Medical Procedure Costs in South Dakota

South Dakota medical procedure costs are generally below the national average. South Dakota has a single Medicare pricing locality.

Cost vs National Avg
-2.7%
Lower than average
Pricing Localities
1
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Procedure Costs in South Dakota

ProcedureSouth Dakota
Incision & Drainage of Abscess$126
Skin Biopsy (Tangential)$94
Skin Biopsy (Punch)$119
Destruction of Skin Lesion$65
Partial Mastectomy$576
Total Hip Replacement$1,072
Total Knee Replacement$1,070
Knee Arthroscopy$485
Upper Endoscopy (EGD)$317
Upper Endoscopy (EGD) With Biopsy$413
Colonoscopy (Diagnostic)$369
Colonoscopy With Biopsy$471
Colonoscopy With Polyp Removal$489
Laparoscopic Cholecystectomy$573
Laparoscopic Inguinal Hernia Repair$388
Laparoscopic Removal of Ovarian Cyst$539
Vaginal Delivery (Global)$1,981
Cesarean Delivery (Global)$2,185
Lumbar Discectomy$813
Cataract Surgery$451
MRI Brain Without Contrast$193
MRI Brain With Contrast$266
MRI Brain$313
Chest X-Ray$33
CT Chest Without Contrast$131
CT Chest With Contrast$165
MRI Cervical Spine$189
MRI Lumbar Spine$190
Shoulder X-Ray$35
MRI Shoulder$203
Knee X-Ray$34
MRI Knee$202
CT Abdomen & Pelvis Without Contrast$181
CT Abdomen & Pelvis With Contrast$297
Ultrasound Abdomen$113
Ultrasound Transvaginal$116
Ultrasound Pelvis$104
Diagnostic Mammogram$155
Screening Mammogram$125
Nuclear Stress Test$425
Psychiatric Evaluation$173
Psychiatric Evaluation With Medical Services$198
Psychotherapy (45 min)$113
Psychotherapy (60 min)$167
ECG/EKG$15
Echocardiogram$195
Stress Echocardiogram$184
Carotid Ultrasound$187
Laser Treatment for Skin$137
Physical Therapy (Therapeutic Exercise)$29
Physical Therapy (Manual Therapy)$28
PT Evaluation (Low Complexity)$98
PT Evaluation (Moderate Complexity)$98
Office Visit (New, Low)$114
Office Visit (New, Moderate-High)$172
Office Visit (New, High)$229
Office Visit (Established, Moderate)$93
Office Visit (Established, Moderate-High)$133
Office Visit (Established, High)$188

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in South Dakota

Medical procedure costs in South Dakota are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in South Dakota. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in South Dakota offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within South Dakota.

Ways to Save on Medical Costs in South Dakota

Compare Insurance Plans

Comparing marketplace plans in South Dakota could save you thousands on procedures.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx

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Medical Costs in South Dakota: Frequently Asked Questions

How much do medical procedures cost in South Dakota?

Medicare procedure costs in South Dakota are generally below the national average by about 3%. For example: incision & drainage of abscess around $126, skin biopsy (tangential) around $94, skin biopsy (punch) around $119. Private insurance typically pays 130-200% of these Medicare rates and self-pay cash prices vary by provider.

Why do procedure costs vary within South Dakota?

South Dakota has a single Medicare pricing locality, so Medicare rates are consistent statewide. Actual charges still vary by provider and setting (office vs hospital).

What do Medicare patients pay for procedures in South Dakota?

Medicare patients in South Dakota typically pay 20% of the Medicare-approved amount after meeting their Part B deductible, with Medicare covering the other 80%. Supplemental (Medigap) plans can cover most of that 20% coinsurance.

How can I save on medical procedures in South Dakota?

Ask each provider for a self-pay or cash price before scheduling, as many in South Dakota discount 20-40% for upfront payment. If you are uninsured, compare marketplace insurance plans, use telehealth for consultations, and check prescription discount cards.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.