Monument Health Rapid City Hospital

353 Fairmont Blvd, Rapid City, SD 57701 · (605) 755-1000

General hospitalVoluntary non-profit - PrivateEmergency roomCMS rating ★★★★★

The money

$25what care cost the hospital for every $100 it billed

$84.0Mnet income, all sources

−15.6%margin on patient care alone

$3.1Mcost of charity care (0.4% of costs)

$70.5Munpaid bills written off (bad debt)

416beds

From the hospital's Medicare cost report for the year ending June 2025. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid.

Billed (list price)Actually paid (Medicare + patient)

Stay	Medicare stays	Billed	Paid
Sepsis, with major complications 871	437	$71,189	$19,840
Heart failure, with major complications 291	221	$47,358	$12,808
Respiratory failure 189	150	$45,465	$13,237
Lung infection, with major complications 177	142	$56,531	$16,693
Pneumonia, with major complications 193	116	$36,087	$12,800
Infection needing surgery, with major complications 853	97	$185,799	$53,967
Stroke, with complications or clot-busting drug 065	94	$48,618	$9,836
Heart stent 322	94	$73,908	$17,634
Hip or thigh bone surgery (not replacement), with complications 481	93	$67,895	$20,930
Sepsis 872	81	$39,340	$10,330
Stomach or intestinal bleeding, with complications 378	80	$41,698	$9,939
Heart procedure through a catheter (e.g. ablation, valve clip) 274	64	$117,184	$31,480
Stroke, with major complications 064	60	$76,637	$19,670
Psychoses 885	59	$50,812	$15,009
Kidney failure, with complications 683	58	$32,702	$8,853
Urinary tract infection, with major complications 689	56	$50,052	$12,040
Stomach or intestinal bleeding, with major complications 377	55	$62,491	$16,975
Hip or thigh bone surgery (not replacement), with major complications 480	55	$103,948	$30,331
Urinary tract infection 690	52	$31,762	$8,346
Heart stent, with major complications or 4+ stents 321	51	$123,485	$36,067
Skin infection (cellulitis) 603	51	$32,124	$8,629
Heart catheterization, with major complications 286	50	$77,409	$20,780
Irregular heartbeat, with complications 309	50	$33,558	$7,329
Dehydration and electrolyte problems, with major complications 640	49	$46,895	$13,725
Heart valve replacement through a catheter (TAVR) 267	47	$197,251	$45,891
Other kidney and urinary problems, with major complications 698	47	$54,272	$16,088
Heart attack, with major complications 280	46	$51,028	$16,696
Irregular heartbeat, with major complications 308	45	$42,343	$11,618
Bowel obstruction, with complications 389	45	$35,895	$9,000
Stomach and digestive disorders 392	40	$27,365	$7,715
Breathing problem needing a ventilator (up to 4 days) 208	39	$110,741	$28,063
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175	37	$52,592	$14,653
Dehydration and electrolyte problems 641	37	$30,017	$7,937
Kidney failure, with major complications 682	36	$58,097	$15,206
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981	36	$143,496	$45,874
Heart catheterization 287	34	$40,589	$10,469
Diabetes, with complications 638	32	$41,911	$9,171
Other Cerebrovascular Disorders with Mcc 070	31	$54,150	$17,363
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023	30	$224,433	$57,860
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269	30	$162,159	$40,721
Heart attack, with complications 281	30	$35,242	$9,215
Other kidney and urinary problems, with complications 699	30	$37,246	$9,858
Coagulation Disorders 813	30	$50,084	$15,058
Permanent Cardiac Pacemaker Implant with Cc 243	29	$77,633	$21,736
Major Small and Large Bowel Procedures Without Cc/Mcc 331	29	$64,938	$17,550
Hip replacement after a hip fracture 522	29	$71,369	$20,316
Irregular heartbeat 310	28	$29,130	$5,370
Bowel surgery, with major complications 329	28	$151,577	$45,462
Bowel surgery, with complications 330	28	$98,854	$23,935
Other digestive problems, with complications 394	27	$43,685	$9,124
Laparoscopic Cholecystectomy Without C.d.e. with Cc 418	27	$74,633	$16,660
Anemia and blood disorders 812	27	$30,507	$8,724
Carotid Artery Stent Procedures Without Cc/Mcc 036	26	$62,842	$17,217
Other circulation problems, with major complications 314	25	$77,651	$20,335
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543	25	$35,859	$10,489
Degenerative nerve disorders (e.g. Parkinson's, dementia) 057	24	$60,347	$13,443
Seizures 101	24	$39,736	$8,919
Heart valve replacement through a catheter (TAVR), with major complications 266	24	$236,234	$63,473
Fainting 312	24	$32,567	$8,378
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417	24	$92,989	$22,523
Carotid Artery Stent Procedures with Cc 035	23	$76,233	$24,415
Other Major Cardiovascular Procedures with Mcc 270	23	$205,202	$49,219
Other Digestive System Diagnoses with Mcc 393	23	$54,857	$15,982
Diabetes, with major complications 637	23	$54,734	$13,425
Craniotomy and Endovascular Intracranial Procedures with Mcc 025	22	$124,873	$42,244
Degenerative Nervous System Disorders with Mcc 056	22	$79,965	$23,851
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066	22	$53,086	$8,461
Lung infection, with complications 178	22	$40,993	$9,625
Stomach and digestive disorders, with major complications 391	22	$44,415	$12,893
Coronary Bypass Without Cardiac Catheterization Without Mcc 236	21	$194,308	$46,018
Gastrointestinal Obstruction with Mcc 388	21	$74,593	$15,427
Traumatic Stupor and Coma >1 Hour with Mcc 082	20	$104,076	$23,663
Other Major Cardiovascular Procedures with Cc 271	20	$192,868	$37,330
Other Circulatory System Diagnoses with Cc 315	20	$39,029	$9,350
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441	20	$73,829	$17,736
Anemia and blood disorders, with major complications 811	20	$50,127	$14,855
Percutaneous and Other Intracardiac Procedures with Mcc 273	19	$169,070	$39,570
Cellulitis with Mcc 602	19	$53,349	$14,489
Kidney and Ureter Procedures for Non-Neoplasm with Cc 660	19	$45,791	$13,813
Other Disorders of Nervous System with Mcc 091	18	$60,773	$17,936
Interstitial Lung Disease with Mcc 196	18	$54,303	$18,260
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233	18	$302,817	$79,563
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323	18	$136,076	$39,832
Hip or knee replacement 470	18	$90,376	$18,425
Back problems (no surgery) 552	18	$32,083	$9,323
Extracranial Procedures Without Cc/Mcc 039	17	$54,371	$10,925
Respiratory Neoplasms with Mcc 180	17	$52,474	$16,890
Other Vascular Procedures with Cc 253	17	$94,802	$29,859
Cirrhosis and Alcoholic Hepatitis with Mcc 432	17	$120,173	$26,789
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521	17	$89,103	$28,557
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617	17	$90,096	$19,132
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234	16	$256,461	$54,391
Gastrointestinal Obstruction Without Cc/Mcc 390	16	$19,685	$7,852
Spinal fusion (lower or mid back) 460	16	$170,169	$38,601
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854	16	$81,795	$25,021
Seizures with Mcc 100	15	$91,521	$19,884
Major Chest Trauma with Cc 184	15	$40,356	$11,692
Peripheral Vascular Disorders with Mcc 299	15	$93,312	$19,625
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324	15	$112,135	$28,915
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024	14	$117,339	$35,880
Other Disorders of Nervous System with Cc 092	14	$32,029	$10,014
Dysequilibrium 149	14	$40,451	$7,200
Major Chest Procedures with Mcc 163	14	$160,573	$46,226
Pneumonia, with complications 194	14	$29,637	$7,952
Permanent Cardiac Pacemaker Implant with Mcc 242	14	$135,215	$32,934
Disorders of Pancreas Except Malignancy with Cc 439	14	$41,799	$10,608
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493	14	$76,235	$23,181
Postoperative and Post-Traumatic Infections with Mcc 862	14	$71,512	$17,894
Septicemia or Severe Sepsis with Mv >96 Hours 870	14	$327,523	$80,219
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982	14	$83,646	$23,590
Other Cardiothoracic Procedures Without Mcc 229	13	$120,029	$30,064
Other Vascular Procedures with Mcc 252	13	$164,197	$38,365
Endocrine Disorders with Cc 644	13	$31,511	$10,246
Poisoning and Toxic Effects of Drugs with Mcc 917	13	$71,324	$17,655
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003	12	$413,314	$235,436
Nervous System Neoplasms with Mcc 054	12	$41,081	$17,418
Traumatic Stupor and Coma >1 Hour with Cc 083	12	$48,715	$13,166
High blood pressure 305	12	$41,219	$7,464
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516	12	$107,213	$20,647
Other Kidney and Urinary Tract Procedures with Cc 674	12	$92,419	$22,957
Delirium and other mental confusion 884	12	$73,790	$17,269
Extracranial Procedures with Cc 038	11	$104,940	$19,210
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041	11	$70,957	$21,409
Other Cerebrovascular Disorders with Cc 071	11	$53,054	$12,172
Major Chest Procedures with Cc 164	11	$127,980	$29,714
Pneumothorax with Cc 200	11	$39,653	$10,433
Respiratory System Diagnosis with Ventilator Support >96 Hours 207	11	$224,337	$65,304
Other Vascular Procedures Without Cc/Mcc 254	11	$71,557	$16,612
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282	11	$37,567	$6,991
Peripheral Vascular Disorders with Cc 300	11	$28,411	$10,245
Other Digestive System O.r. Procedures with Mcc 356	11	$153,449	$40,882
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371	11	$65,916	$16,985
Disorders of Pancreas Except Malignancy with Mcc 438	11	$69,505	$16,063
Combined Anterior and Posterior Spinal Fusion with Cc 454	11	$222,130	$78,451

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