The Bill Rate Index What the hour costs, and who keeps it
88 facilities · most recent filing each

What South Dakota pays for an agency hour.

Hospitals and nursing homes in South Dakota, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
84% median premium
across 16 hospitals · national median 85%
Nursing homes, FY2024
122% median premium
across 72 nursing homes · national median 99%

Every hospital on record

16 hospitals, most recent filing each. In FY2025 the typical one paid 84% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Avera Queen Of PeaceMitchell$43.85$141.34FY2021
Siouxland Surgery CenterDakota Dunes$35.75$90.53FY2025
Avera Sacred Heart HospitalYankton$44.00$98.50FY2024
Sanford Aberdeen Medical CenterAberdeen$51.60$107.07FY2025
Brookings Health SystemBrookings$37.85$70.62FY2025
Sanford Usd Medical CenterSioux Falls$52.23$95.00FY2025
Encompass Health Rehabilitation HospSioux Falls$37.09$64.46FY2025
Sioux Falls Specialty HospitalSioux Falls$44.20$72.71FY2025
Avera St MarysPierre$52.09$85.63FY2024
Avera St. LukesAberdeen$53.68$84.74FY2024
Avera MckennanSioux Falls$54.28$78.33FY2024
Prairie Lakes Health Care CenterWatertown$53.76$77.37FY2024
Monument Health Spearfish HospitalSpearfish$58.77$82.87FY2024
Black Hills Surgical Hospital LlpRapid City$45.29$55.04FY2024
Monument Health Rapid City HospitalRapid City$54.16$57.99FY2024
Ssh - Sioux Falls IncSioux Falls$46.53$43.91FY2024

Every nursing home on record

72 nursing homes, most recent filing each. In FY2024 the typical one paid 122% more for an hour of contract staff than for an hour of its own, against a national median of 99%.

Nursing homeCityEmployed hourContract hourPremiumYear
Avantara HuronHuron$24.62$122.52FY2024
Avantara Mountain ViewRapid City$27.65$134.88FY2024
Avantara WatertownWatertown$25.21$112.99FY2024
Good Samaritan Society-wagnerWagner$15.84$68.71FY2021
Avantara PierrePierre$26.77$98.83FY2024
Bethesda Home Of AberdeenAberdeen$23.08$83.02FY2024
Faulkton Healthcare CenterFaulkton$25.35$85.65FY2024
Avantara ArmourArmour$26.40$88.54FY2022
Aurora Brule Nursing HomeWhite Lake$22.31$74.28FY2024
Aberdeen Health & Rehab CenterAberdeen$28.91$89.76FY2024
Lake Andes Health Care CenterLake Andes$27.51$79.40FY2024
Alcester Nursing & Rehab CenterAlcester$25.99$73.78FY2024
Five Counties Nursing HomeLemmon$23.06$64.80FY2024
Avantara NorthRapid City$28.10$77.86FY2024
Diamond Healthcare CenterBridgewater$24.16$66.26FY2024
Estelline Nursing & Care CenterEstelline$28.35$77.45FY2024
Good Samaritan Society- Deuel CountyClear Lake$20.62$56.31FY2022
Belle Fourche Nursing And Rehab CentBelle Fourche$25.78$68.93FY2024
St. Williams Care CenterMilbank$21.34$56.76FY2024
Bethany Lutheran HomeBrandon$25.98$68.97FY2024
Avantara ArlingtonArlington$24.57$64.58FY2022
Centerville Care And Rehab CenterCenterville$22.97$59.74FY2024
Avantara IpswichIpswich$25.60$66.37FY2022
Bethesda Of BeresfordBeresford$23.32$60.48FY2024
Dells Nursing And Rehab Center IncDell Rapids$24.81$63.51FY2024
Prairie Estates Care CenterElk Point$26.11$66.65FY2022
Good Samaritan Society - S F VillageSioux Falls$24.44$61.84FY2024
Avantara ArrowheadRapid City$30.15$74.78FY2024
Tieszen Memorial HomeMarion$27.80$67.62FY2024
Avantara SalemSalem$26.08$63.13FY2022
Good Samaritan Society-lennoxLennox$21.49$51.21FY2022
Tekakwitha Living CenterSisseton$24.28$55.87FY2024
Avera Eureka Health Care CenterEureka$26.67$60.37FY2024
Good Samaritan Society- DesmetDe Smet$24.59$55.34FY2024
Wheat Crest Hills Healthcare CenterBritton$25.76$57.96FY2024
Highmore HealthHighmore$27.18$60.81FY2024
Avantara MilbankMilbank$25.97$57.62FY2024
Good Samaritan Society-tyndallTyndall$24.18$53.65FY2024
Bethany Lutheran HomeSioux Falls$28.20$62.56FY2024
Avantara GrotonGroton$29.08$64.48FY2023
Sunset Manor Inc.Irene$26.00$57.64FY2024
Good Samaritan Society-cantonCanton$24.81$54.97FY2024
Jenkins Living CenterWatertown$28.04$61.85FY2024
Good Samaritan Society - S F CenterSioux Falls$26.23$56.98FY2024
Fountain Springs Healthcare CenterRapid City$30.17$65.02FY2024
Bethel Lutheran HomeMadison$24.05$51.79FY2024
Good Samaritan Society-new UnderwoodNew Underwood$26.50$56.97FY2024
Wilmot Care CenterWilmot$26.73$57.35FY2024
Good Samaritan Soc - Luther ManorSioux Falls$26.90$57.12FY2024
Dow Rummel VillageSioux Falls$26.96$57.07FY2024
Good Samaritan Society-canistotaCanistota$24.97$52.68FY2024
Good Samaritan Society-howardHoward$25.42$52.62FY2024
Good Samaritan Society-scotlandScotland$24.85$50.97FY2024
Weskota Manor AveraWessington Springs$26.63$53.61FY2024
Avantara Lake NordenLake Norden$25.68$51.20FY2024
Good Samaritan Society-millerMiller$26.07$51.73FY2024
Wakonda Heritage ManorWakonda$26.80$53.04FY2024
Walworth County Care Center Inc.Selby$27.24$53.83FY2024
Good Samaritan Society-corsicaCorsica$25.45$50.00FY2024
Gss - St Martin VillageRapid City$26.76$50.00FY2024
Avantara Clark CityClark$26.19$47.48FY2024
Avantara NortonSioux Falls$29.12$52.74FY2024
Strand-kjorsvig Community Rest HomeRoslyn$28.54$51.03FY2024
Aberdeen Nursing And Rehab Center LlAberdeen$28.88$49.61FY2024
Prairie View Healthcare CenterWoonsocket$25.86$43.74FY2024
Avantara Saint CloudRapid City$26.65$42.99FY2024
Firesteel Healthcare CenterMitchell$26.62$42.88FY2024
Spearfish Nursing And Rehab CenterSpearfish$28.79$44.93FY2024
Avantara RedfieldRedfield$24.95$38.63FY2024
Palisade Healthcare CenterGarretson$28.76$43.44FY2024
United RetirementBrookings$27.24$40.05FY2024
Riverview ManorFlandreau$28.39$36.74FY2024

Working a contract in South Dakota?

See your own package against these figures.

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