Monument Health Custer Hospital — prices & quality

Published cash, insurer and chargemaster prices for 290 procedures at Monument Health Custer Hospital, Custer, SD — from its federally-required machine-readable file.

71% abovethe US average price, across 290 priced procedures
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1220 Montgomery Street, Custer, SD 57730

Would recommend73%
ER wait (median)134 min
30-day readmission15.7%
Sepsis care64%

Critical Access Hospitals · Voluntary non-profit - Private · 11 beds

Price vs US average = median of this hospital’s cash prices against the national median across 290 procedures. Sepsis care = share of cases treated per the recommended protocol (higher is better). Quality ratings from CMS Care Compare.

All published prices

ProcedureCashChargemasterInsurerMedicareEst. you pay
3D mammogram (tomosynthesis) $81 $81 $79 $51
Abdominal fluid drain (paracentesis) $2,694 $2,694 $2,640 $284
Abdominal ultrasound $1,185 $1,185 $1,005 $100
Abdominal ultrasound (complete) $1,344 $1,344 $1,317 $114
Abdominal ultrasound (limited) $1,025 $1,025 $1,005 $86
Abscess drainage (complex or multiple) $1,015 $1,015 $985 $220
Abscess drainage (simple) $678 $678 $658 $129
Abscess incision and drainage $847 $847 $664 $174
Albumin blood test $48 $48 $12 $5
Aldosterone test $72 $72 $46 $41
Alkaline phosphatase test $67 $67 $46 $5
Allergy shots $32 $32 $9 $11
Alpha-fetoprotein (AFP) test $152 $152 $93 $17
ALT liver enzyme test $87 $87 $84 $5
Ammonia blood test $26 $26 $26 $15
Amylase test $121 $121 $118 $6
Annual physical (established patient) $247 $247 $70 —
Anoscopy $352 $352 $341 $129
Antinuclear antibody (ANA) test $37 $37 $43 $12
Arterial blood gas (ABG) $250 $250 $243 $26
AST liver enzyme test $87 $87 $84 $5
Bartholin cyst removal $552 $552 $541 $182
Basic metabolic panel $172 $172 $167 $8
Benign skin lesion removal $987 $987 $211 $171
Bilirubin blood test $100 $100 $10 $5
Bladder scope (cystoscopy) $1,852 $1,852 $1,815 $216
Blood clotting test (PT/INR) $16 $16 $16 $4
Blood crossmatch $170 $170 $165 —
Blood glucose test $116 $116 $70 $5
Blood transfusion $1,125 $1,125 $1,103 $47
Blood type test $15 $15 $15 $3
Blood type test (ABO group) $56 $56 $15 $3
Blood type test (Rh/D antigen) $15 $15 $15 $3
BNP (heart failure) test $300 $300 $210 $39
Bone density scan (DEXA) $684 $684 $663 $39
Breathing tube insertion (intubation) $784 $784 $768 $133
Burn dressing and debridement (medium) $501 $501 $144 $166
Burn dressing and debridement (small) $551 $551 $534 $93
Burn treatment $551 $551 $534 $129
C-reactive protein (CRP) $95 $95 $93 $5
CA 19-9 tumor marker test $172 $172 $33 $21
CA-125 ovarian marker test $196 $196 $190 $21
Calcium blood test $91 $91 $32 $5
Cardioversion $1,707 $1,707 $1,673 $155
Carotid artery ultrasound $830 $830 $1,413 $156
CEA tumor marker test $198 $198 $192 $19
Celiac disease test $77 $77 $22 $12
Central line placement $3,285 $3,285 $3,219 $238
Chemotherapy infusion $637 $637 $393 $81
Chemotherapy infusion (each additional) $397 $397 $389 $28
Chemotherapy infusion (first hour) $877 $877 $859 $133
Chest fluid drain (thoracentesis) $2,317 $2,317 $2,271 $311
Chest tube insertion $3,379 $3,379 $3,311 $143
Chest X-ray $418 $418 $399 $37
Chest X-ray (1 view) $407 $407 $399 $25
Chest X-ray (2 views) $428 $428 $419 $33
Clotting time test (PTT) $99 $99 $47 $6
Complete blood count (CBC) $116 $116 $101 $7
Complete blood count (CBC) (complete) $129 $129 $125 $8
Comprehensive metabolic panel $192 $192 $186 $11
Contraceptive implant (Nexplanon) $2,579 $2,579 $2,527 $115
Copper blood test $406 $406 $48 $12
Cortisol test $85 $85 $83 $16
COVID-19 PCR test $151 $151 $146 $51
CPAP titration study $980 $980 $960 $69
Creatine kinase (CK) test $12 $12 $12 $7
CT angiography of the chest $3,189 $3,189 $3,125 $281
CT angiography of the head $3,086 $3,086 $3,024 $274
CT scan of the abdomen $3,545 $3,545 $2,742 $230
CT scan of the abdomen and pelvis $5,294 $5,294 $4,158 $300
CT scan of the abdomen and pelvis with and without contrast $5,294 $5,294 $5,188 $338
CT scan of the abdomen and pelvis with contrast $5,471 $5,471 $5,362 $300
CT scan of the abdomen and pelvis without contrast $4,158 $4,158 $4,075 $183
CT scan of the abdomen with and without contrast $3,976 $3,976 $3,896 $259
CT scan of the abdomen with contrast $3,545 $3,545 $3,474 $230
CT scan of the abdomen without contrast $2,257 $2,257 $2,212 $136
CT scan of the arm $2,683 $2,683 $2,361 $199
CT scan of the arm with contrast $2,957 $2,957 $2,898 $199
CT scan of the arm without contrast $2,409 $2,409 $2,361 $161
CT scan of the chest $2,715 $2,715 $2,273 $167
CT scan of the chest with contrast $3,110 $3,110 $3,048 $167
CT scan of the chest without contrast $2,319 $2,319 $2,273 $133
CT scan of the head $2,715 $2,715 $2,141 $148
CT scan of the head with and without contrast $3,266 $3,266 $3,201 $173
CT scan of the head without contrast $2,163 $2,163 $2,120 $107
CT scan of the leg $2,508 $2,508 $2,273 $166
CT scan of the leg with contrast $2,697 $2,697 $2,643 $166
CT scan of the leg without contrast $2,319 $2,319 $2,273 $130
CT scan of the lower back (lumbar spine) $2,268 $2,268 $2,223 $169
CT scan of the lower back (lumbar spine) without contrast $2,268 $2,268 $2,223 $130
CT scan of the neck $2,931 $2,931 $2,278 $183
CT scan of the neck (cervical spine) $2,703 $2,703 $2,273 $168
CT scan of the neck (cervical spine) with and without contrast $3,086 $3,086 $3,024 $196
CT scan of the neck (cervical spine) without contrast $2,319 $2,319 $2,273 $131
CT scan of the neck with and without contrast $3,191 $3,191 $3,127 $220
CT scan of the neck with contrast $2,931 $2,931 $2,872 $183
CT scan of the neck without contrast $2,278 $2,278 $2,232 $150
CT scan of the pelvis $2,336 $2,336 $2,057 $226
CT scan of the pelvis with contrast $2,573 $2,573 $2,522 $226
CT scan of the pelvis without contrast $2,099 $2,099 $2,057 $133
CT scan of the sinuses $2,721 $2,721 $2,169 $152
CT scan of the sinuses with and without contrast $3,146 $3,146 $3,083 $184
CT scan of the sinuses with contrast $2,721 $2,721 $2,667 $152
CT scan of the sinuses without contrast $2,084 $2,084 $2,042 $128
D-dimer test $48 $48 $74 $10
DHEA-sulfate test $65 $65 $63 $22
Drug screen (urine) $300 $300 $48 $17
Echocardiogram $1,909 $1,909 $1,002 $138
Echocardiogram with and without contrast $1,022 $1,022 $1,002 $101
EKG / ECG (tracing only) $281 $281 $275 $7
Electrocardiogram (EKG) $166 $166 $273 $8
Electrolyte panel $120 $120 $116 $7
Emergency department visit $817 $817 $530 $69
Emergency department visit (level 1) $319 $319 $313 $11
Emergency department visit (level 2) $509 $509 $499 $40
Emergency department visit (level 3) $817 $817 $792 $69
Emergency department visit (level 4) $1,327 $1,327 $1,287 $118
Emergency department visit (level 5) $1,892 $1,892 $1,835 $171
Endometrial biopsy $326 $326 $94 $98
Estradiol (estrogen) test $85 $85 $84 $28
Fecal occult blood (stool) test $89 $89 $86 $10
Fecal occult blood (stool) test (immunochemical, FIT) $89 $89 $86 $16
Ferritin (iron) test $166 $166 $123 $14
Fibrinogen test $98 $98 $89 $10
Flu test $173 $173 $168 $17
Flu vaccine $40 $40 $39 —
Folate (folic acid) test $119 $119 $115 $15
Foreign body removal (skin) $1,015 $1,015 $985 $157
Free T4 thyroid test $95 $95 $93 $9
FSH hormone test $130 $130 $126 $19
GGT liver test $83 $83 $81 $7
Glucose tolerance test $152 $152 $38 $8
H. pylori test $139 $139 $135 $67
HDL cholesterol test $24 $24 $23 $8
Hematocrit test $55 $55 $53 $2
Hemoglobin A1c (diabetes test) $41 $41 $40 $10
Hemorrhoid removal $932 $932 $267 $338
Hepatitis A vaccine $116 $116 $33 —
Hepatitis B test $69 $69 $26 $10
Hepatitis B vaccine $100 $100 $29 —
Hepatitis C test $121 $121 $83 $14
Holter heart monitor $527 $527 $516 $26
Iron blood test $75 $75 $52 $6
IV infusion therapy $358 $358 $195 $44
IV infusion therapy (each additional) $199 $199 $193 $21
IV infusion therapy (initial) $516 $516 $501 $67
Joint aspiration (small/intermediate) $880 $880 $854 $57
Joint aspiration or injection (mid-size joint) $880 $880 $854 $57
Joint aspiration or injection (small joint) $168 $168 $48 $56
Kidney ultrasound $956 $956 $869 $84
Kidney ultrasound (limited) $887 $887 $869 $61
Knee joint injection $800 $800 $776 $69
Lactate test $125 $125 $121 $12
LDH test $21 $21 $21 $6
LDL cholesterol test $154 $154 $149 $11
Leg vein ultrasound (Doppler) $1,295 $1,295 $1,110 $150
Leg vein ultrasound (Doppler) (limited) $1,133 $1,133 $1,110 $116
LH hormone test $223 $223 $219 $19
Lipase test $144 $144 $140 $7
Lipid (cholesterol) panel $129 $129 $125 $13
Liver function panel $167 $167 $162 $8
Lung scan (V/Q) $2,315 $2,315 $2,269 $291
Magnesium blood test $92 $92 $30 $7
MRA of the brain $3,796 $3,796 $3,720 $226
MRA of the neck $4,592 $4,592 $4,500 $245
MRA of the neck without contrast $4,592 $4,592 $4,500 $343
MRI of the abdomen $4,622 $4,622 $4,088 $300
MRI of the abdomen without contrast $4,171 $4,171 $4,088 $194
MRI of the ankle $4,538 $4,538 $3,767 $261
MRI of the ankle without contrast $3,844 $3,844 $3,767 $222
MRI of the brain $4,388 $4,388 $3,665 $269
MRI of the brain without contrast $3,740 $3,740 $3,665 $195
MRI of the knee $3,692 $3,692 $3,618 $315
MRI of the knee without contrast $3,692 $3,692 $3,618 $204
MRI of the lower back (lumbar spine) $4,473 $4,473 $3,732 $270
MRI of the lower back (lumbar spine) without contrast $3,808 $3,808 $3,732 $192
MRI of the mid-back (thoracic spine) $4,422 $4,422 $3,732 $271
MRI of the mid-back (thoracic spine) with and without contrast $5,035 $5,035 $4,934 $319
MRI of the mid-back (thoracic spine) without contrast $3,808 $3,808 $3,732 $190
MRI of the neck (cervical spine) $4,405 $4,405 $3,732 $274
MRI of the neck (cervical spine) with and without contrast $5,002 $5,002 $4,902 $318
MRI of the neck (cervical spine) without contrast $3,808 $3,808 $3,732 $191
MRI of the pelvis $4,737 $4,737 $4,363 $268
MRI of the pelvis without contrast $4,452 $4,452 $4,363 $227
MRI of the shoulder $4,581 $4,581 $4,099 $313
MRI of the shoulder without contrast $4,183 $4,183 $4,099 $205
MRI of the wrist $4,249 $4,249 $3,401 $330
MRI of the wrist without contrast $3,435 $3,435 $3,366 $303
Nebulizer breathing treatment $302 $302 $296 $9
Occupational therapy evaluation $305 $305 $296 $101
Occupational therapy evaluation (high complexity) $305 $305 $296 $101
Occupational therapy evaluation (low complexity) $305 $305 $296 $101
Occupational therapy evaluation (moderate complexity) $305 $305 $296 $101
Office visit (established patient) $325 $325 $92 $115
Office visit (new patient) $492 $492 $141 $177
Office visit, established patient (level 3) $269 $269 $77 $95
Office visit, established patient (level 4) $381 $381 $109 $136
Office visit, new patient (level 3) $330 $330 $95 $118
Office visit, new patient (level 4) $492 $492 $141 $177
Office visit, new patient (level 5) $651 $651 $187 $237
Parathyroid hormone (PTH) test $259 $259 $251 $41
Pelvic ultrasound $836 $836 $467 $78
Pelvic ultrasound (complete) $1,199 $1,199 $1,175 $105
Pelvic ultrasound (limited) $472 $472 $463 $51
Phosphorus blood test $58 $58 $29 $5
Physical therapy evaluation $305 $305 $275 $98
Physical therapy evaluation (high complexity) $305 $305 $296 $98
Physical therapy evaluation (moderate complexity) $305 $305 $296 $98
Platelet count $59 $59 $57 $4
Pneumonia vaccine $171 $171 $49 —
Pregnancy blood test (hCG) $142 $142 $138 $8
Pregnancy ultrasound $573 $573 $558 $126
Pregnancy ultrasound (first trimester) $577 $577 $565 $117
Pregnancy ultrasound (second or third trimester) $569 $569 $558 $136
Procalcitonin test $196 $196 $190 $27
Prolactin test $286 $286 $134 $19
Prostate test (PSA) $117 $117 $193 $18
Psychiatric evaluation $529 $529 $152 $188
Psychotherapy session $374 $374 $106 $140
Screening mammogram $564 $564 $553 $126
Scrotal ultrasound $1,147 $1,147 $1,124 $99
Sedimentation rate (ESR) test $83 $83 $81 $3
Sex hormone binding globulin test $44 $44 $43 $22
Simple laceration repair (small, up to 2.5 cm) $551 $551 $534 $114
Simple wound stitches $579 $579 $540 $127
Skin biopsy $549 $549 $533 $121
Skin biopsy (punch) $549 $549 $533 $121
Skin cancer lesion removal $1,120 $1,120 $263 $240
Skin lesion freezing (cryotherapy) $567 $567 $542 $36
Skin tag removal $290 $290 $83 $92
Soft tissue ultrasound $734 $734 $719 $64
Speech therapy $233 $233 $226 $76
Spinal tap (lumbar puncture) $1,976 $1,976 $1,936 $165
Strep throat test $211 $211 $94 $17
Swallow study $348 $348 $338 $85
T3 thyroid test $16 $16 $16 $14
Tdap (tetanus) vaccine $50 $50 $14 —
Testosterone test $29 $29 $29 $26
Thyroid test (TSH) $192 $192 $90 $17
Thyroid ultrasound $957 $957 $938 $109
Total IgE allergy test $18 $18 $18 $16
Total protein test $7 $7 $7 $4
Transvaginal ultrasound $675 $675 $662 $118
Trigger point injection $882 $882 $823 $56
Trigger point injection (1-2 muscles) $840 $840 $815 $52
Triglycerides test $8 $8 $27 $6
Troponin (heart) test $178 $178 $71 $12
Uric acid (gout) test $60 $60 $58 $5
Urinalysis $58 $58 $46 $3
Urine microalbumin test $88 $88 $14 $5
Urine pregnancy test $96 $96 $92 $9
Vaccine administration $73 $73 $64 $19
Vaccine administration (each additional) $65 $65 $64 $16
Vitamin B12 test $195 $195 $189 $15
Vitamin D test $109 $109 $47 $30
Wart removal $553 $553 $536 $121
Wound debridement $1,250 $1,250 $1,213 $186
X-ray of the abdomen $465 $465 $376 $36
X-ray of the ankle $325 $325 $319 $37
X-ray of the collarbone $291 $291 $285 $33
X-ray of the elbow $391 $391 $383 $33
X-ray of the facial bones $392 $392 $360 $39
X-ray of the foot $337 $337 $330 $34
X-ray of the forearm $361 $361 $354 $29
X-ray of the hand $349 $349 $342 $38
X-ray of the hip $297 $297 $291 $49
X-ray of the hip (3 views) $297 $297 $291 $49
X-ray of the knee $353 $353 $311 $42
X-ray of the knee (2 views) $314 $314 $308 $34
X-ray of the knee (3 views) $353 $353 $346 $42
X-ray of the knee (4+ views) $382 $382 $374 $49
X-ray of the lower back (lumbar spine) $565 $565 $447 $47
X-ray of the lower back (lumbar spine) (2 views) $452 $452 $443 $40
X-ray of the lower back (lumbar spine) (4+ views) $677 $677 $663 $53
X-ray of the lower leg $389 $389 $381 $31
X-ray of the mid-back (thoracic spine) $479 $479 $401 $36
X-ray of the mid-back (thoracic spine) (2 views) $409 $409 $401 $33
X-ray of the mid-back (thoracic spine) (3 views) $548 $548 $537 $39
X-ray of the neck (cervical spine) $516 $516 $408 $47
X-ray of the neck (cervical spine) (3 views) $412 $412 $404 $40
X-ray of the pelvis $377 $377 $361 $36
X-ray of the pelvis (1 view) $368 $368 $361 $28
X-ray of the ribs $437 $437 $368 $42
X-ray of the ribs (2 views) $375 $375 $368 $36
X-ray of the ribs (3 views) $498 $498 $488 $42
X-ray of the shoulder $398 $398 $386 $36
X-ray of the skull $551 $551 $540 $40
X-ray of the upper arm $341 $341 $334 $32
X-ray of the wrist $347 $347 $340 $43
Zinc blood test $18 $18 $18 $11

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Before you go — your checklist at Monument Health Custer Hospital

View this hospital’s source price file ↗. Source: this hospital’s machine-readable file (45 CFR §180), retrieved Jun 2026; Medicare from CMS fee schedules; quality from CMS Care Compare. Estimates — confirm with the hospital. Report an incorrect price.