SD · Rapid City · Updated October 15, 2026

Patient Access Representative jobs in Rapid City, SD

Patient Access Representatives in the Rapid City area earn a median of $17.41 per hour, about $36,220 a year, and the middle half of them earn between $15.12 and $19.08. That ranks 154th of 386 U.S. metro areas for patient access representative pay, and 36th of 341 once local prices are factored in. The CMS hospital directory lists 3 hospitals in Rapid City. Your free pay report adds named employers and the roles open near Rapid City.

Patient Access Representative pay in Rapid City, SD

The metro median is 1% below the South Dakota statewide median of $17.58 per hour. Nationally the median is $17.90 per hour. BLS counts about 1,140 receptionists and information clerks employed in the Rapid City metro area, 15.9 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 2.54).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$13.31$27,68026% below U.S. median
Lower quartile$15.12$31,45016% below U.S. median
Median$17.41$36,2203% below U.S. median
Upper quartile$19.08$39,6907% above U.S. median
Top 10%$22.34$46,47025% above U.S. median

How Rapid City ranks

  • 154th of 386 U.S. metro areas by median hourly pay
  • 36th of 341 after adjusting for local prices

BLS does not publish a separate figure for patient access representative. These numbers are for the broader category it belongs to, Receptionists and Information Clerks.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Receptionists and Information Clerks (SOC 43-4171), 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 $17.41 median hour buys what $19.53 buys at the national price level, 9% above 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.

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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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Estimate your Rapid City paycheck

Estimated weekly gross$627
  • Per year: $31,338
  • Per month: $2,612
  • 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.

Hospitals in Rapid City

CMS lists 3 hospitals in Rapid City.

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.

Patient Access Representative pay in nearby cities

CityDistanceMedian payPopulation
Casper, WY177 mi$17.38/hr58,823
Cheyenne, WY218 mi$17.46/hr65,704
Bismarck, ND224 mi$18.15/hr77,772
Billings, MT287 mi$17.05/hr121,483
Sioux Falls, SD325 mi$17.71/hr209,289
Sioux City, IA360 mi$18.19/hr86,875

Patient Access Representative jobs in South Dakota · Patient Access Representative jobs nationwide

What employers ask for, and tax basics in South Dakota

Patient access representatives register patients, verify insurance and collect information at the front door of care.

  • High school diploma or equivalent
  • Customer service experience; healthcare registration experience is a plus
  • Familiarity with EHR systems such as Epic

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 patient access representatives make in Rapid City, SD?

Patient Access Representatives in the Rapid City metro area have a median pay of $17.41 per hour, about $36,220 a year. The middle half earn between $15.12 and $19.08 per hour (BLS, May 2024).

Is Rapid City a good place for patient access representatives once cost of living is counted?

Rapid City ranks 36th of 341 metro areas for patient access representative pay after adjusting for local prices, and 154th of 386 before adjusting. Overall prices run 11% below the U.S. average.

Where do patient access representatives work in Rapid City?

CMS lists 3 hospitals in Rapid City, led by Monument Health Rapid City Hospital. Ask for the free report to see current openings and pay.

Do I need a South Dakota license to work in Rapid City as a patient access representative?

High school diploma or equivalent. 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.

Does Valorem Health place patient access representatives 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 patient access representatives? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

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

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

1Pay for your role at other hospitals

  • Montage HealthMonterey, CA · 3 postings$39.79/ hr$30–$46
  • CommonSpirit HealthGRASS VALLEY, CA · 12 postings$29.68/ hr$25–$35
  • CommonSpirit HealthPORT ORCHARD, WA · 17 postings$28.00/ hr$22–$39
  • Allina HealthMinnesota · 3 postings$27.82/ hr$22–$33

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

2What they are offering now

Low$18Median$24.50High$33

257 Patient Access postings with published pay in the US, 214 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open Patient Access roles

Open Patient Access roles near Rapid City, SD, each with pay, shift and start date, arrive with your report.

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