Monument Health Spearfish Hospital — price list
← Hospital overviewVerified from Monument Health Spearfish Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
2 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION Inpatient | RX-124812 CDM | $81.92 | $81.92 | $50.79 – $79.46 | — | |
| ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION Outpatient | RX-124812 CDM | $81.92 | $81.92 | $33.59 – $79.46 | — |