Do med-surg nurses or er nurses earn more in South Dakota?

In South Dakota, er nurses earn more — an estimated $85,870 a year versus $78,060 for med-surg nurses, a gap of about $7,810 (roughly 10% more). Both are estimates: public wage data does not report these roles separately, so each starts from reported South Dakota pay for the closest reported role.

How much is the med-surg nurse vs er nurse pay gap in South Dakota?

The estimated gap in South Dakota is about $7,810 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.

Are these South Dakota figures exact?

No — they're estimates, not separately reported wages. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported South Dakota pay for the closest reported role and adjust. Treat those as a ballpark.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

South Dakota · SD

Med-Surg Nurse vs ER Nurse salary in South Dakota

In South Dakota, er nurses earn more — an estimated $85,870 a year versus $78,060 for med-surg nurses, a gap of about $7,810 (roughly 10% more). Both are estimates based on national pay for each role adjusted for South Dakota.

Med-Surg Nurse — South Dakota

Specialty estimate

Median annual pay

$78,060

-20% vs national

Hourly

$37.53/hr

Median $78,060

$54,040Middle 50%: $65,070–$84,280$98,220

Typical range: $65,070–$84,280; What most nurses earn
High end: $98,220; Top earners
Entry level: $54,040; Newer nurses

ER Nurse — South Dakota

Specialty estimate

Median annual pay

$85,870

-20% vs national

Hourly

$41.28/hr

Median $85,870

$59,440Middle 50%: $71,580–$92,710$108,040

Typical range: $71,580–$92,710; What most nurses earn
High end: $108,040; Top earners
Entry level: $59,440; Newer nurses

Why the gap in South Dakota

ER nurses are modeled to earn slightly more than med-surg nurses, though both are staff RN roles drawing on the same underlying wage data. The difference comes from the emergency department's trauma acuity, unpredictable patient volume, and shift differentials common in emergency settings. The South Dakota figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for South Dakota's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national Med-Surg Nurse vs ER Nurse comparison or personalize the calculator.

Med-Surg Nurse vs ER Nurse in South Dakota — FAQ

Do med-surg nurses or er nurses earn more in South Dakota?: In South Dakota, er nurses earn more — an estimated $85,870 a year versus $78,060 for med-surg nurses, a gap of about $7,810 (roughly 10% more). Both are estimates: public wage data does not report these roles separately, so each starts from reported South Dakota pay for the closest reported role.
How much is the med-surg nurse vs er nurse pay gap in South Dakota?: The estimated gap in South Dakota is about $7,810 a year, or roughly 10% more for er nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these South Dakota figures exact?: No — they're estimates, not separately reported wages. Public wage data doesn't break out every nursing role, so where it doesn't, we start from reported South Dakota pay for the closest reported role and adjust. Treat those as a ballpark.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.

Modeled specialty estimate (BLS state wage × specialty adjustment)

Public wage data does not report Med-Surg Nurse separately. This figure starts from the wage the U.S. Bureau of Labor Statistics published for Registered Nurse in South Dakota (May 2025) and applies a 1.00× specialty adjustment.

Source year 2025. Last reviewed July 17, 2026. Full methodology

Estimated figures for South Dakota. Last reviewed July 17, 2026.