Monument Health Spearfish Hospital

1440 N Main St · Spearfish, SD 57783

🤖AI Overview

This hospital markup of 2.8x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges

$16.4M

Medicare Payments

$6.0M

Discharges

426

Avg Length of Stay

3.7 days

Markup Ratio

2.8x

Risk Score

1.52

Fairness Grade: B

Good — charges 2–3x what Medicare pays

Monument Health Spearfish Hospital charges an average of $38,433 per discharge, but Medicare only pays $13,971 — a markup of 2.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

2.8x

State Avg

4.8x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$38,433

State Avg

$70,595

National Avg

$69,838

Avg Length of Stay

This Hospital

3.7 days

State Avg

4.9 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

5.4%

65–74

36.2%

75–84

30.0%

85+

28.4%

Gender

63.5%

Female

36.5%

Male

Dual Eligibility

18.6%

Dual Eligible

81.4%

Non-Dual

Race & Ethnicity

White

96.8%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

65.7%

Arthritis

50.5%

Heart Failure

34.9%

Mood Disorders

34.9%

Atrial Fibrillation

34.0%

Chronic Kidney Disease

32.4%

Ischemic Heart Disease

31.6%

Diabetes

30.8%

Osteoporosis

30.5%

Depression

30.5%

COPD

30.0%

Anxiety

28.6%

Cancer

18.9%

Alzheimer's/Dementia

18.4%

Tobacco Use

14.9%

Stroke/TIA

12.2%

Asthma

11.9%

Bipolar Disorder

9.7%

Substance Use

7.6%

Schizophrenia/Psychosis

2.7%

Parkinson's

2.4%

Personality Disorders

1.6%

PTSD

1.1%

ADHD/Conduct Disorders

0.5%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.