CPT70552

MRI Brain With Contrast Cost in South Dakota

Mri brain stem w/dye

$625Hospital 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)

-1.0% vs national

Single statewide locality.

South Dakota (Hospital)
$266.22
Facility physician fee
Private plan est.
$346–$532
~130–200% of Medicare
Cash / self-pay est.
$213–$399
~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.

Surgery centre, total
$456
$269 physician + $187 facility
Physician fee alone
$269
Only 43% of the hospital total

Choosing a surgery centre over a hospital saves about $169 on the Medicare allowed amount for mri brain with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

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 mri brain with contrast 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$268.88
National hospital (physician)$268.88
South Dakota vs nationalwithin 2% of the national office rate of $268.88

Where South Dakota ranks for this CPT

Rank (lowest physician fee first)#30 of 51
Lowest stateArkansas ($237.78)
Highest stateAlaska ($309.58)

MRI Brain With Contrast 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 brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Is MRI Brain With Contrast?

A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Affects the Cost

  • The gadolinium contrast agent itself is billed as a separate supply line, with newer agents costing more.
  • The IV placement and injection may add administration charges depending on the biller.
  • Some facilities require a recent kidney function blood test before giving contrast, adding a lab charge.
  • Facility choice, hospital versus freestanding center, remains the dominant price variable for any MRI.
  • The radiologist's professional fee for a contrast study is higher than for a non-contrast scan.

Questions to Ask Before Booking

  • 1.Does my authorization specifically cover a contrast study, not just a plain MRI?
  • 2.Is the contrast agent billed separately, and how much does it add?
  • 3.Do I need a kidney function test first, and who bills for that?
  • 4.Why is contrast-only being ordered rather than the combined without-then-with protocol?
  • 5.What is the total at a freestanding center versus the hospital, including the radiologist fee?

MRI Brain With Contrast in South Dakota: questions

South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 70552 is $266.22 in an office and $266.22 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 $53 for the office physician line or $53 for the hospital physician line in South Dakota. Medigap may cover that 20%. This is not the hospital facility fee.

No. $266.22 is only the physician's share. Adding Medicare's facility payment brings the total to about $625 in a hospital outpatient department, or about $456 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #30 of 51 states on the physician line (within 2% of the national office rate of $268.88).

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.