Rural hospitals in South Dakota
49 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.
CMS snapshot: Q2 2026. Not a live status check.
South Dakota
Three types. One directory.
Critical access (CAH)
Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.
Rural emergency (REH)
Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.
Rural PPS
Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.
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49 hospitals in South Dakota
| Hospital | Type | Beds* |
|---|---|---|
Avera De Smet Memorial Hospital - Cah De Smet, SD 57231 | CAH | 6 |
Avera Dells Area Hospital - Cah Dell Rapids, SD 57022 | CAH | 23 |
Avera Flandreau Hospital - Cah Flandreau, SD 57028 | CAH | 18 |
Avera Gregory Hospital Gregory, SD 57533 | CAH | 25 |
Avera Hand County Memorial Hospital And Clinic Miller, SD 57362 | CAH | 11 |
Avera Missouri River Health Center Gettysburg, SD 57442 | CAH | 7 |
Avera Queen Of Peace Mitchell, SD 57301 | CAH | 25 |
Avera Sacred Heart Hospital Yankton, SD 57078 | Rural PPS | 144 |
Avera St Benedict Health Center - Cah Parkston, SD 57366 | CAH | 25 |
Avera St Lukes Aberdeen, SD 57401 | Rural PPS | 109 |
Avera St Mary'S Hospital Pierre, SD 57501 | Rural PPS | 60 |
Avera Weskota Memorial Medical Center - Cah Wessington Springs, SD 57382 | CAH | 16 |
Bennett County Hospital And Nursing Home - Cah Martin, SD 57551 | CAH | 14 |
Bowdle Hospital - Cah Bowdle, SD 57428 | CAH | 12 |
Brookings Health System Brookings, SD 57006 | Rural PPS | 49 |
Community Memorial Hospital Burke, SD 57523 | CAH | 16 |
Community Memorial Hospital Redfield, SD 57469 | CAH | 25 |
Coteau Des Prairies Health Care System Sisseton, SD 57262 | CAH | 25 |
Douglas County Memorial Hospital-Cah Armour, SD 57313 | CAH | 11 |
Eagle Butte Indian Health Service Hospital Eagle Butte, SD 57625 | CAH | 8 |
Eureka Community Health Services - Cah Eureka, SD 57437 | CAH | 4 |
Fall River Hospital - Cah Hot Springs, SD 57747 | CAH | 25 |
Faulkton Area Medical Center Faulkton, SD 57438 | CAH | 12 |
Freeman Medical Center - Cah Freeman, SD 57029 | CAH | 25 |
Hans P Peterson Memorial Hospital - Cah Philip, SD 57567 | CAH | 18 |
Huron Regional Medical Center Huron, SD 57350 | CAH | 25 |
Landmann Jungman Memorial Hospital Corporation Scotland, SD 57059 | REH | — |
Madison Regional Health System Madison, SD 57042 | CAH | 25 |
Marshall County Healthcare Center - Cah Britton, SD 57430 | CAH | 20 |
Milbank Area Hospital/Avera Health Milbank, SD 57252 | CAH | 25 |
Mobridge Regional Hospital - Cah Mobridge, SD 57601 | CAH | 25 |
Monument Health Custer Hospital Custer, SD 57730 | CAH | 12 |
Monument Health Lead-Deadwood Hospital Deadwood, SD 57732 | CAH | 18 |
Monument Health Spearfish Hospital Spearfish, SD 57783 | Rural PPS | 44 |
Monument Health Sturgis Hospital Sturgis, SD 57785 | CAH | 25 |
Phs Indian Hospital At Rosebud Rosebud, SD 57570 | Rural PPS | 29 |
Pine Ridge Ihs Hospital Pine Ridge, SD 57770 | Rural PPS | 45 |
Pioneer Memorial Hospital - Cah Viborg, SD 57070 | CAH | 12 |
Platte Health Center Platte, SD 57369 | CAH | 17 |
Prairie Lakes Hospital Watertown, SD 57201 | Rural PPS | 81 |
Sanford Aberdeen Medical Center Aberdeen, SD 57402 | Rural PPS | 48 |
Sanford Canton-Inwood Medical Center - Cah Canton, SD 57013 | CAH | 11 |
Sanford Chamberlain Medical Center Chamberlain, SD 57325 | CAH | 25 |
Sanford Clear Lake Medical Center Clear Lake, SD 57226 | CAH | 10 |
Sanford Vermillion Medical Center Vermillion, SD 57069 | CAH | 25 |
Sanford Webster Medical Center Webster, SD 57274 | CAH | 25 |
St Michael'S Hospital - Cah Tyndall, SD 57066 | CAH | 25 |
Wagner Community Memorial Hospital - Cah Wagner, SD 57380 | CAH | 20 |
Winner Regional Healthcare Center - Cah Winner, SD 57580 | CAH | 25 |
*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.
About this list
CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.
Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.
- CMS Provider of Services — Q2 2026 hospital file
- CMS FY 2026 IPPS final-rule impact file
- CMS provider-type and field definitions
Downloaded November 6, 2026. Different CMS files can have different counts and dates.