Spinal Fusion Cost in South Dakota — Compare All Hospitals
Spinal fusion surgery (non-cervical), used to treat severe degenerative disc disease, scoliosis, or vertebral instability.
What this hospital charge usually covers
The gross-charge number above is the hospital's facility bill for spinal fusion. Here's what's typically inside that price (typical inpatient stay: 2–5 days):
Included in the hospital bill
- Operating-room time (typically 3–6 hours for a single-level fusion)
- Inpatient room, nursing, medications during the stay
- Recovery-room and immediate post-op monitoring
- Intraoperative neuromonitoring (varies by hospital)
Usually billed separately
- Surgeon, anesthesiologist, and assistant-surgeon professional fees
- Pedicle-screw / cage / bone-graft hardware (sometimes itemized separately, sometimes bundled)
- Pre-surgical MRI, CT, and bone-density scans
- Outpatient physical therapy after discharge
Quality signals to check before picking a hospital
Price alone won't tell you which hospital does spinal fusion best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:
Surgical-Site Infection
Spine hardware infections often require additional surgery to remove and replace — the stakes for SSI prevention are high.
Patient Safety Composite (PSI-90)
Captures the patient-safety indicators most relevant to long, complex inpatient surgery (DVT, post-op respiratory failure, accidental punctures).
30-Day Readmissions (hospital-wide)
Reflects discharge planning quality — important since spine fusion patients often have complex pain-management needs.
When the cheapest hospital may not be the best fit
The list below sorts by price. For spinal fusion, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.
- For multi-level fusion or revision surgery, surgeon and hospital volume matter substantially — worth weighing against price.
- For prior failed spine surgery, high-volume academic centers tend to offer better outcomes on complex revisions.
- For patients with significant medical comorbidities (cardiac, pulmonary, diabetes), the hospital with the better PSI-90 score is usually worth the price difference.
Questions to ask your hospital or insurer
The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:
- Are all hardware (screws, cages, bone graft) costs included in this estimate?
- How many spinal fusions at this level does the surgeon perform per year?
- What is the expected length of stay, and what happens to the bill if I stay longer?
- Will I need post-discharge inpatient rehab, and is that estimated separately?
Hospitals ranked by gross charge
- 1
Black Hills Surgical Hospital
Rapid City, SD
Gross charge $47,994Cash pay $28,796 - 2
Monument Health Spearfish Hospital
Spearfish, SD
Gross charge $159,480 - 3
Monument Health Rapid City Hospital
Rapid City, SD
Gross charge $159,480 - 4
Monument Health Lead-Deadwood Hospital
Deadwood, SD
Gross charge $159,480 - 5
Monument Health Sturgis Hospital
Sturgis, SD
Gross charge $159,480 - 6
Monument Health Custer Hospital
Custer, SD
Gross charge $159,480
6 South Dakota hospitals publish gross charges for spinal fusion (DRG 460). Prices range from $47,994 to $159,480 — roughly 3×. The cheapest is Black Hills Surgical Hospital in Rapid City; the most expensive is Monument Health Custer Hospital in Custer. The state average sits at $140,899.
The number you see is each hospital's published "list price" — the gross charge for the facility component of spinal fusion. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists spinal fusion at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.
If you're scheduling spinal fusion in South Dakota, sort the list below by price, then click each hospital name to see its quality profile — CMS overall star rating, surgical-safety measures, readmission rates, patient-experience scores. The cheapest hospital isn't always the right call. Teaching hospitals often charge more because they take complex cases, and a higher-rated community hospital may deliver equivalent outcomes for a straightforward case at a lower price. Use the price column to narrow the field; use the quality data to make the final call.
Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. South Dakota hospitals missing from the list either don't perform spinal fusion in volume, haven't published a usable price for DRG 460 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.