Office visit, new patient (level 3) cost in South Dakota

Prices at 24 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $181 — 5% below the US median ($190), roughly 1.5× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Avera Sacred Heart Hospital Yankton, SD $105 $103 ★ 3/5 116 min 15.4%
Avera Gregory Hospital Gregory, SD $105 $103 140 min 14.3%
Avera Queen of Peace Mitchell, SD $131 $122 ★ 4/5 103 min 14.4%
Avera Hand County Memorial Hospital and Clinic Miller, SD $133 $127 114 min 14.9%
Marshall County Healthcare Center-CAH Britton, SD $139 $151 105 min 14.7%
Avera Dells Area Hospital-CAH Dell Rapids, SD $139 $148 105 min 15.1%
Eureka Community Health Services-CAH Eureka, SD $141 $138 126 min 14.7%
Freeman Medical Center-CAH Freeman, SD $141 $138 126 min 14.7%
Brookings Health System Brookings, SD $152 $179 ★ 4/5 100 min 13.7%
Avera De Smet Memorial Hospital-CAH De Smet, SD $156 $144 119 min
Sioux Falls Specialty Hospital Sioux Falls, SD $173 $144 14.9%
Faulkton Area Medical Center Faulkton, SD $178 $145 118 min 15.0%
Douglas County Memorial Hospital-CAH Armour, SD $184 $199 115 min 15.1%
Sanford Clear Lake Medical Center Clear Lake, SD $194 $200 100 min
Sanford Usd Medical Center Sioux Falls, SD $198 $166 ★ 5/5 196 min 14.5%
Sanford Medical Center Aberdeen Aberdeen, SD $218 $189 ★ 4/5 134 min 14.6%
Winner Regional Healthcare Center-CAH Winner, SD $233 $198 108 min 15.1%
Wagner Community Memorial Hospital-CAH Wagner, SD $241 $201 116 min 15.5%
St Michael's Hospital-CAH Tyndall, SD $281 $226 116 min 14.9%
Avera St Mary's Hospital Pierre, SD $307 $233 ★ 2/5 129 min 14.3%
Monument Health Lead-Deadwood Hospital Deadwood, SD $330 $125 99 min 14.5%
Monument Health Sturgis Hospital Sturgis, SD $330 $95 134 min 14.6%
Monument Health Custer Hospital Custer, SD $330 $95 134 min 15.7%
Avera St Benedict Health Center-CAH Parkston, SD $543 $432 ★ 5/5 110 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)

Chargemaster (list price)
$221
Cash / self-pay
$181
Insurer-negotiated
$147
Medicare pays
$118
$132$330
Median cash $181  ·  Medicare $118  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $181 — about 1.5× the Medicare rate ($118). Reasonable. A fair cash price is usually within ~2× Medicare ($235).

💡 Asking for the cash price instead of the $221 list price could save about $40 (18%).

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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.

Office visit, new patient (level 3) cost in other states

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