Prices at 37 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $1,022 — 67% above the US median ($610), roughly 10.1× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Marshall County Healthcare Center-CAH | Britton, SD | $358 | $220 | — | 105 min | — |
| Dunes Surgical Hospital | Dakota Dunes, SD | $375 | $513 | — | — | — |
| Sioux Falls Specialty Hospital | Sioux Falls, SD | $404 | $356 | — | — | — |
| Avera Weskota Memorial Medical Center-CAH | Wessington Springs, SD | $508 | $472 | — | 126 min | — |
| Avera De Smet Memorial Hospital-CAH | De Smet, SD | $534 | $453 | — | 120 min | — |
| St Michael's Hospital-CAH | Tyndall, SD | $582 | $541 | — | 112 min | — |
| Faulkton Area Medical Center | Faulkton, SD | $598 | $631 | — | 122 min | — |
| Avera St Mary's Hospital | Pierre, SD | $636 | $483 | ★ 2/5 | 127 min | — |
| Brookings Health System | Brookings, SD | $699 | $1,023 | ★ 4/5 | 97 min | — |
| Avera Sacred Heart Hospital | Yankton, SD | $700 | $626 | ★ 3/5 | 117 min | — |
| Avera Gregory Hospital | Gregory, SD | $700 | $626 | — | 139 min | — |
| Avera St Lukes | Aberdeen, SD | $772 | $746 | ★ 4/5 | 126 min | — |
| Milbank Area Hospital/avera Health | Milbank, SD | $772 | $746 | — | 126 min | — |
| Douglas County Memorial Hospital-CAH | Armour, SD | $785 | $870 | — | 118 min | — |
| Sanford Medical Center Aberdeen | Aberdeen, SD | $842 | $742 | ★ 4/5 | 120 min | — |
| Sanford Hospital Webster-CAH | Webster, SD | $926 | $860 | — | 110 min | — |
| Sanford Canton-Inwood Medical Center-CAH | Canton, SD | $965 | $895 | — | 124 min | — |
| Avera Hand County Memorial Hospital and Clinic | Miller, SD | $1,009 | $875 | — | 111 min | — |
| Monument Health Rapid City Hospital | Rapid City, SD | $1,022 | $751 | ★ 3/5 | 172 min | — |
| Monument Health Lead-Deadwood Hospital | Deadwood, SD | $1,022 | $991 | — | 90 min | — |
| Monument Health Sturgis Hospital | Sturgis, SD | $1,022 | $991 | — | 132 min | — |
| Monument Health Custer Hospital | Custer, SD | $1,022 | $1,002 | — | 132 min | — |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $1,037 | $962 | — | 80 min | — |
| Sanford Usd Medical Center | Sioux Falls, SD | $1,051 | $476 | ★ 5/5 | 207 min | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $1,065 | $5,915 | ★ 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 $1,022 — about 10.1× the Medicare rate ($101). High vs Medicare. A fair cash price is usually within ~2× Medicare ($202).
💡 Asking for the cash price instead of the $1,052 list price could save about $30 (3%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
By city
Echocardiogram with and without contrast cost in other states
All Echocardiogram with and without contrast prices (national) → · All hospitals in South Dakota →