Hospital rankings
Top-rated hospitals in South Dakota
18 South Dakota hospitals ranked by overall star rating in the 2026 Medicare (CMS) data. Leading: Sioux Falls VA Medical Center, Avera Heart Hospital Of South Dakota, VA Black Hills Healthcare System. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Overall star ratinghigher is better | Patient survey star ratinghigher is better | Heart attack death ratelower is better | Heart failure death ratelower is better | Hospital-wide readmission ratelower is better · 2025 data | Serious complicationslower is better | Time in emergency departmentlower is better | Medicare spending per patientlower is better | Total beds | Compare |
|---|---|---|---|---|---|---|---|---|---|---|---|
| National average | 3.3 | 11.9% | 11.1% | 15.0% | 1.00 | 162 min | 1.00 | ||||
| T1 | Sioux Falls VA Medical Center | 5, 94th percentile | 5, 97th percentile | — | 12.3%, 25th percentile | 13.6%, 97th percentile | 1.00, 35th percentile | — | — | 270 | Compare Sioux Falls VA Medical Center |
| T1 | Avera Heart Hospital Of South Dakota | 5, 94th percentile | 4, 76th percentile | 10.9%, 80th percentile | 10.6%, 58th percentile | 13.8%, 96th percentile | 0.93, 63rd percentile | 110 min, 82nd percentile | 1.02, 33rd percentile | 53 | Compare Avera Heart Hospital Of South Dakota |
| T1 | VA Black Hills Healthcare System | 5, 94th percentile | 5, 97th percentile | — | 9.7%, 75th percentile | 14.2%, 89th percentile | 0.96, 51st percentile | — | — | 420 | Compare VA Black Hills Healthcare System |
| T1 | Sanford USDMedical Center | 5, 94th percentile | 3, 39th percentile | 10.9%, 80th percentile | 11.2%, 46th percentile | 14.5%, 79th percentile | 0.64, 100th percentile | 207 min, 16th percentile | 1.07, 14th percentile | 545 | Compare Sanford USDMedical Center |
| T1 | Avera St Benedict Health Center - CAH | 5, 94th percentile | — | — | — | 14.2%, 89th percentile | — | 109 min, 83rd percentile | — | 25 | Compare Avera St Benedict Health Center - CAH |
| T6 | Brookings Health System | 4, 73rd percentile | 4, 76th percentile | — | 11.5%, 39th percentile | 13.7%, 97th percentile | 0.98, 41st percentile | 97 min, 92nd percentile | 0.91, 86th percentile | 49 | Compare Brookings Health System |
| T6 | Avera St Lukes | 4, 73rd percentile | 4, 76th percentile | 11.7%, 54th percentile | 11.0%, 50th percentile | 15.2%, 34th percentile | 1.06, 25th percentile | 126 min, 69th percentile | 1.02, 33rd percentile | 109 | Compare Avera St Lukes |
| T6 | Monument Health Spearfish Hospital | 4, 73rd percentile | 3, 39th percentile | — | 10.0%, 70th percentile | 14.2%, 89th percentile | 0.95, 55th percentile | 144 min, 53rd percentile | 0.92, 83rd percentile | 44 | Compare Monument Health Spearfish Hospital |
| T6 | Sanford Medical Center Aberdeen | 4, 73rd percentile | 4, 76th percentile | — | 11.5%, 39th percentile | 14.6%, 74th percentile | 0.95, 55th percentile | 120 min, 74th percentile | 0.91, 86th percentile | 48 | Compare Sanford Medical Center Aberdeen |
| T6 | Avera McKennan Hospital & University Health Center | 4, 73rd percentile | 4, 76th percentile | 12.2%, 35th percentile | 12.4%, 23rd percentile | 14.4%, 83rd percentile | 1.03, 29th percentile | 112 min, 81st percentile | 1.02, 33rd percentile | 505 | Compare Avera McKennan Hospital & University Health Center |
| T6 | Avera Queen Of Peace | 4, 73rd percentile | 4, 76th percentile | — | 12.1%, 28th percentile | 14.4%, 83rd percentile | — | 104 min, 87th percentile | — | 25 | Compare Avera Queen Of Peace |
| T6 | Community Memorial Hospital | 4, 73rd percentile | — | — | 11.9%, 32nd percentile | 15.0%, 46th percentile | — | 102 min, 89th percentile | — | 25 | Compare Community Memorial Hospital |
| T6 | Coteau Des Prairies Health Care System | 4, 73rd percentile | — | — | — | 14.7%, 68th percentile | — | 44 min, 100th percentile | — | 25 | Compare Coteau Des Prairies Health Care System |
| T14 | Avera Sacred Heart Hospital | 3, 43rd percentile | 4, 76th percentile | — | 16.0%, 1st percentile | 15.4%, 23rd percentile | 0.87, 81st percentile | 117 min, 77th percentile | 0.94, 76th percentile | 144 | Compare Avera Sacred Heart Hospital |
| T14 | Prairie Lakes Healthcare System, Inc | 3, 43rd percentile | 4, 76th percentile | 13.5%, 8th percentile | 14.8%, 4th percentile | 15.4%, 23rd percentile | 1.31, 6th percentile | 117 min, 77th percentile | 0.98, 55th percentile | 81 | Compare Prairie Lakes Healthcare System, Inc |
| T14 | Monument Health Rapid City Hospital | 3, 43rd percentile | 3, 39th percentile | 12.8%, 19th percentile | 9.8%, 73rd percentile | 14.5%, 79th percentile | 1.15, 14th percentile | 172 min, 34th percentile | 1.00, 44th percentile | 417 | Compare Monument Health Rapid City Hospital |
| T17 | Avera St Mary's Hospital | 2, 17th percentile | 4, 76th percentile | — | 14.8%, 4th percentile | 14.3%, 86th percentile | 1.07, 23rd percentile | 127 min, 68th percentile | 0.93, 80th percentile | 60 | Compare Avera St Mary's Hospital |
| T17 | Huron Regional Medical Center | 2, 17th percentile | 3, 39th percentile | — | — | 14.8%, 61st percentile | — | 100 min, 90th percentile | — | 25 | Compare Huron Regional Medical Center |
About these rankings
Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.
- Overall star rating
- CMS overall hospital quality star rating (1-5).
- Patient survey star rating
- HCAHPS summary star rating (1-5).
- Heart attack death rate
- 30-day death rate for heart attack patients.
- Heart failure death rate
- 30-day death rate for heart failure patients.
- Hospital-wide readmission rate
- Rate of unplanned readmission within 30 days, all conditions. From 2025 CMS reports the Hybrid Hospital-Wide Readmission measure (claims plus EHR data), which replaced the claims-only measure; values are close but not strictly comparable across the change. CMS suppressed it for 2026.. Latest available: 2025 release.
- Serious complications
- Patient safety and adverse events composite (PSI 90; 1.0 = national value).
- Time in emergency department
- Median time patients spent in the emergency department before leaving.
- Medicare spending per patient
- Medicare spending per beneficiary episode relative to the national median (1.0 = national median).
- Total beds
- Total beds reported to CMS (Provider of Services file).