How many shoppable procedure prices are published for Black Hills Surgical Hospital LLC?

Black Hills Surgical Hospital LLC in Rapid City, SD currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Black Hills Surgical Hospital LLC's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Black Hills Surgical Hospital LLC's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 26 Beds · urban Updated: 1/30/2026

Black Hills Surgical Hospital LLC

216 Anamaria Dr, Rapid City, SD 57703 · 90 Priced Procedures · 89% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness51

Price Logic91

Peer Alignment73

Clean Billing81

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.80× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Black Hills Surgical Hospital LLC maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.79× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 14 in SD · 14th State Percentile#294 of 3,385 in U.S. · 8th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 89% patient recommendation (82/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.80× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (1.4×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.95×) jump +20% above the median procedure ratio (Q50 0.79×)
Consolidated metro market (HHI 7,741) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+20% Upper Tail

Q25 0.55× · Q50 0.79× · Q75 0.95×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Black Hills Surgical Hospital LLC

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	—	$30,775	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$14,294	$13,755	$19,432	0.7×
Total hip replacement CPT Code: `27130`	$13,732	$3,057	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$12,280	$3,053	$13,523	0.2×
Bunion correction surgery CPT Code: `28296`	$4,739	$2,066	$3,446	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,892	$1,575	$6,109	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,552	$1,307	$3,372	0.4×
Cataract surgery with lens implant CPT Code: `66984`	$2,758	$1,244	$2,540	0.5×
Inguinal hernia repair CPT Code: `49505`	$3,032	$1,252	$3,629	0.3×
Breast lump removal CPT Code: `19120`	$2,325	$1,145	$3,875	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,357	$867	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,568	$860	$1,021	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,318	$795	$981	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$581	$707	$855	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,472	$602	$1,256	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$509	$474	$583	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$679	$291	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$660	$307	$511	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$281	$239	$272	unverified
CT scan, head (with contrast) CPT Code: `70460`	$388	$176	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$481	$168	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$544	$182	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$420	$190	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$420	$186	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$420	$198	$369	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$117	$131	$123	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$124	$113	$110	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$251	$105	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$281	$105	$134	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$149	$122	$167	0.7×
CT scan, pelvis CPT Code: `72192`	$381	$111	$163	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$314	$103	$160	0.6×
CT scan, sinuses CPT Code: `70486`	$418	$105	$166	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$462	$106	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$432	$105	$169	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$124	$124	$201	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$88	$92	$87	1.1×
Blood transfusion CPT Code: `36430`	$718	$105	$498	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$251	$105	$126	unverified
Typhoid vaccine HCPCS Code: `90675`	$309	$307	$347	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$78	$34	2.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$72	$72	$38	1.9×
X-ray, ankle CPT Code: `73610`	$70	$73	$93	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$23	$32	$33	1.0×
X-ray, hip CPT Code: `73502`	$76	$47	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$109	$39	$93	0.4×
Blood test, calcium CPT Code: `82310`	$27	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$35	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$25	$14	$14	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$61	$39	$56	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$35	$10	$10	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$62	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$34	$40	0.8×
X-ray, hand CPT Code: `73130`	$67	$37	$93	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$34	$34	$140	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$3	$3	1.0×
Blood test, lipase CPT Code: `83690`	$35	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$30	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$27	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$27	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$33	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$35	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$35	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$46	$15	$16	0.9×
Blood test, vitamin D CPT Code: `82306`	$81	$29	$31	0.9×
Hepatitis C antibody test CPT Code: `86803`	$35	$14	$15	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$62	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$69	$10	$11	0.9×
X-ray, shoulder CPT Code: `73030`	$81	$35	$92	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$62	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$62	$8	$9	0.9×
X-ray, foot CPT Code: `73630`	$72	$33	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$76	$32	$93	0.3×
Blood test, amylase CPT Code: `82150`	$35	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$80	$28	$33	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$66	$28	$35	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$98	$30	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$98	$30	$49	0.6×
Blood test, hemoglobin CPT Code: `85018`	$33	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$36	$15	$25	0.6×
X-ray, chest (single view) CPT Code: `71045`	$67	$24	$92	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$38	$16	$64	0.3×
X-ray, pelvis CPT Code: `72170`	$115	$27	$110	0.2×
Blood antibody screen CPT Code: `86850`	$49	$10	$46	0.2×

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Black Hills Surgical Hospital LLC (Zero PHI Required)

CMS CCN: 430091

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $35,391

1. Amount on Your Bill or Quote ($) Pre-filled with Black Hills Surgical Hospital LLC’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Black Hills Surgical Hospital LLC's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Black Hills Surgical Hospital LLC as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend89%

Rated 9 or 10 (HCAHPS)89%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.4%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Black Hills Surgical Hospital LLC. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-09·administrative_or_closure
Met Requirements
Recorded
2023-04-27·administrative_or_closure
Closure Notice
Recorded
2022-12-30·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (525 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Black Hills Surgical Hospital LLC.

Price Index: 0.42× regional baseline

Quality: 83/100 CMS composite

Median Household Income$70,768U.S. Census ACS

Local Uninsured Share10.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 430091

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 430091) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/30/2026

Validated Rate Rows797 (CMS v2.0.0)

File Integrity DigestVerified · CCN 430091

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy