Prices at 6 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $62,448 — 112% above the US median ($29,412), roughly 78.3× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $50,357 | $30,119 | — | — | 15.3% |
| Sanford Usd Medical Center | Sioux Falls, SD | $55,777 | $38,347 | ★ 5/5 | 196 min | 14.5% |
| Avera Heart Hospital of South Dakota | Sioux Falls, SD | $69,118 | $40,528 | ★ 5/5 | 108 min | 13.8% |
| Monument Health Rapid City Hospital | Rapid City, SD | $140,635 | $92,238 | ★ 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 $62,448 — about 78.3× the Medicare rate ($798). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,596).
💡 Asking for the cash price instead of the $69,721 list price could save about $7,273 (10%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Defibrillator (ICD) implant cost in other states
All Defibrillator (ICD) implant prices (national) → · All hospitals in South Dakota →