SD · Rapid City · Updated October 15, 2026

Medical Assistant jobs in Rapid City, SD

Medical Assistants in the Rapid City area earn a median of $18.66 per hour, about $38,810 a year, and the middle half of them earn between $17.30 and $20.79. That ranks 235th of 380 U.S. metro areas for medical assistant pay, and 156th of 339 once local prices are factored in. 10 open roles with published pay are listed for Rapid City. Your free pay report adds named employers and the roles open near Rapid City.

Open Medical Assistant roles in Rapid City

More open Medical Assistant roles in Rapid City

1 more open role from employers in Rapid City. Each employer’s range arrives with your free pay report.

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Named employers near Rapid City, what they pay and the roles open now. Free for candidates, email only.

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Who is hiring medical assistants near Rapid City

EmployerRolesMedian pay / hour
Monument Health9$24.59
Avera Health1$23.75

Medical Assistant pay in Rapid City, SD

The metro median is 1% below the South Dakota statewide median of $18.92 per hour. Nationally the median is $21.25 per hour. BLS counts about 180 medical assistants employed in the Rapid City metro area, 2.5 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.49).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$16.18$33,65024% below U.S. median
Lower quartile$17.30$35,98019% below U.S. median
Median$18.66$38,81012% below U.S. median
Upper quartile$20.79$43,2402% below U.S. median
Top 10%$23.29$48,44010% above U.S. median

How Rapid City ranks

  • 235th of 380 U.S. metro areas by median hourly pay
  • 156th of 339 after adjusting for local prices

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Medical Assistants (SOC 31-9092), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Rapid City

  • Overall prices in Rapid City run 11% below the U.S. average (index 89.2, U.S. = 100).
  • Housing is the biggest driver: 27% below the U.S. average (index 72.6).
  • Adjusted for local prices, a $18.66 median hour buys what $20.93 buys at the national price level, 2% below the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

Estimate your Rapid City paycheck

Estimated weekly gross$672
  • Per year: $33,588
  • Per month: $2,799
  • South Dakota has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the Rapid City metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Rapid City

ItemFederal rate
Lodging per night$122
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,372
13-week assignment$17,836

Travel medical assistant assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Hospitals in Rapid City

CMS lists 3 hospitals in Rapid City, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of medical assistants.

HospitalTypeOwnershipCMS ratingEmergency
Monument Health Rapid City Hospital
Rapid City, SD
Acute careNonprofit3 of 5Yes
Black Hills Surgical Hospital Llc
Rapid City, SD
Acute careFor-profitNot ratedNo
Same Day Surgery Center Llc
Rapid City, SD
Acute careFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Primary care shortage areas in Pennington County

HRSA lists 4 active primary care shortage designations that include Pennington County (1 population-group, 3 facility). The highest-scoring one rates 18 on a 0 to 25 scale, where a higher score means a greater shortage.

Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.

Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.

Medical Assistant pay in nearby cities

CityDistanceMedian payPopulation
Casper, WY177 mi$19.44/hr58,823
Cheyenne, WY218 mi$19.06/hr65,704
Bismarck, ND224 mi$22.00/hr77,772
Billings, MT287 mi$21.51/hr121,483
Sioux Falls, SD325 mi$19.50/hr209,289
Sioux City, IA360 mi$19.67/hr86,875

Medical Assistant jobs in South Dakota · Medical Assistant jobs nationwide

License and tax basics in South Dakota

Medical assistant program or equivalent experience. Credentials are issued state by state, so confirm what South Dakota requires for your role with the South Dakota licensing board and with your recruiter before you commit to a start date.

South Dakota does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

South Dakota state guide

Other healthcare roles in Rapid City

Rapid City city guide: hospitals, employers and licensing

Common questions

How much do medical assistants make in Rapid City, SD?

Medical Assistants in the Rapid City metro area have a median pay of $18.66 per hour, about $38,810 a year. The middle half earn between $17.30 and $20.79 per hour (BLS, May 2024).

Is Rapid City a good place for medical assistants once cost of living is counted?

Rapid City ranks 156th of 339 metro areas for medical assistant pay after adjusting for local prices, and 235th of 380 before adjusting. Overall prices run 11% below the U.S. average.

Who is hiring medical assistants in Rapid City?

We list 10 open roles with published pay from 2 employers in Rapid City. Your free report adds named employers and pay near Rapid City.

Do I need a South Dakota license to work in Rapid City as a medical assistant?

Medical assistant program or equivalent experience. Credentials are issued state by state, so confirm what South Dakota requires for your role with the South Dakota licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

Is Rapid City in a shortage area?

HRSA lists 4 active primary care shortage designations that include Pennington County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.

What is the per diem for a travel assignment in Rapid City?

The federal per diem benchmark in Rapid City is $122 a night for lodging and $74 a day for meals and incidentals, about $1,372 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place medical assistants in Rapid City?

Yes. We place healthcare staff in Rapid City and across South Dakota. Tell us your profession and we email the roles open near Rapid City.

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What do employers near Rapid City pay medical assistants? Get the report.

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    Pay for your role at other hospitals

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    What they are offering now

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · Medical Assistant near Rapid City, SD
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your Medical Assistant pay reportTop-paying hospitals shown · your South Dakota list by name comes with the full report

1Pay for your role at other hospitals

  • Monument HealthRapid City, SD · 13 postings$24.59/ hr$20–$29
  • Avera HealthSioux Falls, SD · 21 postings$30.62/ hr$18–$41
  • Seattle Children'sSeattle, WA · 11 postings$33.96/ hr$27–$41
  • CommonSpirit HealthSeattle, WA · 21 postings$31.77/ hr$26–$42

Median posted pay per hour, with the range each employer published. Request your South Dakota list

2What they are offering now

Low$20Median$24.59High$41

34 Medical Assistant postings with published pay in South Dakota, 27 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 34 Medical Assistant roles

  1. Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Comprehensive Breast ClinicPermanent
    $20.00–$41.25/ hour
    Avera Health · Sioux Falls, SD · posted today
  2. Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Wound Care ClinicPermanent
    $20.00–$41.25/ hour
    Avera Health · Sioux Falls, SD · posted yesterday

+ 32 more in your report. Each one has pay, shift and start date.

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