| 1 | Brookings Health System Brookings | Brookings | $4,115 | ★★★★☆ | B |
| 2 | Avera Mckennan Hospital & University Health Center Sioux Falls | Sioux Falls | $4,206 | ★★★☆☆ | B |
| 3 | Eagle Butte Indian Health Service Hospital Eagle Butte | Eagle Butte | $4,700 | Not Rated | B |
| 4 | Marshall County Healthcare Center - Cah Britton | Britton | $4,992 | Not Rated | B |
| 5 | Avera Gregory Hospital Gregory | Gregory | $5,133 | Not Rated | C |
| 6 | Avera Queen Of Peace Mitchell | Mitchell | $5,158 | Not Rated | C |
| 7 | Milbank Area Hospital/Avera Health Milbank | Milbank | $5,240 | Not Rated | C |
| 8 | Avera Missouri River Health Center Gettysburg | Gettysburg | $5,257 | Not Rated | C |
| 9 | Platte Health Center Platte | Platte | $5,313 | Not Rated | C |
| 10 | Va Black Hills Healthcare System Fort Meade | Fort Meade | $5,462 | ★★★★☆ | B |
| 11 | Community Memorial Hospital Redfield | Redfield | $5,519 | Not Rated | B |
| 12 | Monument Health Custer Hospital Custer | Custer | $5,631 | Not Rated | C |
| 13 | Avera St Benedict Health Center - Cah Parkston | Parkston | $5,694 | Not Rated | C |
| 14 | Avera St Mary's Hospital Pierre | Pierre | $5,697 | ★★★☆☆ | C |
| 15 | Madison Regional Health System Madison | Madison | $5,768 | Not Rated | C |
| 16 | Avera Weskota Memorial Medical Center - Cah Wessington Springs | Wessington Springs | $5,851 | Not Rated | C |
| 17 | Freeman Medical Center - Cah Freeman | Freeman | $5,899 | Not Rated | C |
| 18 | Avera Heart Hospital Of South Dakota Sioux Falls | Sioux Falls | $5,902 | ★★★★★ | B |
| 19 | Monument Health Spearfish Hospital Spearfish | Spearfish | $6,089 | Not Rated | C |
| 20 | Sanford Medical Center Aberdeen Aberdeen | Aberdeen | $6,270 | ★★★★☆ | B |
| 21 | Avera Sacred Heart Hospital Yankton | Yankton | $6,375 | ★★★★☆ | B |
| 22 | Sanford Hospital Webster - Cah Webster | Webster | $6,719 | Not Rated | C |
| 23 | Eureka Community Health Services - Cah Eureka | Eureka | $7,103 | Not Rated | B |
| 24 | Hans P Peterson Memorial Hospital - Cah Philip | Philip | $7,141 | Not Rated | C |
| 25 | Fall River Hospital - Cah Hot Springs | Hot Springs | $7,157 | Not Rated | C |
| 26 | Landmann-Jungman Memorial Hospital - Cah Scotland | Scotland | $7,168 | Not Rated | C |
| 27 | Sanford Canton-Inwood Medical Center - Cah Canton | Canton | $7,579 | Not Rated | C |