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MONUMENT HEALTH SPEARFISH HOSPITAL

Spearfish, SD · CCN 430048 · Rates published

7,893 distinct procedures filed
60 distinct payers
364,287 rate rows
2026-09-01 last MRF observed

208,022 of 364,287 rate rows are consumer-grade (57.1%)

156,265 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 116,802
placeholder amount (≤ $0.02) — excluded from medians 32,285
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,568
exceeds 10× this hospital's gross charge — excluded from medians 1,745
per-diem day rate — not a per-procedure price 687
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 471
template filing: same amount across many unrelated codes — excluded 390
percent-of-charges filed in the dollar field — excluded from medians 267
exceeds 3× this hospital's gross charge for a DRG stay — excluded 50
↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSRHSPEARFISHSD&type=CDMWithoutLabel&fileType=CSV
Found on page https://monument.health/price-transparency-cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint 63fc44746002b8d8… · 52,920,908 bytes · first seen 2026-09-25

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J7330
HCPCS
1 Membrane Maci Implant 32 $38,843.55 $142,856.30 $111,218.58 nat. median
$75,037

1.5× median
33264
HCPCS
Removal And Replacement Of Multiple Lead Defibrillator 22 $31,601.47 $110,175.20 $90,934.85 nat. median
$31,574

outlier · 2.9×
33249
HCPCS
Insertion Of Implantable Defibrillator System 22 $30,096.78 $104,929.25 $86,605.02 nat. median
$31,620

outlier · 2.7×
33289
HCPCS
Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review… 22 $5,681.83 $87,888.63 $72,540.27 nat. median
$27,755

outlier · 2.6×
33263
HCPCS
Removal And Replacement Of Dual Lead Defibrillator 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,376

outlier · 2.8×
33262
HCPCS
Removal And Replacement Of Single Lead Defibrillator 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$23,285

outlier · 2.8×
33240
HCPCS
Insertion Of Defibrillator With Existing Single Lead 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$22,137

outlier · 2.9×
33230
HCPCS
Insertion Of Defibrillator With Existing Dual Leads 22 $22,567.44 $78,679.00 $64,938.96 nat. median
$22,483

outlier · 2.9×
230
APR_DRG
Major Small Bowel Procedures 2 $62,372.70 $62,372.70 $62,372.70 nat. median
$27,615

outlier · 2.3×
362
APR_DRG
Mastectomy Procedures 2 $59,948.60 $59,948.60 $59,948.60 nat. median
$19,936

outlier · 3.0×
23474
CPT
Revis Shoulder Arthrplsty Humeral&Glenoid Compnt 28 $28,831.00 $56,492.47 $56,492.47 nat. median
$8,897

outlier · 6.3×
325
APR_DRG
Non-elective Or Complex Knee Joint Replacement 2 $53,625.00 $53,625.00 $53,625.00 nat. median
$32,859

1.6× median
40814
CPT
Excis Mouth Mucosa/Sub,Complx Repr 33 $5,531.00 $52,621.32 $52,621.32 nat. median
$3,272

outlier · 16.1×
40818
CPT
Excise Oral Mucosa For Graft 33 $5,529.00 $52,620.32 $52,620.32 nat. median
$737

outlier · 71.4×
64582
CPT
Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor 33 $5,853.00 $54,884.00 $52,358.35 nat. median
$28,183

1.9× median
37231
HCPCS
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 20 $12,461.74 $60,473.98 $52,214.11 nat. median
$18,415

outlier · 2.8×
37230
HCPCS
Insertion Of Stent In Artery Of Leg, Initial Vessel 20 $12,461.74 $58,147.23 $50,205.17 nat. median
$16,927

outlier · 3.0×
220
APR_DRG
Major Stomach, Esophageal And Duodenal Procedures 2 $49,145.89 $49,145.89 $49,145.89 nat. median
$26,963

1.8× median
93656
HCPCS
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$27,253

1.7× median
93654
HCPCS
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$27,040

1.7× median
93653
HCPCS
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 $15,980.37 $55,713.88 $45,984.33 nat. median
$26,661

1.7× median
850
APR_DRG
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 $45,314.00 $45,314.00 $45,314.00 nat. median
$22,561

outlier · 2.0×
0238T
OTHER
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open… 22 $12,461.74 $54,343.45 $44,853.23 nat. median
$17,559

outlier · 2.6×
323
APR_DRG
Non-elective Or Complex Hip Joint Replacement 2 $44,701.00 $44,701.00 $44,701.00 nat. median
$23,511

1.9× median
37227
HCPCS
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 20 $12,461.74 $50,691.38 $43,767.68 nat. median
$18,439

outlier · 2.4×
37229
HCPCS
Removal Of Plaque In Artery Of Leg, Initial Vessel 20 $12,461.74 $50,691.38 $43,767.68 nat. median
$17,146

outlier · 2.6×
C9774
HCPCS
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$19,561

outlier · 2.2×
C9773
HCPCS
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$19,390

outlier · 2.2×
C9775
HCPCS
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie… 22 $12,461.74 $51,951.10 $42,878.67 nat. median
$19,784

outlier · 2.2×
C9767
HCPCS
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 22 $12,461.74 $51,496.00 $42,503.04 nat. median
$20,602

outlier · 2.1×
92933
HCPCS
Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar… 22 $14,553.88 $50,740.58 $41,879.54 nat. median
$18,561

outlier · 2.3×
324
APR_DRG
Elective Hip Joint Replacement 2 $41,344.00 $41,344.00 $41,344.00 nat. median
$19,015

outlier · 2.2×
26045
CPT
Release Palm Contract,Open,Partial 31 $5,476.00 $41,001.18 $41,001.18 nat. median
$3,453

outlier · 11.9×
261
APR_DRG
Major Biliary Tract Procedures 2 $40,230.00 $40,230.00 $40,230.00 nat. median
$11,265

outlier · 3.6×
27416
CPT
Osteochondral Knee Autograft 33 $5,477.00 $39,835.73 $39,835.73 nat. median
$7,011

outlier · 5.7×
36836
HCPCS
Creation Of Opening Between Artery And Vein In Arm With Single Access To Both Bl… 21 $13,444.62 $46,873.25 $39,785.10 nat. median
$17,598

outlier · 2.3×
36906
HCPCS
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 21 $13,444.62 $46,873.25 $39,785.10 nat. median
$18,573

outlier · 2.1×
229
APR_DRG
Other Digestive System And Abdominal Procedures 2 $39,780.14 $39,780.14 $39,780.14 nat. median
$20,585

1.9× median
326
APR_DRG
Elective Knee Joint Replacement 2 $39,299.00 $39,299.00 $39,299.00 nat. median
$18,102

outlier · 2.2×
23472
CPT
Reconstr Total Shoulder Implant 33 $5,479.00 $39,158.43 $39,158.43 nat. median
$16,661

outlier · 2.4×
23120
CPT
Partial Removal, Clavicle 33 $5,476.00 $39,148.62 $39,148.62 nat. median
$3,485

outlier · 11.2×
27405
CPT
Repair Collat Ligamt/Capsule,Knee 33 $5,477.00 $39,068.81 $39,068.81 nat. median
$6,955

outlier · 5.6×
27415
CPT
Osteochondral Knee Allograft 31 $5,478.00 $38,745.22 $38,745.22 nat. median
$11,834

outlier · 3.3×
C2616
HCPCS
Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 21 $12,835.16 $44,748.43 $37,981.59 nat. median
$26,812

1.4× median
313
APR_DRG
Knee And Lower Leg Procedures Except Foot 2 $37,718.00 $37,718.00 $37,718.00 nat. median
$22,057

1.7× median
23412
CPT
Repair Rotator Cuff,Chronic 33 $5,477.00 $37,533.72 $37,533.72 nat. median
$6,948

outlier · 5.4×
C9606
HCPCS
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 20 $12,443.55 $43,383.13 $37,457.62 nat. median
$17,854

outlier · 2.1×
20985
CPT
Cptr-asst Surgical Navigation Image-less 26 $37,441.64 $37,441.64 $37,441.64 nat. median
$697

outlier · 53.7×
43644
CPT
Lap Gastric Bypass/roux-en-y 28 $12,239.00 $37,146.39 $37,146.39 nat. median
$6,476

outlier · 5.7×
320
APR_DRG
Other Musculoskeletal System And Connective Tissue Procedures 2 $36,291.08 $36,291.08 $36,291.08 nat. median
$17,538

outlier · 2.1×

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