Emergency department visit (level 4) cost in South Dakota

Prices at 40 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $1,100 — 16% above the US median ($950), roughly 9.3× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Winner Regional Healthcare Center-CAH Winner, SD $209 $188 108 min 15.1%
Brookings Health System Brookings, SD $280 $302 ★ 4/5 100 min 13.7%
Faulkton Area Medical Center Faulkton, SD $395 $156 118 min 15.0%
Community Memorial Hospital Redfield, SD $434 $402 ★ 4/5 99 min 15.0%
Douglas County Memorial Hospital-CAH Armour, SD $474 $527 115 min 15.1%
Sioux Falls Specialty Hospital Sioux Falls, SD $531 $237 14.9%
Landmann Jungman Memorial Hospital Corporation Scotland, SD $620 $499
Avera St Lukes Aberdeen, SD $741 $513 ★ 4/5 123 min 15.2%
Milbank Area Hospital/avera Health Milbank, SD $741 $513 125 min 14.8%
Bennett County Hospital and Nursing Home-CAH Martin, SD $846 78 min
Monument Health Sturgis Hospital Sturgis, SD $891 $1,287 134 min 14.6%
Avera Dells Area Hospital-CAH Dell Rapids, SD $905 $647 105 min 15.1%
Bowdle Hospital-CAH Bowdle, SD $937 $732 98 min
Hans P Peterson Memorial Hospital-CAH Philip, SD $967 $943 92 min 15.6%
Sanford Medical Center Aberdeen Aberdeen, SD $985 $868 ★ 4/5 134 min 14.6%
Avera Flandreau Hospital-CAH Flandreau, SD $1,023 $516 112 min 15.2%
Sanford Hospital Webster-CAH Webster, SD $1,078 $1,001 111 min 14.7%
Avera Hand County Memorial Hospital and Clinic Miller, SD $1,094 $881 114 min 14.9%
Avera Sacred Heart Hospital Yankton, SD $1,096 $883 ★ 3/5 116 min 15.4%
Avera Gregory Hospital Gregory, SD $1,096 $883 140 min 14.3%
Sanford Clear Lake Medical Center Clear Lake, SD $1,103 $1,138 100 min
Sanford Chamberlain Medical Center Chamberlain, SD $1,204 $1,117 87 min 15.6%
Marshall County Healthcare Center-CAH Britton, SD $1,262 $778 105 min 14.7%
Sanford Canton-Inwood Medical Center-CAH Canton, SD $1,289 $1,196 124 min
St Michael's Hospital-CAH Tyndall, SD $1,290 $1,039 116 min 14.9%

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)
$1,314
Cash / self-pay
$1,100
Insurer-negotiated
$902
Medicare pays
$118
$470$1,643
Median cash $1,100  ·  Medicare $118  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,100 — about 9.3× the Medicare rate ($118). High vs Medicare. A fair cash price is usually within ~2× Medicare ($236).

💡 Asking for the cash price instead of the $1,314 list price could save about $214 (16%).

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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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Emergency department visit (level 4) cost in other states

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