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Monument Health Custer Hospital

Custer, SD · 12 beds · 37 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 95/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$167$14$172	$172	$172
Chemotherapy Infusion (First Hour)	$859$161$877	$877	$877
Chest X-ray (2 Views)	$419$60$428	$428	$428
Complete Abdominal Ultrasound	$1,317$192$1.3k	$1,344	$1,344
Complete Blood Count (CBC) with Differential	$125$12$129	$129	$129
Comprehensive Metabolic Panel	$186$17$192	$192	$192
Critical Care, First Hour	$2,811$329$2.9k	$2,868	$2,868
CT Abdomen and Pelvis with Contrast	$5,362$609$5.5k	$5,471	$5,471
CT Cardiac Calcium Scoring	$298$85$304	$304	$304
CT Chest without Contrast	$2,273$493$2.3k	$2,319	$2,319
CT Head without Contrast	$2,120$406$2.2k	$2,163	$2,163
DEXA Bone Density Scan	$663$23$684	$684	$684
Echocardiogram (Complete with Doppler)	$2,740$470$2.8k	$2,796	$2,796
EKG (Electrocardiogram, 12-lead)	$14$14$15	$50	$50
Emergency Room Visit (Level 3)	$792$85$817	$817	$817
Hemoglobin A1c (Diabetes Test)	$41$11$88	$65	$65
HIV Antibody Test	$61$14$144	$76	$76
Individual Therapy Session (45 Minutes)	$87$85$87	$302	$302
Initial Psychiatric Diagnostic Evaluation	$152$148$152	$529	$529
Lipid Panel (Cholesterol Test)	$125$22$129	$129	$129
Lumbar Puncture (Spinal Tap)	$1,936$198$2.0k	$1,976	$1,976
MRI Abdomen with and without Contrast	$4,972$1.3k$5.1k	$5,073	$5,073
MRI Brain with and without Contrast	$4,934$1.3k$5.0k	$5,035	$5,035
MRI Brain without Contrast	$3,665$1.0k$3.7k	$3,740	$3,740
MRI Cervical Spine (Neck) without Contrast	$3,732$1.0k$3.8k	$3,808	$3,808
MRI Knee without Contrast	$3,618$1.0k$3.7k	$3,692	$3,692
MRI Lower Back (Lumbar Spine) without Contrast	$3,732$1.0k$3.8k	$3,808	$3,808
MRI Thoracic Spine (Mid-back) without Contrast	$3,732$1.0k$3.8k	$3,808	$3,808
Office Visit, Established Patient (Level 3)	$77$75$77	$269	$269
Office Visit, New Patient (Level 3)	$95$92$95	$330	$330
Pregnancy Ultrasound (Second or Third Trimester)	$558$159$569	$569	$569
PSA Prostate Cancer Screening	$29$6$214	$117	$117
Screening Mammogram	$553$125$564	$564	$564
Skin Biopsy (Tangential)	$533$94$549	$549	$549
TSH Thyroid Function Test	$104$8$192	$130	$130
Urinalysis with Microscopy	$67$5$69	$69	$69
Vitamin D Blood Test	$47$9$185	$109	$109

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.