| 1 | Douglas County Memorial Hospital-Cah Armour | Armour | $4,173 | Not Rated | B |
| 2 | Va Black Hills Healthcare System Fort Meade | Fort Meade | $5,706 | ★★★★☆ | B |
| 3 | Avera Queen Of Peace Mitchell | Mitchell | $5,799 | Not Rated | C |
| 4 | Mobridge Regional Hospital - Cah Mobridge | Mobridge | $5,917 | Not Rated | C |
| 5 | Sanford Chamberlain Medical Center Chamberlain | Chamberlain | $5,922 | Not Rated | C |
| 6 | Avera Heart Hospital Of South Dakota Sioux Falls | Sioux Falls | $5,969 | ★★★★★ | B |
| 7 | Winner Regional Healthcare Center - Cah Winner | Winner | $6,136 | Not Rated | C |
| 8 | Pine Ridge Ihs Hospital Pine Ridge | Pine Ridge | $6,189 | Not Rated | C |
| 9 | Sioux Falls Va Medical Center Sioux Falls | Sioux Falls | $6,466 | ★★★★★ | A |
| 10 | Hans P Peterson Memorial Hospital - Cah Philip | Philip | $6,501 | Not Rated | C |
| 11 | Sanford Usd Medical Center Sioux Falls | Sioux Falls | $6,531 | ★★★★☆ | B |
| 12 | Avera Hand County Memorial Hospital And Clinic Miller | Miller | $6,772 | Not Rated | C |
| 13 | Dunes Surgical Hospital Dakota Dunes | Dakota Dunes | $6,817 | Not Rated | C |
| 14 | Sioux Falls Specialty Hospital Sioux Falls | Sioux Falls | $6,861 | Not Rated | C |
| 15 | Sanford Canton-Inwood Medical Center - Cah Canton | Canton | $6,939 | Not Rated | C |
| 16 | Marshall County Healthcare Center - Cah Britton | Britton | $7,028 | Not Rated | B |
| 17 | Avera Mckennan Hospital & University Health Center Sioux Falls | Sioux Falls | $7,062 | ★★★☆☆ | B |
| 18 | Eureka Community Health Services - Cah Eureka | Eureka | $7,287 | Not Rated | B |
| 19 | Black Hills Surgical Hospital Llc Rapid City | Rapid City | $7,355 | Not Rated | C |
| 20 | Avera Sacred Heart Hospital Yankton | Yankton | $7,408 | ★★★★☆ | B |
| 21 | Sanford Hospital Webster - Cah Webster | Webster | $7,654 | Not Rated | C |
| 22 | Platte Health Center Platte | Platte | $7,694 | Not Rated | C |
| 23 | Monument Health Spearfish Hospital Spearfish | Spearfish | $8,053 | Not Rated | C |
| 24 | Monument Health Custer Hospital Custer | Custer | $8,162 | Not Rated | C |
| 25 | Community Memorial Hospital Burke | Burke | $9,065 | Not Rated | C |
| 26 | Avera St Mary's Hospital Pierre | Pierre | $9,194 | ★★★☆☆ | C |