| 1 | Community Memorial Hospital Burke | Burke | $6,066 | Not Rated | C |
| 2 | Avera Weskota Memorial Medical Center - Cah Wessington Springs | Wessington Springs | $7,010 | Not Rated | C |
| 3 | Monument Health Spearfish Hospital Spearfish | Spearfish | $7,847 | Not Rated | C |
| 4 | Phs Indian Hospital At Rosebud Rosebud | Rosebud | $8,247 | Not Rated | C |
| 5 | Monument Health Lead-Deadwood Hospital Deadwood | Deadwood | $8,761 | Not Rated | C |
| 6 | Sanford Medical Center Aberdeen Aberdeen | Aberdeen | $8,986 | ★★★★☆ | B |
| 7 | Avera St Lukes Aberdeen | Aberdeen | $9,033 | ★★★★★ | A |
| 8 | Sanford Chamberlain Medical Center Chamberlain | Chamberlain | $9,251 | Not Rated | C |
| 9 | Va Black Hills Healthcare System Fort Meade | Fort Meade | $9,641 | ★★★★☆ | B |
| 10 | Monument Health Sturgis Hospital Sturgis | Sturgis | $9,701 | Not Rated | C |
| 11 | Landmann-Jungman Memorial Hospital - Cah Scotland | Scotland | $10,059 | Not Rated | C |
| 12 | Avera De Smet Memorial Hospital - Cah De Smet | De Smet | $10,666 | Not Rated | C |
| 13 | Brookings Health System Brookings | Brookings | $10,685 | ★★★★☆ | B |
| 14 | Avera St Benedict Health Center - Cah Parkston | Parkston | $11,166 | Not Rated | C |
| 15 | Fall River Hospital - Cah Hot Springs | Hot Springs | $11,188 | Not Rated | C |
| 16 | Milbank Area Hospital/Avera Health Milbank | Milbank | $11,294 | Not Rated | C |
| 17 | Pioneer Memorial Hospital - Cah Viborg | Viborg | $11,328 | Not Rated | C |
| 18 | Sanford Usd Medical Center Sioux Falls | Sioux Falls | $11,448 | ★★★★☆ | B |
| 19 | Bowdle Hospital - Cah Bowdle | Bowdle | $11,707 | Not Rated | B |
| 20 | Madison Regional Health System Madison | Madison | $12,067 | Not Rated | C |
| 21 | Winner Regional Healthcare Center - Cah Winner | Winner | $12,096 | Not Rated | C |
| 22 | Freeman Medical Center - Cah Freeman | Freeman | $12,108 | Not Rated | C |
| 23 | Avera Dells Area Hospital - Cah Dell Rapids | Dell Rapids | $12,235 | Not Rated | C |
| 24 | Mobridge Regional Hospital - Cah Mobridge | Mobridge | $12,370 | Not Rated | C |
| 25 | Community Memorial Hospital Redfield | Redfield | $12,540 | Not Rated | B |
| 26 | Pine Ridge Ihs Hospital Pine Ridge | Pine Ridge | $12,868 | Not Rated | C |
| 27 | Avera Sacred Heart Hospital Yankton | Yankton | $12,992 | ★★★★☆ | B |
| 28 | Sioux Falls Va Medical Center Sioux Falls | Sioux Falls | $13,014 | ★★★★★ | A |
| 29 | Marshall County Healthcare Center - Cah Britton | Britton | $13,074 | Not Rated | B |
| 30 | South Dakota Human Services Center Yankton | Yankton | $13,102 | Not Rated | C |
| 31 | Huron Regional Medical Center Huron | Huron | $13,146 | Not Rated | C |
| 32 | Avera Queen Of Peace Mitchell | Mitchell | $13,928 | Not Rated | C |
| 33 | Avera Gregory Hospital Gregory | Gregory | $14,470 | Not Rated | C |
| 34 | Avera Mckennan Hospital & University Health Center Sioux Falls | Sioux Falls | $14,843 | ★★★☆☆ | B |
| 35 | Faulkton Area Medical Center Faulkton | Faulkton | $14,911 | Not Rated | C |
| 36 | Platte Health Center Platte | Platte | $15,618 | Not Rated | C |
| 37 | Lifescape Sioux Falls | Sioux Falls | $16,441 | Not Rated | C |
| 38 | Prairie Lakes Healthcare System, Inc Watertown | Watertown | $16,777 | ★★★★☆ | B |
| 39 | Black Hills Surgical Hospital Llc Rapid City | Rapid City | $17,024 | Not Rated | C |
| 40 | Avera St Mary's Hospital Pierre | Pierre | $17,703 | ★★★☆☆ | C |
| 41 | Same Day Surgery Center Llc Rapid City | Rapid City | $20,605 | Not Rated | C |