Best Hospitals in South Dakota 2026

South Dakota has 61 hospitals with an average procedure payment of $13K. The top-rated hospital is Avera Heart Hospital Of South Dakota in Sioux Falls with a 5-star CMS rating.

Top 20 of 61 Hospitals in South Dakota

#	Hospital	City	Quality	Avg Payment	Value
1	Avera Heart Hospital Of South Dakota	Sioux Falls	★★★★★	$17K	B
2	Sioux Falls Va Medical Center	Sioux Falls	★★★★★	$11K	A
3	Avera St Lukes	Aberdeen	★★★★★	$10K	A
4	Sanford Usd Medical Center	Sioux Falls	★★★★☆	$14K	B
5	Monument Health Rapid City Hospital	Rapid City	★★★★☆	$13K	B
6	Avera Sacred Heart Hospital	Yankton	★★★★☆	$16K	B
7	Prairie Lakes Healthcare System, Inc	Watertown	★★★★☆	$11K	B
8	Sanford Medical Center Aberdeen	Aberdeen	★★★★☆	$10K	B
9	Brookings Health System	Brookings	★★★★☆	$10K	B
10	Va Black Hills Healthcare System	Fort Meade	★★★★☆	$10K	B
11	Avera St Mary's Hospital	Pierre	★★★☆☆	$16K	C
12	Avera Mckennan Hospital & University Health Center	Sioux Falls	★★★☆☆	$11K	B
13	Same Day Surgery Center Llc	Rapid City	☆☆☆☆☆	$19K	C
14	Monument Health Sturgis Hospital	Sturgis	☆☆☆☆☆	$18K	C
15	Black Hills Surgical Hospital Llc	Rapid City	☆☆☆☆☆	$18K	C
16	Winner Regional Healthcare Center - Cah	Winner	☆☆☆☆☆	$17K	C
17	Avera Gregory Hospital	Gregory	☆☆☆☆☆	$16K	C
18	Coteau Des Prairies Health Care System	Sisseton	☆☆☆☆☆	$16K	C
19	Dunes Surgical Hospital	Dakota Dunes	☆☆☆☆☆	$16K	C
20	Wagner Community Memorial Hospital - Cah	Wagner	☆☆☆☆☆	$16K	C

Hospital quality and cost data for South Dakota is sourced from the Centers for Medicare & Medicaid Services (CMS) Hospital Compare dataset.
— CMS Hospital Compare (2024)

Frequently Asked Questions

Based on CMS quality ratings and outcome scores, Avera Heart Hospital Of South Dakota in Sioux Falls is the top-rated hospital in South Dakota with a 5-star quality rating and an average procedure payment of $17K.

South Dakota has 61 Medicare-participating hospitals. The average procedure payment across the state is $13K.

Hospitals are ranked by CMS star quality rating (1-5 stars) and then by outcome score, which reflects mortality rates and patient safety. The Value Score also factors in cost — so the best hospitals deliver great outcomes at reasonable prices.

Sources: CMS Hospital Compare

Last updated: April 2026

Hospitals ranked by CMS star quality rating and outcome score. Value Score: price percentile (40% inverted), quality rating (40%), outcome score (20%).

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