Emergency department visit cost in South Dakota

Prices at 40 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $658 — 14% above the US median ($579), roughly 9.5× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Winner Regional Healthcare Center-CAH Winner, SD $123 $181 — 109 min —
Brookings Health System Brookings, SD $185 $199 ★ 4/5 97 min —
Sioux Falls Specialty Hospital Sioux Falls, SD $293 $226 — — —
Community Memorial Hospital Redfield, SD $342 $367 ★ 4/5 102 min —
Faulkton Area Medical Center Faulkton, SD $351 $258 — 122 min —
Landmann Jungman Memorial Hospital Corporation Scotland, SD $400 $352 — — —
Avera St Lukes Aberdeen, SD $416 $387 ★ 4/5 126 min —
Milbank Area Hospital/avera Health Milbank, SD $416 $387 — 126 min —
Douglas County Memorial Hospital-CAH Armour, SD $456 $431 — 118 min —
Avera Hand County Memorial Hospital and Clinic Miller, SD $498 $472 — 111 min —
Bennett County Hospital and Nursing Home-CAH Martin, SD $550 — — 80 min —
Avera Heart Hospital of South Dakota Sioux Falls, SD $577 $344 ★ 5/5 110 min —
Monument Health Sturgis Hospital Sturgis, SD $595 $504 — 132 min —
Avera Dells Area Hospital-CAH Dell Rapids, SD $603 $399 — 106 min —
Eureka Community Health Services-CAH Eureka, SD $642 $597 — 117 min —
Freeman Medical Center-CAH Freeman, SD $642 $597 — 123 min —
Avera Flandreau Hospital-CAH Flandreau, SD $651 $453 — 108 min —
Hans P Peterson Memorial Hospital-CAH Philip, SD $656 $640 — 88 min —
Avera De Smet Memorial Hospital-CAH De Smet, SD $657 $577 — 120 min —
Avera Queen of Peace Mitchell, SD $657 $346 ★ 4/5 104 min —
Avera St Mary's Hospital Pierre, SD $660 $340 ★ 2/5 127 min —
Bowdle Hospital-CAH Bowdle, SD $690 $539 — 102 min —
Sanford Medical Center Aberdeen Aberdeen, SD $712 $554 ★ 4/5 120 min —
Sanford Hospital Webster-CAH Webster, SD $717 $555 — 110 min —
Marshall County Healthcare Center-CAH Britton, SD $741 $313 — 105 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)
$684
Cash / self-pay
$658
Insurer-negotiated
$530
Medicare pays
$69
$350$852
Median cash $658  ·  Medicare $69  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $658 — about 9.5× the Medicare rate ($69). High vs Medicare. A fair cash price is usually within ~2× Medicare ($139).

💡 Asking for the cash price instead of the $684 list price could save about $25 (4%).

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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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Emergency department visit cost in other states

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