Prices at 7 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $8,638 — 8% above the US median ($8,026), roughly 9.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Winner Regional Healthcare Center-CAH | Winner, SD | $6,325 | $5,376 | — | 109 min | — |
| Dunes Surgical Hospital | Dakota Dunes, SD | $10,950 | $8,118 | — | — | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $57,871 | $5,477 | ★ 4/5 | 144 min | — |
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 October 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 $8,638 — about 9.7× the Medicare rate ($889). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,779).
💡 Asking for the cash price instead of the $13,422 list price could save about $4,784 (36%).
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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