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
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off 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
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off 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
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off 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
| Procedure | Cash price | List price | Insurers pay | vs South Dakota | Off 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
| 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 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% |