Flu shot cost in South Dakota
In South Dakota, 15 hospitals publish a cash price for flu shot, standard dose, preservative-free, for age 6 months and older: from $16.80 to $162.07, with a median of $31.00. The lowest price is at Monument Health Custer Hospital (Custer) and 3 other hospitals. The highest price is 9.6× the lowest.
- The median here, $31.00, is 16% below the US median of $36.75.
- South Dakota ranks 12th of 49 states by median, cheapest first.
- 5 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90656. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$16.80Monument Health Custer Hospital + 3 more
Median$31.00half of hospitals charge less
Highest$162.07in South Dakota
Lowest saves$14.20vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Monument Health Custer Hospital lowest Custer · Rapid City, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $16.80 | $21.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital lowest Deadwood · Spearfish, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $16.80 | $21.00 | Oct 20, 2026 source file |
| Monument Health Spearfish Hospital lowest Spearfish · Spearfish, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $16.80 | $21.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital lowest Sturgis · Rapid City, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $16.80 | $21.00 | Oct 21, 2026 source file |
| Sanford Vermillion Hospital Vermillion · Vermillion, SD Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $25.00 | $31.25 | Mar 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN CDMR PF 90656 FLU VACC TRIVALENT SPLT PF 0.5 ML DOSAGE IM | $26.40 | $33.00 | Mar 4, 2026 source file |
| Sanford Canton Inwood Medical Center Canton · Sioux Falls, SD-MN Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $28.32 | $35.40 | Mar 4, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN CDMR INFLUENZA VACCINE TRIVALENT PRESER FREE 0.5 ML DOSAGE IM | $31.00 | $31.00 | Apr 30, 2026 source file |
| Douglas County Memorial Hospital Armour · Armour, SD CDMR INFLUENZA VACCINE TRIVALENT PRESER FREE 0.5 ML DOSAGE IM | $33.30 | $37.00 | Jan 9, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $33.60 | $42.00 | Oct 22, 2026 source file |
| Same Day Surgery Center Rapid City · Rapid City, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $33.60 | $42.00 | Sep 10, 2026 source file |
| Madison Community Hospital Madison · Madison, SD Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use | $35.00 | $35.00 | Oct 12, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $37.00 | $37.00 | Nov 4, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD CDMR INFLUENZA VACCINE TRIVALENT PRESER FREE 0.5 ML DOSAGE IM | $38.00 | $38.00 | May 7, 2026 source file |
| Bennett County Hospital & Nursing Home Martin · Martin, SD INFLUENZA (FLULAVAL TRIV.) VACCINE | $162.07 | $162.07 | Jan 3, 2025 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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
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 | $16.80 | $25.20 |
| Sioux Falls, SD-MN | 3 | $26.40 | $28.32 |
| Spearfish, SD | 2 | $16.80 | $16.80 |
| Armour, SD | 1 | $33.30 | $33.30 |
| Madison, SD | 1 | $35.00 | $35.00 |
| Martin, SD | 1 | $162.07 | $162.07 |
| Mobridge, SD | 1 | $37.00 | $37.00 |
| Vermillion, SD | 1 | $25.00 | $25.00 |
| Winner, SD | 1 | $38.00 | $38.00 |
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 flu shot is, what the price covers and why prices differ: Flu shot explained.
Flu shot, standard dose, preservative-free, for age 6 months and older in other states
- Alabama$54.00
- Alaska$61.80
- Arizona$88.66
- Arkansas$32.68
- California$42.80
- Colorado$64.25
- Connecticut$61.50
- Delaware$82.45
- District of Columbia$55.55, 2 hospitals
- Florida$74.05
- Georgia$41.88
- Hawaii$31.50
- Idaho$36.00
- Illinois$35.21
- Indiana$39.00
- Iowa$22.40
- Kansas$35.61
- Kentucky$33.74
- Louisiana$30.04
- Maine$23.02
- Maryland$50.79
- Massachusetts$52.25
- Michigan$31.70
- Minnesota$22.17
- Mississippi$55.97
- Missouri$46.84
- Montana$24.23
- Nebraska$32.00
- Nevada$65.59
- New Hampshire$26.62
- New Jersey$42.18
- New Mexico$46.09
- New York$28.38
- North Carolina$39.56
- North Dakota$33.08
- Ohio$45.75
- Oklahoma$50.94
- Oregon$35.25
- Pennsylvania$66.60
- Rhode Island$75.37, 2 hospitals
- South Carolina$22.72
- Tennessee$34.30
- Texas$37.98
- Utah$61.94
- Vermont$36.89
- Virginia$34.40
- Washington$28.83
- West Virginia$19.50
- Wisconsin$31.92
- Wyoming$22.54
Median cash price across the state's hospitals.