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State Price Transparency Index 22 Mapped Hospitals 140 Shoppable Procedures −3% vs. U.S. Median (near the U.S. average)

South Dakota Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 22 South Dakota hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.97×vs. U.S. Fair Price Average
Position vs. 1.00× Fair Price3% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 22 South Dakota hospitals, typical commercial prices average 3% below the U.S. fair price (0.97×) after accounting for local wages.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · South Dakota Market & Best ValueSummarizes statewide hospital price coverage across South Dakota, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.22 Hospitals · 140 Procedures
Hospitals Priced22 in SDTotal hospitals in South Dakota with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.8× MedicareAverage commercial insurance negotiated rate across South Dakota hospitals compared to what federal Medicare pays for the same procedure.
Best Value in SD0.37× FairLowest confounder-adjusted hospital in South Dakota: Mobridge Regional Hospital - Cah (Mobridge) at 0.37× fair market price.

Most affordable South Dakota hospital: Mobridge Regional Hospital - Cah (Mobridge) at 0.37× the fair price (63% below benchmark).

Statewide Hospital Pricing Fingerprint22 South Dakota Hospitals Analyzed

South Dakota Statewide Hospital Pricing Summary

Across 22 reporting hospitals and 140 shoppable procedures in South Dakota, typical commercial insurance rates sit at 0.97× the U.S. fair price average (1.8× federal Medicare rates). However, prices vary by 9.2× across the state — from 0.37× fair price at the most affordable hospitals up to 3.39× at high-markup facilities.

State Price Index: 0.97× U.S. Fair AverageAvg Commercial Rate: 1.8× Medicare
Advantage

Best Value in South Dakota (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in South Dakota: Mobridge Regional Hospital - Cah (Mobridge) prices care at 0.37× the fair price benchmark.
  • Additional low-cost leaders include Douglas County Memorial Hospital-Cah (Armour, 0.62× fair) and Black Hills Surgical Hospital LLC (0.80× fair).
  • Bottom-quartile South Dakota hospitals (Q25) charge 0.95× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across South Dakota must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where South Dakota Patients Get Burned (High-Markup Traps)

  • Highest-markup South Dakota facilities reach 6.0× Medicare (Monument Health Lead-Deadwood Hospital in Deadwood, Sanford Clear Lake Medical Center).
  • Prices for the exact same procedure swing 9.2× between the lowest-priced (0.37×) and highest-priced (3.39×) hospitals in South Dakota.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable SD Hospitals (Bottom 25%)Best Value Tier
0.37× – 0.95× Fair

Led by Mobridge Regional Hospital - Cah (Mobridge) at 0.37× fair price.

Typical South Dakota Hospital (State Median)1.8× Medicare
1.08× Fair Price

Middle-of-the-pack commercial rate across all 22 South Dakota hospitals.

Highest-Markup SD Hospitals (Top 25%)9.2× State Spread
1.48× – 3.39× Fair

Highest-priced quarter of South Dakota hospitals where shopping around saves the most.

South Dakota County Price & Affordability Heatmap 19 of 66 Counties with MRF Hospital Data

South Dakota County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 66 counties in South Dakota

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
Pennington County2hosps
0.94× Fair
Income $71k
Minnehaha County2hosps
1.07× Fair
Income $76k
Walworth County1hosp
0.37× Fair
Income $63k
Douglas County1hosp
0.62× Fair
Income $78k
Brown County1hosp
0.95× Fair
Income $70k
Lincoln County1hosp
0.97× Fair
Income $97k
Clay County1hosp
0.97× Fair
Income $59k
Roberts County1hosp
0.97× Fair
Income $64k
Turner County1hosp
0.97× Fair
Income $75k
Tripp County1hosp
0.97× Fair
Income $59k
Day County1hosp
0.97× Fair
Income $62k
Brule County1hosp
0.97× Fair
Income $74k
Faulk County1hosp
0.98× Fair
Income $58k
Edmunds County1hosp
0.99× Fair
Income $77k
Beadle County1hosp
1.12× Fair
Income $63k
Union County1hosp
1.48× Fair
Income $84k
Lawrence County1hosp
1.58× Fair
Income $67k
Brookings County1hosp
1.66× Fair
Income $67k
Deuel County1hosp
3.39× Fair
Income $80k
Meade County0hosps
0.97× Fair
Income $74k
Codington County0hosps
0.97× Fair
Income $65k
Yankton County0hosps
0.97× Fair
Income $74k
Davison County0hosps
0.97× Fair
Income $61k
Hughes County0hosps
0.97× Fair
Income $79k
Showing top 24 counties with hospital price filings of 66 total in South Dakota

All Hospitals in South Dakota (22)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

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Compare Prices by Procedure in South Dakota (140)

High-impact surgeries, scans, and hospital stays are listed first with the typical South Dakota price. Search any procedure below.

Browse South Dakota by Metro Area

Local hospital comparison pages for each South Dakota regional market.

Which Insurers Negotiate Prices in South Dakota

Across the 22 South Dakota hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

UnitedHealthcare 20 of 22 hospitals
Blue Cross Blue Shield 19 of 22 hospitals
Aetna 10 of 22 hospitals
Humana 6 of 22 hospitals
Cigna 5 of 22 hospitals

Also negotiating in South Dakota: Sanford Health Plan (19) · Medica (16) · HealthPartners (14) · Health Net (8) · UCare (8) · Security Health Plan (7).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →