Prices at 10 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $1,504 — 65% below the US median ($4,241), roughly 2.8× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Avera Queen of Peace | Mitchell, SD | $451 | $1,104 | ★ 4/5 | 103 min | 14.4% |
| Marshall County Healthcare Center-CAH | Britton, SD | $670 | $1,131 | — | 105 min | 14.7% |
| Brookings Health System | Brookings, SD | $800 | $957 | ★ 4/5 | 100 min | 13.7% |
| Sioux Falls Specialty Hospital | Sioux Falls, SD | $1,453 | $1,131 | — | — | 14.9% |
| Douglas County Memorial Hospital-CAH | Armour, SD | $1,556 | $1,689 | — | 115 min | 15.1% |
| Dunes Surgical Hospital | Dakota Dunes, SD | $5,296 | $4,772 | — | — | 15.3% |
| Monument Health Spearfish Hospital | Spearfish, SD | $17,000 | $5,720 | ★ 4/5 | 140 min | 14.2% |
| Monument Health Rapid City Hospital | Rapid City, SD | $28,698 | $17,274 | ★ 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 $1,504 — about 2.8× the Medicare rate ($538). On the higher side. A fair cash price is usually within ~2× Medicare ($1,076).
💡 Asking for the cash price instead of the $1,689 list price could save about $185 (11%).
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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