | $578.03 | $784.32 |
| ED visit level 4 | CPT | 99284 | 30 | $1,327 | $1,327 | $111.68 | $938.86 | $1,273.92 |
| ED visit level 5 | CPT | 99285 | 28 | $1,892 | $1,892 | $290.08 | $1,390.62 | $1,816.32 |
| Critical care, first hour | CPT | 99291 | 28 | $2,868 | $2,868 | $329.28 | $2,107.98 | $2,753.28 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 31 | $2,163 | $2,163 | $105.73 | $1,449.21 | $2,076.48 |
| CT head with contrast | CPT | 70460 | 31 | $2,601 | $2,601 | $147.9 | $1,742.67 | $2,496.96 |
| CT head with and without contrast | CPT | 70470 | 31 | $3,266 | $3,266 | $173.03 | $2,188.22 | $3,135.36 |
| CT neck with contrast | CPT | 70491 | 31 | $2,931 | $2,931 | $182.43 | $1,963.77 | $2,813.76 |
| MRI brain without contrast | CPT | 70551 | 31 | $3,740 | $3,740 | $196.08 | $2,505.8 | $3,590.4 |
| MRI brain with contrast | CPT | 70552 | 31 | $4,331 | $4,331 | $270.66 | $2,901.77 | $4,157.76 |
| MRI brain with and without contrast | CPT | 70553 | 31 | $5,035 | $5,035 | $318.51 | $3,373.45 | $4,833.6 |
| Chest X-ray single view | CPT | 71045 | 31 | $407 | $407 | $24.81 | $272.69 | $390.72 |
| Chest X-ray 2 views | CPT | 71046 | 31 | $428 | $428 | $32.67 | $286.76 | $410.88 |
| Chest X-ray 3 views | CPT | 71047 | 31 | $455 | $455 | $41.18 | $300.3 | $436.8 |
| CT chest without contrast | CPT | 71250 | 31 | $2,319 | $2,319 | $111.19 | $1,553.73 | $2,226.24 |
| CT chest with contrast | CPT | 71260 | 31 | $3,110 | $3,110 | $166.69 | $2,083.7 | $2,985.6 |
| CT chest with and without contrast | CPT | 71270 | 31 | $3,407 | $3,407 | $182.43 | $2,282.69 | $3,270.72 |
| MRI chest without contrast | CPT | 71550 | 31 | $3,428 | $3,428 | $235 | $2,296.76 | $3,290.88 |
| MRI chest with and without contrast | CPT | 71552 | 31 | $5,216 | $5,216 | $376.09 | $3,494.72 | $5,007.36 |
| Lumbosacral spine X-ray | CPT | 72100 | 31 | $452 | $452 | $38.89 | $302.84 | $433.92 |
| CT cervical spine without contrast | CPT | 72125 | 31 | $2,319 | $2,319 | $111.19 | $1,553.73 | $2,226.24 |
| CT thoracic spine without contrast | CPT | 72128 | 31 | $2,319 | $2,319 | $111.19 | $1,553.73 | $2,226.24 |
| CT lumbar spine without contrast | CPT | 72131 | 31 | $2,268 | $2,268 | $111.19 | $1,519.56 | $2,177.28 |
| MRI cervical spine without contrast | CPT | 72141 | 31 | $3,808 | $3,808 | $190.51 | $2,551.36 | $3,655.68 |
| MRI thoracic spine without contrast | CPT | 72146 | 31 | $3,808 | $3,808 | $190.18 | $2,551.36 | $3,655.68 |
| MRI lumbar spine without contrast | CPT | 72148 | 31 | $3,808 | $3,808 | $191.17 | $2,551.36 | $3,655.68 |
| MRI cervical spine with and without contrast | CPT | 72156 | 31 | $5,002 | $5,002 | $320.15 | $3,351.34 | $4,801.92 |
| MRI lumbar spine with contrast | CPT | 72158 | 31 | $5,138 | $5,138 | $319.49 | $3,442.46 | $4,932.48 |
| CT pelvis without contrast | CPT | 72192 | 31 | $2,099 | $2,099 | $111.19 | $1,406.33 | $2,015.04 |
| CT pelvis with contrast | CPT | 72193 | 31 | $2,573 | $2,573 | $182.43 | $1,723.91 | $2,470.08 |
| Shoulder X-ray | CPT | 73030 | 31 | $398 | $398 | $33.98 | $266.66 | $382.08 |
| Humerus X-ray | CPT | 73060 | 31 | $341 | $341 | $31.03 | $228.47 | $327.36 |
| Hand X-ray 3 views | CPT | 73130 | 31 | $349 | $349 | $36.27 | $233.83 | $335.04 |
| MRI upper extremity joint without contrast | CPT | 73221 | 31 | $4,183 | $4,183 | $203.16 | $2,802.61 | $4,015.68 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 31 | $4,978 | $4,978 | $376.09 | $3,335.26 | $4,778.88 |
| Knee X-ray 1-2 views | CPT | 73560 | 31 | $314 | $314 | $33.32 | $210.38 | $301.44 |
| Ankle X-ray 3 views | CPT | 73610 | 31 | $325 | $325 | $35.61 | $217.75 | $312 |
| MRI lower extremity joint without contrast | CPT | 73721 | 31 | $3,692 | $3,692 | $202.83 | $2,473.64 | $3,544.32 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 31 | $4,856 | $4,856 | $376.09 | $3,253.52 | $4,661.76 |
| CT abdomen without contrast | CPT | 74150 | 31 | $2,257 | $2,257 | $111.19 | $1,512.19 | $2,166.72 |
| CT abdomen with contrast | CPT | 74160 | 31 | $3,545 | $3,545 | $182.43 | $2,375.15 | $3,403.2 |
| CT abdomen with and without contrast | CPT | 74170 | 31 | $3,976 | $3,976 | $182.43 | $2,663.92 | $3,816.96 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 31 | $4,158 | $4,158 | $182.12 | $2,785.86 | $3,991.68 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 31 | $5,471 | $5,471 | $303.6 | $3,665.57 | $5,252.16 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 31 | $5,294 | $5,294 | $340.53 | $3,546.98 | $5,082.24 |
| MRI abdomen without contrast | CPT | 74181 | 31 | $4,171 | $4,171 | $195.75 | $2,794.57 | $4,004.16 |
| MRI abdomen with and without contrast | CPT | 74183 | 31 | $5,073 | $5,073 | $338.69 | $3,398.91 | $4,870.08 |
| Abdominal ultrasound complete | CPT | 76700 | 31 | $1,344 | $1,344 | $111.19 | $900.48 | $1,290.24 |
| Abdominal ultrasound limited | CPT | 76705 | 31 | $1,025 | $1,025 | $84.65 | $686.75 | $984 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 31 | $1,025 | $1,025 | $105.41 | $686.75 | $984 |
| Obstetric ultrasound first trimester | CPT | 76801 | 31 | $577 | $577 | $111.19 | $386.59 | $553.92 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 31 | $569 | $569 | $111.19 | $381.23 | $546.24 |
| Transvaginal ultrasound | CPT | 76830 | 31 | $675 | $675 | $111.19 | $452.25 | $648 |
| Pelvic ultrasound complete | CPT | 76856 | 31 | $1,199 | $1,199 | $102.66 | $803.33 | $1,151.04 |
| Scrotal ultrasound | CPT | 76870 | 31 | $1,147 | $1,147 | $97.42 | $768.49 | $1,101.12 |
| Screening mammography bilateral | CPT | 77067 | 30 | $564 | $564 | $124.73 | $451.2 | $541.44 |
| EKG tracing only | CPT | 93005 | 31 | $281 | $281 | $6.02 | $188.27 | $269.76 |
| Transthoracic echocardiogram complete | CPT | 93306 | 31 | $2,796 | $2,796 | $191.24 | $1,873.32 | $2,684.16 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | $70,399 | $70,399 | $18,680 | $19,538 | $23,035 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 7 | $38,760 | $38,760 | $9,478.96 | $9,914.22 | $11,689 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 7 | $34,016 | $34,016 | $6,411.62 | $6,706.03 | $7,906.25 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | $42,511 | $42,511 | $15,821 | $16,547 | $19,509 |
| COPD w MCC | MS-DRG | 190 | 7 | $51,808 | $51,808 | $10,277 | $10,749 | $12,673 |
| COPD w CC | MS-DRG | 191 | 6 | $37,974 | $37,974 | $7,917.78 | $8,115.73 | $9,763.5 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | $27,288 | $27,288 | $5,985.44 | $6,260.28 | $7,380.7 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | $27,341 | $27,341 | $7,667.85 | $8,019.95 | $9,455.3 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $10,438 | $10,438 | $5,834.35 | $5,980.21 | $7,194.4 |
| AMI discharged alive w MCC | MS-DRG | 280 | 7 | $46,945 | $46,945 | $14,796 | $15,475 | $18,245 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $30,270 | $30,270 | $8,514.65 | $8,727.52 | $10,500 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | $30,372 | $30,372 | $6,697.01 | $7,004.52 | $8,258.15 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | $37,821 | $37,821 | $11,974 | $12,523 | $14,765 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | $38,983 | $38,983 | $7,987.73 | $8,354.51 | $9,849.75 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | $32,741 | $32,741 | $11,212 | $11,727 | $13,825 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | $26,246 | $26,246 | $6,945.09 | $7,264 | $8,564.05 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | $22,512 | $22,512 | $5,157.29 | $5,394.1 | $6,359.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | $38,644 | $38,644 | $9,174.94 | $9,596.23 | $11,314 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | $14,843 | $14,843 | $5,905.24 | $6,176.39 | $7,281.8 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | $24,189 | $24,189 | $7,326.52 | $7,662.94 | $9,034.4 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | $82,985 | $82,985 | $15,214 | $15,913 | $18,761 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | $29,900 | $29,900 | $10,952 | $11,455 | $13,506 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | $30,762 | $30,762 | $7,525.16 | $7,713.29 | $9,279.35 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | $63,833 | $63,833 | $18,442 | $19,289 | $22,800 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | $32,542 | $32,542 | $9,604.85 | $10,046 | $11,844 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 32 | $172 | $172 | $8.46 | $137.6 | $165.12 |
| Electrolyte panel | CPT | 80051 | 29 | $120 | $120 | $7.36 | $96 | $115.2 |
| Comprehensive metabolic panel | CPT | 80053 | 32 | $192 | $192 | $10.56 | $153.6 | $184.32 |
| Lipid panel | CPT | 80061 | 32 | $129 | $129 | $13.39 | $103.2 | $123.84 |
| Renal function panel | CPT | 80069 | 32 | $167 | $167 | $8.68 | $133.6 | $160.32 |
| Hepatic function panel | CPT | 80076 | 32 | $167 | $167 | $8.17 | $133.6 | $160.32 |
| Urinalysis automated | CPT | 81003 | 32 | $47 | $47 | $2.25 | $37.6 | $45.12 |
| Glucose quantitative | CPT | 82947 | 32 | $71 | $71 | $3.93 | $56.8 | $68.16 |
| Hemoglobin A1c | CPT | 83036 | 32 | $88 | $88 | $9.71 | $39.36 | $84.48 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 32 | $192 | $192 | $7.56 | $85.8 | $184.32 |
| Complete blood count with automated differential | CPT | 85025 | 32 | $129 | $129 | $7.77 | $103.2 | $123.84 |
| Complete blood count without differential | CPT | 85027 | 32 | $102 | $102 | $6.47 | $81.6 | $97.92 |
| Urine culture identification | CPT | 87088 | 32 | $77 | $77 | $8.09 | $61.6 | $73.92 |
| Tissue exam by pathologist level IV | CPT | 88305 | 31 | $323 | $323 | $50.75 | $203.4 | $310.08 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 32 | $792 | $792 | $45.63 | $522.72 | $760.32 |
| Vaginal delivery only | CPT | 59409 | 32 | $4,400 | $4,400 | $513.52 | $2,614.16 | $5,790 |
| C-section delivery only | CPT | 59514 | 28 | $5,615 | $5,615 | $1,432.37 | $4,660.45 | $6,954 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 32 | $3,971.72 | $3,971.72 | $926 | $2,201.04 | $3,812.86 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 32 | $6,549.88 | $6,549.88 | $926 | $3,902.63 | $6,222.4 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 32 | $3,242.98 | $3,242.98 | $586.13 | $1,720.08 | $3,113.27 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 32 | $3,912.06 | $3,912.06 | $823.07 | $2,346.09 | $3,755.58 |
| Colonoscopy diagnostic | CPT | 45378 | 32 | $4,751.44 | $4,751.44 | $933 | $2,864.52 | $4,561.39 |
| Colonoscopy with biopsy | CPT | 45380 | 32 | $7,085.4 | $7,085.4 | $1,205 | $4,256.08 | $6,801.99 |
| Colonoscopy with polyp removal | CPT | 45385 | 32 | $7,285.2 | $7,285.2 | $1,205 | $4,332.05 | $6,993.79 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 32 | $83,238 | $83,238 | $19,017 | $53,021 | $79,076 |
| Total hip replacement | CPT | 27130 | 32 | $59,637 | $59,637 | $13,431 | $36,747 | $56,705 |
| Total knee replacement | CPT | 27447 | 32 | $57,870 | $57,870 | $13,431 | $35,378 | $54,977 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 27 | $41,330 | $41,330 | $6,075 | $34,304 | $39,677 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 32 | $43,303 | $43,303 | $7,301 | $27,915 | $41,523 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 32 | $17,764 | $17,764 | $3,303 | $10,775 | $17,054 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | $114,797 | $114,797 | $42,124 | $44,058 | $51,943 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | $75,787 | $75,787 | $22,122 | $23,138 | $27,279 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | $60,629 | $60,629 | $15,593 | $16,309 | $19,228 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | $59,691 | $59,691 | $15,245 | $15,945 | $18,799 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | $48,704 | $48,704 | $12,247 | $12,809 | $15,102 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | $79,742 | $79,742 | $29,851 | $31,221 | $36,809 |
| Laparoscopic appendectomy | CPT | 44970 | 32 | $20,687 | $20,687 | $5,888 | $13,038 | $19,811 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | $241,013 | $241,013 | $61,853 | $64,693 | $180,760 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | $159,480 | $159,480 | $34,114 | $35,680 | $42,066 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | $75,888 | $75,888 | $31,054 | $32,480 | $38,293 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | $80,863 | $80,863 | $17,549 | $18,355 | $21,640 |
| Laparoscopic cholecystectomy | CPT | 47562 | 32 | $29,533 | $29,533 | $5,888 | $17,115 | $28,304 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 32 | $28,574 | $28,574 | $5,888 | $17,919 | $27,146 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 7 | $95,821 | $95,821 | $27,501 | $28,764 | $33,912 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | $65,353 | $65,353 | $19,351 | $20,239 | $23,861 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | $50,223 | $50,223 | $14,813 | $15,494 | $18,267 |
| Open umbilical hernia repair | CPT | 49560 | 27 | $24,205 | $24,205 | $7,219.68 | $19,866 | $23,189 |
| Lap inguinal hernia repair | CPT | 49650 | 32 | $35,364 | $35,364 | $5,888 | $21,117 | $33,950 |
| Lap incisional hernia repair | CPT | 49652 | 27 | $28,737 | $28,737 | $8,707.33 | $23,852 | $27,588 |
| Lap salpingo-oophorectomy | CPT | 58661 | 32 | $30,469 | $30,469 | $5,888 | $19,422 | $29,128 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | $72,568 | $72,568 | $15,129 | $15,823 | $18,655 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | $69,673 | $69,673 | $14,150 | $14,800 | $17,449 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | $35,177 | $35,177 | $10,837 | $11,334 | $13,363 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | $50,221 | $50,221 | $17,555 | $18,361 | $21,648 |
| PCI single major coronary artery | CPT | 92920 | 29 | $15,255 | $15,255 | $708.25 | $11,212 | $15,958 |
| Coronary angiography with cath | CPT | 93455 | 29 | $12,134 | $12,134 | $1,312.83 | $8,008.44 | $11,649 |
| Coronary angiography with bypass cath | CPT | 93458 | 29 | $11,758 | $11,758 | $1,357.9 | $8,642.13 | $11,288 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 146 | $1,079.1 |
| UnitedHealthcare | 143 | $1,530.54 |
| healthpartners [3081368] | 141 | $393 |
| va black hills health care system 12115 [3081206] | 136 | $319 |
| Blue Cross Blue Shield | 136 | $1,289 |
| va ccn optum [3081339] | 136 | $319 |
| fedmed inc [3081283] | 103 | $2,144.15 |
| group and pension administrators inc [3081098] | 103 | $2,031.3 |
| health partners sx009 [3081102] | 103 | $1,406.16 |
| key benefit administrators [3081332] | 103 | $2,166.72 |
| medica (commercial) 94265 [3081118] | 103 | $1,873.31 |
| Aetna | 103 | $2,031.3 |
| midlands choice 47080 [3081136] | 103 | $2,166.72 |
| minnesota health care programs 12k16 [3081295] | 103 | $683.87 |
| Multiplan | 103 | $2,031.3 |
| pacificsource health plans [3081333] | 103 | $1,918.45 |
| preferred one 41147 [3081160] | 103 | $2,166.72 |
| risk admin svs [3081167] | 103 | $586.13 |
| rocky mountain admin llc 83028 [3081168] | 103 | $1,805.6 |
| sanford health plan 91184 [3081174] | 103 | $2,031.3 |
| Meritain Health | 103 | $2,166.72 |
| allied benefit systems inc [3081320] | 103 | $2,166.72 |
| avera health plans 46045 [3081018] | 103 | $1,658.9 |
| Cigna | 103 | $2,166.72 |
| coresource 38225 [3081146] | 103 | $1,472.52 |
| employee benefit management 12x44 [3081079] | 103 | $1,918.45 |
| tlc advantage llc [3081189] | 103 | $2,121.58 |
| govt employees health assn [3081090] | 100 | $1,513.71 |
| TRICARE | 100 | $235 |
| national telephone cooperative assn 52103 [3081149] | 100 | $1,513.71 |