State report
South Dakota hospitals: prices, quality and finances report
Updated November 11, 2026
#2of 52 states overall How states are ranked
61hospitals, with 21,042 Medicare stays
$4.09typical list price for every $1 of cost 28th highest of 51 states
69%of rated hospitals hold 4 or 5 CMS stars 3rd highest share of 52 states
1 h 52 mintypical ER visit US typical 2 h 28 min
Compared with the country as a whole, South Dakota's list prices are lower than the US typical, more hospitals earn top quality ratings and ER visits are shorter.
More on South Dakota:All hospitalsBest hospitalsCost estimatorStates rankedOther states
South DakotaUnited States
List price per $1 of cost
$4.09US $4.74
Billed, compared with paid
4.3×US 5.0×
Hospitals with 4 or 5 stars
69%US 41%
Patients who would recommend
78%US 71%
Typical ER visit
1 h 52 minUS 2 h 28 min
Charity care, share of costs
0.8%US 1.8%
South Dakota typical: $4.09
Most common hospital stays in South Dakota
| Stay | Medicare stays | Typical bill | Typical paid |
|---|---|---|---|
| Sepsis, with major complications | 1,761 | $49,220 | $16,493 |
| Heart failure, with major complications | 888 | $39,840 | $10,780 |
| Hip or knee replacement | 678 | $60,904 | $15,073 |
| Respiratory failure | 502 | $35,152 | $10,998 |
| Pneumonia, with major complications | 482 | $29,734 | $10,765 |
| Lung infection, with major complications | 466 | $45,233 | $13,252 |
| Hip or thigh bone surgery (not replacement), with complications | 365 | $60,598 | $17,121 |
| Stomach or intestinal bleeding, with complications | 350 | $33,858 | $8,294 |
0 of 61 South Dakota hospitals have their own cash prices and insurer rates on this site so far; more are added every night.
Sources: CMS Medicare inpatient data, hospital cost reports and Care Compare; hospitals' own price files. "Typical" is the median hospital. Star shares leave out Veterans Affairs and military hospitals. How the numbers work.