Knee Replacement Surgery Cost in South Dakota (2026)
Slightly below the national average · RPP 96.8 · SD
What Drives Pricing Here
Three factors explain most of why knee replacement surgery costs what it does in South Dakota.
Regional Price Parity
South Dakota's cost-of-living index sits at 96.8 — meaningfully below the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.
Specialist Availability
23 facilities perform this procedure in South Dakota — competition keeps pricing honest and gives you real leverage to shop quotes.
Vs. National Benchmark
At -3.2% below the national average ($35,000), South Dakota is a discount market. Often driven by lower overhead or less metro concentration — quality can still be excellent.
Knee Replacement Surgery in South Dakota: What to Know
Considering knee replacement in South Dakota? Sanford Health's Center for Joint Success in Sioux Falls performs over 2,000 joint replacements annually, including knees. You'll find advanced technology across the state, with Black Hills Orthopedic & Spine Center in Rapid City and Dr. Matthew Friederichs utilizing Mako Robotic-Arm Assisted Technology. Avera Orthopedics in Mitchell also offers minimally invasive options and ROSA Robotic Surgical Assistant technology for tailored procedures.
For potential savings, consider an ambulatory surgery center over an outpatient hospital for your knee replacement. This can offer significant cost reductions within South Dakota. Verify current pricing directly with providers.
Estimated Cost Breakdown in South Dakota
South Dakota falls slightly below the national average for knee replacement surgery costs. Here's the typical cost breakdown.
Facility Fee
OR time and hospital staffing
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Post-Op Care
Recovery and aftercare
Anesthesia
Anesthesiologist or CRNA fee
Total Estimated Cost
South Dakota all-in range
Financing Options
Many South Dakota clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $33,880 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Prices reflect regional cost-of-living adjustments. How we calculate these numbers →
Ranges adjusted for South Dakota's regional price parity (96.8). See the national percentage breakdown →
Facility Costs in South Dakota
You can get knee replacement surgery at hospitals or ambulatory surgery centers across South Dakota. The table below shows real negotiated rates from CMS Medicare data — not sticker prices.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Sioux Falls Specialty Hospital Llp | Sioux Falls | $12,733 | $11,134 | 1,366 |
| Avera Mckennan Hospital & University Health Center | Sioux Falls | $12,754 | $11,153 | 607 |
| Dunes Surgical Hospital | Dakota Dunes | $12,819 | $11,218 | 438 |
| Sanford Usd Medical Center | Sioux Falls | $12,787 | $11,191 | 399 |
| Black Hills Surgical Hospital Llp | Rapid City | $12,737 | $11,137 | 342 |
| Monument Health Spearfish Hospital | Spearfish | $13,646 | $12,044 | 298 |
| Avera St Lukes | Aberdeen | $12,559 | $10,969 | 203 |
| Avera Sacred Heart Hospital | Yankton | $13,727 | $12,127 | 190 |
| Prairie Lakes Hospital | Watertown | $13,727 | $12,125 | 140 |
| Monument Health Rapid City Hospital | Rapid City | $13,623 | $12,023 | 117 |
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Black Hills Surgical Hospital Llp | Rapid City | $13,161 | $10,992 | 417 |
| Avera Mckennan Hospital & University Health Center | Sioux Falls | $15,013 | $12,663 | 127 |
| Sioux Falls Specialty Hospital Llp | Sioux Falls | $12,887 | $11,380 | 120 |
| Avera St Lukes | Aberdeen | $12,960 | $11,410 | 100 |
| Avera St Mary's Hospital | Pierre | $15,857 | $14,326 | 46 |
| Prairie Lakes Hospital | Watertown | $14,712 | $13,184 | 45 |
| Avera Sacred Heart Hospital | Yankton | $15,527 | $13,962 | 36 |
| Dunes Surgical Hospital | Dakota Dunes | $15,224 | $6,374 | 30 |
| Sanford Usd Medical Center | Sioux Falls | $14,997 | $13,417 | 18 |
| Monument Health Rapid City Hospital | Rapid City | $17,699 | $16,150 | 16 |
Knee Replacement Surgery Cost in Nearby States
See how South Dakota's knee replacement surgery costs compare to neighboring states. Prices can vary significantly even across state lines.
Expert Answers for South Dakota Patients
Local regulations, insurance nuance, and surgical standards specific to South Dakota.
Compare South Dakota with any other state
See national pricing, all 50 state comparisons, and detailed cost factors in the main knee replacement surgery cost guide.
View full knee replacement surgery guideHow much does knee replacement surgery cost in South Dakota?
Will my health insurance pay for knee replacement surgery?
How long is recovery after knee replacement surgery?
How can I finance knee replacement surgery in South Dakota?
What should I look for in a South Dakota knee replacement surgery provider?
Is it worth traveling to another state for knee replacement surgery?
Can Medicaid help pay for knee replacement surgery in South Dakota?
How we calculate knee replacement surgery costs in South Dakota
Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:
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Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
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HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
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Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
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BEA Regional Price Parities (RPP) — U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for South Dakota's cost-of-living relative to the national mean.
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FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
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Medicare Provider Utilization & Payment Data — CMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.
Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.