CPT73560

Knee X-Ray Cost in South Dakota

X-ray exam of knee 1 or 2

$123Hospital 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)

-1.3% vs national

Single statewide locality.

South Dakota (Hospital)
$33.96
Facility physician fee
Private plan est.
$44–$68
~130–200% of Medicare
Cash / self-pay est.
$27–$51
~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
$34
Only 28% of the hospital total

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 knee x-ray 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$34.40
National hospital (physician)$34.40
South Dakota vs nationalwithin 2% of the national office rate of $34.40

Where South Dakota ranks for this CPT

Rank (lowest physician fee first)#29 of 51
Lowest stateArkansas ($30.08)
Highest stateDistrict of Columbia ($39.82)

Knee X-Ray 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 knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.

What Is Knee X-Ray?

A knee X-ray takes one or two views of the knee joint, checking for fractures, arthritis, alignment problems, and fluid. It is the recommended first test for most knee pain, especially in patients over 50 where arthritis is likely, and often the only imaging needed. The technologist positions your leg for each quick exposure; standing views may be taken because they show arthritis narrowing better than lying down. The whole visit takes minutes.

What Affects the Cost

  • Orthopedic and primary care offices with in-house X-ray typically cost less than hospital radiology departments.
  • Weight-bearing or additional specialized views can be billed as expanded series under related codes.
  • A separate radiologist reading fee may apply where images are sent out for interpretation.
  • A normal X-ray in a younger patient with mechanical symptoms often leads to a knee MRI at many times the price.
  • Imaging both knees for comparison doubles the studies billed.

Questions to Ask Before Booking

  • 1.Can the X-ray be done here in the office today, and what will it add to my bill?
  • 2.Are standing views needed, and are they billed differently?
  • 3.Is an outside radiologist reading the film for a separate fee?
  • 4.Based on my age and symptoms, is an MRI likely to be needed, or should the X-ray settle it?
  • 5.If you want to compare both knees, is that one charge or two?

Knee X-Ray in South Dakota: questions

South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 73560 is $33.96 in an office and $33.96 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 $7 for the office physician line or $7 for the hospital physician line in South Dakota. Medigap may cover that 20%. This is not the hospital facility fee.

No. $33.96 is only the physician's share. Adding Medicare's facility payment brings the total to about $123 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #29 of 51 states on the physician line (within 2% of the national office rate of $34.40).

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.