Posted commercial rates at 4 South Dakota hospitals, each next to its own Medicare base rate.
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| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Monument Health Spearfish Hospital Spearfish | $14,122 | 1.5× | 1 | 2026-09-01 |
| Monument Health Rapid City Hospital Rapid City | $16,516 | 1.8× | 2 | 2026-09-01 |
| Huron Regional Medical Center Huron | $19,551 | 2.1× | 1 | 2026-03-31 |
| Sanford Usd Medical Center Sioux Falls | $20,881 | 2.2× | 3 | 2026-03-04 |
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Monument Health Spearfish Hospital Spearfish | $9,339 | 1.5× | 1 | 2026-09-01 |
| Monument Health Rapid City Hospital Rapid City | $10,922 | 1.8× | 2 | 2026-09-01 |
| Huron Regional Medical Center Huron | $12,904 | 2.1× | 1 | 2026-03-31 |
| Sanford Usd Medical Center Sioux Falls | $13,809 | 2.2× | 3 | 2026-03-04 |
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Monument Health Rapid City Hospital Rapid City | $7,282 | 1.8× | 2 | 2026-09-01 |
| Huron Regional Medical Center Huron | $8,222 | 2.0× | 1 | 2026-03-31 |
| Sanford Usd Medical Center Sioux Falls | $9,206 | 2.2× | 3 | 2026-03-04 |
4 South Dakota hospitals post usable commercial rates for heart failure (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 291), the median across 4 hospitals is $18,034, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.