How much does a Physician make in South Dakota?

BLS puts the average Physician pay in South Dakota at $258,390 a year (BLS, May 2025). On that pay in South Dakota, after federal taxes, FICA, and South Dakota state taxes, your estimated take-home pay is approximately $188,690 annually ($15,724/month).

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

On a $258,390 salary in South Dakota, your take-home pay is approximately $188,690/year or $15,724/month. Federal tax: $53,989. State tax: $0. FICA: $15,711.

Is $258,390 a good Physician salary?

$258,390 is the BLS average Physician pay in South Dakota, about the same as the US average of $255,820 (BLS, May 2025). The middle 50% in South Dakota earn between $200,830 and $322,950.

How do South Dakota taxes affect Physician salaries?

South Dakota levies state income tax on top of federal taxes. Your estimated state tax on $258,390 is $0. Your total effective tax rate is approximately 27.0%.

What are the career growth prospects for Physicians?

In South Dakota, the top 10% earn over $356,720 and the bottom 10% under $175,200 (BLS, May 2025). 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)

Average Physician pay in South Dakota

$258,390/year

≈ $124/hour before tax

Middle 50% earn $200,830–$322,950

US average: $255,820

Source: BLS, May 2025 · Family Medicine Physicians

After tax (single filer)

$188,690/year

$15,724/month · effective tax rate 26.97%

Federal $53,989
FICA $15,711
Take-home

Pay by role in South Dakota

Senior Specialist (Sanford / Avera Cancer / Cardiology)$385,000–$815,000+ bonus
Senior Hospitalist (Sanford / Avera)$235,000–$365,000+ bonus
Senior PCP (Sanford / Avera / FQHC)$215,000–$315,000+ bonus
Senior Pediatrician (Sanford Children)$215,000–$345,000+ bonus
Senior Emergency Medicine$275,000–$435,000+ bonus
Senior Trauma Surgeon (Sanford USD Level 1)$425,000–$815,000+ bonus

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$188,690
Monthly Take-Home Pay	$15,724
Biweekly Take-Home Pay	$7,257
Hourly Take-Home Pay based on 2,080 hrs/year	$91/hr
Federal Tax	$53,989
State Tax	$0
FICA Taxes	$15,711
Effective Tax Rate total taxes ÷ gross salary	26.97%

Estimates only — not tax advice. · Full disclaimer →

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.

Run your own numbers