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What to charge for home care in South Dakota

Caregivers in South Dakota earn a median $18.15 an hour. Add payroll taxes, workers' comp and overhead, and an agency paying that wage needs about $33.01 an hour to make a 10% profit — $1.71 more than at the U.S. median wage.

$28.78

Break-even rate at the median wage

$33.01

Rate for a 10% profit at the median wage

$41.37

Rate if you pay top-10% wages ($22.75/hr)

Work out your own rate

Prefilled with South Dakota wages. Change anything to match your agency.

$
5%
Agency-employed aides get time-and-a-half past 40 hours a week (federal law).
3%
Federal + state, as % of wages. Social Security & Medicare (7.65%) are added automatically.
6%
As % of wages. Ask your insurer for your rate — it varies a lot by state.
4%
As % of wages.
22%
Office staff, rent, software, liability insurance, marketing — as % of what you bill.
10%
As % of what you bill.

Charge at least

$33.01 / hour

Quote $33.25. Break-even is $28.78 — below that, every hour loses money.

Where each $33.01 you bill goes

  • Caregiver pay$18.60
  • Payroll taxes, comp & benefits$3.84
  • Overhead$7.26
  • Profit$3.30

$1,320

profit a week at 400 hours

$5,720

profit a month

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Wages: home health and personal care aides (median $18.15, top 10% $22.75) and nursing assistants (median $18.65) in South Dakota, U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025. The figures above use standard costs — 5% overtime hours, Social Security & Medicare 7.65%, unemployment 3%, workers' comp 6%, benefits 4%, overhead 22% — which are planning assumptions, not survey data. Check South Dakota's current minimum wage and your workers' comp rate before you set prices.

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Home care rates in South Dakota: common questions

How much should a home care agency charge per hour in South Dakota?

If you pay caregivers South Dakota's median wage of $18.15 an hour, with typical payroll costs, 22% overhead and a 10% profit, plan to charge about $33.01 an hour (quote $33.25). Your break-even would be about $28.78.

What does it cost to pay caregivers well in South Dakota?

Paying in the top 10% for South Dakota — $22.75 an hour or more — means charging about $41.37 an hour to keep the same 10% profit. That's $8.36 more per hour than at the median wage.

How much more do CNA visits cost in South Dakota?

CNAs in South Dakota earn a median $18.65 an hour, so a CNA shift needs a rate of about $33.92 an hour on the same costs.

Are these the rates agencies in South Dakota actually charge?

No. These figures are worked out from South Dakota caregiver wages (BLS, May 2025) and standard cost assumptions. What agencies charge varies with local competition, the care involved and whether clients pay privately or through Medicaid, where the state sets the rate. Use the calculator with your own costs.