Botox for migraine cost in South Dakota
In South Dakota, 7 hospitals publish a cash price for Botox injections for chronic migraine: from $403.20 to $686.40, with a median of $686.40. The lowest price is at Douglas County Memorial Hospital (Armour). The highest price is 1.7× the lowest.
- The median here, $686.40, is 33% above the US median of $518.00.
- That is 2.2× Medicare's 2026 national rate for the same service ($313.60).
- South Dakota ranks 34th of 41 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Outpatient cash prices, one line per hospital — its lowest listed price for code 64615. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 23, 2026. See them on a map
Lowest$403.20Douglas County Memorial Hospital
Median$686.40half of hospitals charge less
Highest$686.40in South Dakota
Lowest saves$283.20vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Douglas County Memorial Hospital lowest Armour · Armour, SD CHEMODENERV MUSC MIGRAINE | $403.20 | $448.00 | Jan 9, 2026 source file |
| Black Hills Surgical Hospital Rapid City · Rapid City, SD CHEMODENERVATION OF MUSCLE BY FACIAL NER | $573.37 | $955.61 | Jan 30, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | Oct 20, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | Oct 22, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $686.40 | $858.00 | Oct 21, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Rapid City, SD | 4 | $573.37 | $686.40 |
| Spearfish, SD | 2 | $686.40 | $686.40 |
| Armour, SD | 1 | $403.20 | $403.20 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What Botox for migraine is, what the price covers and why prices differ: Botox for migraine explained.
Botox injections for chronic migraine in other states
- Alabama$333.68
- Alaska$900.00, 2 hospitals
- Arizona$421.00
- Arkansas$505.96
- California$878.12
- Colorado$1,022.70
- Connecticut$739.22
- Delaware$890.40, 2 hospitals
- District of Columbia$591.83, 1 hospital
- Florida$586.80
- Georgia$869.92
- Hawaii$660.80
- Idaho$394.50
- Illinois$408.80
- Indiana$644.50
- Iowa$403.67
- Kansas$351.98
- Kentucky$550.48
- Louisiana$167.87
- Maine$174.00
- Maryland$918.21, 1 hospital
- Massachusetts$537.19
- Michigan$569.00
- Minnesota$606.61
- Mississippi$276.00
- Missouri$374.82
- Montana$239.46
- Nebraska$477.75
- Nevada$558.00, 1 hospital
- New Hampshire$355.32
- New Jersey$1,871.20
- New Mexico$215.72, 2 hospitals
- New York$436.00
- North Carolina$375.03
- North Dakota$382.25
- Ohio$554.33
- Oklahoma$252.70
- Oregon$346.85
- Pennsylvania$495.00
- Rhode Island$201.60, 3 hospitals
- South Carolina$731.30
- Tennessee$191.00
- Texas$556.86
- Vermont$408.50, 4 hospitals
- Virginia$489.00
- Washington$378.23
- West Virginia$353.00
- Wisconsin$732.98
- Wyoming$119.70, 4 hospitals
Median cash price across the state's hospitals.