Prices at 9 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $48,977 — 54% above the US median ($31,763), roughly 3.2× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $25,428 | $14,353 | — | — | 15.3% |
| Monument Health Rapid City Hospital | Rapid City, SD | $72,525 | $22,216 | ★ 3/5 | 160 min | 14.5% |
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)
Typical cash price here is $48,977 — about 3.2× the Medicare rate ($15,506). On the higher side. A fair cash price is usually within ~2× Medicare ($31,012).
💡 Asking for the cash price instead of the $72,525 list price could save about $23,548 (32%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Pacemaker insertion cost in other states
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