How much does a Physician make in South Dakota?

The average Physician salary in South Dakota is around $270,000 per year. After federal taxes, FICA, and South Dakota state taxes, your estimated take-home pay is approximately $196,312 annually ($16,359/month).

What is the take-home pay for a Physician in South Dakota?

On a $270,000 salary in South Dakota, your take-home pay is approximately $196,312/year or $16,359/month. Federal tax: $57,704. State tax: $0. FICA: $0.00.

Is $270,000 a good Physician salary?

$270,000 is a strong salary for a Physician — above the national median. In South Dakota, demand for this role is active.

How do South Dakota taxes affect Physician salaries?

South Dakota levies state income tax on top of federal taxes. Your estimated state tax on $270,000 is $0. Your total effective tax rate is approximately 27.3%.

What are the career growth prospects for Physicians?

3% growth through 2032 (about as fast as average). Related roles include: Family Doctor, Internist, Specialist, Surgeon, Hospitalist.

How can a Physician in South Dakota reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Physician Salary in South Dakota (2026)

The average Physician in South Dakota earns around $270,000/year. After taxes, your estimated take-home is $196,312/year ($16,359/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$196,312
Monthly Take-Home Pay	$16,359
Biweekly Take-Home Pay	$7,550
Hourly Take-Home Pay based on 2,080 hrs/year	$94/hr
Federal Tax	$57,704
State Tax	$0
FICA Taxes	$15,984
Effective Tax Rate total taxes ÷ gross salary	27.29%

Estimates only — not tax advice. · Full disclaimer →

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Physician Salary Ranges in South Dakota

Entry Level (0–3 yrs)

$195,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$270,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$425,000

/year

See tax breakdown →

Not all Physicians earn the same — not even close

South Dakota's physician market is anchored by Sanford USD Medical Center Sioux Falls (~50K Sanford Health multi-state + Sanford Children's Hospital + USD Sanford School of Medicine partnership + the only SD academic medical center + the only SD Level 1 adult trauma at Sanford USD), Avera McKennan Hospital Sioux Falls + Avera Heart Hospital + Avera Cancer Institute (Catholic ~20K Avera multi-state), Rapid City Regional Hospital Monument Health (substantial Western SD), University of South Dakota Sanford School of Medicine (the only SD MD-granting institution + ~70 MDs/yr + USD-Sanford partnership), Indian Health Service IHS SD (Pine Ridge IHS + Rosebud IHS + Cheyenne River + Standing Rock IHS + Yankton IHS + Sisseton-Wahpeton IHS hospitals + the substantial SD IHS workforce), VA Sioux Falls + Hot Springs + Fort Meade VA, plus the substantial SD NP FPA since 2017 affecting physician supervision economics.

Senior Specialist (Sanford / Avera Cancer / Cardiology)

$385,000–$815,000+ bonus

Sanford USD specialist + Avera Cancer Institute + Avera Heart · the only SD AMC

Senior Hospitalist (Sanford / Avera)

$235,000–$365,000+ bonus

Sanford USD + Avera McKennan + Monument Health hospitalist

Senior PCP (Sanford / Avera / FQHC)

$215,000–$315,000+ bonus

Primary care at Sanford + Avera + SD FQHC community health

Senior Pediatrician (Sanford Children)

$215,000–$345,000+ bonus

Sanford Children Hospital Sioux Falls · the substantial SD pediatric referral

Senior Emergency Medicine

$275,000–$435,000+ bonus

Sanford USD Level 1 + Avera + Monument Health + SD community ED · EM physician

Senior Trauma Surgeon (Sanford USD Level 1)

$425,000–$815,000+ bonus

Sanford USD · the only SD Level 1 trauma · 24/7 trauma call

Senior Radiologist

$435,000–$785,000+ bonus

Radiology at Sanford + Avera + Monument + the substantial SD teleradiology

Senior IHS Reservation Physician

$215,000–$345,000+ loan repayment + housing

Pine Ridge + Rosebud + Cheyenne River + Standing Rock IHS · USPHS Commissioned Corps + LRP

Mid-Career Physician (5-10 yrs post-residency)

$245,000–$415,000

Specialty physician 5-10 yrs · transitioning to senior partnership

Resident / Fellow

$58,000–$80,000

Sanford + Avera residency · USD Sanford School of Medicine GME

Worth knowing: Sanford USD Medical Center + USD Sanford School of Medicine partnership + Indian Health Service SD reservation hospitals dual-anchor is one of the country's distinctive concentrated US single-state academic medical center + IHS reservation anchor and a feature most national physician surveys understate for SD. Sanford USD Medical Center (Sanford Health-USD partnership creating the only SD academic medical center + the only SD Level 1 adult trauma + Sanford Children's Hospital + the substantial post-2007 T. Denny Sanford $400M+ naming gift + the substantial Sanford USD ~545 beds + the substantial Sanford Castle of Care + the substantial Sanford World Clinic global health + the substantial Sanford Health Plan) supports substantial SD physician work. Senior Sanford USD specialists + trauma surgeons clear $385-815K+ bonus. Avera McKennan Hospital Sioux Falls + Avera Heart Hospital + Avera Cancer Institute Catholic + Monument Health Rapid City Western SD. Indian Health Service IHS SD (Pine Ridge IHS as one of country's largest US IHS hospitals + Rosebud IHS + Cheyenne River + Standing Rock IHS + Yankton IHS + Sisseton-Wahpeton IHS + the substantial SD IHS Loan Repayment Program LRP + IHS Scholarship Program + U-USPHS Commissioned Corps pathway + the substantial IHS housing) supports distinctive SD IHS physician work. USD Sanford School of Medicine GME pipeline. SD NP FPA since 2017 affects physician supervision economics. SD 0% state income tax + SD RTW since 1946 anchor the SD physician proposition.

Sources & Methodology

Salary figures are market estimates for Physicians in South Dakota and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and no state income tax (South Dakota levies none). Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

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Physician Salary in Other States

Physician Salary in California →Physician Salary in Texas →Physician Salary in New York →Physician Salary in Florida →Physician Salary in Washington →$270,000 salary in South Dakota →

More on South Dakota

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Salaries by profession, top-paying roles by industry, and an economic breakdown for South Dakota in 2026.

South Dakota State Income Tax Guide →

Tax brackets, standard deductions, and take-home estimates for South Dakota in 2026.

South Dakota Paycheck Calculator →

Adjust filing status, 401(k) for your exact 2026 take-home in South Dakota.