We have not yet read South Dakota’s own laws on hospital bills; this page covers each hospital’s own policy and the federal rules for nonprofit hospitals.
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56 South Dakota hospitals, by town.
Nonprofit and government hospitals
Avera St Lukes
Aberdeen, Brown County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Sanford Aberdeen Medical Center
Aberdeen, Brown County · Nonprofit, general acute care · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Douglas County Memorial Hospital
Armour, Douglas County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Bowdle Hospital - Cah
Bowdle, Edmunds County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Marshall County Healthcare Center - Cah
Britton, Marshall County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Brookings Health System
Brookings, Brookings County · Government, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Community Memorial Hospital
Burke, Gregory County · Nonprofit, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
- Timing
- 240 days of first bill
The policy says
“Accounts eligible for Charity Care are to be addressed within 240 days of first bill.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Sanford Canton-Inwood Medical Center
Canton, Lincoln County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Sanford Chamberlain Medical Center
Chamberlain, Brule County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Sanford Clear Lake Medical Center
Clear Lake, Deuel County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Monument Health Custer Hospital
Custer, Custer County · Nonprofit, critical access
We have not read its financial assistance policy yet. Ask the billing office for the policy and the application.
Avera De Smet Memorial Hospital - Cah
De Smet, Kingsbury County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Monument Health Lead-Deadwood Hospital
Deadwood, Lawrence County · Nonprofit, critical access
We have not read its financial assistance policy yet. Ask the billing office for the policy and the application.
Avera Dells Area Hospital - Cah
Dell Rapids, Minnehaha County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Eureka Community Health Services - Cah
Eureka, McPherson County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Faulkton Area Medical Center
Faulkton, Faulk County · Nonprofit, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Patients whose household income does not exceed 200% of the Federal Poverty Guidelines may be eligible for 100% of their emergent or medical necessary bills to be written off as charity care.”
Read on this document, 2026-11-09.
- Discounts
- Up to 404% of the federal poverty guidelines: about $133,320 a year for a family of four in 2026.
The policy says
“Patients whose household income is greater than 200% but less than 404% of Federal Poverty Guidelines may be eligible for financial assistance based on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- 240 days after first billing statement
The policy says
“The application period begins on the first date of service and ends on the 240th day after the first billing statement.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Avera Flandreau Hospital - Cah
Flandreau, Moody County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Freeman Regional Health Services
Freeman, Hutchinson County · Nonprofit, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured and underinsured patients whose income/family income does not exceed 150% of the current Federal Poverty Guidelines may be granted 100% forgiveness of their charges for emergent or medically necessary care.”
Read on this document, 2026-11-09.
- Timing
- 240 days after first post-discharge billing statement
The policy says
“FRHS will allow 240 days from the first post discharge billing statement for patients to apply for financial assistance.”
Read on this document, 2026-11-09.
Avera Missouri River Health Center
Gettysburg, Potter County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Avera Gregory Hospital
Gregory, Gregory County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Fall River Hospital - Cah
Hot Springs, Fall River County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Huron Regional Medical Center
Huron, Beadle County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Madison Regional Health System
Madison, Lake County · Nonprofit, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
The policy says
“Patients whose household income does not exceed 150% of the Federal Poverty Guidelines may be eligible for 100% of their emergent or medical necessary bills to be written off as charity care.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
The policy says
“Patients whose household income is greater than 150% but less than 400% of Federal Poverty Guidelines may be eligible for financial assistance based on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- 240 days after first billing statement
The policy says
“The application period begins on the first date of service and ends on the 240th day after the first billing statement.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Bennett County Hospital & Rural Health Clinic
Martin, Bennett County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Milbank Area Hospital/avera Health
Milbank, Grant County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Avera Hand County Memorial Hospital and Clinic
Miller, Hand County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Avera Queen of Peace
Mitchell, Davison County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Mobridge Regional Hospital - Cah
Mobridge, Walworth County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Avera St Benedict Health Center - Cah
Parkston, Hutchinson County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Hans P Peterson Memorial Hospital - Cah
Philip, Haakon County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Avera St Mary'S Hospital
Pierre, Hughes County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Platte Health Center
Platte, Charles Mix County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Monument Health Rapid City Hospital
Rapid City, Pennington County · Nonprofit, general acute care
We have not read its financial assistance policy yet. Ask the billing office for the policy and the application.
Community Memorial Hospital
Redfield, Spink County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Landmann Jungman Memorial Hospital Corporation
Scotland, Bon Homme County · Nonprofit, rural emergency
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Avera Mckennan Hospital & University Health Center
Sioux Falls, Minnehaha County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Lifescape
Sioux Falls, Minnehaha County · Nonprofit, childrens
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Sanford USD Medical Center
Sioux Falls, Minnehaha County · Nonprofit, general acute care · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Coteau Des Prairies Health Care System
Sisseton, Roberts County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Monument Health Spearfish Hospital
Spearfish, Lawrence County · Nonprofit, general acute care
We have not read its financial assistance policy yet. Ask the billing office for the policy and the application.
Monument Health Sturgis Hospital
Sturgis, Meade County · Nonprofit, critical access
We have not read its financial assistance policy yet. Ask the billing office for the policy and the application.
St Michael'S Hospital - Cah
Tyndall, Bon Homme County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Sanford Vermillion Medical Center
Vermillion, Clay County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Pioneer Memorial Hospital - Cah
Viborg, Turner County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Wagner Community Memorial Hospital - Cah
Wagner, Charles Mix County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Prairie Lakes Healthcare System
Watertown, Codington County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Sanford Webster Hospital
Webster, Day County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre- service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Avera Weskota Memorial Medical Center - Cah
Wessington Springs, Jerauld County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Winner Regional Healthcare Center - Cah
Winner, Tripp County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Avera Sacred Heart Hospital
Yankton, Yankton County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Human Services Center
Yankton, Yankton County · Government, psychiatric
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
For-profit hospitals
The federal rules for nonprofit hospitals do not apply to a for-profit hospital. Ask whether it has a financial assistance or charity care policy.
Dunes Surgical Hospital
Dakota Dunes, Union County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Black Hills Surgical Hospital
Rapid City, Pennington County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Same Day Surgery Center
Rapid City, Pennington County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Avera Heart Hospital of South Dakota
Sioux Falls, Lincoln County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Sioux Falls Specialty Hospital
Sioux Falls, Minnehaha County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Federal rules for nonprofit hospitals
- A nonprofit hospital must have a written financial assistance policy. There is no federal income level: the policy sets its own criteria.
- It must accept applications for at least 240 days after the first bill sent after you leave.
- For patients it finds eligible, charges for emergency and other medically necessary care are limited to the amounts generally billed to people with insurance.
- These rules apply to hospitals recognized as tax-exempt under section 501(c)(3), including government hospitals with that status.
More in the hospital charity care guide.
What to ask the billing office
- Ask for the financial assistance policy, the application and the plain language summary.
- Ask which income limit applies to your household and what counts as income.
- Ask whether the doctors who treated you are covered by the policy or bill separately.
- Ask until when you can still apply for the bill you have, and ask for the answer in writing.
The free financial assistance letter asks for all three papers. Denied? How to appeal or reapply. Already paid? How applying after you have paid works. Compare large health systems on the hospital list.
Helping people with hospital bills in South Dakota?
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Sources
The list of hospitals, their towns, counties and ownership come from Hospital General Information (CMS Provider Data Catalog), modified 2026-07-22. Ownership is CMS’s label, not a tax ruling. We left out the 5 hospitals the CMS file lists under federal ownership, such as VA and military hospitals.
Each figure comes from the hospital’s own policy, which every figure links to, with the policy’s words and the day we read it (2026-11-09). We used AI reading tools, and a second independent check compared each quote and figure with the policy text. A figure that was not confirmed is left out. Dollar amounts use the 2026 federal poverty guidelines for the 48 states and Washington, DC (91 FR 1797).
We are not part of any of these hospitals. Policies change, and the hospital decides from its own form, with conditions such as assets or residency that the policy sets. If what you read here differs from the current policy, the policy counts. A correction? Tell us on the Support page.
MedBillCheckup provides informational assistance only. It does not determine whether a charge is medically necessary, fraudulent, illegal, or definitively incorrect, and it is not a substitute for advice from a lawyer, doctor, insurer, or certified medical billing specialist.