CPT93306

Echocardiogram Cost in South Dakota

Tte w/doppler complete

$755Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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South Dakota Medicare physician rate (2026)

-0.9% vs national

Single statewide locality.

South Dakota (Hospital)
$194.96
Facility physician fee
Private plan est.
$253–$390
~130–200% of Medicare
Cash / self-pay est.
$156–$292
~80–150% of Medicare

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.

Physician fee alone
$197
Only 26% of the hospital total

This is Medicare's separate payment to the facility on top of the physician's fee. 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 echocardiogram 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.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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.

National vs South Dakota

National office$196.73
National hospital (physician)$196.73
South Dakota vs nationalwithin 2% of the national office rate of $196.73

Where South Dakota ranks for this CPT

Rank (lowest physician fee first)#31 of 51
Lowest stateArkansas ($174.76)
Highest stateAlaska ($228.78)

Echocardiogram 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: A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.

What Is Echocardiogram?

A complete transthoracic echocardiogram is an ultrasound movie of the heart, capturing chamber sizes, pumping strength, and, in this code's complete-with-Doppler form, blood flow across each valve. It evaluates murmurs, shortness of breath, heart failure, and valve disease. A sonographer glides a probe across your chest for 30 to 45 minutes while you lie on your side; there is no radiation, no dye, and no preparation.

What Affects the Cost

  • Hospital outpatient echo labs charge dramatically more than cardiologist office-based labs for the same complete study.
  • This complete-with-Doppler code prices above limited or follow-up echo codes, so the study type ordered matters.
  • The interpreting cardiologist's professional fee is a separate component at facility-based labs.
  • Serial echos to monitor a known valve problem repeat the full cost at each surveillance interval.
  • If images are inadequate, an ultrasound-enhancing contrast agent may be used, adding a drug charge, or a transesophageal echo may follow at substantially higher cost.

Questions to Ask Before Booking

  • 1.Has prior authorization been approved if my plan requires it for echo?
  • 2.What is the price at your office lab versus the hospital's echo department?
  • 3.Is a complete study needed, or does my follow-up qualify for the cheaper limited echo?
  • 4.Is the cardiologist's reading fee included in the quote?
  • 5.How often will this need repeating for my condition, and at what recurring cost?

Echocardiogram in South Dakota: questions

South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93306 is $194.96 in an office and $194.96 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 $39 for the office physician line or $39 for the hospital physician line in South Dakota. Medigap may cover that 20%. This is not the hospital facility fee.

No. $194.96 is only the physician's share. Adding Medicare's facility payment brings the total to about $755 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #31 of 51 states on the physician line (within 2% of the national office rate of $196.73).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.