Prices at 11 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $604 — 18% above the US median ($514), roughly 3.7× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Brookings Health System | Brookings, SD | $257 | $462 | ★ 4/5 | 97 min | — |
| Dunes Surgical Hospital | Dakota Dunes, SD | $375 | $433 | — | — | — |
| Winner Regional Healthcare Center-CAH | Winner, SD | $481 | $409 | — | 109 min | — |
| Avera Queen of Peace | Mitchell, SD | $573 | $189 | ★ 4/5 | 104 min | — |
| Avera St Mary's Hospital | Pierre, SD | $590 | $453 | ★ 2/5 | 127 min | — |
| Sanford Medical Center Aberdeen | Aberdeen, SD | $619 | $540 | ★ 4/5 | 120 min | — |
| Sanford Usd Medical Center | Sioux Falls, SD | $892 | $447 | ★ 5/5 | 207 min | — |
| Monument Health Rapid City Hospital | Rapid City, SD | $910 | $512 | ★ 3/5 | 172 min | — |
| Marshall County Healthcare Center-CAH | Britton, SD | $1,279 | $266 | — | 105 min | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $1,340 | $472 | ★ 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 $604 — about 3.7× the Medicare rate ($164). High vs Medicare. A fair cash price is usually within ~2× Medicare ($327).
💡 Asking for the cash price instead of the $774 list price could save about $170 (22%).
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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