No matter where you live in the United States, healthcare costs can take a big bite out of your budget.

That's especially true in South Dakota, where a new study shows that the Mount Rushmore State has the most expensive health care in the country.

Forbes compared all 50 states and the District of Columbia across 11 key metrics using data from the Kaiser Family Foundation to determine which states are most and least expensive for health care.

KIKN-FM / Kickin' Country 99.1/100.5 logo
Get our free mobile app

South Dakota also had the third-highest increase in overall healthcare spending per person over a five-year period (24.38%).

The families of 12% of children in the state struggled to pay for their child’s medical bills between 2019 and 2020, making the state tied for the fourth highest in the nation for this metric.

South Dakota also had the sixth-highest annual health insurance premium for those with individual plans in the Affordable Care Act marketplace ($7,156) and the third-highest annual health insurance deductible for employer-provided insurance among those with single coverage ($2,428).

The state also ranked ninth highest for health care costs per person, averaging $11,736 per year for services, such as hospital care, doctor’s visits, nursing home care, and prescription medications.


  1. South Dakota
  2. Louisiana
  3. West Virginia
  4. Florida
  5. Wyoming
  6. Nebraska
  7. Maine
  8. Delaware
  9. New Hampshire
  10. Oklahoma

Meanwhile in Michigan, residents there are shelling out the least for health care in America, more than $2,000 less ($9,524 per person) than South Dakota each year.


  1. Michigan
  2. Washington
  3. Nevada
  4. Hawaii
  5. New Mexico
  6. District of Columbia
  7. Pennsylvania
  8. Massachusetts
  9. Oregon
  10. Wisconsin

Overall, healthcare costs averaged over $10,000 per person in 2020.

Meanwhile, when it comes to carrying medical insurance to help offset some of those medical bills, South Dakotans are among the least covered in America.

24/7 Tempo reviewed the percentage of the population under 65 without health insurance from the U.S. Census Bureau’s 2021 American Community Survey.

The numbers show that more than 11 percent of South Dakotans have no health insurance, which is the 15th highest rate in the country.


  1. Texas - 20.4%
  2. Oklahoma - 16.3%
  3. Florida - 15.1%
  4. Wyoming - 14.8%
  5. Georgia - 14.7%
  6. Mississippi - 14.2%
  7. Nevada - 13.7%
  8. Arizona - 12.9%
  9. Alaska - 12.8%
  10. North Carolina - 12.4%

Most Expensive South Dakota Related Things on eBay

In South Dakota, we've always prided ourselves on having one of the most reasonable cost of living rates in America.
But that doesn't mean that you can't spend a pretty penny when it comes to Mount Rushmore-related items.
All you've got to do is head to eBay where, in and among the 98,751 search results for South Dakota, you'll find some things that will set you back plenty.

10 Most Dangerous Cities in South Dakota

Cities on the east and west side of the Missouri River have made the latest list of South Dakota's Most Dangerous Cities for 2021.

Roadsnacks recently released its most 'Dangerous Cities' list and here in The Mount Rushmore state there are a few surprises, especially at the top. To determine the most dangerous cities in the state, Roadsnacks looked at the FBI's report on the latest violent crime, along with property crime statistics.

And surprisingly, the town with the most murders per capita in the state has less than 3,000 residents. Take a look at the list below.

For a look at the detailed list, visit Story Source: Roadsncaks

More From KIKN-FM / Kickin' Country 99.1/100.5