Hospital rankings
Hospitals in South Dakota with the highest patient survey star rating
18 South Dakota hospitals ranked by patient survey star rating in the 2026 Medicare (CMS) data. Leading: Sioux Falls VA Medical Center, VA Black Hills Healthcare System, Black Hills Surgical Hospital LLC. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Patient survey star ratinghigher is better | Overall 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, 97th percentile | 5, 94th percentile | — | 12.3%, 25th percentile | 13.6%, 97th percentile | 1.00, 35th percentile | — | — | 270 | Compare Sioux Falls VA Medical Center |
| T1 | VA Black Hills Healthcare System | 5, 97th percentile | 5, 94th percentile | — | 9.7%, 75th percentile | 14.2%, 89th percentile | 0.96, 51st percentile | — | — | 420 | Compare VA Black Hills Healthcare System |
| T1 | Black Hills Surgical Hospital LLC | 5, 97th percentile | — | — | — | 12.6%, 100th percentile | 0.78, 95th percentile | — | 0.87, 93rd percentile | 26 | Compare Black Hills Surgical Hospital LLC |
| T1 | Sioux Falls Specialty Hospital | 5, 97th percentile | — | — | — | 14.9%, 54th percentile | 0.86, 83rd percentile | — | 0.94, 76th percentile | 33 | Compare Sioux Falls Specialty Hospital |
| T5 | Avera Heart Hospital Of South Dakota | 4, 76th percentile | 5, 94th 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 |
| T5 | Avera McKennan Hospital & University Health Center | 4, 76th percentile | 4, 73rd 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 |
| T5 | Avera Queen Of Peace | 4, 76th percentile | 4, 73rd percentile | — | 12.1%, 28th percentile | 14.4%, 83rd percentile | — | 104 min, 87th percentile | — | 25 | Compare Avera Queen Of Peace |
| T5 | Avera St Lukes | 4, 76th percentile | 4, 73rd 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 |
| T5 | Brookings Health System | 4, 76th percentile | 4, 73rd 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 |
| T5 | Sanford Medical Center Aberdeen | 4, 76th percentile | 4, 73rd 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 |
| T5 | Avera Sacred Heart Hospital | 4, 76th percentile | 3, 43rd 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 |
| T5 | Prairie Lakes Healthcare System, Inc | 4, 76th percentile | 3, 43rd 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 |
| T5 | Avera St Mary's Hospital | 4, 76th percentile | 2, 17th 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 |
| T5 | Dunes Surgical Hospital | 4, 76th percentile | — | — | — | 15.3%, 28th percentile | 0.90, 73rd percentile | — | 0.95, 71st percentile | 38 | Compare Dunes Surgical Hospital |
| T15 | Sanford USDMedical Center | 3, 39th percentile | 5, 94th 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 |
| T15 | Monument Health Spearfish Hospital | 3, 39th percentile | 4, 73rd 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 |
| T15 | Monument Health Rapid City Hospital | 3, 39th percentile | 3, 43rd 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 |
| T15 | Huron Regional Medical Center | 3, 39th percentile | 2, 17th 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.
- Patient survey star rating
- HCAHPS summary star rating (1-5).
- Overall star rating
- CMS overall hospital quality 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).