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How Much Does Assisted Living Cost in South Dakota?

The average cost of assisted living in South Dakota is $4,087/mo ($49,044/yr), which is 15% below the national average.

Monthly Cost

$4,087/mo

Annual Cost

$49,044/yr

National Average

$4,807/mo

Cost by City

City Monthly Cost Annual Cost Difference
Sioux Falls $4,200/mo $50,400/yr +2.8%
Rapid City $3,900/mo $46,800/yr -4.6%

Nearby States

Medicaid Coverage — South Dakota

Medicaid accepted in this state South Dakota accepts Medicaid for assisted living services.

  • Medicaid eligibility requirements vary — income and asset limits apply.
  • Many states offer Home and Community-Based Services (HCBS) waiver programs.
  • Contact your local Area Agency on Aging for application assistance.

How to Save

  • 1. Ask for the cash/self-pay price — often 40-60% less than the billed price.
  • 2. Compare prices between hospitals and freestanding centers.
  • 3. Check if your insurance covers the procedure and what your copay will be.
  • 4. Ask about payment plans or financial assistance programs.
  • 5. Consider nearby states — prices can vary significantly across state lines.

Data sourced from Genworth/CareScout Cost of Care Survey 2025. Last updated: 2026-03-01. This information is for educational purposes only and does not constitute medical advice.