Destruction of Skin Lesion Cost in South Dakota
Destruct premalg lesion
$253Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
South Dakota Medicare physician rate (2026)
-2.0% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in South Dakota
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.
What destruction of skin lesion costs at hospitals near you
Everything above is a national average. The hospital you pick in South Dakota moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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. In South Dakota the office and hospital physician lines for this CPT differ by $18.71.
National vs South Dakota
Where South Dakota ranks for this CPT
Destruction of Skin Lesion and how South Dakota is priced
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.
This procedure: This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.
What Is Destruction of Skin Lesion?
This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.
What Affects the Cost
- –The code covers only the first lesion; every additional lesion frozen at the same visit is billed under add-on code 17003, and 15 or more lesions switch to code 17004.
- –Many patients need re-treatment at future visits because actinic keratoses recur, so annual cost is a multiple of one session.
- –An office visit charge is often billed alongside the freezing when the clinician also performs a skin exam or addresses other concerns.
- –Alternative treatments for widespread lesions, such as prescription field creams or photodynamic therapy, carry very different price tags worth comparing.
- –Freezing a benign spot like a plain seborrheic keratosis for appearance reasons is usually coded differently and may not be covered at all.
Questions to Ask Before Booking
- 1.How many lesions will you treat today, and what is the charge for each additional one?
- 2.Are any of the spots you plan to freeze considered cosmetic rather than precancerous?
- 3.Will today also be billed as an office visit on top of the freezing?
- 4.If I have many lesions, would a prescription cream or field treatment be more cost-effective than repeated freezing?
- 5.How often should I expect to come back for re-treatment, and what does a typical year of visits cost?
Other featured procedures in South Dakota
Destruction of Skin Lesion in other states
Destruction of Skin Lesion in South Dakota: questions
South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 17000 is $65.14 in an office and $46.43 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. South Dakota uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $13 for the office physician line or $9 for the hospital physician line in South Dakota. Medigap may cover that 20%. This is not the hospital facility fee.
No. $65.14 is only the physician's share. Adding Medicare's facility payment brings the total to about $253 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #27 of 51 states on the physician line (2% below the national office rate of $66.47).