Botox for migraine cost in South Dakota

Prices at 7 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $725 — 47% above the US median ($492), roughly 4.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Avera St Mary's Hospital Pierre, SD $283 $215 ★ 2/5 127 min —
Dunes Surgical Hospital Dakota Dunes, SD $453 $449 — — —
Douglas County Memorial Hospital-CAH Armour, SD $697 $680 — 118 min —
Sanford Usd Medical Center Sioux Falls, SD $752 $370 ★ 5/5 207 min —
Monument Health Rapid City Hospital Rapid City, SD $799 $535 ★ 3/5 172 min —
Monument Health Sturgis Hospital Sturgis, SD $799 $775 — 132 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)

Chargemaster (list price)
$799
Cash / self-pay
$725
Insurer-negotiated
$449
Medicare pays
$157
$368$799
Median cash $725  ·  Medicare $157  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $725 — about 4.6× the Medicare rate ($157). High vs Medicare. A fair cash price is usually within ~2× Medicare ($314).

💡 Asking for the cash price instead of the $799 list price could save about $75 (9%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Botox for migraine cost in other states

All Botox for migraine prices (national) → · All hospitals in South Dakota →