C-Section Cost in South Dakota (2026)
Last updated: May 2026
A hospital C-section (cesarean delivery) costs $18,324 on average without insurance in South Dakota, based on CMS inpatient MS-DRG 788 data from 14 hospitals. Published cash prices range from $16,870 to $28,290 for the full hospital stay — not a single line-item charge. These figures come from federally required hospital price transparency files, not national estimates.
14 hospitals in South Dakota report pricing for c-section. The average cash price is $18,324.
14
in South Dakota
$20,652
gross charge
$18,324
11% below list price
$16,870 – $28,290
1.7x spread
Hospital Prices in South Dakota
Sorted by lowest cash price| Hospital | City | List Price | Cash Price | Negotiated Range | Grade | |
|---|---|---|---|---|---|---|
| DUNES SURGICAL HOSPITAL Proprietary | DAKOTA DUNES | N/A | $9,546 | $5,344 – $5,344 | 0.1/10 | |
| HURON REGIONAL MEDICAL CENTER Voluntary non-profit - Private | HURON | $17,538 | $10,523-40% | $3,265 – $17,012 | 0.1/10 | |
| MONUMENT HEALTH RAPID CITY HOSPITAL Voluntary non-profit - Private | RAPID CITY | $19,908 | $24,939 | $5,879 – $10,404 | 0.1/10 | |
| MONUMENT HEALTH SPEARFISH HOSPITAL Voluntary non-profit - Private | SPEARFISH | $28,290 | $28,290 | $5,879 – $10,404 | 0.1/10 | |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Voluntary non-profit - Private | WATERTOWN | $16,870 | N/A | $7,693 – $22,117 | 0.1/10 | |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Voluntary non-profit - Private | SIOUX FALLS | N/A | N/A | $7,105 – $8,902 | 0.1/10 | |
| BROOKINGS HEALTH SYSTEM Government - Local | BROOKINGS | N/A | N/A | $3,698 – $30,186 | 0.1/10 | |
| SANFORD MEDICAL CENTER ABERDEEN Voluntary non-profit - Private | ABERDEEN | N/A | N/A | $7,279 – $11,907 | 0.1/10 | |
| SANFORD USD MEDICAL CENTER Voluntary non-profit - Private | SIOUX FALLS | N/A | N/A | $7,022 – $13,882 | 0.1/10 | |
| AVERA ST LUKES Voluntary non-profit - Church | ABERDEEN | N/A | N/A | $5,301 – $9,124 | 0.1/10 | |
| AVERA SACRED HEART HOSPITAL Voluntary non-profit - Private | YANKTON | N/A | N/A | $6,391 – $9,124 | 0.1/10 | |
| AVERA ST MARY'S HOSPITAL Voluntary non-profit - Private | PIERRE | N/A | N/A | $6,690 – $9,124 | 0.1/10 | |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Proprietary | SIOUX FALLS | N/A | N/A | $8,902 – $10,495 | 0.1/10 | |
| AVERA QUEEN OF PEACE Voluntary non-profit - Private | MITCHELL | N/A | N/A | $7,738 – $9,124 | 0.1/10 |
DAKOTA DUNES, SD · Proprietary
List Price
N/A
Cash Price
$9,546
Negotiated Range
$5,344 – $5,344
HURON, SD · Voluntary non-profit - Private
List Price
$17,538
Cash Price
$10,523-40%
Negotiated Range
$3,265 – $17,012
RAPID CITY, SD · Voluntary non-profit - Private
List Price
$19,908
Cash Price
$24,939
Negotiated Range
$5,879 – $10,404
SPEARFISH, SD · Voluntary non-profit - Private
List Price
$28,290
Cash Price
$28,290
Negotiated Range
$5,879 – $10,404
WATERTOWN, SD · Voluntary non-profit - Private
List Price
$16,870
Cash Price
N/A
Negotiated Range
$7,693 – $22,117
SIOUX FALLS, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$7,105 – $8,902
BROOKINGS, SD · Government - Local
List Price
N/A
Cash Price
N/A
Negotiated Range
$3,698 – $30,186
ABERDEEN, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$7,279 – $11,907
SIOUX FALLS, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$7,022 – $13,882
ABERDEEN, SD · Voluntary non-profit - Church
List Price
N/A
Cash Price
N/A
Negotiated Range
$5,301 – $9,124
YANKTON, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$6,391 – $9,124
PIERRE, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$6,690 – $9,124
SIOUX FALLS, SD · Proprietary
List Price
N/A
Cash Price
N/A
Negotiated Range
$8,902 – $10,495
MITCHELL, SD · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$7,738 – $9,124
C-Section Cost in Other States
What Affects C-Section Cost in South Dakota
The cost of c-section in South Dakota depends on several factors, including the type of facility, whether you have insurance, and local market dynamics.
The total cost of c-section includes more than the surgeon's fee. Facility charges, anesthesia, pre-operative testing, and post-operative care all contribute. Ambulatory surgery centers, where medically appropriate, can offer significant savings compared to hospital settings.
Based on data from 14 hospitals in South Dakota, c-section prices range from $16,870 to $28,290 — a 1.7x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.
Hospital vs. Outpatient Center Pricing in South Dakota
C-section in South Dakota can be performed in different settings depending on clinical complexity: hospital inpatient, hospital outpatient, or ambulatory surgery center (ASC).
ASCs typically offer lower prices because they have lower overhead and specialize in efficient, high-volume outpatient procedures. For eligible patients, ASCs can save 30–60% compared to hospital outpatient departments.
Not all patients are candidates for outpatient surgery. Your surgeon will determine the appropriate setting based on your health history, the procedure's complexity, and anticipated recovery needs.
Self-Pay vs. Insurance Cost Differences in South Dakota
Self-pay patients in South Dakota often have access to significantly discounted rates for c-section. Under federal price transparency rules (45 CFR § 180.50), hospitals must publish their discounted cash prices alongside standard charges.
In South Dakota, the average cash price for c-section is $18,324, which is 11% lower than the average list price of $20,652. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.
Insured patients should check their plan's Summary of Benefits and contact their insurer for a pre-authorization cost estimate. Your out-of-pocket cost depends on your deductible, copay or coinsurance, and whether the provider is in-network. Even with insurance, comparing hospitals can help you choose a provider where your plan negotiates the best rates.
Related Procedure Costs
Frequently Asked Questions About C-Section Cost in South Dakota
How much does C-Section cost in South Dakota?▼
Why do C-Section prices vary so much in South Dakota?▼
Can I get a cheaper C-Section by paying cash?▼
What is the cheapest hospital for C-Section in South Dakota?▼
Does insurance cover C-Section?▼
Want the true total cost of CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC?
Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.
Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.