Level 4 ER visit cost in South Dakota
In South Dakota, 22 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $375.50 to $1,462.00, with a median of $1,090.80. The lowest price is at Brookings Health System (Brookings). The highest price is 3.9× the lowest.
- The median here, $1,090.80, is 5% above the US median of $1,043.20.
- That is 2.6× Medicare's 2026 national rate for the same service ($426.30).
- South Dakota ranks 27th of 50 states by median, cheapest first.
- 6 of 22 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 99284. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$375.50Brookings Health System
Median$1,090.80half of hospitals charge less
Highest$1,462.00in South Dakota
Lowest saves$715.30vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Brookings Health System lowest Brookings · Brookings, SD Emergency Room Visit Level 4 | $375.50 | $751.00 | May 18, 2026 source file |
| Douglas County Memorial Hospital Armour · Armour, SD EMERGENCY DEPT VISIT LVL IV | $474.30 | $527.00 | Jan 9, 2026 source file |
| Huron Regional Medical Center Huron · Huron, SD ER Visit Level 4 Facility Fee | $574.80 | $958.00 | Mar 31, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN EMERGENCY DEPT VISIT LVL IV | $610.00 | $610.00 | Apr 30, 2026 source file |
| Faulkton Area Medical Center Faulkton · Faulkton, SD FAC ED Level 4 - Room Charge | $896.40 | $996.00 | Jul 17, 2026 source file |
| Bennett County Hospital & Nursing Home Martin · Martin, SD ER LEVEL 4 65-105 | $962.34 | $962.34 | Jan 3, 2025 source file |
| Hans P Peterson Memorial Hospital - Cah Philip · Philip, SD HC EMERGENCY DEPARTMENT VISIT LEVEL 4 Mod SEVERITY | $967.00 | $967.00 | Jul 1, 2024 source file |
| Sanford Aberdeen Medical Center Aberdeen · Aberdeen, SD ED 99284 EMER CASE LEVEL IV | $984.80 | $1,231.00 | Mar 4, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Emergency department visit with moderate level of medical decision making | $1,001.00 | $1,001.00 | Nov 4, 2026 source file |
| Madison Community Hospital Madison · Madison, SD HC Emergency Department Level 4 Visit High/Urgent Severity | $1,028.00 | $1,028.00 | Oct 12, 2026 source file |
| Sanford Webster Hospital Webster · Webster, SD ED 99284 EMER CASE LEVEL IV | $1,078.40 | $1,348.00 | Mar 4, 2026 source file |
| Sanford Clear Lake Medical Center Clear Lake · Clear Lake, SD ED 99284 EMER CASE LEVEL IV | $1,103.20 | $1,379.00 | Mar 4, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Emergency department visit with moderate level of medical decision making | $1,138.40 | $1,423.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Emergency department visit with moderate level of medical decision making | $1,138.40 | $1,423.00 | Oct 20, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Emergency department visit with moderate level of medical decision making | $1,138.40 | $1,423.00 | Oct 22, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Emergency department visit with moderate level of medical decision making | $1,138.40 | $1,423.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Emergency department visit with moderate level of medical decision making | $1,138.40 | $1,423.00 | Oct 21, 2026 source file |
| Sanford Chamberlain Medical Center Chamberlain · Chamberlain, SD ED 99284 EMER CASE LEVEL IV | $1,204.00 | $1,505.00 | Mar 4, 2026 source file |
| Sanford Canton Inwood Medical Center Canton · Sioux Falls, SD-MN ED 99284 EMER CASE LEVEL IV | $1,288.80 | $1,611.00 | Mar 4, 2026 source file |
| Sanford Vermillion Hospital Vermillion · Vermillion, SD ED 99284 EMER CASE LEVEL IV | $1,360.80 | $1,701.00 | Mar 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN ED 99284 EMER CASE LEVEL IV | $1,384.00 | $1,730.00 | Mar 4, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD ED 99284 EMER CASE LEVEL IV | $1,462.00 | $1,462.00 | May 7, 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.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
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 | 3 | $1,138.40 | $1,138.40 |
| Sioux Falls, SD-MN | 3 | $610.00 | $1,288.80 |
| Spearfish, SD | 2 | $1,138.40 | $1,138.40 |
| Armour, SD | 1 | $474.30 | $474.30 |
| Aberdeen, SD | 1 | $984.80 | $984.80 |
| Brookings, SD | 1 | $375.50 | $375.50 |
| Chamberlain, SD | 1 | $1,204.00 | $1,204.00 |
| Clear Lake, SD | 1 | $1,103.20 | $1,103.20 |
| Faulkton, SD | 1 | $896.40 | $896.40 |
| Huron, SD | 1 | $574.80 | $574.80 |
| Madison, SD | 1 | $1,028.00 | $1,028.00 |
| Martin, SD | 1 | $962.34 | $962.34 |
| Mobridge, SD | 1 | $1,001.00 | $1,001.00 |
| Philip, SD | 1 | $967.00 | $967.00 |
| Vermillion, SD | 1 | $1,360.80 | $1,360.80 |
| Webster, SD | 1 | $1,078.40 | $1,078.40 |
| Winner, SD | 1 | $1,462.00 | $1,462.00 |
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 level 4 ER visit is, what the price covers and why prices differ: Level 4 ER visit explained.
Emergency room visit, level 4 of 5, moderate-complexity problem in other states
- Alabama$569.75
- Alaska$1,349.00
- Arizona$1,139.29
- Arkansas$665.08
- California$2,712.64
- Colorado$1,682.05
- Connecticut$2,386.00
- Delaware$1,402.31
- District of Columbia$1,761.66, 3 hospitals
- Florida$2,481.34
- Georgia$800.40
- Hawaii$2,052.18
- Idaho$1,288.50
- Illinois$1,144.08
- Indiana$1,183.71
- Iowa$697.81
- Kansas$844.00
- Kentucky$920.25
- Louisiana$425.11
- Maine$696.10
- Maryland$525.39
- Massachusetts$1,267.35
- Michigan$1,055.60
- Minnesota$786.83
- Mississippi$559.44
- Missouri$911.04
- Montana$850.18
- Nebraska$975.00
- Nevada$1,650.00
- New Hampshire$928.70
- New Jersey$550.67
- New Mexico$857.10
- New York$843.75
- North Carolina$1,231.80
- North Dakota$810.00
- Ohio$1,328.63
- Oklahoma$757.95
- Oregon$1,329.25
- Pennsylvania$1,223.40
- Puerto Rico$1,042.50, 4 hospitals
- Rhode Island$1,119.60
- South Carolina$1,494.45
- Tennessee$721.20
- Texas$1,291.00
- Utah$3,729.47
- Vermont$965.60
- Virginia$909.50
- Washington$1,350.94
- West Virginia$686.00
- Wisconsin$922.65
- Wyoming$1,187.80
Median cash price across the state's hospitals.