Monument Health · Custer, SD
29
In-network payers
152
Disclosed rate categories
11
Beds
Monument Health Custer Hospital is an 11-bed voluntary non-profit - private hospital in Custer, SD, affiliated with Monument Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 152 disclosed rate categories.
CCN (Medicare provider number)
431323
NPI
1871560516
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
11
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Monument Health Custer Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$5,275 - $5,691
from 4 insurers · median $5,467
Typical for a hospital with this service line
CT imaging
CPT 74176
$4,013 - $4,330
from 4 insurers · median $4,222
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,309 - $2,086
from 2 insurers · median $1,697
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,132 - $2,912
from 4 insurers · median $2,790
Typical for a hospital with this service line
CT imaging
CPT 71275
$3,078 - $3,321
from 4 insurers · median $3,269
Typical for a hospital with this service line
MRI imaging
CPT 70553
$4,718 - $5,243
from 4 insurers · median $5,025
Typical for a hospital with this service line
Mammography
CPT 77067
$545 - $588
from 4 insurers · median $575
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,301 - $3,631
from 4 insurers · median $3,528
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$407 - $454
from 4 insurers · median $435
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,570 - $3,968
from 4 insurers · median $3,803
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,366 - $3,897
from 4 insurers · median $3,734
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,507 - $3,847
from 4 insurers · median $3,687
Typical for a hospital with this service line
Ultrasound
CPT 76705
$976 - $1,069
from 4 insurers · median $1,024
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,576 - $2,066
from 4 insurers · median $1,717
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,987 - $3,709
from 4 insurers · median $2,165
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,412 - $2,669
from 4 insurers · median $2,628
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,095 - $1,182
from 4 insurers · median $1,132
Typical for a hospital with this service line
Ultrasound
CPT 76856
$1,139 - $1,250
from 4 insurers · median $1,197
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$180 - $198
from 4 insurers · median $192
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$662 - $714
from 4 insurers · median $690
Typical for a hospital with this service line
Urology
CPT 50590
$14,324 - $15,757
from 4 insurers · median $15,287
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,587 - $5,763
from 4 insurers · median $5,446
Typical for a hospital with this service line
Ultrasound
CPT 76642
$633 - $683
from 4 insurers · median $657
Typical for a hospital with this service line
Ultrasound
CPT 76536
$909 - $997
from 4 insurers · median $956
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 934% | 14 | 4 |
| Insurer B* | 23 | 924% | 3 | 0 |
| Insurer C* | 24 | 897% | 20 | 1 |
| Insurer D* | 24 | 883% | 19 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Monument Health Custer Hospital.
1039 Montgomery Street, Custer, SD 57730
(605) 673-9400
The nearest hospitals of similar type and size. Their rates are compared with Monument Health Custer Hospital for the same insurers and services above.
Fall River Health Services - Hot Springs
▼ Rates typically 20% lower than Monument Health Custer Hospital (23 services)
Niobrara Health And Life Center
▼ Rates typically 22% lower than Monument Health Custer Hospital (6 services)
Gordon Memorial Hospital District
▼ Rates typically 11% lower than Monument Health Custer Hospital (22 services)
Bennett County Hospital
▼ Rates typically 95% lower than Monument Health Custer Hospital (16 services)
Memorial Hospital Of Converse County
▼ Rates typically 28% lower than Monument Health Custer Hospital (22 services)
Box Butte General Hospital
▼ Rates typically 29% lower than Monument Health Custer Hospital (22 services)
Monument Health Lead-Deadwood Hospital
Monument Health Sturgis Hospital
Landmann-Jungman Memorial Hospital Avera
Sanford Medical Center Canton
About Monument Health Custer Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monument Health Custer Hospital range from $4,718 to $5,243 across 4 insurers. Blue Cross Blue Shield's rate is $4,860. The median at nearby comparable hospitals is $4,052. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Monument Health Custer Hospital range from $5,275 to $5,691 across 4 insurers. Aetna's rate is $5,301. The median at nearby comparable hospitals is $3,713. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Monument Health Custer Hospital range from $3,301 to $3,631 across 4 insurers. UnitedHealthcare's rate is $3,562. The median at nearby comparable hospitals is $2,418. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monument Health Custer Hospital range from $545 to $588 across 4 insurers. Aetna's rate is $567. The median at nearby comparable hospitals is $244. What a patient pays depends on their plan's deductible, coinsurance and network status.
Monument Health Custer Hospital has 11 beds. Facility type: Critical Access Hospital.
Monument Health Custer Hospital is located at 1039 Montgomery Street, Custer, SD 57730. Its main phone number is (605) 673-9400.
Monument Health Custer Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 431323.
The National Provider Identifier (NPI) on file for Monument Health Custer Hospital is 1871560516.
Monument Health Custer Hospital is affiliated with Monument Health.
Monument Health Custer Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
152 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers