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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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BLACK HILLS SURGICAL HOSPITAL LLC

Rapid City, SD · CCN 430091 · Rates published

3,826 distinct procedures filed
6 distinct payers
101,642 rate rows
2026-07-15 last MRF observed

99,420 of 101,642 rate rows are consumer-grade (97.8%)

2,222 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
placeholder amount (≤ $0.02) — excluded from medians 1,841
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 325
exceeds 10× this hospital's gross charge — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 24
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Source MRF file https://bhsh.com/wp-content/uploads/2023/03/460440466_black-hills-surgical-hospital_standardcharges.csv
Found on page https://bhsh.com/patient-resources/price-transparency/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 93a6d2d0f88a558c… · 1,018,413 bytes · first seen 2026-05-06

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
3034
APR_DRG
Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 4 3 $177,165.39 $177,165.39 $177,165.39 nat. median
$84,380

outlier · 2.1×
8504
APR_DRG
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $126,254.95 $126,254.95 $126,254.95 nat. median
$67,813

1.9× median
2204
APR_DRG
Major Stomach, Esophageal And Duodenal Procedures Severity Level 4 3 $121,624.45 $121,624.45 $121,624.45 nat. median
$52,747

outlier · 2.3×
3033
APR_DRG
Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 3 3 $120,228.09 $120,228.09 $120,228.09 nat. median
$56,360

outlier · 2.1×
3044
APR_DRG
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 4 3 $113,886.36 $113,886.36 $113,886.36 nat. median
$61,288

1.9× median
6804
APR_DRG
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $100,765.89 $100,765.89 $100,765.89 nat. median
$65,652

1.5× median
6814
APR_DRG
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity… 3 $97,671.53 $97,671.53 $97,671.53 nat. median
$69,072

1.4× median
3254
APR_DRG
Non-elective Or Complex Knee Joint Replacement Severity Level 4 3 $97,586.19 $97,586.19 $97,586.19 nat. median
$33,259

outlier · 2.9×
3094
APR_DRG
Other Significant Hip And Femur Surgery Severity Level 4 3 $94,900.89 $94,900.89 $94,900.89 nat. median
$35,806

outlier · 2.7×
7114
APR_DRG
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure Severit… 3 $93,931.23 $93,931.23 $93,931.23 nat. median
$39,989

outlier · 2.3×
3032
APR_DRG
Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 2 3 $92,874.77 $92,874.77 $92,874.77 nat. median
$41,381

outlier · 2.2×
924
APR_DRG
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures Severity L… 3 $90,835.41 $90,835.41 $90,835.41 nat. median
$44,436

outlier · 2.0×
3234
APR_DRG
Non-elective Or Complex Hip Joint Replacement Severity Level 4 3 $89,093.27 $89,093.27 $89,093.27 nat. median
$28,201

outlier · 3.2×
4034
APR_DRG
Procedures For Obesity Severity Level 4 3 $87,404.10 $87,404.10 $87,404.10 nat. median
$36,575

outlier · 2.4×
3043
APR_DRG
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 3 3 $86,647.80 $86,647.80 $86,647.80 nat. median
$39,876

outlier · 2.2×
2324
APR_DRG
Gastric Fundoplication Severity Level 4 3 $82,716.22 $82,716.22 $82,716.22 nat. median
$34,072

outlier · 2.4×
5184
APR_DRG
Other Female Reproductive System And Related Procedures Severity Level 4 3 $80,292.83 $80,292.83 $80,292.83 nat. median
$33,568

outlier · 2.4×
3214
APR_DRG
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $78,104.85 $78,104.85 $78,104.85 nat. median
$42,727

1.8× median
3104
APR_DRG
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $77,239.67 $77,239.67 $77,239.67 nat. median
$34,700

outlier · 2.2×
3031
APR_DRG
Dorsal And Lumbar Fusion Procedure For Curvature Of Back Severity Level 1 3 $74,522.00 $74,522.00 $74,522.00 nat. median
$35,173

outlier · 2.1×
3134
APR_DRG
Knee And Lower Leg Procedures Except Foot Severity Level 4 3 $71,975.00 $71,975.00 $71,975.00 nat. median
$36,559

2.0× median
3154
APR_DRG
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement Severity Lev… 3 $71,435.00 $71,435.00 $71,435.00 nat. median
$38,511

1.9× median
3084
APR_DRG
Hip And Femur Fracture Repair Severity Level 4 3 $68,066.96 $68,066.96 $68,066.96 nat. median
$29,506

outlier · 2.3×
8503
APR_DRG
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 $67,741.78 $67,741.78 $67,741.78 nat. median
$27,270

outlier · 2.5×
2314
APR_DRG
Major Large Bowel Procedures Severity Level 4 3 $67,499.00 $67,499.00 $67,499.00 nat. median
$33,245

outlier · 2.0×
5194
APR_DRG
Uterine And Adnexa Procedures For Leiomyoma Severity Level 4 3 $67,441.62 $67,441.62 $67,441.62 nat. median
$34,461

2.0× median
3224
APR_DRG
Shoulder And Elbow Joint Replacement Severity Level 4 3 $67,423.96 $67,423.96 $67,423.96 nat. median
$29,312

outlier · 2.3×
3244
APR_DRG
Elective Hip Joint Replacement Severity Level 4 3 $67,154.70 $67,154.70 $67,154.70 nat. median
$27,316

outlier · 2.5×
3634
APR_DRG
Breast Procedures Except Mastectomy Severity Level 4 3 $65,272.78 $65,272.78 $65,272.78 nat. median
$27,154

outlier · 2.4×
453
MS_DRG
Combined Anterior And Posterior Spinal Fusion With Mcc 6 $20,726.14 $97,635.94 $63,192.63 nat. median
$83,623

0.8× median
2234
APR_DRG
Other Small And Large Bowel Procedures Severity Level 4 3 $62,833.19 $62,833.19 $62,833.19 nat. median
$35,218

1.8× median
3042
APR_DRG
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 2 3 $61,183.75 $61,183.75 $61,183.75 nat. median
$28,418

outlier · 2.2×
3103
APR_DRG
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures Severit… 3 $60,877.70 $60,877.70 $60,877.70 nat. median
$19,892

outlier · 3.1×
231
APR_DRG
Spinal Procedures Severity Level 1 5 $26,791.25 $60,716.66 $60,115.51 nat. median
$15,360

outlier · 3.9×
456
MS_DRG
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $59,926.53 $90,110.72 $59,926.53 nat. median
$80,459

0.7× median
4694
APR_DRG
Acute Kidney Injury Severity Level 4 3 $59,484.29 $59,484.29 $59,484.29 nat. median
$19,148

outlier · 3.1×
4434
APR_DRG
Kidney And Urinary Tract Procedures For Non-malignancy Severity Level 4 3 $59,045.81 $59,045.81 $59,045.81 nat. median
$32,310

1.8× median
4834
APR_DRG
Penis, Testes And Scrotal Procedures Severity Level 4 3 $57,976.10 $57,976.10 $57,976.10 nat. median
$37,022

1.6× median
3264
APR_DRG
Elective Knee Joint Replacement Severity Level 4 3 $55,258.43 $55,258.43 $55,258.43 nat. median
$24,107

outlier · 2.3×
233
APR_DRG
Spinal Procedures Severity Level 3 5 $54,519.63 $70,899.41 $55,064.83 nat. median
$30,959

1.8× median
3174
APR_DRG
Tendon, Muscle And Other Soft Tissue Procedures Severity Level 4 3 $54,394.72 $54,394.72 $54,394.72 nat. median
$32,548

1.7× median
3164
APR_DRG
Hand And Wrist Procedures Severity Level 4 3 $53,969.48 $53,969.48 $53,969.48 nat. median
$25,628

outlier · 2.1×
427
MS_DRG
Multiple Level Combined Anterior And Posterior Spinal Fusion 3 $51,477.46 $51,992.23 $51,477.46 nat. median
$66,640

0.8× median
5134
APR_DRG
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma Severity Level… 3 $51,276.82 $51,276.82 $51,276.82 nat. median
$32,161

1.6× median
3253
APR_DRG
Non-elective Or Complex Knee Joint Replacement Severity Level 3 3 $50,430.76 $50,430.76 $50,430.76 nat. median
$24,754

outlier · 2.0×
6803
APR_DRG
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Severity L… 3 $50,380.74 $50,380.74 $50,380.74 nat. median
$29,456

1.7× median
4824
APR_DRG
Transurethral Prostatectomy Severity Level 4 3 $49,703.89 $49,703.89 $49,703.89 nat. median
$23,305

outlier · 2.1×
3213
APR_DRG
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures Seve… 3 $49,190.37 $49,190.37 $49,190.37 nat. median
$28,095

1.8× median
3041
APR_DRG
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back Severity Level 1 3 $49,181.54 $49,181.54 $49,181.54 nat. median
$23,547

outlier · 2.1×
3223
APR_DRG
Shoulder And Elbow Joint Replacement Severity Level 3 3 $48,545.90 $48,545.90 $48,545.90 nat. median
$22,307

outlier · 2.2×

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