County Price & Affordability Audit
0 of 1 Hospitals Priced
Pop. 8,686
$81,958 Median Income
Custer County, SD Hospital Rates
Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 1 mapped hospitals in Custer County.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.97×vs. Fair Market Price
Position vs. 1.00× Fair Price3% Below Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Custer County Affordability & CoverageSummarizes local hospital price disclosure compliance in Custer County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.0 of 1 Hospitals Priced
Hospitals Priced0 of 1Number of CMS-certified hospitals located inside Custer County that have published machine-readable price files out of all 1 local facilities.
Median Income$82.0k / yrU.S. Census ACS median annual household income in Custer County ($81,958/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate10.1%Percentage of Custer County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.
Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.
County Hospital Pricing & Affordability Audit0 of 1 Local Hospitals Priced
Custer County, SD Hospital Price & Affordability Summary
Custer County, South Dakota (pop. 8,686) has 1 CMS-certified hospitals (0 publishing verified machine-readable price files) with a local price index of 0.97× the U.S. fair price benchmark and a $81,958 median household income.
County Price Index: 0.97× Fair MarketMedian Income: $81,958/yr
Advantage
Best Value & Patient Protections in Custer County
- Compare published hospital price files in neighboring South Dakota counties below.
- Local Custer County households earning up to $31,920 (single) or $64,300 (family of 4) qualify for 200% FPL free charity care at nonprofit hospitals.
- Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Custer County families earning up to $128,600/yr (400% FPL).
Watchout
Where Custer County Patients Get Burned (Billing Watchouts)
- 1 facility in Custer County (Monument Health Custer Hospital) lacks an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
- With a 10.1% local uninsured rate and $81,958 median household income, an unnegotiated $5,000 hospital bill equals 3.2 weeks of typical Custer County family take-home pay.
- Emergency department and inpatient ancillary charges vary significantly across South Dakota counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage0% Published
0 of 1 Hospitals
Select any local hospital below to inspect its procedure rates.
Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300
Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.
Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr
4-person household income cap qualifying for statutory AGB billing limits in Custer County.
South Dakota County Price & Affordability Heatmap
19 of 66 Counties with MRF Hospital Data
South Dakota County-Level Hospital Price & Affordability Heatmap
Hospital price index, Medicare markup, and household affordability burden across 66 counties in South Dakota
<0.94× Affordable
0.94–1.06× Near Avg
1.06–1.20× Elevated
>1.20× High-Markup
Pennington County2hosps
0.94× Fair
Income $71k
Minnehaha County2hosps
1.07× Fair
Income $76k
Walworth County1hosp
0.37× Fair
Income $63k
Douglas County1hosp
0.62× Fair
Income $78k
Brown County1hosp
0.95× Fair
Income $70k
Lincoln County1hosp
0.97× Fair
Income $97k
Clay County1hosp
0.97× Fair
Income $59k
Roberts County1hosp
0.97× Fair
Income $64k
Turner County1hosp
0.97× Fair
Income $75k
Tripp County1hosp
0.97× Fair
Income $59k
Day County1hosp
0.97× Fair
Income $62k
Brule County1hosp
0.97× Fair
Income $74k
Faulk County1hosp
0.98× Fair
Income $58k
Edmunds County1hosp
0.99× Fair
Income $77k
Beadle County1hosp
1.12× Fair
Income $63k
Union County1hosp
1.48× Fair
Income $84k
Lawrence County1hosp
1.58× Fair
Income $67k
Brookings County1hosp
1.66× Fair
Income $67k
Deuel County1hosp
3.39× Fair
Income $80k
Meade County0hosps
0.97× Fair
Income $74k
Codington County0hosps
0.97× Fair
Income $65k
Yankton County0hosps
0.97× Fair
Income $74k
Davison County0hosps
0.97× Fair
Income $61k
Hughes County0hosps
0.97× Fair
Income $79k
Showing top 24 counties with hospital price filings of 66 total in South Dakota
All Hospitals in Custer County (1)
Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.
- Monument Health Custer Hospital · Custer CMS CCN 431323 · 24/7 Emergency ServicesNot Rated No MRF Indexed
Compare Procedure Prices Across All South Dakota Hospitals
View statewide surgical, imaging, colonoscopy, and ER price rankings across all South Dakota facilities.