ALT liver enzyme test cost in South Dakota

Prices at 41 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $88 — 126% above the US median ($39), roughly 16.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sanford Canton-Inwood Medical Center-CAH Canton, SD $34 $32 124 min
Sanford Clear Lake Medical Center Clear Lake, SD $42 $43 100 min
Faulkton Area Medical Center Faulkton, SD $45 $6 118 min 15.0%
Sioux Falls Specialty Hospital Sioux Falls, SD $54 $48 14.9%
Community Memorial Hospital Redfield, SD $57 $64 ★ 4/5 99 min 15.0%
Avera St Lukes Aberdeen, SD $63 $61 ★ 4/5 123 min 15.2%
Milbank Area Hospital/avera Health Milbank, SD $63 $61 125 min 14.8%
Bowdle Hospital-CAH Bowdle, SD $63 $57 98 min
Sanford Hospital Webster-CAH Webster, SD $69 $64 111 min 14.7%
Brookings Health System Brookings, SD $73 $106 ★ 4/5 100 min 13.7%
Eureka Community Health Services-CAH Eureka, SD $73 $68 126 min 14.7%
Freeman Medical Center-CAH Freeman, SD $73 $68 126 min 14.7%
Bennett County Hospital and Nursing Home-CAH Martin, SD $76 78 min
Sanford Chamberlain Medical Center Chamberlain, SD $84 $78 87 min 15.6%
Monument Health Rapid City Hospital Rapid City, SD $87 $70 ★ 3/5 160 min 14.5%
Monument Health Lead-Deadwood Hospital Deadwood, SD $87 $84 99 min 14.5%
Monument Health Sturgis Hospital Sturgis, SD $87 $84 134 min 14.6%
Monument Health Custer Hospital Custer, SD $87 $84 134 min 15.7%
Winner Regional Healthcare Center-CAH Winner, SD $88 $75 108 min 15.1%
Avera Hand County Memorial Hospital and Clinic Miller, SD $88 $77 114 min 14.9%
Avera Weskota Memorial Medical Center-CAH Wessington Springs, SD $90 $84 138 min 14.8%
Avera De Smet Memorial Hospital-CAH De Smet, SD $90 $76 119 min
Avera Queen of Peace Mitchell, SD $90 $64 ★ 4/5 103 min 14.4%
Monument Health Spearfish Hospital Spearfish, SD $91 $22 ★ 4/5 140 min 14.2%
Landmann Jungman Memorial Hospital Corporation Scotland, SD $94 $87

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 June 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)
$91
Cash / self-pay
$88
Insurer-negotiated
$77
Medicare pays
$5
$52$135
Median cash $88  ·  Medicare $5  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $88 — about 16.6× the Medicare rate ($5). High vs Medicare. A fair cash price is usually within ~2× Medicare ($11).

💡 Asking for the cash price instead of the $91 list price could save about $3 (3%).

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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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