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The 10 busiest hospitals in South Dakota by inpatient discharges

Avera McKennan Hospital & University Health Center has the most inpatient discharges of any hospital in South Dakota, 27,168, followed by Sanford USD Medical Center in Sioux Falls (26,380) and Monument Health Rapid City Hospital in Rapid City (19,140). Together the 10 leaders hold 88,589 discharges in seven cities.

Updated Inpatient discharges from each hospital's latest Medicare cost reportHow we ranked

Rank by
Location
South Dakota
  1. Avera McKennan Hospital & University Health CenterSioux Falls · Avera Health27,168discharges563beds
  2. Sanford USD Medical CenterSioux Falls · Sanford Health26,380discharges450beds
  3. Monument Health Rapid City HospitalRapid City · Monument Health19,140discharges416beds
  4. Avera Heart HospitalSioux Falls · Avera Health3,059discharges53beds
  5. Avera Sacred Heart HospitalYankton · Avera Health2,925discharges42beds
  6. Avera St. Luke's HospitalAberdeen · Avera Health2,778discharges50beds
  7. Sanford Health WatertownWatertown · Sanford Health2,390discharges81beds
  8. Avera Queen of Peace HospitalMitchell · Avera Health1,748discharges25beds
  9. Avera St. Mary's HospitalPierre · Avera Health1,550discharges36beds
  10. Sanford Aberdeen Medical CenterAberdeen · Sanford Health1,451discharges48beds

The 10 highest of 61 South Dakota hospitals that report inpatient discharges. Ranks compare size, not quality of care.

Every hospital in South Dakota

The 10 top South Dakota hospitals hold 85% of all inpatient discharges

61 South Dakota hospitals report inpatient discharges, 103,739 inpatient discharges in all. The 10 on this list hold 88,589 of it. The median hospital has 221 discharges, so Avera McKennan Hospital & University Health Center is about 123 times that size.

of all inpatient discharges at South Dakota hospitals that report them
85%
the size of the median South Dakota hospital, which has 221 discharges
123×
of the 61 South Dakota hospitals that report inpatient discharges
16%

How we ranked the top South Dakota hospitals

Measure
Inpatient discharges from each hospital's latest Medicare cost report.
What counts as a hospital
One CMS certification number. A hospital with several campuses under one number counts once.
Field
61 South Dakota hospitals in the Dmand AI database report inpatient discharges.
Ties
Hospitals with the same number share a rank.
What a rank means
Size only. A rank compares inpatient discharges; it says nothing about quality of care.
Refresh
Monthly. Updated Oct 28, 2026.

FAQ

Questions about the top South Dakota hospitals

Answers from the same data, updated monthly.

What is the busiest hospital in South Dakota?

Avera McKennan Hospital & University Health Center in Sioux Falls, with 27,168 discharges. Sanford USD Medical Center is second with 26,380.

What are the top 10 South Dakota hospitals by inpatient discharges?

Avera McKennan Hospital & University Health Center (27,168), Sanford USD Medical Center (26,380), Monument Health Rapid City Hospital (19,140), Avera Heart Hospital (3,059), Avera Sacred Heart Hospital (2,925), Avera St. Luke's Hospital (2,778), Sanford Health Watertown (2,390), Avera Queen of Peace Hospital (1,748), Avera St. Mary's Hospital (1,550), Sanford Aberdeen Medical Center (1,451).

How many inpatient discharges does a typical South Dakota hospital have?

The median South Dakota hospital that reports inpatient discharges has 221 discharges, out of 61 that report them.

How often is this list updated?

Every month, when the Dmand AI database refreshes. This version is from Oct 28, 2026.

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    The same ranking for Iowa hospitals.

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    The national ranking by inpatient discharges.

  • Insight

    EHR market share in South Dakota

    MEDITECH runs 40% of South Dakota hospitals with an EHR on file.

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