Prices at 6 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $21,218 — 469% above the US median ($3,730), roughly 68.2× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $5,862 | $4,041 | — | — | 15.3% |
| Monument Health Rapid City Hospital | Rapid City, SD | $21,218 | $13,524 | ★ 3/5 | 160 min | 14.5% |
| Monument Health Spearfish Hospital | Spearfish, SD | $22,725 | $5,680 | ★ 4/5 | 140 min | 14.2% |
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 $21,218 — about 68.2× the Medicare rate ($311). High vs Medicare. A fair cash price is usually within ~2× Medicare ($623).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
ERCP (bile duct endoscopy) cost in other states
All ERCP (bile duct endoscopy) prices (national) → · All hospitals in South Dakota →