Monument Health Spearfish Hospital — prices & quality

Published cash, insurer and chargemaster prices for 344 procedures at Monument Health Spearfish Hospital, Spearfish, SD — from its federally-required machine-readable file.

93% abovethe US average price, across 344 priced procedures
★★★★☆  CMS ratingCompare with another hospital

1440 N Main St, Spearfish, SD 57783

CMS overall rating★★★★☆
Patient survey★★★★☆
Would recommend84%
ER wait (median)140 min
30-day readmission14.2%
Patient safety (PSI-90)Average
Sepsis care57%

Acute Care Hospitals · Voluntary non-profit - Private · 44 beds

Price vs US average = median of this hospital’s cash prices against the national median across 344 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) $63 $63 $125 $51
Abdominal fluid drain (paracentesis) $2,806 $2,806 $5,677 $284
Abdominal ultrasound $1,234 $1,234 $1,016 $100
Abdominal ultrasound (complete) $1,400 $1,400 $1,173 $114
Abdominal ultrasound (limited) $1,068 $1,068 $894 $86
Abscess drainage (simple) $1,206 $1,206 $5,410 $129
Abscess incision and drainage $1,381 $1,381 $5,410 $174
Achilles tendon repair $31,536 $31,536 $5,477 $624
ACL knee reconstruction $57,871 $57,871 $5,477 $889
Adenoid removal (adenoidectomy) $15,470 $15,470 $5,531 $204
Albumin blood test $87 $87 $10 $5
Aldosterone test $97 $97 $65 $41
Alkaline phosphatase test $91 $91 $8 $5
Allergy shots $111 $111 $6,095 $11
Alpha-fetoprotein (AFP) test $78 $78 $49 $17
ALT liver enzyme test $91 $91 $22 $5
Ammonia blood test $145 $145 $24 $15
Amylase test $126 $126 $23 $6
Ankle fracture repair $28,203 $28,203 $5,477 $608
Antinuclear antibody (ANA) test $68 $68 $27 $12
Arterial blood gas (ABG) $260 $260 $92 $26
AST liver enzyme test $91 $91 $22 $5
Barium swallow study $1,006 $1,006 $946 $107
Bartholin cyst removal $575 $575 $5,795 $182
Basic metabolic panel $179 $179 $14 $8
Bilirubin blood test $104 $104 $9 $5
Blood clotting test (PT/INR) $20 $20 $9 $4
Blood crossmatch $177 $177 $166
Blood glucose test $74 $74 $21 $5
Blood transfusion $1,675 $1,675 $5,613 $47
Blood type and screen $189 $189 $124 $10
Blood type test $16 $16 $74 $3
Blood type test (ABO group) $16 $16 $76 $3
Blood type test (Rh/D antigen) $16 $16 $74 $3
BNP (heart failure) test $266 $266 $102 $39
Bone density scan (DEXA) $713 $713 $670 $39
Bone scan (nuclear) $2,772 $2,772 $2,606 $259
Breast biopsy $4,699 $4,699 $5,432 $478
Breast ultrasound $683 $683 $642 $92
Breast ultrasound (complete) $683 $683 $642 $100
Breast ultrasound (limited) $682 $682 $641 $84
Breathing tube insertion (intubation) $817 $817 $5,527 $133
Burn dressing and debridement (medium) $1,751 $1,751 $5,410 $166
Burn dressing and debridement (small) $999 $999 $5,410 $93
Burn treatment $1,155 $1,155 $5,410 $129
C-reactive protein (CRP) $104 $104 $9 $5
CA 19-9 tumor marker test $23 $23 $33 $21
CA-125 ovarian marker test $204 $204 $41 $21
Calcium blood test $95 $95 $12 $5
Cardiac rehabilitation $396 $396 $6,181 $26
Cardiac stress test $1,714 $1,714 $6,128 $39
Cardioversion $1,778 $1,778 $6,191 $155
Carotid artery ultrasound $1,267 $1,267 $5,914 $156
Carpal tunnel release $10,109 $10,109 $5,817 $483
Cataract surgery $8,866 $8,866 $5,881 $547
CEA tumor marker test $206 $206 $51 $19
Celiac disease test $22 $22 $20 $12
Central line placement $3,422 $3,422 $5,551 $238
Cervical cerclage $11,380 $11,380 $5,798 $137
Cervical LEEP procedure $15,870 $15,870 $5,798 $325
Cesarean section (C-section) $28,290 $28,290 $9,977 $7,552
Chemotherapy infusion $664 $664 $6,096 $81
Chemotherapy infusion (each additional) $414 $414 $6,096 $28
Chemotherapy infusion (first hour) $914 $914 $6,098 $133
Chest fluid drain (thoracentesis) $2,845 $2,845 $5,549 $311
Chest tube insertion $3,520 $3,520 $5,550 $143
Chest X-ray $439 $439 $413 $37
Chest X-ray (1 view) $424 $424 $399 $25
Chest X-ray (2 views) $454 $454 $427 $33
Circumcision $2,140 $2,140 $5,754 $167
Clotting time test (PTT) $112 $112 $12 $6
Colonoscopy $5,422 $5,422 $5,688 $480
Colposcopy $1,468 $1,468 $5,796 $161
Complete blood count (CBC) $121 $121 $12 $7
Complete blood count (CBC) (complete) $135 $135 $12 $8
Comprehensive metabolic panel $200 $200 $17 $11
Copper blood test $70 $70 $20 $12
Cortisol test $234 $234 $42 $16
COVID-19 PCR test $151 $151 $100 $51
CPAP titration study $1,021 $1,021 $6,202 $69
Creatine kinase (CK) test $95 $95 $11 $7
CT angiography of the chest $3,320 $3,320 $5,967 $281
CT angiography of the head $3,215 $3,215 $5,967 $274
CT scan of the abdomen $3,918 $3,918 $5,967 $230
CT scan of the abdomen and pelvis $5,514 $5,514 $5,915 $300
CT scan of the abdomen and pelvis with and without contrast $5,514 $5,514 $5,968 $338
CT scan of the abdomen and pelvis with contrast $5,690 $5,690 $5,968 $300
CT scan of the abdomen and pelvis without contrast $4,329 $4,329 $5,915 $183
CT scan of the abdomen with and without contrast $4,142 $4,142 $5,967 $259
CT scan of the abdomen with contrast $3,693 $3,693 $5,967 $230
CT scan of the arm $2,795 $2,795 $5,914 $199
CT scan of the arm with contrast $3,080 $3,080 $5,968 $199
CT scan of the arm without contrast $2,509 $2,509 $5,914 $161
CT scan of the chest $3,238 $3,238 $5,914 $167
CT scan of the chest with and without contrast $3,549 $3,549 $5,967 $196
CT scan of the chest with contrast $3,238 $3,238 $5,967 $167
CT scan of the chest without contrast $2,416 $2,416 $5,914 $133
CT scan of the head $2,709 $2,709 $5,914 $148
CT scan of the head with and without contrast $3,402 $3,402 $5,967 $173
CT scan of the head with contrast $2,709 $2,709 $5,967 $148
CT scan of the head without contrast $2,250 $2,250 $5,914 $107
CT scan of the leg $2,613 $2,613 $5,914 $166
CT scan of the leg with contrast $2,809 $2,809 $5,967 $166
CT scan of the leg without contrast $2,416 $2,416 $5,914 $130
CT scan of the lower back (lumbar spine) $2,540 $2,540 $5,914 $169
CT scan of the lower back (lumbar spine) with contrast $2,717 $2,717 $5,968 $169
CT scan of the lower back (lumbar spine) without contrast $2,363 $2,363 $5,914 $130
CT scan of the neck $3,053 $3,053 $5,914 $183
CT scan of the neck (cervical spine) $2,694 $2,694 $5,914 $168
CT scan of the neck (cervical spine) with contrast $2,972 $2,972 $5,968 $168
CT scan of the neck (cervical spine) without contrast $2,416 $2,416 $5,914 $131
CT scan of the neck with and without contrast $3,324 $3,324 $5,967 $220
CT scan of the neck with contrast $3,053 $3,053 $5,967 $183
CT scan of the neck without contrast $2,373 $2,373 $5,914 $150
CT scan of the pelvis $2,680 $2,680 $5,914 $226
CT scan of the pelvis with and without contrast $2,860 $2,860 $5,967 $251
CT scan of the pelvis with contrast $2,680 $2,680 $5,967 $226
CT scan of the pelvis without contrast $2,187 $2,187 $5,914 $133
CT scan of the sinuses $2,834 $2,834 $5,914 $152
CT scan of the sinuses with and without contrast $3,241 $3,241 $5,967 $184
CT scan of the sinuses with contrast $2,834 $2,834 $5,967 $152
CT scan of the sinuses without contrast $2,171 $2,171 $5,914 $128
D-dimer test $176 $176 $21 $10
DHEA-sulfate test $65 $65 $47 $22
Diagnostic mammogram $610 $610 $230 $140
Dilation and curettage (D&C) $10,551 $10,551 $6,386 $298
Drug screen (urine) $128 $128 $99 $17
Ear pressure test (tympanometry) $94 $94 $6,139 $16
Ear tubes (myringotomy) $7,848 $7,848 $5,530 $174
Eardrum repair (tympanoplasty) $34,564 $34,564 $5,532 $799
Echocardiogram $1,988 $1,988 $5,915 $138
Echocardiogram with and without contrast $1,065 $1,065 $5,915 $101
EKG / ECG (tracing only) $293 $293 $6,140 $7
Electrocardiogram (EKG) $293 $293 $6,140 $8
Electrolyte panel $125 $125 $11 $7
Emergency department visit $851 $851 $5,380 $69
Emergency department visit (level 1) $333 $333 $5,377 $11
Emergency department visit (level 2) $531 $531 $5,379 $40
Emergency department visit (level 3) $851 $851 $5,380 $69
Emergency department visit (level 4) $1,381 $1,381 $5,381 $118
Emergency department visit (level 5) $1,968 $1,968 $5,382 $171
ERCP (bile duct endoscopy) $22,725 $22,725 $5,680 $311
Estradiol (estrogen) test $205 $205 $44 $28
Eyelid surgery (blepharoplasty) $7,990 $7,990 $5,413 $552
Fallopian tube X-ray (HSG) $1,340 $1,340 $472 $164
Fecal occult blood (stool) test $93 $93 $67 $10
Fecal occult blood (stool) test (immunochemical, FIT) $93 $93 $67 $16
Femoral hernia repair $16,800 $16,800 $5,720 $584
Ferritin (iron) test $132 $132 $22 $14
Fibrinogen test $156 $156 $19 $10
Flexible sigmoidoscopy $3,582 $3,582 $5,688 $323
Folate (folic acid) test $124 $124 $23 $15
Foreign body removal (skin) $1,058 $1,058 $5,411 $157
Free T4 thyroid test $99 $99 $15 $9
FSH hormone test $136 $136 $30 $19
Gallbladder removal (laparoscopic) $21,923 $21,923 $5,742 $658
Ganglion cyst removal $11,049 $11,049 $5,475 $321
GGT liver test $87 $87 $23 $7
Glucose tolerance test $158 $158 $28 $8
H. pylori test $139 $139 $119 $67
Hammertoe repair $18,726 $18,726 $5,476 $548
HDL cholesterol test $104 $104 $13 $8
Hearing test (audiometry) $406 $406 $6,127 $36
Hematocrit test $58 $58 $19 $2
Hemoglobin A1c (diabetes test) $92 $92 $22 $10
Hepatitis B test $28 $28 $18 $10
Hepatitis C test $129 $129 $25 $14
Hip replacement $59,511 $59,511 $5,478 $1,162
Holter heart monitor $927 $927 $6,140 $26
Hysterectomy $31,325 $31,325 $5,743 $933
Hysteroscopy $14,317 $14,317 $5,798 $1,270
Incisional hernia repair $13,813 $13,813 $10,315
Inguinal hernia repair $17,000 $17,000 $5,720 $538
Iron blood test $91 $91 $10 $6
IV infusion therapy $373 $373 $6,095 $44
IV infusion therapy (each additional) $208 $208 $6,095 $21
IV infusion therapy (initial) $538 $538 $6,097 $67
Joint aspiration (small/intermediate) $917 $917 $5,827 $57
Joint aspiration or injection (mid-size joint) $917 $917 $5,827 $57
Kidney biopsy $3,681 $3,681 $5,432 $492
Kidney ultrasound $996 $996 $827 $84
Kidney ultrasound (limited) $924 $924 $774 $61
Knee arthroscopy $18,613 $18,613 $5,476 $524
Knee joint injection $1,395 $1,395 $5,827 $69
Knee replacement $66,520 $72,718 $17,717 $18,054
Lactate test $130 $130 $45 $12
Laryngoscopy $1,356 $1,356 $5,517 $189
LDH test $91 $91 $15 $6
LDL cholesterol test $161 $161 $26 $11
Leg vein ultrasound (Doppler) $1,350 $1,350 $5,914 $150
Leg vein ultrasound (Doppler) (limited) $1,181 $1,181 $5,914 $116
LH hormone test $223 $223 $30 $19
Lipase test $150 $150 $23 $7
Lipid (cholesterol) panel $135 $135 $22 $13
Liver biopsy $2,749 $2,749 $5,432 $288
Liver function panel $174 $174 $42 $8
Lumpectomy (breast) $29,616 $29,616 $5,452 $750
Magnesium blood test $96 $96 $11 $7
Mastectomy $37,806 $37,806 $5,454 $1,021
MRA of the brain $3,954 $3,954 $3,311 $226
MRA of the neck $4,170 $4,170 $3,435 $245
MRA of the neck without contrast $4,730 $4,730 $3,961 $343
MRI of the abdomen $4,815 $4,815 $5,915 $300
MRI of the abdomen without contrast $4,345 $4,345 $5,915 $194
MRI of the ankle $4,727 $4,727 $5,915 $261
MRI of the ankle without contrast $4,004 $4,004 $5,915 $222
MRI of the brain $4,569 $4,569 $5,915 $269
MRI of the brain without contrast $3,896 $3,896 $5,915 $195
MRI of the chest $3,531 $3,531 $5,915 $371
MRI of the knee $4,372 $4,372 $5,915 $315
MRI of the knee with contrast $4,372 $4,372 $5,969 $315
MRI of the knee without contrast $3,846 $3,846 $5,915 $204
MRI of the lower back (lumbar spine) $4,660 $4,660 $5,915 $270
MRI of the lower back (lumbar spine) without contrast $3,967 $3,967 $5,915 $192
MRI of the mid-back (thoracic spine) $4,606 $4,606 $5,915 $271
MRI of the mid-back (thoracic spine) with and without contrast $5,244 $5,244 $5,968 $319
MRI of the mid-back (thoracic spine) without contrast $3,967 $3,967 $5,915 $190
MRI of the neck (cervical spine) $4,589 $4,589 $5,915 $274
MRI of the neck (cervical spine) with and without contrast $5,210 $5,210 $5,968 $318
MRI of the neck (cervical spine) without contrast $3,967 $3,967 $5,915 $191
MRI of the pelvis $4,934 $4,934 $5,915 $268
MRI of the pelvis without contrast $4,637 $4,637 $5,915 $227
MRI of the shoulder $4,658 $4,658 $5,915 $313
MRI of the shoulder with contrast $4,658 $4,658 $5,969 $313
MRI of the shoulder without contrast $4,357 $4,357 $5,915 $205
MRI of the wrist $4,426 $4,426 $5,915 $330
MRI of the wrist without contrast $3,578 $3,578 $5,915 $303
Nebulizer breathing treatment $315 $315 $6,202 $9
Nuclear cardiac stress test $4,224 $4,224 $3,971 $428
Occupational therapy evaluation $318 $318 $101 $101
Occupational therapy evaluation (high complexity) $318 $318 $101 $101
Occupational therapy evaluation (low complexity) $318 $318 $101 $101
Occupational therapy evaluation (moderate complexity) $318 $318 $101 $101
Orthopedic hardware removal $18,096 $18,096 $5,433 $632
Parathyroid hormone (PTH) test $270 $270 $81 $41
Parathyroid removal $37,224 $37,224 $5,532 $891
Pelvic ultrasound $871 $871 $690 $78
Pelvic ultrasound (complete) $1,249 $1,249 $1,046 $105
Pelvic ultrasound (limited) $492 $492 $412 $51
Phosphorus blood test $61 $61 $18 $5
Physical therapy evaluation $318 $318 $103 $98
Physical therapy evaluation (high complexity) $318 $318 $103 $98
Physical therapy evaluation (moderate complexity) $318 $318 $103 $98
Pilonidal cyst removal $18,110 $18,110 $5,433 $541
Pregnancy blood test (hCG) $148 $148 $23 $8
Pregnancy ultrasound $597 $597 $561 $126
Pregnancy ultrasound (first trimester) $601 $601 $565 $117
Pregnancy ultrasound (second or third trimester) $593 $593 $557 $136
Procalcitonin test $204 $204 $51 $27
Prolactin test $143 $143 $31 $19
Prostate test (PSA) $223 $223 $29 $18
Psychotherapy session $446 $446 $6,236 $140
Pulmonary rehabilitation $266 $266 $6,140 $87
Sacroiliac joint injection $2,245 $2,245 $1,303 $176
Scoliosis spine X-ray $482 $482 $453 $58
Scoliosis spine X-ray (1 view) $389 $389 $366 $44
Scoliosis spine X-ray (3 views) $575 $575 $541 $72
Screening mammogram $588 $588 $220 $126
Scrotal ultrasound $1,195 $1,195 $1,001 $99
Sedimentation rate (ESR) test $87 $87 $19 $3
Semen analysis $90 $90 $39 $12
Septoplasty (deviated septum) $23,217 $23,217 $5,531 $613
Sex hormone binding globulin test $44 $44 $38 $22
Shoulder arthroscopy $40,992 $40,992 $5,477 $962
Shoulder replacement $75,091 $75,091 $5,479 $1,300
Simple laceration repair (small, up to 2.5 cm) $574 $574 $5,410 $114
Simple wound stitches $604 $604 $5,410 $127
Sinus surgery (endoscopic) $34,022 $34,022 $5,521 $224
Skin biopsy $566 $566 $5,410 $121
Skin graft $17,237 $17,237 $5,414 $898
Sleep study (polysomnography) $5,715 $5,715 $6,130 $691
Soft tissue ultrasound $765 $765 $719 $64
Speech therapy $243 $243 $84 $76
Spinal tap (lumbar puncture) $2,059 $2,059 $5,828 $165
Spleen removal (splenectomy) $35,844 $35,844 $5,743 $1,036
Swallow study $363 $363 $241 $85
T3 thyroid test $16 $16 $23 $14
Testosterone test $187 $187 $41 $26
Thyroid removal (thyroidectomy) $37,571 $37,571 $5,742 $1,004
Thyroid test (TSH) $136 $136 $27 $17
Thyroid ultrasound $997 $997 $937 $109
Tonsillectomy $12,417 $12,417 $5,531 $252
Total IgE allergy test $52 $52 $27 $16
Total protein test $99 $99 $6 $4
Transvaginal ultrasound $704 $704 $662 $118
Trigger finger release $8,817 $8,817 $5,475 $630
Trigger point injection $919 $919 $5,827 $56
Trigger point injection (1-2 muscles) $875 $875 $5,827 $52
Triglycerides test $87 $87 $9 $6
Troponin (heart) test $186 $186 $44 $12
Turbinate reduction $23,217 $23,217 $5,531 $294
Turning a breech baby (version) $10,502 $10,502 $5,798 $94
Ulnar nerve surgery (elbow) $14,124 $14,124 $5,817 $575
Upper GI endoscopy (EGD) $6,172 $6,172 $5,677 $371
Upper GI series (barium) $1,193 $1,193 $1,121 $128
Uric acid (gout) test $63 $63 $7 $5
Urinalysis $61 $61 $17 $3
Urine microalbumin test $92 $92 $9 $5
Urine pregnancy test $102 $102 $22 $9
Vaccine administration $88 $88 $83 $19
Vaccine administration (each additional) $88 $88 $44 $16
Vaginal delivery $15,562 $15,562 $6,485 $5,487
Varicose vein ablation $10,178 $10,178 $5,551 $1,018
Vitamin B12 test $203 $203 $24 $15
Vitamin D test $193 $193 $47 $30
Vocal cord injection $16,934 $16,934 $5,520 $211
Wart removal $1,067 $1,067 $5,410 $121
Weight-loss (bariatric) surgery $57,258 $57,172 $16,811 $11,645
Wound debridement $7,115 $7,115 $5,411 $186
Wrist fracture repair $25,060 $25,060 $5,477 $735
X-ray of the abdomen $485 $485 $455 $36
X-ray of the ankle $339 $339 $319 $37
X-ray of the collarbone $304 $304 $286 $33
X-ray of the elbow $408 $408 $384 $33
X-ray of the facial bones $430 $430 $404 $39
X-ray of the foot $351 $351 $330 $34
X-ray of the forearm $376 $376 $353 $29
X-ray of the hand $364 $364 $342 $38
X-ray of the hip $300 $300 $282 $49
X-ray of the hip (1 view) $289 $289 $272 $34
X-ray of the hip (3 views) $310 $310 $291 $49
X-ray of the knee $368 $368 $346 $42
X-ray of the knee (2 views) $328 $328 $308 $34
X-ray of the knee (3 views) $368 $368 $346 $42
X-ray of the knee (4+ views) $398 $398 $374 $49
X-ray of the lower back (lumbar spine) $589 $589 $553 $47
X-ray of the lower back (lumbar spine) (2 views) $471 $471 $443 $40
X-ray of the lower back (lumbar spine) (4+ views) $706 $706 $664 $53
X-ray of the lower leg $406 $406 $382 $31
X-ray of the mid-back (thoracic spine) $499 $499 $469 $36
X-ray of the mid-back (thoracic spine) (2 views) $426 $426 $400 $33
X-ray of the mid-back (thoracic spine) (3 views) $571 $571 $537 $39
X-ray of the neck (cervical spine) $538 $538 $506 $47
X-ray of the neck (cervical spine) (3 views) $430 $430 $404 $40
X-ray of the pelvis $393 $393 $369 $36
X-ray of the pelvis (1 view) $384 $384 $361 $28
X-ray of the ribs $455 $455 $428 $42
X-ray of the ribs (2 views) $391 $391 $368 $36
X-ray of the ribs (3 views) $519 $519 $488 $42
X-ray of the shoulder $415 $415 $390 $36
X-ray of the skull $574 $574 $540 $40
X-ray of the upper arm $356 $356 $335 $32
X-ray of the wrist $362 $362 $340 $43
Zinc blood test $18 $18 $18 $11
What the columns mean
  • Cash — the hospital’s self-pay price if you don’t use insurance.
  • Chargemaster — the full list (sticker) price, before any discount.
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  • Medicare — what Medicare pays — a benchmark for judging whether a price is fair.
  • Est. you pay — your estimated out-of-pocket cost for the deductible and coinsurance you enter above.

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Before you go — your checklist at Monument Health Spearfish 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.