Prices at 12 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $410 — 20% above the US median ($341), roughly 2.3× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Brookings Health System | Brookings, SD | $140 | $214 | ★ 4/5 | 100 min | 13.7% |
| Dunes Surgical Hospital | Dakota Dunes, SD | $305 | $260 | — | — | 15.3% |
| Douglas County Memorial Hospital-CAH | Armour, SD | $318 | $345 | — | 115 min | 15.1% |
| Sanford Medical Center Aberdeen | Aberdeen, SD | $390 | $344 | ★ 4/5 | 134 min | 14.6% |
| Sanford Usd Medical Center | Sioux Falls, SD | $392 | $248 | ★ 5/5 | 196 min | 14.5% |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $400 | $371 | — | 87 min | 15.6% |
| Marshall County Healthcare Center-CAH | Britton, SD | $420 | $267 | — | 105 min | 14.7% |
| Avera Queen of Peace | Mitchell, SD | $436 | $269 | ★ 4/5 | 103 min | 14.4% |
| Winner Regional Healthcare Center-CAH | Winner, SD | $477 | $288 | — | 108 min | 15.1% |
| Monument Health Rapid City Hospital | Rapid City, SD | $552 | $364 | ★ 3/5 | 160 min | 14.5% |
| Monument Health Custer Hospital | Custer, SD | $552 | $541 | — | 134 min | 15.7% |
| Monument Health Spearfish Hospital | Spearfish, SD | $575 | $5,795 | ★ 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 $410 — about 2.3× the Medicare rate ($182). On the higher side. A fair cash price is usually within ~2× Medicare ($364).
💡 Asking for the cash price instead of the $482 list price could save about $72 (15%).
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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