Prices at 10 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $15,562 — 66% above the US median ($9,390), roughly 2.8× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Dunes Surgical Hospital | Dakota Dunes, SD | $8,337 | $3,905 | — | — | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $15,562 | $6,485 | ★ 4/5 | 144 min | — |
| Monument Health Rapid City Hospital 🍼 | Rapid City, SD | $18,320 | $7,524 | ★ 3/5 | 172 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. 🍼 = CMS Birthing-Friendly hospital. 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 $15,562 — about 2.8× the Medicare rate ($5,487). On the higher side. A fair cash price is usually within ~2× Medicare ($10,973).
💡 Asking for the cash price instead of the $16,941 list price could save about $1,379 (8%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Vaginal delivery cost in other states
All Vaginal delivery prices (national) → · All hospitals in South Dakota →