Monument Health · Spearfish, SD
29
In-network payers
129
Disclosed rate categories
44
Beds
4
Care quality
Monument Health Spearfish Hospital is a 44-bed voluntary non-profit - private hospital in Spearfish, SD, affiliated with Monument Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 129 disclosed rate categories.
CCN (Medicare provider number)
430048
NPI
1033183942
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
44
Care Quality
4
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 Spearfish 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.
Medicine & Surgery
CPT 47562
$9,866 - $20,647
from 4 insurers · median $17,750
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$3,160 - $9,165
from 4 insurers · median $5,368
19 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$16,913 - $23,777
from 4 insurers · median $21,816
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$966 - $5,519
from 4 insurers · median $4,700
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,850 - $9,630
from 4 insurers · median $8,836
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 49650
$9,028 - $23,506
from 4 insurers · median $13,105
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$3,192 - $6,050
from 4 insurers · median $3,520
22 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Gynecology
CPT 58571
$5,406 - $32,201
from 4 insurers · median $17,520
30 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$9,866 - $21,883
from 4 insurers · median $12,175
85 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$5,637 - $17,680
from 4 insurers · median $14,163
51 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 49505
$9,028 - $16,490
from 4 insurers · median $13,209
14 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$783 - $2,824
from 4 insurers · median $1,558
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,284 - $4,133
from 4 insurers · median $3,550
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$966 - $3,157
from 4 insurers · median $2,721
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,176 - $5,085
from 4 insurers · median $4,390
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$966 - $4,199
from 4 insurers · median $3,626
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$966 - $1,708
from 3 insurers · median $1,599
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$5,637 - $38,095
from 4 insurers · median $15,784
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$230 - $570
from 4 insurers · median $493
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$4,736 - $48,182
from 4 insurers · median $36,360
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,003 - $9,439
from 4 insurers · median $5,672
60 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Gynecology
CPT 58661
$8,005 - $22,804
from 4 insurers · median $18,266
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,462 - $4,538
from 4 insurers · median $2,764
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$841 - $3,731
from 4 insurers · median $3,157
Common here, based on CMS Medicare volume
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 | 426% | 6 | 0 |
| Insurer B* | 24 | 317% | 14 | 6 |
| Insurer C* | 24 | 295% | 7 | 2 |
| Insurer D* | 24 | 212% | 0 | 12 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 Spearfish Hospital.
1440 North Main Street, Spearfish, SD 57783
(605) 644-4000
The nearest hospitals of similar type and size. Their rates are compared with Monument Health Spearfish Hospital for the same insurers and services above.
Sheridan Memorial Hospital
▼ Rates typically 46% lower than Monument Health Spearfish Hospital (20 services)
Avera St. Mary S Hospital
▼ Rates typically 34% lower than Monument Health Spearfish Hospital (22 services)
Sterling Regional Medcenter
▼ Rates typically 38% lower than Monument Health Spearfish Hospital (12 services)
Avera St. Luke’s Hospital
▼ Rates typically 16% lower than Monument Health Spearfish Hospital (22 services)
Sanford Aberdeen Medical Center
▼ Rates typically 7% lower than Monument Health Spearfish Hospital (22 services)
Banner Fort Collins Medical Center
▼ Rates typically 40% lower than Monument Health Spearfish Hospital (22 services)
Monument Health Rapid City Hospital
Same Day Surgery Center
Avera Sacred Heart Hospital
About Monument Health Spearfish Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monument Health Spearfish Hospital range from $1,176 to $5,085 across 4 insurers. Blue Cross Blue Shield's rate is $1,176. The median at nearby comparable hospitals is $1,919. 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 Spearfish Hospital range from $966 to $5,519 across 4 insurers. UnitedHealthcare's rate is $4,044. The median at nearby comparable hospitals is $2,395. 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 Spearfish Hospital range from $2,462 to $4,538 across 4 insurers. Aetna's rate is $2,462. The median at nearby comparable hospitals is $4,387. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Monument Health Spearfish Hospital range from $16,913 to $23,777 across 4 insurers. UnitedHealthcare's rate is $16,913. 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 Spearfish Hospital range from $230 to $570 across 4 insurers. Cigna's rate is $570. The median at nearby comparable hospitals is $317. What a patient pays depends on their plan's deductible, coinsurance and network status.
Monument Health Spearfish Hospital has 44 beds. Facility type: Short Term Acute Care Hospital.
Monument Health Spearfish Hospital is located at 1440 North Main Street, Spearfish, SD 57783. Its main phone number is (605) 644-4000.
Monument Health Spearfish Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 430048.
The National Provider Identifier (NPI) on file for Monument Health Spearfish Hospital is 1033183942.
Monument Health Spearfish Hospital is affiliated with Monument Health.
Monument Health Spearfish 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.
129 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.
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{
"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