Hospital Brookings, SD

Brookings Health System

Brookings Health System in Brookings, SD publishes cash prices for 257 common procedures listed here, from its own machine-readable price file updated May 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the South Dakota median for 217 of 251 procedures and above it for 28. By typical cash price it ranks #2 of 22 South Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

300 22nd Ave, Brookings, SD 57006 Collected Sep 29, 2026 Source price file (605) 696-9000

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 430008 · CMS hospital register NPI 1275515579

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 6 actions for a hospital named Brookings Health System in Brookings, SD:

  • Mar 3, 2023 Warning notice
  • Jun 8, 2023 Corrective action plan requested
  • Dec 7, 2023 Case closed
  • Feb 5, 2026 Warning notice
  • May 15, 2026 Corrective action plan requested
  • May 22, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

ProcedureCash price List priceInsurers payvs South DakotaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ankle Arm Screen $293.50 $587.00 $138.05–$587.00 43% below 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Flow Mapping $293.50 $587.00 $138.05–$587.00 43% below 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UE/LE Artery 2 Levels $293.50 $587.00 $138.05–$587.00 43% below 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Contrast X-Ray Esophagus $413.00 $826.00 $89.93–$826.00 51% below 50%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan Whole Body $818.50 $1,637.00 $430.35–$1,637.00 60% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest WWO Contrast $1,938.50 $3,877.00 $169.00–$3,877.00 29% below 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO Contrast $1,818.00 $3,636.00 $169.00–$3,636.00 52% below 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelv W Contrast $2,223.00 $4,446.00 $169.00–$4,446.00 53% below 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelv WWO Contrast $2,881.00 $5,762.00 $169.00–$5,762.00 41% below 50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Dye $1,317.50 $2,635.00 $169.00–$2,635.00 56% below 50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO Dye $1,241.00 $2,482.00 $113.89–$2,482.00 37% below 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO Contrast $1,225.50 $2,451.00 $113.89–$2,451.00 36% below 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Contrast $1,386.00 $2,772.00 $113.89–$2,772.00 30% below 50%
CT scan of the head with contrast CPT 70460 CT Head/Brain W Contrast $1,308.50 $2,617.00 $169.00–$2,617.00 42% below 50%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain WWO Contrast $1,618.00 $3,236.00 $169.00–$3,236.00 42% below 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine WO Contrast $1,540.00 $3,080.00 $113.89–$3,080.00 35% below 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine WO Contrast $1,643.50 $3,287.00 $113.89–$3,287.00 26% below 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Dye $1,576.50 $3,153.00 $169.00–$3,153.00 29% below 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial Bilat Study $655.50 $1,311.00 $258.88–$1,311.00 — 50%
Chest X-ray, 2 views CPT 71046 X-Ray Chest 2V Decubitus $232.50 $465.00 $89.93–$465.00 38% below 50%
Chest X-ray, 2 views CPT 71046 X-Ray Chest 2V PA/Lateral $232.50 $465.00 $89.93–$465.00 38% below 50%
Chest X-ray, single view CPT 71045 X-Ray Chest 1 View $164.00 $328.00 $89.93–$328.00 46% below 50%
Chest X-ray, single view CPT 71045 X-Ray Chest Spec Lat/Decub $164.00 $328.00 $89.93–$328.00 46% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Abdo Back Wall Comp $471.50 $943.00 $113.89–$943.00 46% below 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA Scan $366.00 $732.00 $113.89–$732.00 33% below 50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA Bone Density/Peripheral $86.50 $173.00 $67.99–$281.04 52% below 50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US Detailed Single Fetus $358.00 $716.00 $256.95–$716.00 39% below 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax WO Contrast $1,653.50 $3,307.00 $113.89–$3,307.00 20% below 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax W Contrast $1,730.50 $3,461.00 $169.00–$3,461.00 35% below 50%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Dx Digit Impl BI $129.00 $258.00 $101.39–$258.00 — 50%
Diagnostic mammogram, both breasts CPT 77066 Mammography Diagnostic Digital $129.00 $258.00 $101.39–$258.00 78% below 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial Duplex LE BI $627.50 $1,255.00 $258.88–$1,255.00 — 50%
Duplex ultrasound of the leg veins, both legs CPT 93970 Venous Duplex $745.00 $1,490.00 $258.88–$1,490.00 40% below 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W Doppler Complete $1,193.00 $2,386.00 $587.21–$2,386.00 50% below 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA w/ EF Fatty Challenge $1,259.00 $2,518.00 $430.35–$2,518.00 36% below 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Scan w/o EF $1,259.00 $2,518.00 $430.35–$2,518.00 36% below 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnogram W CPap $2,728.50 $5,457.00 $1,089.61–$5,457.00 41% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Appendix Limited $663.00 $1,326.00 $113.89–$1,326.00 22% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Liver $663.00 $1,326.00 $113.89–$1,326.00 22% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdomen Limited $663.00 $1,326.00 $113.89–$1,326.00 22% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Spleen $663.00 $1,326.00 $113.89–$1,326.00 22% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Gallbladder $663.00 $1,326.00 $113.89–$1,326.00 22% below 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT For Lung Cancer Screen $1,579.00 $3,158.00 $113.89–$3,158.00 49% above 50%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO Dye $2,157.00 $4,314.00 $258.88–$4,314.00 29% below 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO Dye $2,929.00 $5,858.00 $268.00–$5,858.00 33% below 50%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Contrast $2,773.50 $5,547.00 $258.88–$5,547.00 11% below 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Pituitary WWO Cont $3,545.00 $7,090.00 $268.00–$7,090.00 18% below 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO Contrast $3,545.00 $7,090.00 $268.00–$7,090.00 18% below 50%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Dye $2,773.50 $5,547.00 $258.88–$5,547.00 15% below 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar Spine WWO Dye $3,545.00 $7,090.00 $268.00–$7,090.00 20% below 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Comp Cord Lumbar WWO Cont $3,545.00 $7,090.00 $268.00–$7,090.00 20% below 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Chest Spine WO Dye $2,773.50 $5,547.00 $258.88–$5,547.00 15% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Neck Spine WWO Dye $2,773.50 $5,547.00 $268.00–$5,547.00 35% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Comp Cord Cerv WWO Cont $2,773.50 $5,547.00 $268.00–$5,547.00 35% below 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Neck Spine WO Dye $2,081.50 $4,163.00 $258.88–$4,163.00 36% below 50%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO Dye $3,545.00 $7,090.00 $268.00–$7,090.00 18% below 50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO Dye $2,773.50 $5,547.00 $258.88–$5,547.00 19% below 50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Perf Spect Rest Stress $2,290.50 $4,581.00 $1,398.16–$4,581.00 46% below 50%
OCT scan of the retina (optical coherence tomography) CPT 92134 Ophth Imaging Retina $33.50 $67.00 $26.33–$155.78 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Urine Capacity Measure $281.00 $562.00 $113.89–$562.00 42% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Bladder Limited $281.00 $562.00 $113.89–$562.00 42% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvic Limited $281.00 $562.00 $113.89–$562.00 42% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic Complete $663.00 $1,326.00 $113.89–$1,326.00 33% below 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >14 Wk TVTA Single Fetus $368.50 $737.00 $113.89–$737.00 54% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 Wks Single Fetus $307.50 $615.00 $113.89–$615.00 57% below 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US Limited Fetus(s) $273.00 $546.00 $113.89–$546.00 49% below 50%
Screening mammogram, both breasts both sides CPT 77067 Mammo Screen Implant BI $140.50 $281.00 $90.97–$281.00 — 50%
Screening mammogram, both breasts CPT 77067 Mammography Screening Digital $140.50 $281.00 $90.97–$281.00 71% below 50%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram $2,615.50 $5,231.00 $1,089.61–$5,231.00 39% below 50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Cine/Vid X-Ray Throat/Esoph $388.50 $777.00 $190.65–$777.00 46% below 50%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal $250.00 $500.00 $113.89–$500.00 64% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal US Obstetrical $273.00 $546.00 $113.89–$546.00 56% below 50%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdomen Complete $743.00 $1,486.00 $113.89–$1,486.00 34% below 50%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum $617.50 $1,235.00 $113.89–$1,235.00 31% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Head And Neck $480.50 $961.00 $113.89–$961.00 42% below 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Upper GI Delay w/o air $369.50 $739.00 $190.65–$739.00 62% below 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Upper GI & Small Intest $369.50 $739.00 $190.65–$739.00 62% below 50%
X-ray of the abdomen, 1 view CPT 74018 X-Ray Abdomen $222.50 $445.00 $89.93–$445.00 30% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Lumbosacral 2-3 Views $314.00 $628.00 $89.93–$628.00 24% below 50%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray Lumbosacral 4 Views $356.00 $712.00 $89.93–$712.00 39% below 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Spine Thoracic 2 Views $231.00 $462.00 $89.93–$462.00 35% below 50%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Facial Bones 3 Views $186.00 $372.00 $89.93–$372.00 40% below 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Spine Cervical 2-3 Views $357.00 $714.00 $89.93–$714.00 3% below 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Pelvis 1-2 Views $215.50 $431.00 $89.93–$431.00 32% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Sacrum Tailbone $199.00 $398.00 $89.93–$398.00 32% below 50%

Lab tests

ProcedureCash price List priceInsurers payvs South DakotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGpT $72.50 $145.00 $5.30–$140.65 at median 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGoT $74.50 $149.00 $5.18–$144.53 2% above 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel $202.50 $405.00 $47.63–$392.85 24% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige $37.00 $74.00 $5.22–$71.78 8% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 Farmer Lung Allergen $37.50 $75.00 $5.22–$72.75 9% above 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Citrulline Antibody $143.50 $287.00 $12.95–$278.39 6% above 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana By Ifa $26.50 $53.00 $12.09–$52.99 64% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana By Elisa $47.00 $94.00 $12.09–$91.18 36% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide $167.00 $334.00 $39.26–$323.98 at median 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro-B Type Natriuretic Peptide $167.00 $334.00 $39.26–$323.98 at median 50%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $117.00 $234.00 $8.46–$226.98 18% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path L4 $68.00 $136.00 $53.45–$154.17 49% below 50%
Blood culture for bacteria CPT 87040 Culture Blood $142.50 $285.00 $10.32–$276.45 18% below 50%
Blood culture for bacteria CPT 87040 Culture Blood Brucella $142.50 $285.00 $10.32–$276.45 18% below 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture $31.50 $63.00 $3.18–$61.11 23% above 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Draw & Process Specimen $32.50 $65.00 $3.18–$63.05 27% above 50%
Blood glucose (sugar) test CPT 82947 Glucose Blood POCT $22.50 $45.00 $3.93–$43.65 61% below 50%
Blood glucose (sugar) test CPT 82947 Glucose Blood $44.00 $88.00 $3.93–$85.36 25% below 50%
Blood lead test CPT 83655 Lead Blood Ref $29.50 $59.00 $12.11–$57.23 14% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Beta Qual $97.50 $195.00 $7.52–$189.15 14% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OB Blood Typing Abo $35.50 $71.00 $27.90–$138.05 30% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo $75.50 $151.00 $44.16–$151.00 48% above 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein $74.50 $149.00 $5.18–$144.53 10% below 50%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff By PCR $61.50 $123.00 $37.27–$119.31 70% below 50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $130.00 $260.00 $20.81–$252.20 28% above 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $103.00 $206.00 $20.81–$199.82 37% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 Amp Probe $84.50 $169.00 $51.31–$163.93 32% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 Ref $84.50 $169.00 $51.31–$163.93 32% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 Amp Prb Hi Thrp $84.50 $169.00 $51.31–$163.93 32% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 $84.50 $169.00 $51.31–$163.93 32% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach By PCR $102.50 $205.00 $35.09–$198.85 10% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amp Probe $102.50 $205.00 $35.09–$198.85 10% below 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $156.50 $313.00 $13.39–$303.61 45% above 50%
Complete blood count (CBC) with differential CPT 85025 OB CBC W/Auto Diff $28.50 $57.00 $7.77–$55.29 73% below 50%
Complete blood count (CBC) with differential CPT 85025 CBC W Auto Diff $106.00 $212.00 $7.77–$205.64 at median 50%
Complete blood count (CBC), no differential CPT 85027 CBC WO Auto Diff $53.50 $107.00 $6.47–$103.79 38% below 50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $170.00 $340.00 $10.56–$329.80 4% above 50%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant $93.00 $186.00 $10.18–$180.42 34% below 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dheas $37.50 $75.00 $22.23–$72.75 71% below 50%
Estradiol blood test CPT 82670 Estradiol Ref Total $143.50 $287.00 $27.94–$278.39 2% below 50%
Estradiol blood test CPT 82670 Estradiol Total $143.50 $287.00 $27.94–$278.39 2% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh $66.00 $132.00 $18.58–$128.04 39% below 50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin $74.50 $149.00 $19.63–$144.53 69% below 50%
Ferritin blood test (iron stores) CPT 82728 Ferritin $96.50 $193.00 $13.63–$187.21 20% below 50%
Folate (folic acid) blood test CPT 82746 Folic Acid Blood $122.00 $244.00 $14.70–$236.68 16% above 50%
Free T3 thyroid hormone test CPT 84481 T3 Free $82.50 $165.00 $16.94–$160.05 50% below 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free $97.00 $194.00 $9.02–$188.18 at median 50%
Free testosterone test CPT 84402 Testosterone Free $61.50 $123.00 $25.47–$119.31 2% above 50%
Free testosterone test CPT 84402 Testosterone Fre Female/Child $61.50 $123.00 $25.47–$119.31 2% above 50%
Free testosterone test CPT 84402 Testosterone Free Equil Dial $260.00 $520.00 $25.47–$504.40 333% above 50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel $53.00 $106.00 $41.66–$106.00 78% below 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Dose $23.50 $47.00 $4.75–$45.59 71% below 50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tol 1st 3 Specimens $135.00 $270.00 $12.87–$261.90 7% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae DNA Amp Probe $102.50 $205.00 $35.09–$198.85 19% above 50%
H. pylori stool antigen test CPT 87338 H Pylori Antigen Stool $69.50 $139.00 $14.38–$134.83 60% below 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 Na Quan $76.50 $153.00 $60.13–$148.41 79% below 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 OB HIV1Ag/HIV12Ab Sng Rslt $37.50 $75.00 $24.08–$72.75 64% below 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1Ag/HIV12Ab Sng Result $51.00 $102.00 $24.08–$98.94 51% below 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA Probe $76.50 $153.00 $35.09–$148.41 44% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C $101.00 $202.00 $9.71–$195.94 28% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody $78.00 $156.00 $10.74–$151.32 29% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 OB Hep B Surface Agn $37.00 $74.00 $10.33–$71.78 36% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Agn $78.00 $156.00 $10.33–$151.32 35% above 50%
Hepatitis C antibody blood test (screening) CPT 86803 OB HCV Antibody $33.00 $66.00 $14.27–$64.02 74% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody $67.50 $135.00 $14.27–$130.95 46% below 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna Pcr Quant $82.50 $165.00 $42.84–$160.05 40% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex I IgG $32.00 $64.00 $13.19–$62.08 62% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex II IgG $32.00 $64.00 $19.35–$62.08 65% below 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens $37.50 $75.00 $12.95–$72.75 63% below 50%
Homocysteine blood test CPT 83090 Homocystine $82.50 $165.00 $17.92–$160.05 14% below 50%
Insulin blood test CPT 83525 Insulin $37.00 $74.00 $11.43–$71.78 46% below 50%
Insulin blood test CPT 83525 Insulin Ref $44.50 $89.00 $11.43–$86.33 35% below 50%
Iron blood test (serum iron) CPT 83540 Iron Serum $47.50 $95.00 $6.47–$92.15 35% below 50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity $47.50 $95.00 $8.74–$92.15 44% below 50%
Kidney function blood test panel CPT 80069 Renal Function Panel $80.50 $161.00 $8.68–$156.17 42% below 50%
LH (luteinizing hormone) test CPT 83002 Lh $66.00 $132.00 $18.52–$128.04 62% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $90.50 $181.00 $6.89–$175.57 25% below 50%
Liver function blood test panel CPT 80076 Hepatic Function Panel $112.50 $225.00 $8.17–$218.25 19% below 50%
Lyme disease antibody test CPT 86618 Lyme Disease Antibody $80.50 $161.00 $17.03–$156.17 17% below 50%
Magnesium blood test CPT 83735 Magnesium RBC $23.00 $46.00 $6.70–$44.62 67% below 50%
Magnesium blood test CPT 83735 Stone Risk Urine Magnesium $23.00 $46.00 $6.70–$44.62 67% below 50%
Magnesium blood test CPT 83735 Magnesium $68.00 $136.00 $6.70–$131.92 1% below 50%
Measles (rubeola) antibody test CPT 86765 Rubeola IgG Antibody $32.50 $65.00 $12.88–$63.05 59% below 50%
Measles (rubeola) antibody test CPT 86765 Rubeola IgG ABY Ref $37.00 $74.00 $12.88–$71.78 53% below 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free $36.50 $73.00 $18.39–$70.81 69% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total $45.00 $90.00 $18.39–$87.30 66% below 50%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath Pap C/V Auto Fld Redo $49.00 $98.00 $26.61–$95.06 53% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 Pth $190.00 $380.00 $41.28–$368.60 13% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt Heparin Neutralized Ref $22.50 $45.00 $6.01–$43.65 75% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt $47.50 $95.00 $6.01–$92.15 47% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt Ref $47.50 $95.00 $6.01–$92.15 47% below 50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal DNA Seq Maternal Plasma $777.00 $1,554.00 $610.72–$1,507.38 22% below 50%
Progesterone blood test CPT 84144 Progesterone $107.50 $215.00 $20.86–$208.55 25% below 50%
Prolactin blood test CPT 84146 Prolactin Pituitary Macroaden $92.50 $185.00 $19.38–$179.45 19% below 50%
Prolactin blood test CPT 84146 Prolactin $92.50 $185.00 $19.38–$179.45 19% below 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time PoCT $41.50 $83.00 $4.29–$80.51 31% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Ref $41.50 $83.00 $4.29–$80.51 31% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $41.50 $83.00 $4.29–$80.51 31% above 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine Direct Obv $47.50 $95.00 $12.60–$92.15 19% below 50%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen $78.50 $157.00 $16.55–$152.29 at median 50%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen $78.50 $157.00 $16.55–$152.29 at median 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Group A Rapid $56.00 $112.00 $16.53–$108.64 23% below 50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Fluid $28.00 $56.00 $5.67–$54.32 66% below 50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant $86.50 $173.00 $5.67–$167.81 5% above 50%
Rubella antibody test (immunity check) CPT 86762 OB Rubella IgG $37.00 $74.00 $14.39–$71.78 47% below 50%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG $50.50 $101.00 $14.39–$97.97 28% below 50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate Automated $80.00 $160.00 $2.70–$155.20 20% above 50%
Stool ova and parasites exam CPT 87177 Ova And Parasites Smears $232.00 $464.00 $8.90–$450.08 164% above 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Colorectal Scr $25.00 $50.00 $4.38–$48.50 44% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf $37.50 $75.00 $4.27–$72.75 34% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Serum $51.00 $102.00 $4.27–$98.94 10% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $51.00 $102.00 $4.27–$98.94 10% below 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tbint Quantiferon $60.50 $121.00 $47.55–$117.37 77% below 50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone By Lc/Ms $43.50 $87.00 $25.81–$84.39 42% below 50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Ref $106.50 $213.00 $25.81–$206.61 42% above 50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total $106.50 $213.00 $25.81–$206.61 42% above 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsome Liver/Kidney Aby $35.00 $70.00 $14.55–$67.90 68% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody $102.50 $205.00 $14.55–$198.85 8% below 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Neonatal $111.00 $222.00 $16.80–$215.34 2% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $111.00 $222.00 $16.80–$215.34 2% above 50%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vag Amp Probe Cyto $102.50 $205.00 $35.09–$198.85 7% below 50%
Uric acid blood test CPT 84550 Uric Acid Blood $59.00 $118.00 $4.52–$114.46 at median 50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro $45.00 $90.00 $3.17–$87.30 18% below 50%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Auto W Micro $15.00 $30.00 $4.02–$29.10 60% below 50%
Urinalysis without microscope exam, automated CPT 81003 Ketone Urine Auto $27.00 $54.00 $2.25–$52.38 31% below 50%
Urinalysis without microscope exam, automated CPT 81003 Protein Urine Auto $27.00 $54.00 $2.25–$52.38 31% below 50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Scope $27.00 $54.00 $2.25–$52.38 31% below 50%
Urinalysis without microscope exam, automated CPT 81003 Glucose Urine Auto $27.00 $54.00 $2.25–$52.38 31% below 50%
Urinalysis without microscope exam, manual CPT 81002 Urine Dip Stick $16.00 $32.00 $3.48–$31.04 56% below 50%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine W Col Count $56.00 $112.00 $8.07–$108.64 40% below 50%
Urine pregnancy test, read by color change CPT 81025 Hcg Beta Qual Urine $97.50 $195.00 $8.61–$189.15 19% above 50%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 $37.50 $75.00 $15.08–$72.75 67% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydvit D2 And D3 $138.50 $277.00 $29.60–$268.69 9% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Oh $138.50 $277.00 $29.60–$268.69 9% below 50%
Zinc blood test CPT 84630 Zinc Urine $41.50 $83.00 $11.39–$80.51 47% above 50%
Zinc blood test CPT 84630 Zinc $57.00 $114.00 $11.39–$110.58 102% above 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker $78.50 $157.00 $15.05–$152.29 40% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta Quan Serum $78.50 $157.00 $15.05–$152.29 40% below 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs South DakotaOff list
Appendectomy, open surgery CPT 44950 Appendectomy $1,081.00 $2,162.00 $596.01–$1,729.60 50% below 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fx Metatarsal $1,515.50 $3,031.00 $256.91–$3,468.96 164% above 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext $900.00 $1,800.00 $700.84–$1,800.00 39% below 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion $900.00 $1,800.00 $700.84–$1,800.00 39% below 50%
Cervical biopsy CPT 57500 Biopsy Cervix $130.00 $260.00 $102.18–$1,072.80 92% below 50%
Colonoscopy with polyp removal CPT 45385 Colonoscopy W Lesion Removal $397.00 $794.00 $240.60–$1,193.65 86% below 50%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W Biopsy(s) $314.00 $628.00 $190.11–$1,148.17 82% below 50%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic $683.50 $1,367.00 $174.61–$1,093.60 65% below 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Cervix W Scope LEEP $838.00 $1,676.00 $658.67–$6,131.70 86% below 50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/Curette Cervix W Scope $174.00 $348.00 $136.76–$1,072.80 77% below 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy $242.00 $484.00 $190.21–$3,015.26 84% below 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Premal Lesion 1st $72.50 $145.00 $56.99–$388.65 78% below 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy $77.00 $154.00 $60.52–$1,072.80 83% below 50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Epidural C/T W Guide $185.00 $370.00 $102.64–$701.81 90% below 50%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy $1,116.50 $2,233.00 $614.43–$1,786.40 81% below 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Cholecystectomy/Graph $4,110.50 $8,221.00 $668.93–$6,576.80 30% below 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Hemorrhoid(s) $230.00 $460.00 $180.78–$4,366.71 81% below 50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography $256.50 $513.00 $201.61–$1,537.74 44% below 50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Biopsy $3,463.00 $6,926.00 $2,721.92–$6,926.00 5% below 50%
IUD insertion (the device itself billed separately) CPT 58300 Female $131.00 $262.00 $102.97–$313.97 65% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple/Single $224.50 $449.00 $176.46–$449.00 51% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess or Cyst $224.50 $449.00 $176.46–$449.00 51% below 50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Delivery Implant $302.50 $605.00 $138.05–$605.00 2% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Asp/Inj Intermediate Joint $486.00 $972.00 $316.14–$972.00 at median 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/Inj Small Joint $493.50 $987.00 $316.14–$987.00 1% above 50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy Appendectomy $1,071.00 $2,142.00 $562.64–$1,713.60 92% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Lac Intermed <2.5 CM $761.50 $1,523.00 $427.89–$1,523.00 5% above 50%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Epidural L/S W Guide $253.50 $507.00 $95.07–$694.09 85% below 50%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Epidural L/S WO Guide $120.00 $240.00 $76.77–$403.82 91% below 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Lesion <0.5 Trunk Limb $82.50 $165.00 $64.85–$896.95 90% below 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Ben Lesion <0.5 Face Ears $106.50 $213.00 $83.71–$896.95 88% below 50%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simp Singl $64.50 $129.00 $50.70–$449.68 79% below 50%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W Imaging $1,912.50 $3,825.00 $1,004.12–$3,825.00 3% below 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Matrix Part/Complete $177.00 $354.00 $139.12–$896.95 79% below 50%
Prostate biopsy CPT 55700 Biopsy Prostate $2,318.50 $4,637.00 $1,822.34–$4,637.00 53% below 50%
Removal of a foreign object under the skin, simple CPT 10120 I&R Foreign Body Simple $281.50 $563.00 $221.26–$563.00 55% below 50%
Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint $133.00 $266.00 $104.54–$266.00 52% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Lac Simple <2.5 CM $542.50 $1,085.00 $212.80–$1,085.00 18% above 50%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy 1st Lesion $495.50 $991.00 $389.46–$991.00 6% above 50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Lesion <0.5 Trunk Limb $135.00 $270.00 $106.11–$896.95 85% below 50%
Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags Up To 15 $60.50 $121.00 $47.55–$388.65 85% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diag $132.50 $265.00 $58.07–$374.21 86% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap Diagnostic $1,182.00 $2,364.00 $741.68–$2,364.00 21% above 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Dx w/o Gde $1,182.00 $2,364.00 $741.68–$2,364.00 21% above 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Lac Simple 2.6-7.5 CM $542.50 $1,085.00 $212.80–$1,085.00 5% above 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Lac Simple <2.5 CM $542.50 $1,085.00 $212.80–$1,085.00 15% above 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy 1st Lesion $495.50 $991.00 $212.80–$991.00 25% above 50%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w Guide $224.50 $449.00 $176.46–$2,098.23 88% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Points 1-2 Mus $493.50 $987.00 $316.14–$987.00 11% below 50%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD Biopsy Single/Multiple $591.50 $1,183.00 $131.33–$1,011.03 58% below 50%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD Diagnostic Brush Wash $418.00 $836.00 $116.39–$755.92 65% below 50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Sperm Duct(s) $311.00 $622.00 $244.45–$3,536.41 89% below 50%
Wart removal, up to 14 warts CPT 17110 Destroy Benign Lesions 1-14 $186.50 $373.00 $146.59–$388.65 43% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin Subq 20 CM $437.50 $875.00 $343.88–$1,392.40 52% below 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs South DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration $224.50 $449.00 $176.46–$554.06 77% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment $219.00 $438.00 $172.13–$438.00 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment $219.00 $438.00 $172.13–$438.00 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treat Acute Subseq $219.00 $438.00 $172.13–$438.00 at median 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treat Acute Initial $219.00 $438.00 $172.13–$438.00 at median 50%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1 Hour $219.00 $438.00 $172.13–$662.47 71% below 50%
Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Inf Initial $543.00 $1,086.00 $355.23–$1,086.00 28% below 50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam New Patient Comp $75.50 $151.00 $59.34–$151.00 77% below 50%
Comprehensive eye exam, returning patient CPT 92014 Eye Exam Tx Estab Pt 1 Visit $75.50 $151.00 $59.34–$151.00 — 50%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st 30-74 Min $849.00 $1,698.00 $682.60–$1,698.00 18% below 50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Routine $348.00 $696.00 $273.53–$696.00 66% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing $95.00 $190.00 $63.61–$190.00 61% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Visit Level 1 $93.50 $187.00 $75.17–$187.00 40% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Sane Exam $291.50 $583.00 $94.30–$583.00 87% above 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Visit Level 2 $136.00 $272.00 $106.90–$272.00 55% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Visit Level 3 $215.50 $431.00 $173.26–$431.00 41% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Visit Level 4 $375.50 $751.00 $301.90–$751.00 48% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Visit Level 5 $779.50 $1,559.00 $626.72–$1,559.00 24% below 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test $508.00 $1,016.00 $333.50–$1,016.00 57% below 50%
Eye exam, returning patient, intermediate CPT 92012 Eye Exam Est Patient Interm $75.50 $151.00 $59.34–$151.00 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion 31-60 Min $280.50 $561.00 $220.47–$662.47 35% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Therapy Hydration Initial $280.50 $561.00 $220.47–$662.47 35% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Therapy Hyd Initial $280.50 $561.00 $220.47–$662.47 35% below 50%
IV infusion of a medicine, first hour CPT 96365 Inf Therapy Med Initial $280.50 $561.00 $220.47–$662.47 37% below 50%
IV infusion of a medicine, first hour CPT 96365 IV Infusion Initial up to 1 Hr $280.50 $561.00 $220.47–$662.47 37% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subq IM Injection Non-Covered $84.00 $168.00 $39.34–$168.00 9% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subq IM Injection $84.00 $168.00 $39.34–$168.00 9% below 50%
New patient office visit, about 30 minutes CPT 99203 New Patient Level 3 Low Comp $171.00 $342.00 $134.41–$342.00 19% below 50%
New patient office visit, about 30 minutes CPT 99203 New Patient Level 3 $171.00 $342.00 $134.41–$342.00 19% below 50%
New patient office visit, about 45 minutes CPT 99204 New Patient Level 4 $256.50 $513.00 $201.61–$513.00 20% below 50%
New patient office visit, about 45 minutes CPT 99204 New Patient Level 4 Mod Comp $256.50 $513.00 $201.61–$513.00 20% below 50%
New patient office visit, about 60 minutes CPT 99205 New Patient Level 5 $327.00 $654.00 $257.02–$654.00 13% below 50%
New patient office visit, about 60 minutes CPT 99205 New Patient Level 5 High Comp $327.00 $654.00 $257.02–$654.00 13% below 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 $140.00 $280.00 $110.04–$280.00 12% below 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 SF Comp $140.00 $280.00 $110.04–$280.00 12% below 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT Indiv Initial Ea 15 Min $32.00 $64.00 $25.15–$148.55 41% below 50%
Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Exam 18-39 Year New $70.50 $141.00 $55.41–$141.00 61% below 50%
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Exam 40-64 Year New $82.50 $165.00 $64.85–$165.00 69% below 50%
Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Exam 65 Year New $198.00 $396.00 $155.63–$396.00 27% below 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Exam 18-39 Year Est $70.50 $141.00 $55.41–$141.00 90% below 50%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Exam 40-64 Year Est $78.00 $156.00 $61.31–$156.00 65% below 50%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Exam 65 Year Est $87.00 $174.00 $68.38–$174.00 63% below 50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 minutes $130.00 $260.00 $102.18–$286.67 61% below 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Min $5.00 $10.00 $3.93–$71.46 90% below 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB Outpatient Visit B $256.00 $512.00 $201.22–$512.00 19% below 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Level 5 $256.00 $512.00 $201.22–$512.00 19% below 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Level 5 Wound Care $256.00 $512.00 $201.22–$512.00 19% below 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Level 5 High Comp $256.00 $512.00 $201.22–$512.00 19% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Level 3 Low Comp $91.50 $183.00 $62.22–$146.40 38% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 $142.50 $285.00 $112.01–$285.00 4% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Level 3 $142.50 $285.00 $112.01–$285.00 4% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Level 3 Wound Care $142.50 $285.00 $112.01–$285.00 4% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB Outpatient Visit A $184.50 $369.00 $145.02–$369.00 12% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Level 4 $184.50 $369.00 $145.02–$369.00 12% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Level 4 Wound Care $184.50 $369.00 $145.02–$369.00 12% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Level 4 Mod Comp $184.50 $369.00 $145.02–$369.00 12% below 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Level 2 Wound Care $125.50 $251.00 $98.64–$251.00 at median 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Level 2 SF Comp $125.50 $251.00 $98.64–$251.00 at median 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Level 2 $125.50 $251.00 $98.64–$251.00 at median 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Outpatient Consult Level 3 $196.50 $393.00 $86.41–$314.40 16% below 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Outpatient Consult Level 4 $310.50 $621.00 $131.88–$496.80 18% below 50%
Spirometry (breathing test) CPT 94010 PFT Screen Spirometry $134.00 $268.00 $105.32–$268.00 58% below 50%
Spirometry before and after a bronchodilator CPT 94060 PFT Pre & Post Screen Spirome $266.50 $533.00 $209.47–$533.00 53% below 50%
Spirometry before and after a bronchodilator CPT 94060 Evaluation Wheezing $266.50 $533.00 $209.47–$533.00 53% below 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic $112.00 $224.00 $88.03–$475.37 53% below 50%
Visual field test, extended CPT 92083 Visual Field Examination(s) $62.00 $124.00 $48.73–$196.73 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs South DakotaOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Hepatitis $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Influenza $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Pneumo $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1st $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Influenza Vaccine $66.50 $133.00 $39.34–$133.00 8% above 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Each Addl $33.00 $66.00 $25.94–$66.00 48% below 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Vaccine Ea Addl $33.00 $66.00 $25.94–$66.00 48% below 50%

Source file: https://brookingshealthsystem.pg.quadax.revenuemasters.com/cdm-files/466000069_brookings-health-system_standardcharges.csv