About Your Hospital Bill

As your community health care system, we are committed to providing comprehensive quality health care to you and your family. We want you to be informed about the billing policies, procedures and services available to you.

Processing Your Bill

A Regional Health employee may contact you prior to hospital admission to review your current insurance coverage, the projected cost of the services, and the expected amount for which you will be personally responsible.

When appropriate you may be asked to pay for delivery of services prior to or while you are in the hospital. This includes deductibles and/or co-pay amounts.

Treatment plans might change from the time of admission and your discharge from the hospital. Please note that charges might be added to your account after you are discharged.

Price Transparency

The Centers for Medicare & Medicaid Services (CMS) have issued a mandate for all hospitals in the U.S. to post a list of charges online in a machine-readable format. For Regional Health’s list of charges please click on the link below.


The CMS mandate also requires hospitals to publish a list of their standard charges for each diagnosis-related group.  Please use the links below to obtain these.

Regional Health Rapid City Hospital
Regional Health Spearfish Hospital

  • Regional Health has Patient Financial Advocates who can work with you before you use hospital services. They will explain the costs and help with insurance. Call 605-755-7500.
  • If you receive a bill that you don’t understand, or if you have questions, please contact our billing office at 605-755-7660.
  • We are committed to improving patients’ access to information about the cost of their care, so we are working to create an online Price Estimator that will be on our website this summer.
  • This list of charges does not represent a change in charges; we are simply posting our charges online.
  • A range of products and services can be bundled into the price of a particular hospital service, including medications, supplies, tests and services.
  • For most patients, Regional Health charges less than what is shown. Commercial insurers negotiate lower rates for services while federal and state governments set rates for patients covered by Medicare and Medicaid.
  • South Dakota Association of Healthcare Organizations has a tool, PricePoint, that can help patients research procedures or compare hospital costs.


How is my bill processed?

If you have insurance coverage, we will file your claim to your insurance carrier after you have received health care services. When your claim is sent to your insurance company, a patient bill is also sent to you.

When will I receive my statement?

As a convenience to you, we will not send your billing statements until your insurance company has processed your claim and there is a balance due. The balance will include co-pays and/or deductibles and/or non-covered charges.