Prices at 10 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $57,258 — 123% above the US median ($25,719), roughly 4.9× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $18,111 | $9,093 | — | — | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $57,258 | $16,811 | ★ 4/5 | 144 min | — |
| Monument Health Rapid City Hospital | Rapid City, SD | $71,120 | $15,637 | ★ 3/5 | 172 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 $57,258 — about 4.9× the Medicare rate ($11,645). High vs Medicare. A fair cash price is usually within ~2× Medicare ($23,290).
💡 Asking for the cash price instead of the $64,146 list price could save about $6,888 (11%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Weight-loss (bariatric) surgery cost in other states
All Weight-loss (bariatric) surgery prices (national) → · All hospitals in South Dakota →