Price AtlasInteractive atlas · All states · techysurgeon.comMonument Health Spearfish Hospital: what a joint replacement costs
Spearfish, SD 57783 · CMS Certification Number 430048. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Monument Health Spearfish Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,194 |
| Shoulder replacement | — | — | — | $18,365 |
| Hip replacement after a fracture (DRG 522) | $21,749 | $71,796 | 3.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,218 | — | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthPartners | $21,218 | — | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 44 beds
South Dakota has no certificate-of-need law.
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Questions
How much does Medicare pay Monument Health Spearfish Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $13,194 per outpatient hip or knee replacement case (APC 5115, 155 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Monument Health Spearfish Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,218 across 1 insurer.