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Hospital rankings

Hospitals in South Dakota with the highest value-based purchasing score

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

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11 hospitals ranked in South Dakota by value-based purchasing score; 50 more match but have no reported value.

Compare top 4 Download CSV
Hospital rankings, page 1 of 1. Columns can be sorted.
#HospitalValue-based purchasing scorehigher is betterOverall star ratinghigher is betterPatient survey star ratinghigher is betterHeart attack death ratelower is betterHeart failure death ratelower is betterHospital-wide readmission ratelower is better · 2025 dataSerious complicationslower is betterTime in emergency departmentlower is betterMedicare spending per patientlower is betterTotal bedsCompare
National average313.311.9%11.1%15.0%1.00162 min1.00
1Brookings Health SystemBrookings, SD · Acute care51, 94th percentile4, 73rd percentile4, 76th percentile—11.5%, 39th percentile13.7%, 97th percentile0.98, 41st percentile97 min, 92nd percentile0.91, 86th percentile49Compare Brookings Health System
2Sanford Medical Center AberdeenAberdeen, SD · Acute care41, 81st percentile4, 73rd percentile4, 76th percentile—11.5%, 39th percentile14.6%, 74th percentile0.95, 55th percentile120 min, 74th percentile0.91, 86th percentile48Compare Sanford Medical Center Aberdeen
3Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care39, 78th percentile5, 94th percentile4, 76th percentile10.9%, 80th percentile10.6%, 58th percentile13.8%, 96th percentile0.93, 63rd percentile110 min, 82nd percentile1.02, 33rd percentile53Compare Avera Heart Hospital Of South Dakota
4Avera St Mary's HospitalPierre, SD · Acute care35, 70th percentile2, 17th percentile4, 76th percentile—14.8%, 4th percentile14.3%, 86th percentile1.07, 23rd percentile127 min, 68th percentile0.93, 80th percentile60Compare Avera St Mary's Hospital
5Monument Health Spearfish HospitalSpearfish, SD · Acute care34, 68th percentile4, 73rd percentile3, 39th percentile—10.0%, 70th percentile14.2%, 89th percentile0.95, 55th percentile144 min, 53rd percentile0.92, 83rd percentile44Compare Monument Health Spearfish Hospital
6Avera St LukesAberdeen, SD · Acute care32, 60th percentile4, 73rd percentile4, 76th percentile11.7%, 54th percentile11.0%, 50th percentile15.2%, 34th percentile1.06, 25th percentile126 min, 69th percentile1.02, 33rd percentile109Compare Avera St Lukes
7Avera Sacred Heart HospitalYankton, SD · Acute care30, 50th percentile3, 43rd percentile4, 76th percentile—16.0%, 1st percentile15.4%, 23rd percentile0.87, 81st percentile117 min, 77th percentile0.94, 76th percentile144Compare Avera Sacred Heart Hospital
8Sanford USDMedical CenterSioux Falls, SD · Acute care27, 43rd percentile5, 94th percentile3, 39th percentile10.9%, 80th percentile11.2%, 46th percentile14.5%, 79th percentile0.64, 100th percentile207 min, 16th percentile1.07, 14th percentile545Compare Sanford USDMedical Center
9Monument Health Rapid City HospitalRapid City, SD · Acute care27, 40th percentile3, 43rd percentile3, 39th percentile12.8%, 19th percentile9.8%, 73rd percentile14.5%, 79th percentile1.15, 14th percentile172 min, 34th percentile1.00, 44th percentile417Compare Monument Health Rapid City Hospital
10Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care22, 25th percentile4, 73rd percentile4, 76th percentile12.2%, 35th percentile12.4%, 23rd percentile14.4%, 83rd percentile1.03, 29th percentile112 min, 81st percentile1.02, 33rd percentile505Compare Avera McKennan Hospital & University Health Center
11Prairie Lakes Healthcare System, IncWatertown, SD · Acute care21, 20th percentile3, 43rd percentile4, 76th percentile13.5%, 8th percentile14.8%, 4th percentile15.4%, 23rd percentile1.31, 6th percentile117 min, 77th percentile0.98, 55th percentile81Compare Prairie Lakes Healthcare System, Inc

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.

Value-based purchasing score
Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
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).