X-ray of the hand cost in South Dakota

Prices at 41 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $356 — 33% above the US median ($268), roughly 9.3× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $132 $82 — — —
Dunes Surgical Hospital Dakota Dunes, SD $139 $110 — — —
St Michael's Hospital-CAH Tyndall, SD $242 $224 — 112 min —
Sanford Medical Center Aberdeen Aberdeen, SD $252 $222 ★ 4/5 120 min —
Sanford Canton-Inwood Medical Center-CAH Canton, SD $252 $234 — 124 min —
Brookings Health System Brookings, SD $258 $377 ★ 4/5 97 min —
Community Memorial Hospital Redfield, SD $282 $315 ★ 4/5 102 min —
Avera St Lukes Aberdeen, SD $311 $297 ★ 4/5 126 min —
Milbank Area Hospital/avera Health Milbank, SD $311 $297 — 126 min —
Sanford Hospital Webster-CAH Webster, SD $334 $310 — 110 min —
Faulkton Area Medical Center Faulkton, SD $339 $369 — 122 min —
Douglas County Memorial Hospital-CAH Armour, SD $343 $460 — 118 min —
Winner Regional Healthcare Center-CAH Winner, SD $346 $294 — 109 min —
Monument Health Rapid City Hospital Rapid City, SD $349 $234 ★ 3/5 172 min —
Monument Health Lead-Deadwood Hospital Deadwood, SD $349 $339 — 90 min —
Monument Health Sturgis Hospital Sturgis, SD $349 $339 — 132 min —
Monument Health Custer Hospital Custer, SD $349 $342 — 132 min —
Bennett County Hospital and Nursing Home-CAH Martin, SD $351 — — 80 min —
Avera Heart Hospital of South Dakota Sioux Falls, SD $353 $180 ★ 5/5 110 min —
Hans P Peterson Memorial Hospital-CAH Philip, SD $354 $345 — 88 min —
Sanford Clear Lake Medical Center Clear Lake, SD $356 $367 — 93 min —
Sanford Chamberlain Medical Center Chamberlain, SD $363 $337 — 80 min —
Monument Health Spearfish Hospital Spearfish, SD $364 $342 ★ 4/5 144 min —
Landmann Jungman Memorial Hospital Corporation Scotland, SD $388 $361 — — —
Marshall County Healthcare Center-CAH Britton, SD $398 $245 — 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)
$410
Cash / self-pay
$356
Insurer-negotiated
$339
Medicare pays
$38
$252$652
Median cash $356  ·  Medicare $38  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $356 — about 9.3× the Medicare rate ($38). High vs Medicare. A fair cash price is usually within ~2× Medicare ($76).

💡 Asking for the cash price instead of the $410 list price could save about $54 (13%).

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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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