Emergency department visit (level 1) cost in South Dakota

Prices at 34 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $319 — 53% above the US median ($208), roughly 28.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $65 $48 14.9%
Brookings Health System Brookings, SD $94 $137 ★ 4/5 100 min 13.7%
Avera Heart Hospital of South Dakota Sioux Falls, SD $144 $91 ★ 5/5 108 min 13.8%
Faulkton Area Medical Center Faulkton, SD $173 $21 118 min 15.0%
Wagner Community Memorial Hospital-CAH Wagner, SD $185 $174 116 min 15.5%
Sanford Canton-Inwood Medical Center-CAH Canton, SD $251 $233 124 min
Bennett County Hospital and Nursing Home-CAH Martin, SD $263 78 min
Sanford Chamberlain Medical Center Chamberlain, SD $291 $270 87 min 15.6%
Sanford Usd Medical Center Sioux Falls, SD $296 $134 ★ 5/5 196 min 14.5%
Sanford Hospital Webster-CAH Webster, SD $300 $278 111 min 14.7%
Sanford Clear Lake Medical Center Clear Lake, SD $302 $312 100 min
Sanford Medical Center Aberdeen Aberdeen, SD $310 $273 ★ 4/5 134 min 14.6%
Marshall County Healthcare Center-CAH Britton, SD $311 $192 105 min 14.7%
Monument Health Rapid City Hospital Rapid City, SD $319 $226 ★ 3/5 160 min 14.5%
Monument Health Lead-Deadwood Hospital Deadwood, SD $319 $309 99 min 14.5%
Monument Health Sturgis Hospital Sturgis, SD $319 $309 134 min 14.6%
Monument Health Custer Hospital Custer, SD $319 $313 134 min 15.7%
Hans P Peterson Memorial Hospital-CAH Philip, SD $322 $314 92 min 15.6%
Monument Health Spearfish Hospital Spearfish, SD $333 $5,377 ★ 4/5 140 min 14.2%
Avera St Mary's Hospital Pierre, SD $340 $258 ★ 2/5 129 min 14.3%
Community Memorial Hospital Redfield, SD $342 $382 ★ 4/5 99 min 15.0%
Douglas County Memorial Hospital-CAH Armour, SD $345 $173 115 min 15.1%
Avera St Lukes Aberdeen, SD $377 $364 ★ 4/5 123 min 15.2%
Milbank Area Hospital/avera Health Milbank, SD $377 $364 125 min 14.8%
Avera Queen of Peace Mitchell, SD $432 $304 ★ 4/5 103 min 14.4%

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)

Chargemaster (list price)
$373
Cash / self-pay
$319
Insurer-negotiated
$304
Medicare pays
$11
$153$534
Median cash $319  ·  Medicare $11  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $319 — about 28.9× the Medicare rate ($11). High vs Medicare. A fair cash price is usually within ~2× Medicare ($22).

💡 Asking for the cash price instead of the $373 list price could save about $54 (14%).

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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.

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