Monument Health Lead-Deadwood Hospital
61 Charles Street, Deadwood, SD 57732 · 77 Priced Procedures · 61% Patient Recommendation
Typical commercial prices here are +58% above the fair benchmark (1.58×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Monument Health Lead-Deadwood Hospital prices routine shoppable procedures at 6.1× Medicare (median 1.29× Fair BaseRate) while upper-quartile commercial rates jump +78% to 2.29× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 26% of shoppable procedures (84/100 Cash Honesty)
- CMS clinical safety score (67/100 safety score) with 61% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.6× markup over Medicare rates
- Commercial insurance median sits at 1.29× Fair BaseRate (6.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.29×) jump +78% above the median procedure ratio (Q50 1.29×)
- Unnegotiated chargemaster list prices average 7.0× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Monument Health Lead-Deadwood Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 77 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $30,842 | 1.6× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $16,274 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,568 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,530 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,130 | unverified |
| Bunion correction surgery CPT Code: 28296 | $5,062 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,236 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,883 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $3,812 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $3,764 | unverified |
| Trauma team activation HCPCS Code: G0390 | $3,661 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,330 | unverified |
| Breast lump removal CPT Code: 19120 | $3,196 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,651 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,365 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,365 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,312 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $2,202 | unverified |
| CT scan, sinuses CPT Code: 70486 | $2,125 | unverified |
| CT scan, pelvis CPT Code: 72192 | $2,140 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,744 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,558 | 1.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,486 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,284 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $1,207 | 0.1× |
Audit a Bill or Quote at Monument Health Lead-Deadwood Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $12,265
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $12,265).
Self-Pay Cash Rate ($27,059) Beats Your Bill
Monument Health Lead-Deadwood Hospital's published 45 CFR § 180 self-pay cash rate is $27,059 (vs. $30,842 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($33,824) is $14,737 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (47 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.