Screening colonoscopy cost in Spearfish, SD
In Spearfish, SD, 2 hospitals list a cash price for screening colonoscopy for a person at average risk (Medicare code): from $1,212.80 to $1,212.80, with a median of $1,212.80. The lowest listed price is at Monument Health Spearfish Hospital and 1 other hospital. Across South Dakota, the median is $1,212.80 at 7 hospitals.
Cash prices at 2 facilities across 2 cities for code G0121, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Spearfish, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Spearfish Hospital lowest Spearfish, SD · (605) 644-4000 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $1,212.80 | $1,516.00 | $155.69–$195.75 | 20% | Sep 1, 2026 source file |
| Monument Health Lead-Deadwood Hospital lowest Deadwood, SD · (605) 717-6000 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $1,212.80 | $1,516.00 | $155.69–$195.75 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $1,212.80, median $1,212.80, highest $1,212.80.
Cash or insurance?
At 0 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is a routine colonoscopy for someone with no symptoms and no high-risk factors, done to find and prevent colorectal cancer. G0121 is a Medicare screening code; for people at average risk Medicare covers it once every 10 years, or 4 years after a screening sigmoidoscopy.
What the price covers
The facility price usually covers the procedure room and recovery. The gastroenterologist, anesthesia, the bowel-prep medicine and any pathology are usually billed or bought separately.