Alpha-fetoprotein (AFP) test cost in South Dakota

Prices at 40 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $152 — 74% above the US median ($87), roughly 9.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Dunes Surgical Hospital Dakota Dunes, SD $27 $31 15.3%
Hans P Peterson Memorial Hospital-CAH Philip, SD $62 $60 92 min 15.6%
Monument Health Spearfish Hospital Spearfish, SD $78 $49 ★ 4/5 140 min 14.2%
Sanford Canton-Inwood Medical Center-CAH Canton, SD $82 $76 124 min
Faulkton Area Medical Center Faulkton, SD $86 $18 118 min 15.0%
Bowdle Hospital-CAH Bowdle, SD $106 $95 98 min
Community Memorial Hospital Redfield, SD $108 $121 ★ 4/5 99 min 15.0%
Monument Health Rapid City Hospital Rapid City, SD $115 $88 ★ 3/5 160 min 14.5%
Avera St Lukes Aberdeen, SD $119 $115 ★ 4/5 123 min 15.2%
Milbank Area Hospital/avera Health Milbank, SD $119 $115 125 min 14.8%
Brookings Health System Brookings, SD $128 $100 ★ 4/5 100 min 13.7%
Avera St Mary's Hospital Pierre, SD $130 $98 ★ 2/5 129 min 14.3%
St Michael's Hospital-CAH Tyndall, SD $131 $122 116 min 14.9%
Sanford Clear Lake Medical Center Clear Lake, SD $134 $138 100 min
Sanford Hospital Webster-CAH Webster, SD $134 $124 111 min 14.7%
Avera Hand County Memorial Hospital and Clinic Miller, SD $139 $120 114 min 14.9%
Avera Sacred Heart Hospital Yankton, SD $146 $131 ★ 3/5 116 min 15.4%
Avera Gregory Hospital Gregory, SD $146 $131 140 min 14.3%
Monument Health Sturgis Hospital Sturgis, SD $152 $77 134 min 14.6%
Monument Health Custer Hospital Custer, SD $152 $93 134 min 15.7%
Sanford Chamberlain Medical Center Chamberlain, SD $154 $140 87 min 15.6%
Sioux Falls Specialty Hospital Sioux Falls, SD $156 $137 14.9%
Avera Queen of Peace Mitchell, SD $175 $123 ★ 4/5 103 min 14.4%
Marshall County Healthcare Center-CAH Britton, SD $176 $115 105 min 14.7%
Avera Weskota Memorial Medical Center-CAH Wessington Springs, SD $176 $163 138 min 14.8%

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. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$167
Cash / self-pay
$152
Insurer-negotiated
$123
Medicare pays
$17
$84$295
Median cash $152  ·  Medicare $17  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $152 — about 9.1× the Medicare rate ($17). High vs Medicare. A fair cash price is usually within ~2× Medicare ($34).

💡 Asking for the cash price instead of the $167 list price could save about $15 (9%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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