Huron Regional Medical Center
Huron Regional Medical Center in Huron, SD publishes cash prices for 173 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the South Dakota median for 100 of 171 procedures and above it for 68. By typical cash price it ranks #4 of 20 South Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
172 Fourth Street Southeast, Huron, SD 57350 Collected Sep 27, 2026 Source price file (605) 353-6200
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 431335 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Huron Regional Medical Center in Huron, SD:
- Feb 20, 2024 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Chest X-ray, single view CPT 71045 71045 XR Shunt Series | $189.00 | $315.00 | $226.80–$305.55 | 38% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abd/Pelvis w/o | $745.50 | $1,242.50 | $894.60–$1,205.23 | 64% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen w/o | $745.50 | $1,242.50 | $894.60–$1,205.23 | 64% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abd/Pelvis w/ | $815.40 | $1,359.00 | $978.48–$1,318.23 | 69% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abd w/w/o | $815.40 | $1,359.00 | $978.48–$1,318.23 | 69% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR Shunt Series | $252.00 | $420.00 | $302.40–$407.40 | 23% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $75.00 | $125.00 | $90.00–$121.25 | 3% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $75.00 | $125.00 | $90.00–$121.25 | 3% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $364.80 | $608.00 | $437.76–$589.76 | 37% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Orange Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cat Dander Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Cladosporium Herbarum Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Aspergillus Fumigatus Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Penicillium Chrysogenum Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold: Alternaria Alternata Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Misc: Mouse Ur Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grass: Kentucky Blue Grass Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grass: Bermuda Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Wheat Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Walnut Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Soybean Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Shrimp Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Peanut Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Milk Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Egg White Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Corn (Maize) Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cod Fish Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Penicilloyl V Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Penicilloyl G Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Drug: Amoxicilloyl Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Rabbit Eithelia Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Mosquito Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Horse Dander Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cow Dander Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Yeast Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Tomato Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Scallops Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Potato Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Pork Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Oats Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Chicken Meat Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cashew Nut Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Cacao (Cocao) Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food: Barley Class SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Food #2 SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Sheep Sorrel Red Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Russian Thistle Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Ragweed Common Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Pigweed Rough Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Weed: Nettle Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Oak Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Mulberry Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Mountain Cedar Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Elm American Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Cottonwood Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Box Elder/Maple Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree: Ash (White) Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Dog Dander Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Derm Pteronyss Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Derm Farinae Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peren: Cockroach Quant SF | $59.40 | $99.00 | $71.28–$96.03 | 73% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP | $77.40 | $129.00 | $92.88–$125.13 | 34% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN /c REFLEX | $125.70 | $209.50 | $150.84–$203.22 | 55% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $222.00 | $370.00 | $266.40–$358.90 | 18% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $123.00 | $205.00 | $147.60–$198.85 | 14% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS/MICRO LEVEL IV | $186.98 | $311.63 | $224.37–$302.28 | 16% above | 40% |
| Blood culture for bacteria CPT 87040 Blood Culture | $174.60 | $291.00 | $209.52–$282.27 | 4% below | 40% |
| Blood culture for bacteria CPT 87040 Blood Culture Initial | $174.60 | $291.00 | $209.52–$282.27 | 4% below | 40% |
| Blood culture for bacteria CPT 87040 Culture, Blood x 2 | $174.60 | $291.00 | $209.52–$282.27 | 4% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $9.60 | $16.00 | $11.52–$15.52 | 62% below | 40% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $40.80 | $68.00 | $48.96–$65.96 | 31% below | 40% |
| Blood lead test CPT 83655 LEAD VENOUS | $117.60 | $196.00 | $141.12–$190.12 | 162% above | 40% |
| Blood lead test CPT 83655 LEAD CAPILLARY ONLY | $117.60 | $196.00 | $141.12–$190.12 | 162% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG SERUM SCREEN | $130.80 | $218.00 | $156.96–$211.46 | 12% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only | $42.60 | $71.00 | $51.12–$68.87 | 16% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $42.60 | $71.00 | $51.12–$68.87 | 16% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh | $42.60 | $71.00 | $51.12–$68.87 | 16% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh 2 | $77.40 | $129.00 | $92.88–$125.13 | 52% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh 3 | $77.40 | $129.00 | $92.88–$125.13 | 52% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only 2 | $77.40 | $129.00 | $92.88–$125.13 | 52% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANTITATIVE | $66.00 | $110.00 | $79.20–$106.70 | 21% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Synovasure Alpha Defe | $66.30 | $110.50 | $79.56–$107.19 | 20% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Toxigenic C. Diff(C Diff/Epi)-GeneXpert | $126.60 | $211.00 | $151.92–$204.67 | 40% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile by NAAT(PCR) SF | $126.60 | $211.00 | $151.92–$204.67 | 40% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 | $204.00 | $340.00 | $244.80–$329.80 | 101% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $210.60 | $351.00 | $252.72–$340.47 | 29% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) | $99.30 | $165.50 | $119.16–$160.54 | 20% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now) | $99.30 | $165.50 | $119.16–$160.54 | 20% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-CoV-2 RT-PCR SF | $99.30 | $165.50 | $119.16–$160.54 | 20% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Plus Piccolo | $79.20 | $132.00 | $95.04–$128.04 | 26% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Metabolism Profile SF | $170.10 | $283.50 | $204.12–$275.00 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $170.10 | $283.50 | $204.12–$275.00 | 60% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLATELETS AUTO DIFF | $104.10 | $173.50 | $124.92–$168.30 | 4% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $84.00 | $140.00 | $100.80–$135.80 | 2% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Man Diff | $104.10 | $173.50 | $124.92–$168.30 | 22% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $167.10 | $278.50 | $200.52–$270.15 | 2% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $242.10 | $403.50 | $290.52–$391.40 | 66% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $287.10 | $478.50 | $344.52–$464.15 | 85% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $187.50 | $312.50 | $225.00–$303.13 | 72% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin SF | $61.80 | $103.00 | $74.16–$99.91 | 75% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $141.00 | $235.00 | $169.20–$227.95 | 16% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $157.20 | $262.00 | $188.64–$254.14 | 52% above | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $291.30 | $485.50 | $349.56–$470.94 | 77% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $78.90 | $131.50 | $94.68–$127.56 | 12% below | 40% |
| Free testosterone test CPT 84402 Testosterone Free SF | $264.60 | $441.00 | $317.52–$427.77 | 341% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GHP (CBC-CMP-TSH) | $357.00 | $595.00 | $428.40–$577.15 | 46% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP | $113.40 | $189.00 | $136.08–$183.33 | 40% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial | $113.40 | $189.00 | $136.08–$183.33 | 40% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1Hr 50 gm OB | $113.40 | $189.00 | $136.08–$183.33 | 40% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL | $113.40 | $189.00 | $136.08–$183.33 | 40% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance, 1-3 Specimens | $185.10 | $308.50 | $222.12–$299.25 | 13% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance (GTT) 2 Hour OB | $185.10 | $308.50 | $222.12–$299.25 | 13% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 .GLUCOSE TOLERANCE 3 SPECIMENS OB | $185.10 | $308.50 | $222.12–$299.25 | 13% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (GTT) 2 Hour | $185.10 | $308.50 | $222.12–$299.25 | 13% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae DNA GeneXpert | $201.30 | $335.50 | $241.56–$325.44 | 133% above | 40% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL | $205.80 | $343.00 | $246.96–$332.71 | 10% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quantitative SF | $145.67 | $242.79 | $174.81–$235.51 | 63% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 2 ANTIBODY | $184.80 | $308.00 | $221.76–$298.76 | 71% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB AND AG | $99.90 | $166.50 | $119.88–$161.51 | 6% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 SCREEN REFLEX | $99.90 | $166.50 | $119.88–$161.51 | 6% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $78.90 | $131.50 | $94.68–$127.56 | at median | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB | $113.40 | $189.00 | $136.08–$183.33 | 3% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $99.90 | $166.50 | $119.88–$161.51 | 41% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ABY REFLEX PCR | $145.50 | $242.50 | $174.60–$235.23 | 8% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $283.50 | $472.50 | $340.20–$458.33 | 45% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type1 IgG SF | $136.50 | $227.50 | $163.80–$220.68 | 55% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Screen SF | $136.50 | $227.50 | $163.80–$220.68 | 55% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 .HSV TYPE 1 | $136.50 | $227.50 | $163.80–$220.68 | 55% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type 2 IgG SF | $92.40 | $154.00 | $110.88–$149.38 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Screen SF | $92.40 | $154.00 | $110.88–$149.38 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV TYPE 2 | $92.40 | $154.00 | $110.88–$149.38 | at median | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $132.00 | $220.00 | $158.40–$213.40 | 25% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $169.80 | $283.00 | $203.76–$274.51 | 77% above | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $120.60 | $201.00 | $144.72–$194.97 | 38% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $77.10 | $128.50 | $92.52–$124.65 | 6% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (TIBC) | $180.30 | $300.50 | $216.36–$291.49 | 109% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $185.10 | $308.50 | $222.12–$299.25 | 33% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $187.50 | $312.50 | $225.00–$303.13 | 6% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Revised) | $195.60 | $326.00 | $234.72–$316.22 | 63% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $157.50 | $262.50 | $189.00–$254.63 | 13% above | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IgG/IgM | $172.20 | $287.00 | $206.64–$278.39 | 65% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $109.80 | $183.00 | $131.76–$177.51 | 51% above | 40% |
| Magnesium blood test CPT 83735 Magnesium U SF | $109.80 | $183.00 | $131.76–$177.51 | 51% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IgG SCREEN | $53.70 | $89.50 | $64.44–$86.82 | 32% below | 40% |
| Measles (rubeola) antibody test CPT 86765 Rubeola IgG Ab SF | $53.70 | $89.50 | $64.44–$86.82 | 32% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST | $109.50 | $182.50 | $131.40–$177.03 | 67% above | 40% |
| Obstetric blood test panel CPT 80055 .OB PANEL /c HIV | $285.90 | $476.50 | $343.08–$462.21 | 31% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $110.40 | $184.00 | $132.48–$178.48 | 29% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP THIN PREP GYN SCREEN | $98.40 | $164.00 | $118.08–$159.08 | 5% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Liquid Based Pap Test SF | $98.40 | $164.00 | $118.08–$159.08 | 5% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CERV OR VAG AUTO THIN LAYER PR | $60.00 | $100.00 | $72.00–$97.00 | 14% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH | $399.30 | $665.50 | $479.16–$645.54 | 80% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH Only | $399.30 | $665.50 | $479.16–$645.54 | 80% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $127.20 | $212.00 | $152.64–$205.64 | 42% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $205.80 | $343.00 | $246.96–$332.71 | 34% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $195.60 | $326.00 | $234.72–$316.22 | 52% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME WITH INR | $63.60 | $106.00 | $76.32–$102.82 | 101% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG ABUSE URINE SCREEN | $174.00 | $290.00 | $208.80–$281.30 | 169% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza | $49.80 | $83.00 | $59.76–$80.51 | 32% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A POC/Waived | $49.80 | $83.00 | $59.76–$80.51 | 34% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN RAPID | $121.80 | $203.00 | $146.16–$196.91 | 61% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Qnt SF | $16.20 | $27.00 | $19.44–$26.19 | 81% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody, Immune Status SF | $50.40 | $84.00 | $60.48–$81.48 | 28% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody | $50.40 | $84.00 | $60.48–$81.48 | 28% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $145.50 | $242.50 | $174.60–$235.23 | 107% above | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EXAM COMPLETE | $201.30 | $335.50 | $241.56–$325.44 | 75% above | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $195.60 | $326.00 | $234.72–$316.22 | 124% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 1-3 | $70.50 | $117.50 | $84.60–$113.98 | 48% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNOCHEMICAL | $47.40 | $79.00 | $56.88–$76.63 | 18% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hemosure iFOB | $47.40 | $79.00 | $56.88–$76.63 | 18% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qualitative | $92.70 | $154.50 | $111.24–$149.87 | 58% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $251.10 | $418.50 | $301.32–$405.95 | 9% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone SF | $266.70 | $444.50 | $320.04–$431.17 | 159% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone, Random Draw Females SF | $266.70 | $444.50 | $320.04–$431.17 | 159% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab SF | $110.40 | $184.00 | $132.48–$178.48 | 8% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $125.10 | $208.50 | $150.12–$202.25 | 15% above | 40% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis NAD SF | $94.50 | $157.50 | $113.40–$152.78 | 14% below | 40% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis MVP (GeneXpert) | $94.50 | $157.50 | $113.40–$152.78 | 14% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $124.80 | $208.00 | $149.76–$201.76 | 88% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $50.40 | $84.00 | $60.48–$81.48 | 12% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK ONLY | $40.20 | $67.00 | $48.24–$64.99 | 2% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES URINE | $40.20 | $67.00 | $48.24–$64.99 | 2% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE | $40.20 | $67.00 | $48.24–$64.99 | 2% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $103.20 | $172.00 | $123.84–$166.84 | at median | 40% |
| Urine pregnancy test, read by color change CPT 81025 BHCG URINE SCREEN | $130.80 | $218.00 | $156.96–$211.46 | 60% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 | $163.80 | $273.00 | $196.56–$264.81 | 42% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 OH Total | $227.10 | $378.50 | $272.52–$367.15 | 48% above | 40% |
| Zinc blood test CPT 84630 ZINC SERUM | $110.40 | $184.00 | $132.48–$178.48 | 305% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TOTAL QUANTITATIVE | $156.00 | $260.00 | $187.20–$252.20 | 17% above | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG Breast Biopsy w/ Stereo Guide | $2,011.20 | $3,352.00 | $2,413.44–$3,251.44 | 7% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Nursing | $984.60 | $1,641.00 | $1,181.52–$1,591.77 | 33% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision, using clamp or other Device | $1,260.00 | $2,100.00 | $1,512.00–$2,037.00 | 29% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Reduction (Closed) FX Radius (Distal)/Epiphyseal Separation w/o | $592.20 | $987.00 | $710.64–$957.39 | 1% below | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystourethoscopy w/Insertion Indwelling Ureteral Stent | $455.10 | $758.50 | $546.12–$735.75 | 90% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $317.70 | $529.50 | $381.24–$513.62 | 80% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st Lesion | $115.50 | $192.50 | $138.60–$186.73 | 68% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Cerumen Impacted Irrigation/Lavage | $93.90 | $156.50 | $112.68–$151.81 | 44% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 Removal Cerumen Impacted w/Instruments | $84.60 | $141.00 | $101.52–$136.77 | 55% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection, Interlaminar, C/T | $1,226.70 | $2,044.50 | $1,472.04–$1,983.17 | 36% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection, Facet Joint,Lumbar/Sacral,1st level | $1,215.90 | $2,026.50 | $1,459.08–$1,965.71 | 39% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligation | $547.20 | $912.00 | $656.64–$884.64 | 54% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath Insertion US Sonohystero | $975.90 | $1,626.50 | $1,171.08–$1,577.71 | 113% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I and D Abscess, Simple | $183.90 | $306.50 | $220.68–$297.31 | 60% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Tendon Sheath/Ligament | $66.90 | $111.50 | $80.28–$108.16 | 87% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiration/Injection Major Joint/Bursa | $177.00 | $295.00 | $212.40–$286.15 | 74% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant Non-Biodegradable | $152.70 | $254.50 | $183.24–$246.87 | 50% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspiration/Injection Intermediate Joint/Bursa | $177.00 | $295.00 | $212.40–$286.15 | 63% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, Intmed Join | $186.60 | $311.00 | $223.92–$301.67 | 62% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspiration/Injection Small Joint/Bursa | $177.00 | $295.00 | $212.40–$286.15 | 63% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Interdemediate Scalp/Axillae/Trunk/Extrem <=2.5 cm | $203.70 | $339.50 | $244.44–$329.32 | 70% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 CRNA LUMBAR ESI w IMAGING | $1,226.70 | $2,044.50 | $1,472.04–$1,983.17 | 29% below | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 CRNA LUMBAR/SACRAL EPIDURAL STEROID INJ | $330.00 | $550.00 | $396.00–$533.50 | 78% below | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection Epidural/Subarachnoid Lumbar/Sacral | $330.30 | $550.50 | $396.36–$533.99 | 78% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Nerve Transforaminal Epidural w/Imaging Lumbar/Sacral | $1,297.20 | $2,162.00 | $1,556.64–$2,097.14 | 31% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lesion Trunk/Arms/Legs <=0.5 cm | $144.90 | $241.50 | $173.88–$234.26 | 82% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision, Benign Lesion | $144.90 | $241.50 | $173.88–$234.26 | 82% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Lesion Face/Ears 0.5 cm or less | $235.20 | $392.00 | $282.24–$380.24 | 75% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single | $87.60 | $146.00 | $105.12–$141.62 | 73% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 Injection, Anes Agen, Grtr Occip Nerve | $70.56 | $117.60 | $84.67–$114.07 | 91% below | 40% |
| Paracentesis with imaging guidance CPT 49083 Paracentesis Abdominal w/Imaging | $2,415.00 | $4,025.00 | $2,898.00–$3,904.25 | 23% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail and Matrix Permanent Removal | $342.90 | $571.50 | $411.48–$554.36 | 60% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal/Incision FB Subq Simple | $239.70 | $399.50 | $287.64–$387.52 | 62% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 Application, Cast, Short Arm | $424.20 | $707.00 | $509.04–$685.79 | 38% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 Application Splint Short Arm Static | $93.90 | $156.50 | $112.68–$151.81 | 69% below | 40% |
| Short leg splint (calf to foot) CPT 29515 Application, Splint, Short Leg | $115.80 | $193.00 | $138.96–$187.21 | 58% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp/Neck/Axillae/Ext. Genitalia/Trunk/Extrem <=2 | $139.50 | $232.50 | $167.40–$225.53 | 70% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 Bx,. Punch, Skin | $144.90 | $241.50 | $173.88–$234.26 | 69% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Malignant Lesion Trunk/Arms/Legs <=0.5 cm | $181.50 | $302.50 | $217.80–$293.43 | 80% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags 1-15 | $135.00 | $225.00 | $162.00–$218.25 | 67% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture Lumbar (Spinal Tap) | $665.40 | $1,109.00 | $798.48–$1,075.73 | 35% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $678.60 | $1,131.00 | $814.32–$1,097.07 | 33% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp/Neck/Axillae/Ext. Genitalia/Trunk/Extrem 2.6 | $140.70 | $234.50 | $168.84–$227.47 | 72% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Simple Face/Ears <=2.5 cm | $119.40 | $199.00 | $143.28–$193.03 | 75% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy Tangential Skin Single Lesion | $121.80 | $203.00 | $146.16–$196.91 | 64% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis w/Imaging | $2,570.10 | $4,283.50 | $3,084.12–$4,155.00 | 33% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point/Muscle 1-2 | $177.00 | $295.00 | $212.40–$286.15 | 71% below | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethoscopy w/Lithotripsy | $689.40 | $1,149.00 | $827.28–$1,114.53 | — | 40% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystourethoscopy w/Lithotripsy Stent | $593.70 | $989.50 | $712.44–$959.82 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesion Up to 14 Lesions | $213.00 | $355.00 | $255.60–$344.35 | 51% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcu 1st 20 cm | $101.40 | $169.00 | $121.68–$163.93 | 89% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq 1st <20 sq cm | $101.40 | $169.00 | $121.68–$163.93 | 89% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/Components | $739.80 | $1,233.00 | $887.76–$1,196.01 | 23% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Initial | $160.80 | $268.00 | $192.96–$259.96 | 27% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment - Single/MDI | $465.00 | $775.00 | $558.00–$751.75 | 112% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Multiple | $465.00 | $775.00 | $558.00–$751.75 | 112% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment - Multiple | $1,125.30 | $1,875.50 | $1,350.36–$1,819.24 | 413% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment Single/MDI | $1,164.90 | $1,941.50 | $1,397.88–$1,883.26 | 431% above | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Infusion Initial | $400.80 | $668.00 | $480.96–$647.96 | 47% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30-74 Min Facility Fee | $1,452.90 | $2,421.50 | $1,743.48–$2,348.86 | 17% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only | $90.00 | $150.00 | $108.00–$145.50 | 63% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Visit Level 1 Facility Fee | $156.30 | $260.50 | $187.56–$252.69 | at median | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Visit Level 2 Facility Fee | $262.80 | $438.00 | $315.36–$424.86 | 24% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Visit Level 3 Facility Fee | $316.50 | $527.50 | $379.80–$511.68 | 29% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Visit Level 4 Facility Fee | $574.80 | $958.00 | $689.76–$929.26 | 32% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Visit Level 5 Facility Fee | $828.60 | $1,381.00 | $994.32–$1,339.57 | 31% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG CARDIAC EXER TEST | $835.20 | $1,392.00 | $1,002.24–$1,350.24 | 29% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion Hydration Initial | $400.80 | $668.00 | $480.96–$647.96 | 7% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 Infusion Initial | $400.80 | $668.00 | $480.96–$647.96 | 10% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subcu/IM | $42.60 | $71.00 | $51.12–$68.87 | 54% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 E/M, Level 3, New Pt | $136.80 | $228.00 | $164.16–$221.16 | 38% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 E/M, Level 4, New Pt | $223.80 | $373.00 | $268.56–$361.81 | 33% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 New patient, level 5 | $113.40 | $189.00 | $136.08–$183.33 | 70% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E/M, Level 2, New Pt | $79.20 | $132.00 | $95.04–$128.04 | 55% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSILING <10 MIN | $10.20 | $17.00 | $12.24–$16.49 | 81% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M, Level 5 | $242.40 | $404.00 | $290.88–$391.88 | 25% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/OP, Est, Level 3 | $111.00 | $185.00 | $133.20–$179.45 | 26% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/OP Visit Level IV | $163.50 | $272.50 | $196.20–$264.33 | 28% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/OP, Est, Level 2 | $77.40 | $129.00 | $92.88–$125.13 | 38% below | 40% |
| Spirometry (breathing test) CPT 94010 PFT BASIC SPIROMETRY | $195.30 | $325.50 | $234.36–$315.74 | 39% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PFT BRONCHOSPASM EVALUATION | $314.40 | $524.00 | $377.28–$508.28 | 46% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $283.50 | $472.50 | $340.20–$458.33 | 17% above | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration 1st | $42.60 | $71.00 | $51.12–$68.87 | 34% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION each add | $18.30 | $30.50 | $21.96–$29.59 | 75% below | 40% |
Source file: https://huron.pt.panaceainc.com/MRFDownload/huron/huron