Prices at 5 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $21,243 — 263% above the US median ($5,855), roughly 34.0× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $10,950 | $7,985 | — | — | 15.3% |
| Monument Health Spearfish Hospital | Spearfish, SD | $31,536 | $5,477 | ★ 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 July 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 $21,243 — about 34.0× the Medicare rate ($624). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,249).
💡 Asking for the cash price instead of the $21,784 list price could save about $541 (2%).
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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