Prices at 21 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $1,618 — 7% below the US median ($1,741), roughly 3.4× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Brookings Health System | Brookings, SD | $397 | $419 | ★ 4/5 | 100 min | 13.7% |
| Marshall County Healthcare Center-CAH | Britton, SD | $485 | $423 | — | 105 min | 14.7% |
| Community Memorial Hospital | Redfield, SD | $525 | $855 | ★ 4/5 | 99 min | 15.0% |
| Avera Dells Area Hospital-CAH | Dell Rapids, SD | $574 | $436 | — | 105 min | 15.1% |
| Avera St Lukes | Aberdeen, SD | $579 | $415 | ★ 4/5 | 123 min | 15.2% |
| Milbank Area Hospital/avera Health | Milbank, SD | $579 | $415 | — | 125 min | 14.8% |
| Avera Flandreau Hospital-CAH | Flandreau, SD | $1,005 | $436 | — | 112 min | 15.2% |
| Sioux Falls Specialty Hospital | Sioux Falls, SD | $1,268 | $423 | — | — | 14.9% |
| Avera St Benedict Health Center-CAH | Parkston, SD | $1,486 | $454 | ★ 5/5 | 110 min | 14.2% |
| Douglas County Memorial Hospital-CAH | Armour, SD | $1,750 | $1,736 | — | 115 min | 15.1% |
| Dunes Surgical Hospital | Dakota Dunes, SD | $1,806 | $1,564 | — | — | 15.3% |
| Faulkton Area Medical Center | Faulkton, SD | $1,818 | $455 | — | 118 min | 15.0% |
| Eureka Community Health Services-CAH | Eureka, SD | $2,155 | $454 | — | 126 min | 14.7% |
| Freeman Medical Center-CAH | Freeman, SD | $2,155 | $454 | — | 126 min | 14.7% |
| Monument Health Sturgis Hospital | Sturgis, SD | $2,601 | $2,523 | — | 134 min | 14.6% |
| Winner Regional Healthcare Center-CAH | Winner, SD | $2,873 | $2,442 | — | 108 min | 15.1% |
| Monument Health Spearfish Hospital | Spearfish, SD | $5,422 | $5,688 | ★ 4/5 | 140 min | 14.2% |
| Monument Health Rapid City Hospital | Rapid City, SD | $7,085 | $3,944 | ★ 3/5 | 160 min | 14.5% |
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)
Typical cash price here is $1,618 — about 3.4× the Medicare rate ($480). On the higher side. A fair cash price is usually within ~2× Medicare ($960).
💡 Asking for the cash price instead of the $1,738 list price could save about $120 (7%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Colonoscopy cost in other states
All Colonoscopy prices (national) → · All hospitals in South Dakota →