Prices at 30 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $497 — 70% above the US median ($293), roughly 12.5× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Sioux Falls Specialty Hospital | Sioux Falls, SD | $132 | $73 | — | — | — |
| Dunes Surgical Hospital | Dakota Dunes, SD | $168 | $134 | — | — | — |
| Brookings Health System | Brookings, SD | $184 | $266 | ★ 4/5 | 97 min | — |
| Community Memorial Hospital | Redfield, SD | $217 | $242 | ★ 4/5 | 102 min | — |
| Avera St Lukes | Aberdeen, SD | $239 | $228 | ★ 4/5 | 126 min | — |
| Milbank Area Hospital/avera Health | Milbank, SD | $239 | $228 | — | 126 min | — |
| Bennett County Hospital and Nursing Home-CAH | Martin, SD | $360 | — | — | 80 min | — |
| Marshall County Healthcare Center-CAH | Britton, SD | $363 | $224 | — | 105 min | — |
| Winner Regional Healthcare Center-CAH | Winner, SD | $366 | $266 | — | 109 min | — |
| Hans P Peterson Memorial Hospital-CAH | Philip, SD | $387 | $364 | — | 88 min | — |
| Avera Hand County Memorial Hospital and Clinic | Miller, SD | $401 | $348 | — | 111 min | — |
| Douglas County Memorial Hospital-CAH | Armour, SD | $413 | $332 | — | 118 min | — |
| Sanford Canton-Inwood Medical Center-CAH | Canton, SD | $435 | $396 | — | 124 min | — |
| Faulkton Area Medical Center | Faulkton, SD | $465 | $473 | — | 122 min | — |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $489 | $443 | — | 80 min | — |
| Sanford Medical Center Aberdeen | Aberdeen, SD | $506 | $444 | ★ 4/5 | 120 min | — |
| Avera Weskota Memorial Medical Center-CAH | Wessington Springs, SD | $506 | $471 | — | 126 min | — |
| Sanford Hospital Webster-CAH | Webster, SD | $518 | $454 | — | 110 min | — |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $524 | $481 | — | 93 min | — |
| Monument Health Rapid City Hospital | Rapid City, SD | $545 | $364 | ★ 3/5 | 172 min | — |
| Avera St Mary's Hospital | Pierre, SD | $550 | $358 | ★ 2/5 | 127 min | — |
| Monument Health Lead-Deadwood Hospital | Deadwood, SD | $551 | $534 | — | 90 min | — |
| Monument Health Sturgis Hospital | Sturgis, SD | $551 | $534 | — | 132 min | — |
| Monument Health Custer Hospital | Custer, SD | $551 | $540 | — | 132 min | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $574 | $540 | ★ 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 $497 — about 12.5× the Medicare rate ($40). High vs Medicare. A fair cash price is usually within ~2× Medicare ($80).
💡 Asking for the cash price instead of the $545 list price could save about $47 (9%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
X-ray of the skull cost in other states
All X-ray of the skull prices (national) → · All hospitals in South Dakota →