| 1 | St Michael's Hospital - Cah Tyndall | Tyndall | $7,464 | Not Rated | B |
| 2 | Madison Regional Health System Madison | Madison | $8,113 | Not Rated | C |
| 3 | Sanford Usd Medical Center Sioux Falls | Sioux Falls | $8,230 | ★★★★☆ | B |
| 4 | Phs Indian Hospital At Rosebud Rosebud | Rosebud | $9,383 | Not Rated | C |
| 5 | Sanford Vermillion Medical Center Vermillion | Vermillion | $9,397 | Not Rated | C |
| 6 | Dunes Surgical Hospital Dakota Dunes | Dakota Dunes | $10,098 | Not Rated | C |
| 7 | Lifescape Sioux Falls | Sioux Falls | $10,635 | Not Rated | C |
| 8 | Sioux Falls Va Medical Center Sioux Falls | Sioux Falls | $11,212 | ★★★★★ | A |
| 9 | Monument Health Rapid City Hospital Rapid City | Rapid City | $12,239 | ★★★★☆ | B |
| 10 | Coteau Des Prairies Health Care System Sisseton | Sisseton | $13,213 | Not Rated | C |
| 11 | Sanford Clear Lake Medical Center Clear Lake | Clear Lake | $13,274 | Not Rated | C |
| 12 | Monument Health Custer Hospital Custer | Custer | $13,324 | Not Rated | C |
| 13 | Avera Queen Of Peace Mitchell | Mitchell | $14,204 | Not Rated | C |
| 14 | Wagner Community Memorial Hospital - Cah Wagner | Wagner | $14,311 | Not Rated | C |
| 15 | Avera Sacred Heart Hospital Yankton | Yankton | $14,472 | ★★★★☆ | B |
| 16 | Community Memorial Hospital Burke | Burke | $14,753 | Not Rated | C |
| 17 | Bowdle Hospital - Cah Bowdle | Bowdle | $14,834 | Not Rated | B |
| 18 | Bennett County Hospital And Nursing Home - Cah Martin | Martin | $15,322 | Not Rated | C |
| 19 | Avera De Smet Memorial Hospital - Cah De Smet | De Smet | $15,637 | Not Rated | C |
| 20 | Avera St Benedict Health Center - Cah Parkston | Parkston | $15,750 | Not Rated | C |
| 21 | Sioux Falls Specialty Hospital Sioux Falls | Sioux Falls | $16,294 | Not Rated | C |
| 22 | Prairie Lakes Healthcare System, Inc Watertown | Watertown | $16,516 | ★★★★☆ | B |
| 23 | Monument Health Sturgis Hospital Sturgis | Sturgis | $16,609 | Not Rated | C |
| 24 | Monument Health Spearfish Hospital Spearfish | Spearfish | $16,807 | Not Rated | C |
| 25 | Black Hills Surgical Hospital Llc Rapid City | Rapid City | $17,191 | Not Rated | C |
| 26 | Avera Gregory Hospital Gregory | Gregory | $17,342 | Not Rated | C |
| 27 | Pioneer Memorial Hospital - Cah Viborg | Viborg | $17,495 | Not Rated | C |
| 28 | Avera Flandreau Hospital - Cah Flandreau | Flandreau | $17,550 | Not Rated | C |
| 29 | Pine Ridge Ihs Hospital Pine Ridge | Pine Ridge | $18,364 | Not Rated | C |
| 30 | Monument Health Lead-Deadwood Hospital Deadwood | Deadwood | $18,506 | Not Rated | C |
| 31 | Sanford Chamberlain Medical Center Chamberlain | Chamberlain | $19,855 | Not Rated | C |
| 32 | Avera Heart Hospital Of South Dakota Sioux Falls | Sioux Falls | $19,962 | ★★★★★ | B |