Monument Health Spearfish Hospital
Monument Health Spearfish Hospital in Spearfish, SD charges 2.7x the Medicare reimbursement rate across analyzed procedures, based on our review of 7 common medical services.
Spearfish, SD 57783 · Acute Care Hospitals
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
B
Good
Avg markup vs Medicare
2.67x
Charge / Medicare rate
Max markup
3.79x
Worst procedure
Procedures analyzed
7
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,683 | $12,841 | — | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $65,072 | $32,536 | — | 2.8x |
| RENAL FAILURE WITH CC | 683 | $21,105 | $10,552 | — | 2.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $29,703 | $14,851 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $42,978 | $21,489 | — | 2.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $41,709 | $20,854 | — | 2.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,163 | $12,082 | — | 2.2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use