Medical Procedure Costs in South Dakota
South Dakota Medicare physician rates are generally below the national average (-2.7%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in South Dakota
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These South Dakota averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices South Dakota
All of South Dakota falls under a single payment locality with indices near the bottom of the national scale, cushioned by the work index floor for low-cost states. Sioux Falls and a West River ranch community share one published fee schedule. The state's east-west split, with most people and providers east of the Missouri River, has no counterpart in the pricing structure. That leaves South Dakota with some of the simplest and lowest Medicare pricing in the country.
Sioux Falls has become a genuine regional medical hub, headquarters to large systems whose reach extends across the Dakotas and into neighboring states, while Rapid City anchors care for the West River side and the Black Hills. Vast stretches between them rely on critical access hospitals and tribal facilities, some of the most isolated care settings in America. Referrals to Sioux Falls, Rapid City, or out of state are a routine part of rural care.
Try a ZIP lookup for your area, whether Sioux Falls, Rapid City and the Black Hills, Aberdeen, Pierre, or the reservation and ranch country in between.
Featured physician rates in South Dakota
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in South Dakota: questions
Across the 59 featured procedures on this page, South Dakota sits below the national average by about 3%. Examples: incision & drainage of abscess $126, skin biopsy (tangential) $94, skin biopsy (punch) $119. Search any other CPT in the box above — those codes are in the tool, not as extra South Dakota articles.
South Dakota is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies South Dakota’s locality when you enter a ZIP.