PermanentPosted today
RN | 10th St Urgent Care
Monument Health · Spearfish, SD
$32.00–$40.00/ hour
New this week
Healthcare jobs in Spearfish, SD
Spearfish, South Dakota: 8 open roles with published pay from 1 employer; 1 hospital in the CMS directory. Your free Shift Report adds named employers, pay and the roles open near Spearfish.
- 8roles with published pay
- $39.38median pay per hour
- $30–$44typical range
- 1employers hiring
What healthcare pays in Spearfish
| Profession | Typical range / hr | Median / hr | Postings |
|---|---|---|---|
| Registered Nurse | $35–$44 | $39.38 | 6 |
Pay employers published, collected October 15, 2026.
Hiring now in Spearfish
PermanentPosted 2 days ago
LPN | Surgery
Monument Health · Spearfish, SD
$25.00–$28.73/ hour
New this week
For youUpdated weekly
190+ more healthcare roles for you in Spearfish, SD
Most are never shown on this page. Tell us your role and get the full list, with the pay on every one, in your inbox within 24 hours.
- Free
- No card
- Email only, no calls
PermanentPosted 2 days ago
LPN or Medical Assistant | North Ave ENT
Monument Health · Spearfish, SD
$20.45–$28.73/ hour
New this week
PermanentPosted 16 days ago
RN | Medical/Surgical
Monument Health · Spearfish, SD
$35.00–$43.75/ hour
PermanentPosted 27 days ago
RN | Emergency Department
Monument Health · Spearfish, SD
$35.00–$43.75/ hour
PermanentPosted 27 days ago
RN | Mother Baby
Monument Health · Spearfish, SD
$35.00–$43.75/ hour
PermanentPosted 27 days ago
RN | LDRP
Monument Health · Spearfish, SD
$35.00–$43.75/ hour
PermanentPosted 29 days ago
RN | HBO/Wound Care
Monument Health · Spearfish, SD
$35.20–$44.00/ hour
Who is hiring in Spearfish
| Employer | Roles | Median pay / hr |
|---|---|---|
| Monument Health | 8 | $39.38 |
Hospitals in Spearfish
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Monument Health Spearfish Hospital 1440 N Main St, 57783 | Acute care | Nonprofit | 4 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
License and tax basics
South Dakota is in the Nurse Licensure Compact, so a multistate license from another compact state covers work in Spearfish. South Dakota does not tax wage income at the state level. Federal income tax, Social Security and Medicare still apply, so your take-home pay is higher than the same gross pay in a state that taxes wages. Travel assignments add a second question, your tax home, which decides whether housing and meals stipends are tax-free. Run your own numbers in the take-home pay calculator and the travel nurse pay calculator.
More cities in South Dakota
Common questions
How much do healthcare workers make in Spearfish?
Across 8 postings with published pay in Spearfish, the median is $39.38 per hour, and typical ranges run from $30 to $44.
Do I need a South Dakota license to work in Spearfish?
South Dakota is in the Nurse Licensure Compact, so a multistate license from another compact state covers work in Spearfish. Confirm with the board before you accept a role.
Does Valorem Health place staff in Spearfish?
Yes. We place healthcare staff in Spearfish and across South Dakota. Tell us your profession and we email the roles open near Spearfish.
How many hospitals are in Spearfish?
CMS lists 1 hospital in Spearfish, South Dakota.
Free for every candidate
What do employers near Spearfish pay? 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.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
310+ Registered Nurse roles in South Dakota, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your RN pay reportSpearfish, SD · pay published by employers and employer-reported wage offers in federal filings
1Pay for your role at other employers
- Indian Health ServiceLower Brule, SD · 2 postings$54.32/ hr$47–$61
- Veterans Health AdministrationFort Meade, SD · 3 postings$49.58/ hr$32–$65
- Monument Health Rapid City Hospital, Inc.Rapid City, SD · 4 wage offers$40.98/ hr$36–$50
- Avera HealthSioux Falls, SD · 134 postings$40.50/ hr$28–$60
Median pay per hour, with the range each employer published or reported in federal filings.
2What they are offering now
Low$30Median$39.38High$48
222 RN postings with published pay in South Dakota, 151 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 222 RN roles
- RN | Emergency DepartmentPermanent$35.00–$43.75/ hour
- RN | 10th St Urgent CarePermanent$32.00–$40.00/ hour
+ 220 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.