| 1 | Brookings Health System Brookings | Brookings | $6,925 | ★★★★☆ | B |
| 2 | Community Memorial Hospital Burke | Burke | $8,060 | Not Rated | C |
| 3 | Avera Gregory Hospital Gregory | Gregory | $9,059 | Not Rated | C |
| 4 | Monument Health Spearfish Hospital Spearfish | Spearfish | $9,416 | Not Rated | C |
| 5 | Bennett County Hospital And Nursing Home - Cah Martin | Martin | $9,423 | Not Rated | C |
| 6 | Phs Indian Hospital At Rosebud Rosebud | Rosebud | $9,445 | Not Rated | C |
| 7 | Black Hills Surgical Hospital Llc Rapid City | Rapid City | $9,509 | Not Rated | C |
| 8 | Coteau Des Prairies Health Care System Sisseton | Sisseton | $9,669 | Not Rated | C |
| 9 | Sanford Medical Center Aberdeen Aberdeen | Aberdeen | $9,951 | ★★★★☆ | B |
| 10 | Avera St Lukes Aberdeen | Aberdeen | $10,005 | ★★★★★ | A |
| 11 | Prairie Lakes Healthcare System, Inc Watertown | Watertown | $10,155 | ★★★★☆ | B |
| 12 | Douglas County Memorial Hospital-Cah Armour | Armour | $10,423 | Not Rated | B |
| 13 | Monument Health Custer Hospital Custer | Custer | $10,437 | Not Rated | C |
| 14 | Avera Queen Of Peace Mitchell | Mitchell | $10,444 | Not Rated | C |
| 15 | Hans P Peterson Memorial Hospital - Cah Philip | Philip | $10,643 | Not Rated | C |
| 16 | Avera Flandreau Hospital - Cah Flandreau | Flandreau | $10,721 | Not Rated | C |
| 17 | Sanford Vermillion Medical Center Vermillion | Vermillion | $10,945 | Not Rated | C |
| 18 | Community Memorial Hospital Redfield | Redfield | $11,106 | Not Rated | B |
| 19 | Marshall County Healthcare Center - Cah Britton | Britton | $11,193 | Not Rated | B |
| 20 | South Dakota Human Services Center Yankton | Yankton | $11,696 | Not Rated | C |
| 21 | Lifescape Sioux Falls | Sioux Falls | $11,838 | Not Rated | C |
| 22 | Avera Hand County Memorial Hospital And Clinic Miller | Miller | $11,912 | Not Rated | C |
| 23 | Huron Regional Medical Center Huron | Huron | $12,159 | Not Rated | C |
| 24 | Va Black Hills Healthcare System Fort Meade | Fort Meade | $12,312 | ★★★★☆ | B |
| 25 | Monument Health Rapid City Hospital Rapid City | Rapid City | $12,806 | ★★★★☆ | B |
| 26 | Avera Weskota Memorial Medical Center - Cah Wessington Springs | Wessington Springs | $13,181 | Not Rated | C |
| 27 | Avera Mckennan Hospital & University Health Center Sioux Falls | Sioux Falls | $13,232 | ★★★☆☆ | B |
| 28 | Platte Health Center Platte | Platte | $13,407 | Not Rated | C |
| 29 | Monument Health Sturgis Hospital Sturgis | Sturgis | $13,498 | Not Rated | C |
| 30 | Bowdle Hospital - Cah Bowdle | Bowdle | $13,513 | Not Rated | B |
| 31 | Sanford Hospital Webster - Cah Webster | Webster | $13,746 | Not Rated | C |
| 32 | Avera St Mary's Hospital Pierre | Pierre | $14,483 | ★★★☆☆ | C |
| 33 | Monument Health Lead-Deadwood Hospital Deadwood | Deadwood | $15,359 | Not Rated | C |
| 34 | Wagner Community Memorial Hospital - Cah Wagner | Wagner | $15,468 | Not Rated | C |
| 35 | Avera Dells Area Hospital - Cah Dell Rapids | Dell Rapids | $16,641 | Not Rated | C |