Median pay · South Dakota
$280,520A year, or $135 an hour.| Percentile | Annual | Hourly |
|---|---|---|
| 10th percentile1 in 10 earn less | $222,550 | $107 |
| 25th percentile | $251,730 | $121 |
| MedianHalf earn more, half less | $280,520 | $135 |
| 75th percentile | $390,220 | $188 |
| 90th percentile1 in 10 earn more | $564,280 | $271 |
| MeanAll pay divided by all jobs | $331,820 | $160 |
Wage survey · BLS May 2025
How we got this
- Median wage in South DakotaBLS OEWS May 2025. Half of the people in this job were paid more than this, half less.$280,520
- Median hourly wagePublished separately by BLS, not divided out of the annual figure.$134.87
- Take-home after federal and FICA tax$16,914 a month at an effective rate of 27.6%.$202,973 a year
- Worth at national average pricesPrices in South Dakota sit at 88.6 against a national 100 (BEA, 2024).$316,664
- Against the national medianThe national median is $256,560.9.3% above
- Jobs countedA concentration of 0.79 against the nation's 1.00.160
What we assumed
- Wages are BLS OEWS survey estimates for May 2025, not job postings or offers.
- OEWS surveys wage and salary workers. The self-employed and business owners are outside it.
- Take-home assumes one 2026 filer, filing single, taking the standard deduction, with no dependents, pre-tax retirement contributions or local income tax.
- Regional price parities compare price levels between places in one year. They are not inflation, and they do not adjust for what a household actually buys.
Technical details
Method occupation-wage-v1Data bls-oews-2025-05-v1, us-tax-2026-v1, bea-rpp-2024-v1, census-acs5-2024-v1
What lands in the bank
Tax year 2026 · InteractiveEstimated on the median salary of $280,520 in South Dakota, for a single filer taking the standard deduction in 2026. Explore other wage levels and filing statuses below.
Run the numbers on your own pay
Same U.S. tax tables as the rest of the site. Change the salary, state, or filing status.
What $280,520 is worth in South Dakota
Prices in South Dakota sit at 88.6 against a national average of 100, so $280,520 earned here buys what $316,664 buys at national average prices.
- Rents. 67.6 against 100, the component that moves most between states.
- Against local households. The median household in South Dakota takes in $75,081, so this occupation's median is 3.74 times that, on one income.
- How common the job is here. 21% less concentrated in South Dakota than in the country as a whole.
Reading the numbers
What stands out for internal medicine physicians in South Dakota
BLS does not publish exact figures above $239,200 a year ($115.00 an hour). At least one percentile in South Dakota reaches that cap, so the top of the range is higher than the table can show.
Rents in South Dakota index at 67.6 (U.S. = 100) while prices overall index at 88.6, a gap of -20.9 pts. For a renter, housing moves the local cost of living more than anything else.
South Dakota does not tax wages, so the take-home figure above loses only federal income tax, Social Security and Medicare.
One median paycheck here is 3.7 times the median household income in South Dakota ($75,081), a figure that counts every earner in the home.
Common questions
Internal Medicine Physician pay in South Dakota, answered
How much does an internal medicine physician make in South Dakota?
The median wage for internal medicine physicians in South Dakota is $280,520 a year, or $134.87 an hour.
Half earn more than that and half earn less. The figure comes from the Bureau of Labor Statistics occupational wage survey for May 2025.
What is the average internal medicine physician salary in South Dakota?
BLS’s mean (average) wage for internal medicine physicians in South Dakota is $331,820 a year. The median is $280,520.
The mean sits higher when a smaller group of high earners pulls the average up. For a typical paycheck, the median is the better middle.
What is the hourly pay for an internal medicine physician in South Dakota?
The median hourly wage is $134.87. At a full-time year that lines up with about $280,520 a year.
BLS May 2025; hourly and annual figures come from the same survey.
What is the starting salary for an internal medicine physician in South Dakota?
BLS does not publish starting pay. The closest figure it does publish is the low end of the range: in South Dakota, the lowest-paid 10% of internal medicine physicians earn under $222,550 a year and a quarter earn under $251,730 ($106.99 and $121.02 an hour).
New hires often start somewhere in that band, but the May 2025 survey does not record experience, so read it as a floor to compare an offer against rather than a typical first salary.
What is the salary range for an internal medicine physician in South Dakota?
The overall salary range for internal medicine physicians in South Dakota spans from $222,550 for the bottom 10% to $564,280 for top earners.
The middle 50% earn between $251,730 and $390,220 a year, with the overall median at $280,520.
What is the take-home pay for an internal medicine physician in South Dakota?
On the median wage of $280,520, a single filer taking the 2026 standard deduction keeps an estimated $202,973 a year, or roughly $16,914 a month.
That is after federal and FICA tax, an effective rate of 27.6%.
South Dakota levies no state income tax on wages, so nothing is withheld for it.
How much does an internal medicine physician make a month in South Dakota?
On the median annual salary of $280,520, estimated take-home pay is roughly $16,914 a month after federal, state, and FICA taxes.
For workers paid on a standard biweekly schedule (26 pay periods per year), each paycheck is approximately $7,807 net.
Do internal medicine physicians earn more in South Dakota than in the rest of the country?
Yes. The median in South Dakota is 9.3% above the national median of $256,560.
Nominal pay is only half the comparison: prices in South Dakota sit at 88.6 against a national 100, so the gap in what the money buys is different from the gap in the salary.
Is $280,520 a good salary in South Dakota?
It is 3.74 times the median household income of $75,081. A household often has more than one earner, so a single salary at this level goes further than the ratio alone suggests.
Prices in South Dakota run at 88.6 against a national average of 100, with rents at 67.6, so $280,520 here buys about what $316,664 buys at national average prices.
What do the highest-paid internal medicine physicians earn in South Dakota?
The top tenth earn $564,280 a year or more. The 10th-percentile wage is $222,550.
Experience, specialty, employer and the part of South Dakota someone works in all move a wage inside that range; the survey reports the spread, not the reason for it.
How many internal medicine physicians are there in South Dakota?
The survey counted 160 of these jobs in South Dakota for May 2025.
That makes the occupation 21% less concentrated here than in the country as a whole. It counts wage and salary jobs, so the self-employed are outside it.