Provider Reimbursements and Audits
Hospital Statement of Cost
for the Catastrophic County Poor Relief Program
Hospitals are required to complete the Hospital Statement of Costs at least annually to participate in the Catastrophic County Poor Relief Program.
If you have any questions about this form or need assistance, please contact Provider Reimbursement and Audits at 605-773-3643.
Statements of Cost are listed below by county:
Beadle
| Facility |
City |
Current |
Next |
| Huron Regional |
Huron |
|
|
Bennett
| Facility |
City |
Current |
Next |
| Bennett County Community Hospital |
Martin |
|
|
Bon Homme
| Facility |
City |
Current |
Next |
| Landmann-Jungman Memorial Hospital |
Scotland |
|
|
| St. Micheals Hospital |
Tyndall |
|
|
Brookings
| Facility |
City |
Current |
Next |
| Brookings Hospital |
Brookings |
|
|
Brown
| Facility |
City |
Current |
Next |
| Avera St. Luke's |
Aberdeen |
|
|
| Dakota Plains Surgical Center |
Aberdeen |
|
|
Brule
| Facility |
City |
Current |
Next |
| Mid-Dakota Hospital |
Chamberlain |
|
|
Charles Mix
| Facility |
City |
Current |
Next |
| Platte Health Center, Inc. |
Platte |
|
|
| Wagner Community Memorial Hospital |
Wagner |
|
|
Clay
| Facility |
City |
Current |
Next |
| Sanford Hospital Vermillion |
Vermillion |
|
|
Codington
| Facility |
City |
Current |
Next |
| Prairie Lakes Hospital |
Watertown |
|
|
Custer
| Facility |
City |
Current |
Next |
| Custer Community Hospital |
Custer |
|
|
Davison
| Facility |
City |
Current |
Next |
| Avera Queen of Peace |
Mitchell |
|
|
Day
| Facility |
City |
Current |
Next |
| Lake Area Hospital |
Webster |
|
|
Deuel
| Facility |
City |
Current |
Next |
| Deuel County Memorial Hospital |
Clear Lake |
|
|
Douglas
| Facility |
City |
Current |
Next |
| Douglas County Memorial Hospital |
Armour |
|
|
Edmunds
| Facility |
City |
Current |
Next |
| Bowdle Hospital |
Bowdle |
|
|
Fall River
| Facility |
City |
Current |
Next |
| Fall River Health Services |
Hot Springs |
|
pdf |
| VA of the Black Hills |
Hot Springs |
pdf |
pdf |
Faulk
| Facility |
City |
Current |
Next |
| Faulk County Memorial Hospital |
Faulkton |
|
|
Grant
| Facility |
City |
Current |
Next |
| Milbank Area Hospital/Avera |
Milbank |
|
|
Gregory
| Facility |
City |
Current |
Next |
| Burke Community Memorial Hospital |
Burke |
|
|
| Avera Gregory Healthcare |
Gregory |
|
|
Haakon
| Facility |
City |
Current |
Next |
| Hans Peterson Memorial Hospital |
Philip |
|
|
| Philip Health Services |
Philip |
|
|
Hand
| Facility |
City |
Current |
Next |
| Hand County Memorial Hospital |
Miller |
|
|
Hughes
| Facility |
City |
Current |
Next |
| St. Mary's |
Pierre |
|
|
Hutchinson
| Facility |
City |
Current |
Next |
| Freeman Community Hospital |
Freeman |
|
|
| St. Benedict's |
Parkston |
|
|
Jerauld
| Facility |
City |
Current |
Next |
| Weskota Memorial Medical Center |
Wessinton Springs |
|
|
Kingsbury
| Facility |
City |
Current |
Next |
| Avera DeSmet Memorial Hospital |
DeSmet |
|
|
Lake
| Facility |
City |
Current |
Next |
| Madison Community Hospital |
Madison |
|
|
Lawrence
| Facility |
City |
Current |
Next |
| Lead/Deadwood Regional Hospital |
Deadwood |
|
|
| Spearfish Regional Hospital |
Spearfish |
|
|
Lincoln
| Facility |
City |
Current |
Next |
| Canton Inwood Memorial Hospital |
Canton |
|
|
Marshall
| Facility |
City |
Current |
Next |
| Marshall County Memorial Hospital |
Britton |
|
|
McPherson
| Facility |
City |
Current |
Next |
| Eureka Community Memorial Hospital |
Eureka |
|
|
Meade
| Facility |
City |
Current |
Next |
| Sturgis Regional Hospital |
Sturgis |
|
|
Minnehaha
| Facility |
City |
Current |
Next |
| Avera Dells Area Health Center |
Dell Rapids |
|
|
| Heart Hospital of SD |
Sioux Falls |
|
|
| Avera McKennan |
Sioux Falls |
|
|
| Sanford Health |
Sioux Falls |
|
|
| Sioux Falls Surgical Center |
Sioux Falls |
|
|
Moody
| Facility |
City |
Current |
Next |
| Avera Flandreau Medical Center |
Flandreau |
|
|
Pennington
| Facility |
City |
Current |
Next |
| Rapid City Regional Hospital |
Rapid City |
|
|
| Black Hills Surgical Hospital |
Rapid City |
|
|
| Rapid City Same Day Surgery |
Rapid City |
|
|
Potter
| Facility |
City |
Current |
Next |
| Gettysburg Medical Center |
Gettysburg |
|
|
Roberts
| Facility |
City |
Current |
Next |
| Coteau des Prairies |
Sisseton |
|
|
Spink
| Facility |
City |
Current |
Next |
| Community Memorial Hospital |
Redfield |
|
|
Tripp
| Facility |
City |
Current |
Next |
| Winner Regional Healthcare Center |
Winner |
|
|
Turner
| Facility |
City |
Current |
Next |
| Pioneer Memorial Hospital |
Viborg |
|
|
Walworth
| Facility |
City |
Current |
Next |
| Holy Infant Hospital |
Hoven |
|
|
| Mobridge Regional Hospital |
Mobridge |
|
|
Yankton
| Facility |
City |
Current |
Next |
| Avera Sacred Heart |
Yankton |
|
|
| Lewis and Clark Speciality Hospital |
Yankton |
|
|
