Prices at 5 hospitals in South Dakota, from their machine-readable files.
Cash / self-pay (median)
$21,243
Chargemaster (median)
$21,784
Insurer-negotiated (median)
$7,358
Medicare pays
$624
$13,009$29,477
Median cash $21,243 · Medicare $624 · bar = typical cash range (10th–90th percentile)
Typical cash range: $13,009 – $29,477. The median cash price is about 34.0× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $10,950 | $7,985 | — | — | 15.3% |
| Monument Health Spearfish Hospital | Spearfish, SD | $31,536 | $5,477 | ★ 4/5 | 140 min | 14.2% |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Estimates — confirm with the hospital. Report an incorrect price.