| 1 | Brookings Health System Brookings | Brookings | $23,959 | ★★★★☆ | B |
| 2 | Sanford Vermillion Medical Center Vermillion | Vermillion | $24,718 | Not Rated | C |
| 3 | Wagner Community Memorial Hospital - Cah Wagner | Wagner | $25,176 | Not Rated | C |
| 4 | Freeman Medical Center - Cah Freeman | Freeman | $25,808 | Not Rated | C |
| 5 | Sanford Chamberlain Medical Center Chamberlain | Chamberlain | $25,914 | Not Rated | C |
| 6 | Pine Ridge Ihs Hospital Pine Ridge | Pine Ridge | $26,505 | Not Rated | C |
| 7 | Avera St Benedict Health Center - Cah Parkston | Parkston | $27,249 | Not Rated | C |
| 8 | Madison Regional Health System Madison | Madison | $27,895 | Not Rated | C |
| 9 | Marshall County Healthcare Center - Cah Britton | Britton | $28,931 | Not Rated | B |
| 10 | Sioux Falls Va Medical Center Sioux Falls | Sioux Falls | $30,982 | ★★★★★ | A |
| 11 | Bennett County Hospital And Nursing Home - Cah Martin | Martin | $31,976 | Not Rated | C |
| 12 | Huron Regional Medical Center Huron | Huron | $32,096 | Not Rated | C |
| 13 | Lifescape Sioux Falls | Sioux Falls | $32,823 | Not Rated | C |
| 14 | South Dakota Human Services Center Yankton | Yankton | $33,525 | Not Rated | C |
| 15 | Faulkton Area Medical Center Faulkton | Faulkton | $34,707 | Not Rated | C |
| 16 | Platte Health Center Platte | Platte | $35,520 | Not Rated | C |
| 17 | Avera Sacred Heart Hospital Yankton | Yankton | $36,261 | ★★★★☆ | B |
| 18 | Fall River Hospital - Cah Hot Springs | Hot Springs | $37,418 | Not Rated | C |
| 19 | Avera Heart Hospital Of South Dakota Sioux Falls | Sioux Falls | $37,953 | ★★★★★ | B |
| 20 | Sanford Canton-Inwood Medical Center - Cah Canton | Canton | $39,021 | Not Rated | C |
| 21 | Avera Weskota Memorial Medical Center - Cah Wessington Springs | Wessington Springs | $40,308 | Not Rated | C |
| 22 | Monument Health Lead-Deadwood Hospital Deadwood | Deadwood | $40,602 | Not Rated | C |
| 23 | Monument Health Spearfish Hospital Spearfish | Spearfish | $40,715 | Not Rated | C |
| 24 | Avera Gregory Hospital Gregory | Gregory | $41,082 | Not Rated | C |
| 25 | Avera St Mary's Hospital Pierre | Pierre | $41,189 | ★★★☆☆ | C |
| 26 | Avera Hand County Memorial Hospital And Clinic Miller | Miller | $41,483 | Not Rated | C |
| 27 | Same Day Surgery Center Llc Rapid City | Rapid City | $42,110 | Not Rated | C |
| 28 | Sanford Hospital Webster - Cah Webster | Webster | $42,192 | Not Rated | C |
| 29 | Monument Health Sturgis Hospital Sturgis | Sturgis | $42,300 | Not Rated | C |
| 30 | Avera Missouri River Health Center Gettysburg | Gettysburg | $43,698 | Not Rated | C |
| 31 | Sanford Clear Lake Medical Center Clear Lake | Clear Lake | $43,774 | Not Rated | C |
| 32 | Sanford Usd Medical Center Sioux Falls | Sioux Falls | $44,435 | ★★★★☆ | B |
| 33 | Monument Health Custer Hospital Custer | Custer | $47,598 | Not Rated | C |
| 34 | Dunes Surgical Hospital Dakota Dunes | Dakota Dunes | $51,549 | Not Rated | C |
| 35 | Coteau Des Prairies Health Care System Sisseton | Sisseton | $53,728 | Not Rated | C |