Monument Health Spearfish Hospital
1440 N Main St, Spearfish, SD 57783 · (605) 644-4000
The money
$28what care cost the hospital for every $100 it billed
$972,060net income, all sources
0.0%margin on patient care alone
$497,616cost of charity care (0.6% of costs)
$4.7Munpaid bills written off (bad debt)
20beds
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 | 35 | $40,916 | $20,847 | |
| Respiratory failure 189 | 14 | $37,072 | $13,070 | |
| Pneumonia, with major complications 193 | 13 | $29,405 | $13,674 | |
| Dehydration and electrolyte problems 641 | 13 | $19,887 | $8,069 | |
| Heart failure, with major complications 291 | 12 | $40,454 | $12,740 | |
| Hip replacement after a hip fracture 522 | 11 | $71,796 | $21,749 |
Cash and insurer prices for this hospital haven't been added yet. Every US hospital must publish them; search the hospital's website for "price transparency" or "standard charges".