Hospital rankings

Hospitals in South Dakota with the best net Medicare quality adjustments

16 South Dakota hospitals ranked by net Medicare quality adjustment in the 2026 Medicare (CMS) data. Leading: Sanford Medical Center Aberdeen, Avera Heart Hospital Of South Dakota, Brookings Health System. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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16 hospitals ranked in South Dakota by net medicare quality adjustment; 45 more match but have no reported value.

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Hospital rankings, page 1 of 1. Columns can be sorted.
#	Hospital	Net Medicare quality adjustmenthigher is better	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	−0.48%		3.3	11.9%	11.1%	15.0%	1.00	162 min	1.00
1	Sanford Medical Center AberdeenAberdeen, SD · Acute care	+0.79%, 90th percentile	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
2	Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care	+0.69%, 89th percentile	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
3	Brookings Health SystemBrookings, SD · Acute care	+0.44%, 84th percentile	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
4	Monument Health Spearfish HospitalSpearfish, SD · Acute care	+0.32%, 82nd percentile	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
T5	Black Hills Surgical Hospital LLCRapid City, SD · Acute care	0.00%, 70th percentile	—	5, 97th percentile	—	—	12.6%, 100th percentile	0.78, 95th percentile	—	0.87, 93rd percentile	26	Compare Black Hills Surgical Hospital LLC
T5	PHS Indian Hospital At RosebudRosebud, SD · Acute care	0.00%, 70th percentile	—	—	—	—	14.9%, 54th percentile	—	—	0.89, 90th percentile	29	Compare PHS Indian Hospital At Rosebud
7	Pine Ridge IHS HospitalPine Ridge, SD · Acute care	−0.06%, 64th percentile	—	—	—	—	15.2%, 34th percentile	—	—	0.73, 99th percentile	45	Compare Pine Ridge IHS Hospital
8	Sanford USDMedical CenterSioux Falls, SD · Acute care	−0.15%, 60th percentile	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
9	Avera Sacred Heart HospitalYankton, SD · Acute care	−0.16%, 60th percentile	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
10	Avera St LukesAberdeen, SD · Acute care	−0.17%, 59th percentile	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
11	Dunes Surgical HospitalDakota Dunes, SD · Acute care	−0.33%, 53rd percentile	—	4, 76th percentile	—	—	15.3%, 28th percentile	0.90, 73rd percentile	—	0.95, 71st percentile	38	Compare Dunes Surgical Hospital
12	Monument Health Rapid City HospitalRapid City, SD · Acute care	−0.51%, 46th percentile	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
13	Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care	−0.61%, 43rd percentile	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
14	Avera St Mary's HospitalPierre, SD · Acute care	−0.61%, 43rd percentile	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
15	Prairie Lakes Healthcare System, IncWatertown, SD · Acute care	−1.58%, 14th percentile	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
16	Sioux Falls Specialty HospitalSioux Falls, SD · Acute care	−3.00%, 1st percentile	—	5, 97th percentile	—	—	14.9%, 54th percentile	0.86, 83rd percentile	—	0.94, 76th percentile	33	Compare Sioux Falls Specialty Hospital

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.

Net Medicare quality adjustment: Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
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).