Cheapest hospitals in South Dakota without insurance
Of 8 hospitals in South Dakota we can compare, Black Hills Surgical Hospital (Rapid City) has the lowest cash prices: its typical outpatient price is 46% below the South Dakota median across 213 procedures. The ranking compares each hospital's own cash price with the median of all South Dakota hospitals, procedure by procedure.
Collected Sep 25, 2026 Hospitals with at least 30 comparable procedures
| Hospital | Typical price | Below median | Above median |
|---|---|---|---|
| 1. Black Hills Surgical Hospital Rapid City | 46% below | 168 of 213 | 40 of 213 |
| 2. Sanford Canton Inwood Medical Center Canton | 8% below | 178 of 233 | 29 of 233 |
| 3. Sanford Vermillion Hospital Vermillion | 8% below | 181 of 251 | 43 of 251 |
| 4. Sanford Aberdeen Medical Center Aberdeen | at median | 82 of 162 | 56 of 162 |
| 5. Sanford Webster Hospital Webster | 3% above | 65 of 237 | 142 of 237 |
| 6. Sanford Chamberlain Medical Center Chamberlain | 5% above | 55 of 247 | 160 of 247 |
| 7. Sanford Clear Lake Medical Center Clear Lake | 5% above | 38 of 238 | 170 of 238 |
| 8. Sanford USD Medical Center Sioux Falls | 12% above | 26 of 186 | 148 of 186 |
How the ranking works
- For every procedure, we take the hospital's lowest outpatient cash price and compare it with the median of all South Dakota hospitals that publish a cash price for the same code (only codes with at least three hospitals in the state).
- "Typical price" is the middle of those comparisons: half of the hospital's procedures are cheaper than that, half are dearer. One expensive surgery does not outweigh a hundred cheap lab tests, and the other way round.
- Hospitals with fewer than 30 comparable procedures are left out: with a handful of codes the place would be decided by chance.
- Prices far below every other hospital are worth a phone call: some price files list only part of a service (for example the facility fee without the doctor's fee), or a discount that depends on income.
- A low rank does not mean every price is low. Open the hospital to see the procedure you need, then ask its billing office for a Good Faith Estimate in writing.