SelfPayRates
Cash prices South Dakota Outpatient

Cheapest hospitals in South Dakota without insurance

Of 24 hospitals in South Dakota we can compare, Black Hills Surgical Hospital (Rapid City) has the lowest cash prices: its typical outpatient price is 56% below the South Dakota median across 357 procedures. The ranking compares each hospital's own cash price with the median of all South Dakota hospitals, procedure by procedure.

Collected Nov 11, 2026 Hospitals with at least 30 comparable procedures

HospitalTypical priceBelow medianAbove median
1. Black Hills Surgical Hospital Rapid City 56% below 300 of 357 42 of 357
2. Brookings Health System Brookings 37% below 292 of 346 46 of 346
3. Sanford Canton Inwood Medical Center Canton 15% below 252 of 313 42 of 313
4. Sanford Vermillion Hospital Vermillion 14% below 279 of 346 51 of 346
5. Huron Regional Medical Center Huron 11% below 200 of 329 127 of 329
6. Faulkton Area Medical Center Faulkton 5% below 201 of 358 147 of 358
7. Sanford Aberdeen Medical Center Aberdeen at median 105 of 209 94 of 209
8. Monument Health Rapid City Hospital Rapid City at median 126 of 442 137 of 442
9. Monument Health Spearfish Hospital Spearfish at median 133 of 439 123 of 439
10. Monument Health Sturgis Hospital Sturgis at median 133 of 439 123 of 439
11. Sanford Clear Lake Medical Center Clear Lake at median 140 of 319 152 of 319
12. Sanford Webster Hospital Webster at median 152 of 319 140 of 319
13. Monument Health Custer Hospital Custer at median 70 of 297 85 of 297
14. Monument Health Lead-Deadwood Hospital Deadwood at median 70 of 297 85 of 297
15. Same Day Surgery Center Rapid City at median 55 of 115 54 of 115
16. Sanford Chamberlain Medical Center Chamberlain 6% above 110 of 332 190 of 332
17. Madison Community Hospital Madison 9% above 139 of 384 232 of 384
18. Pioneer Memorial Hospital - Cah Viborg 10% above 143 of 367 210 of 367
19. Mobridge Regional Hospital Mobridge 10% above 152 of 410 250 of 410
20. Sanford USD Medical Center Sioux Falls 13% above 52 of 268 207 of 268
21. Hans P Peterson Memorial Hospital - Cah Philip 16% above 87 of 285 192 of 285
22. Douglas County Memorial Hospital Armour 19% above 135 of 372 234 of 372
23. Bennett County Hospital & Nursing Home Martin 21% above 57 of 252 189 of 252
24. Winner Regional Healthcare Center Winner 23% above 112 of 402 283 of 402
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Typical price The median of this hospital's cash prices divided by the state median for the same codes: below means cheaper than a typical hospital in the state.
Below median For how many of the compared procedures this hospital is cheaper than the state median.
Above median For how many of the compared procedures this hospital is more expensive than the state median.

Not in the ranking: Prairie Lakes Health Care System (Watertown) — its price file lists no cash price (all US hospitals without one).

Procedure costs in South Dakota

Cheapest hospitals by metro area in South Dakota

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.