Monument Health Custer Hospital

Custer, SD · Critical Access Hospital

Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$1,390.40–$4,396.80 $1,738–$5,496 varies
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$850.40–$1,198.40 $1,063–$1,498 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$1,112–$1,400.80 $1,390–$1,751 varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$957.60–$2,144 $1,197–$2,680 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$1,265.60–$1,766.40 $1,582–$2,208 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$1,404–$2,934.40 $1,755–$3,668 varies
Epidural injection, lumbar/sacral (with imaging) (62322) $1,620 $2,025 1.8×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$692–$1,885.60 $865–$2,357 varies
CT head/brain without contrast (70450) $1,854.40 $2,318 17.4×
MRI brain without contrast (70551) $3,210.40 $4,013 13.2×
MRI brain with contrast (70552) $3,676 $4,595 10.3×
MRI brain without and with contrast (70553) $4,320 $5,400 12.1×
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$195.20–$582.40 $244–$728 varies
MRI lumbar spine without contrast (72148) $3,269.60 $4,087 13.4×
CT pelvis with contrast (72193) $2,208.80 $2,761 12.3×
MRI lower-extremity joint without contrast (73721) $3,169.60 $3,962 13.0×
CT abdomen and pelvis with contrast (74177) $4,688.80 $5,861 13.2×
Ultrasound, abdomen complete (76700) $1,153.60 $1,442 10.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $488.80 $611 4.6×
Ultrasound, transvaginal (76830) $580.80 $726 5.4×
Mammography, one breast (diagnostic) (77065) $424.80 $531 4.9×
Mammography, both breasts (diagnostic) (77066) $580.80 $726 5.3×
Mammography, screening (bilateral) (77067) $484.80 $606 5.3×
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$197.60–$304 $247–$380 varies
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines
$260–$332 $325–$415 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
$368–$389.60 $460–$487 varies
Family psychotherapy, without patient (50 min) (90846) $307.20 $384 1.7×
Family psychotherapy, with patient (50 min) (90847)
range across 2 matching MRF lines
$256.80–$307.20 $321–$384 varies
Group psychotherapy (90853) $188.80 $236 1.8×
Electrocardiogram (ECG), complete (93000)
range across 2 matching MRF lines
$40.80–$44.80 $51–$56 varies
Sleep study (attended polysomnography) (95810) $4,656.80 $5,821 5.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$19.20–$91.20 $24–$114 varies
Office visit, new patient (low complexity, ~30 min) (99203) $288.80 $361 2.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $430.40 $538 3.2×
Office visit, new patient (high complexity, ~60 min) (99205) $569.60 $712 4.2×
Preventive visit, new patient (age 40–64) (99386) $263.20 $329 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 28.0 MB) ↓ — captured 2026-09-08

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