South Dakota / Monument Health Rapid City Hospital

CMS certification 430077 · Rapid City, SD · 3 entries in CMS's price-transparency list

Monument Health Rapid City Hospital: charges and Medicare payments

Monument Health Rapid City Hospital reported 4,633 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 3.68 times what it was paid — mid-range in South Dakota, number 6 of 12 hospitals with at least 100 stays (state median 3.53×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 437 stays at an average charge of $71,189, 21% below the national average. It also billed 7,412 outpatient services, charging 5.67 times what Medicare paid.

1Medicare inpatient stays 4,633
2Charge ÷ paid, inpatient 3.68×
3Rank in SD (highest ratio = 1) 6 of 12
4CMS price-transparency actions 3

Average charge per stay at Monument Health Rapid City Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 134 DRGs that can be compared with the national average, Monument Health Rapid City Hospital charged more than the national average in 16 (12%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	437	$71,189	-21%	$19,840
291 Heart Failure and Shock with MCC	221	$47,358	-16%	$12,808
189 Pulmonary Edema and Respiratory Failure	150	$45,465	-21%	$13,237
177 Respiratory Infections and Inflammations with MCC	142	$56,531	-20%	$16,693
193 Simple Pneumonia and Pleurisy with MCC	116	$36,087	-40%	$12,800
853 Infectious and Parasitic Diseases with O.R. Procedures with...	97	$185,799	-19%	$53,967
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	94	$48,618	-13%	$9,836
322 Percutaneous Cardiovascular Procedures with Intraluminal...	94	$73,908	-35%	$17,634
481 Hip and Femur Procedures except Major Joint with CC	93	$67,895	-33%	$20,930
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	81	$39,340	-20%	$10,330
378 Gastrointestinal Hemorrhage with CC	80	$41,698	-14%	$9,939
274 Percutaneous and Other Intracardiac Procedures without MCC	64	$117,184	-25%	$31,480
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	60	$76,637	-23%	$19,670
885 Psychoses	59	$50,812	+15%	$15,009
683 Renal Failure with CC	58	$32,702	-20%	$8,853
689 Kidney and Urinary Tract Infections with MCC	56	$50,052	-2%	$12,040
377 Gastrointestinal Hemorrhage with MCC	55	$62,491	-27%	$16,975
480 Hip and Femur Procedures except Major Joint with MCC	55	$103,948	-25%	$30,331
690 Kidney and Urinary Tract Infections without MCC	52	$31,762	-16%	$8,346
321 Percutaneous Cardiovascular Procedures with Intraluminal...	51	$123,485	-25%	$36,067
603 Cellulitis without MCC	51	$32,124	-14%	$8,629
286 Circulatory Disorders except AMI, with Cardiac...	50	$77,409	-31%	$20,780
309 Cardiac Arrhythmia and Conduction Disorders with CC	50	$33,558	-7%	$7,329
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	49	$46,895	-22%	$13,725
267 Endovascular Cardiac Valve Replacement and Supplement...	47	$197,251	-11%	$45,891
698 Other Kidney and Urinary Tract Diagnoses with MCC	47	$54,272	-26%	$16,088
280 Acute Myocardial Infarction, Discharged Alive with MCC	46	$51,028	-33%	$16,696
308 Cardiac Arrhythmia and Conduction Disorders with MCC	45	$42,343	-25%	$11,618
389 Gastrointestinal Obstruction with CC	45	$35,895	-8%	$9,000
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$27,365	-32%	$7,715
208 Respiratory System Diagnosis with Ventilator Support <=96...	39	$110,741	-18%	$28,063
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	37	$52,592	-19%	$14,653
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$30,017	-19%	$7,937
682 Renal Failure with MCC	36	$58,097	-12%	$15,206
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	36	$143,496	-34%	$45,874
287 Circulatory Disorders except AMI, with Cardiac...	34	$40,589	-36%	$10,469
638 Diabetes with CC	32	$41,911	+1%	$9,171
070 Other Cerebrovascular Disorders with MCC	31	$54,150	-29%	$17,363
023 Craniotomy with Major Device Implant or Acute Complex Cns...	30	$224,433	-20%	$57,860
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	30	$162,159	-16%	$40,721
281 Acute Myocardial Infarction, Discharged Alive with CC	30	$35,242	-30%	$9,215
699 Other Kidney and Urinary Tract Diagnoses with CC	30	$37,246	-22%	$9,858
813 Coagulation Disorders	30	$50,084	-37%	$15,058
243 Permanent Cardiac Pacemaker Implant with CC	29	$77,633	-30%	$21,736
331 Major Small and Large Bowel Procedures without CC/MCC	29	$64,938	-24%	$17,550
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$71,369	-30%	$20,316
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	28	$29,130	+1%	$5,370
329 Major Small and Large Bowel Procedures with MCC	28	$151,577	-29%	$45,462
330 Major Small and Large Bowel Procedures with CC	28	$98,854	-17%	$23,935
394 Other Digestive System Diagnoses with CC	27	$43,685	-7%	$9,124
418 Laparoscopic Cholecystectomy without C.D.E. with CC	27	$74,633	-20%	$16,660
812 Red Blood Cell Disorders without MCC	27	$30,507	-31%	$8,724
036 Carotid Artery Stent Procedures without CC/MCC	26	$62,842	-29%	$17,217
314 Other Circulatory System Diagnoses with MCC	25	$77,651	-18%	$20,335
543 Pathological Fractures and Musculoskeletal and Connective...	25	$35,859	-27%	$10,489
057 Degenerative Nervous System Disorders without MCC	24	$60,347	+7%	$13,443
101 Seizures without MCC	24	$39,736	-19%	$8,919
266 Endovascular Cardiac Valve Replacement and Supplement...	24	$236,234	-17%	$63,473
312 Syncope and Collapse	24	$32,567	-28%	$8,378
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	24	$92,989	-26%	$22,523

Showing the 60 most frequent of 134 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,221	$1,723	$676
Comprehensive Observation Services	719	$20,382	$2,732
Level 3 Urology and Related Services	634	$6,826	$2,027
Level 1 Nerve Procedures	325	$10,562	$1,901
Level 5 Urology and Related Services	318	$25,701	$5,118
Level 2 Excision/ Biopsy/ Incision and Drainage	301	$7,642	$1,619
Level 3 Vascular Procedures	295	$17,210	$3,143
Level 2 Upper GI Procedures	294	$10,359	$1,890
Level 1 Endovascular Procedures	274	$15,900	$3,251
Level 3 Electrophysiologic Procedures	243	$110,451	$23,419
Level 4 Urology and Related Services	216	$16,683	$3,500
Level 4 Vascular Procedures	165	$30,544	$4,829
Level 1 Laparoscopy and Related Services	163	$33,728	$5,765
Level 5 Musculoskeletal Procedures	151	$54,984	$12,967
Level 2 Laparoscopy and Related Services	142	$68,887	$10,327
Level 2 Vascular Procedures	139	$5,349	$1,571
Level 3 Endovascular Procedures	126	$55,378	$10,960
Level 4 Endovascular Procedures	123	$95,944	$17,568
Level 4 Musculoskeletal Procedures	121	$31,413	$7,136
Level 2 Endovascular Procedures	120	$24,025	$5,739
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	119	$20,709	$3,381
Level 3 Excision/ Biopsy/ Incision and Drainage	116	$13,779	$2,814
Level 2 Pacemaker and Similar Procedures	97	$22,960	$8,358
Level 3 Pacemaker and Similar Procedures	96	$41,232	$10,711
Level 2 Musculoskeletal Procedures	94	$8,558	$1,614

Against the South Dakota average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Monument Health Rapid City Hospital charged $71,189 on average, 6% more than the South Dakota average of $67,007, and was paid $19,840 against a state average of $17,025. For Heart Failure and Shock with MCC (DRG 291), Monument Health Rapid City Hospital charged $47,358 on average, 7% more than the South Dakota average of $44,214, and was paid $12,808 against a state average of $11,100. For Pulmonary Edema and Respiratory Failure (DRG 189), Monument Health Rapid City Hospital charged $45,465 on average, 5% less than the South Dakota average of $47,652, and was paid $13,237 against a state average of $11,675. For Respiratory Infections and Inflammations with MCC (DRG 177), Monument Health Rapid City Hospital charged $56,531 on average, 5% more than the South Dakota average of $53,881, and was paid $16,693 against a state average of $14,370. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,723 was 27% below the state average of $2,357. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,382 was 11% above the state average of $18,366. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,826 was 5% below the state average of $7,172. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,562 was 5% above the state average of $10,045.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Monument Health Rapid City Hospital in Rapid City, SD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-03-28 (CMS case 290)
CAP Request — 2023-07-21 (CMS case 290)
Closure Notice — 2023-10-23 (CMS case 290)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.