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Hospital rankings

Hospitals in South Dakota with the lowest medicare spending per patient

16 South Dakota hospitals ranked by medicare spending per patient in the 2026 Medicare (CMS) data. Leading: Pine Ridge IHS Hospital, Black Hills Surgical Hospital LLC, PHS Indian Hospital At Rosebud. 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 medicare spending per patient; 45 more match but have no reported value.

Compare top 4 Download CSV
Hospital rankings, page 1 of 1. Columns can be sorted.
#HospitalMedicare spending per patientlower is betterTotal bedsOverall star ratinghigher is betterCompare
National average1.00
1Pine Ridge IHS HospitalPine Ridge, SD · Acute care0.73, 99th percentile45—Compare Pine Ridge IHS Hospital
2Black Hills Surgical Hospital LLCRapid City, SD · Acute care0.87, 93rd percentile26—Compare Black Hills Surgical Hospital LLC
3PHS Indian Hospital At RosebudRosebud, SD · Acute care0.89, 90th percentile29—Compare PHS Indian Hospital At Rosebud
T4Brookings Health SystemBrookings, SD · Acute care0.91, 86th percentile494, 73rd percentileCompare Brookings Health System
T4Sanford Medical Center AberdeenAberdeen, SD · Acute care0.91, 86th percentile484, 73rd percentileCompare Sanford Medical Center Aberdeen
6Monument Health Spearfish HospitalSpearfish, SD · Acute care0.92, 83rd percentile444, 73rd percentileCompare Monument Health Spearfish Hospital
7Avera St Mary's HospitalPierre, SD · Acute care0.93, 80th percentile602, 17th percentileCompare Avera St Mary's Hospital
T8Avera Sacred Heart HospitalYankton, SD · Acute care0.94, 76th percentile1443, 43rd percentileCompare Avera Sacred Heart Hospital
T8Sioux Falls Specialty HospitalSioux Falls, SD · Acute care0.94, 76th percentile33—Compare Sioux Falls Specialty Hospital
10Dunes Surgical HospitalDakota Dunes, SD · Acute care0.95, 71st percentile38—Compare Dunes Surgical Hospital
11Prairie Lakes Healthcare System, IncWatertown, SD · Acute care0.98, 55th percentile813, 43rd percentileCompare Prairie Lakes Healthcare System, Inc
12Monument Health Rapid City HospitalRapid City, SD · Acute care1.00, 44th percentile4173, 43rd percentileCompare Monument Health Rapid City Hospital
T13Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care1.02, 33rd percentile535, 94th percentileCompare Avera Heart Hospital Of South Dakota
T13Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care1.02, 33rd percentile5054, 73rd percentileCompare Avera McKennan Hospital & University Health Center
T13Avera St LukesAberdeen, SD · Acute care1.02, 33rd percentile1094, 73rd percentileCompare Avera St Lukes
16Sanford USDMedical CenterSioux Falls, SD · Acute care1.07, 14th percentile5455, 94th percentileCompare Sanford USDMedical 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.

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).
Overall star rating
CMS overall hospital quality star rating (1-5).