Office visit, established patient (level 4) cost in South Dakota

Prices at 31 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $271 — 40% above the US median ($194), roughly 2.0× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Eureka Community Health Services-CAH Eureka, SD $92 $92 126 min 14.7%
Freeman Medical Center-CAH Freeman, SD $92 $92 126 min 14.7%
Avera Sacred Heart Hospital Yankton, SD $119 $124 ★ 3/5 116 min 15.4%
Avera Gregory Hospital Gregory, SD $119 $124 140 min 14.3%
Avera Hand County Memorial Hospital and Clinic Miller, SD $133 $130 114 min 14.9%
Avera Dells Area Hospital-CAH Dell Rapids, SD $152 $171 105 min 15.1%
Avera Queen of Peace Mitchell, SD $154 $162 ★ 4/5 103 min 14.4%
Sanford Canton-Inwood Medical Center-CAH Canton, SD $158 $147 124 min
Brookings Health System Brookings, SD $185 $270 ★ 4/5 100 min 13.7%
Faulkton Area Medical Center Faulkton, SD $187 $158 118 min 15.0%
Douglas County Memorial Hospital-CAH Armour, SD $194 $204 115 min 15.1%
Sioux Falls Specialty Hospital Sioux Falls, SD $220 $171 14.9%
Winner Regional Healthcare Center-CAH Winner, SD $228 $194 108 min 15.1%
Sanford Medical Center Aberdeen Aberdeen, SD $234 $207 ★ 4/5 134 min 14.6%
Bennett County Hospital and Nursing Home-CAH Martin, SD $246 78 min
Sanford Clear Lake Medical Center Clear Lake, SD $271 $206 100 min
Avera Heart Hospital of South Dakota Sioux Falls, SD $278 $179 ★ 5/5 108 min 13.8%
Marshall County Healthcare Center-CAH Britton, SD $287 $210 105 min 14.7%
Community Memorial Hospital Redfield, SD $292 $285 ★ 4/5 99 min 15.0%
Avera De Smet Memorial Hospital-CAH De Smet, SD $303 $162 119 min
Platte Health Center Platte, SD $311 $162 128 min 14.8%
St Michael's Hospital-CAH Tyndall, SD $355 $286 116 min 14.9%
Monument Health Lead-Deadwood Hospital Deadwood, SD $381 $144 99 min 14.5%
Monument Health Sturgis Hospital Sturgis, SD $381 $109 134 min 14.6%
Monument Health Custer Hospital Custer, SD $381 $109 134 min 15.7%

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)
$296
Cash / self-pay
$271
Insurer-negotiated
$175
Medicare pays
$136
$119$451
Median cash $271  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $271 — about 2.0× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $296 list price could save about $24 (8%).

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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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