Prices at 6 hospitals in South Dakota, from their machine-readable files.
Cash / self-pay (median)
$36,540
Chargemaster (median)
$36,540
Insurer-negotiated (median)
$6,016
Medicare pays
$1,004
$14,426$37,365
Median cash $36,540 · Medicare $1,004 · bar = typical cash range (10th–90th percentile)
Typical cash range: $14,426 – $37,365. The median cash price is about 36.4× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,898 | $7,059 | — | — | 15.3% |
| Monument Health Rapid City Hospital | Rapid City, SD | $36,540 | $25,398 | ★ 3/5 | 160 min | 14.5% |
| Monument Health Spearfish Hospital | Spearfish, SD | $37,571 | $5,742 | ★ 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. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Estimates — confirm with the hospital. Report an incorrect price.