Rapid City, SD 57701 · CMS Certification Number 430077. 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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,425 | $90,376 | 4.9× | $12,967 |
| Shoulder replacement | — | — | — | $18,669 |
| Hip replacement after a fracture (DRG 522) | $20,316 | $71,369 | 3.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,816 | 1.3× | $21,218–$28,413 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Dakotacare - All Plans | $28,413 | 1.5× | 1 |
| HealthPartners | $21,218 | 1.2× | 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.
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 417 beds
South Dakota has no certificate-of-need law.
Open the interactive price tagBuild a reportAll South Dakota hospitals
In 2024 the average total payment to Monument Health Rapid City Hospital for an inpatient hip or knee replacement stay was $18,425 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,967 per outpatient case (APC 5115, 151 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,376, 4.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Monument Health Rapid City Hospital's average total payment per Medicare stay is higher than 100% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,816 across 2 insurers, ranging from $21,218 to $28,413.