Hospital Rapid City, SD

Same Day Surgery Center

Same Day Surgery Center in Rapid City, SD publishes cash prices for 130 common procedures listed here, from its own machine-readable price file updated Sep 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the South Dakota median for 61 of 109 procedures and below it for 43. By typical cash price it ranks #21 of 22 South Dakota hospitals and #5 of 5 hospitals in the Rapid City, SD area, cheapest first. Click a procedure to compare it with other hospitals nearby.

651 Cathedral Dr Rapid City SD 57701 Collected Sep 29, 2026 Source price file (605) 755-9900

Acute care hospital No emergency department CCN 430093 · CMS hospital register NPI 1407819253

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view	$120.00	$150.00	$79.50–$127.50	60% below	20%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view	$177.98	$222.47	$80.02–$189.10	44% below	20%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views	$177.98	$222.47	$80.02–$189.10	38% below	20%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views	$177.98	$222.47	$80.02–$189.10	37% below	20%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views	$177.98	$222.47	$80.02–$189.10	39% below	20%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views	$177.98	$222.47	$80.02–$189.10	41% below	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total)	$25.25	$31.56	$2.67–$26.83	82% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity	$103.26	$129.08	$47.92–$109.72	22% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample	$6.36	$7.95	$0.74–$8.41	75% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$111.20	$139.00	$6.77–$118.15	2% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$56.00	$70.00	$2.09–$59.50	10% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen	$80.00	$100.00	$46.18–$85.00	36% below	20%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$23.19	$28.99	$2.25–$24.64	78% below	20%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$19.31	$24.14	$1.56–$20.52	77% below	20%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$31.53	$39.41	$4.16–$33.50	81% below	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$121.86	$152.32	$23.95–$129.47	18% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$131.20	$164.00	$37.15–$139.40	40% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$11.72	$14.65	$0.63–$12.45	63% below	20%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated	$9.43	$11.79	$0.37–$10.02	83% below	20%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test	$6.70	$8.37	$0.19–$7.11	83% below	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Primary removal of adenoids (younger than 12 years)	$3,400.00	$4,250.00	$2,975.00–$9,052.50	51% above	20%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope	$12,681.74	$15,852.18	$6,672.04–$33,765.14	73% above	20%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope	$12,681.74	$15,852.18	$6,672.04–$33,765.14	133% above	20%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Dilation of nasal sinus using an endoscope	$9,144.64	$11,430.80	$6,489.29–$24,347.60	17% above	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle, first growth	$3,095.40	$3,869.25	$1,518.63–$8,241.50	43% above	20%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction of bunion with alignment correction of midfoot bone toward toe area	$6,226.88	$7,783.60	$3,008.58–$16,579.07	46% above	20%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction of bunion	$6,226.88	$7,783.60	$3,008.58–$16,579.07	46% above	20%
Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve	$3,859.66	$4,824.57	$1,795.52–$10,276.33	18% below	20%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens	$4,574.15	$5,717.69	$2,122.03–$12,178.68	—	20%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth	$3,545.52	$4,431.90	$846.90–$9,439.95	116% above	20%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days)	$3,944.58	$4,930.72	$1,922.09–$10,502.43	124% above	20%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$2,281.31	$2,851.64	$1,100.30–$6,073.99	21% below	20%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope	$2,281.31	$2,851.64	$1,100.30–$6,073.99	29% above	20%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$1,746.02	$2,182.53	$855.09–$4,648.79	10% below	20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope with loop electrode	$6,220.40	$7,775.50	$2,976.52–$16,561.82	1% above	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope	$3,545.52	$4,431.90	$280.20–$9,439.95	375% above	20%
Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens	$4,574.15	$5,717.69	$2,122.03–$12,178.68	—	20%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope	$6,767.94	$8,459.93	$3,241.20–$18,019.65	56% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$1,264.49	$1,580.61	$641.16–$3,366.70	17% below	20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus	$5,771.06	$7,213.82	$2,976.52–$15,365.44	14% below	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth	$395.01	$493.76	$184.48–$419.70	20% above	20%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with placement of eardrum tube under general anesthesia	$2,976.14	$3,720.17	$1,426.67–$7,923.96	20% below	20%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$122.40	$153.00	$54.24–$130.05	33% below	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus	$2,800.00	$3,500.00	$185.90–$7,455.00	521% above	20%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Removal of nasal sinus using an endoscope	$9,144.64	$11,430.80	$6,489.29–$24,347.60	—	20%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Exploration of nasal sinus using an endoscope	$9,144.64	$11,430.80	$6,489.29–$24,347.60	—	20%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of nasal sinus using an endoscope	$6,815.64	$8,519.55	$3,428.19–$18,146.64	23% below	20%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Removal of nasal sinus tissue using an endoscope	$9,144.64	$11,430.80	$6,489.29–$24,347.60	—	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	$7,792.24	$9,740.30	$5,952.64–$20,746.84	—	20%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length	$7,792.24	$9,740.30	$5,952.64–$20,746.84	—	20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	$7,792.24	$9,740.30	$3,292.16–$20,746.84	—	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$1,746.02	$2,182.53	$855.09–$4,648.79	53% above	20%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	89% above	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile ducts using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	89% above	20%
Hammertoe correction surgery CPT 28285 Correction of toe joint deformity	$6,226.88	$7,783.60	$3,008.58–$16,579.07	46% above	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding	$1,746.03	$2,182.54	$855.09–$4,648.81	48% above	20%
Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of single external and internal hemorrhoid group	$5,375.46	$6,719.32	$2,552.20–$14,312.15	14% below	20%
Hysterectomy through an abdominal incision (total) CPT 58150 Removal of uterus and cervix through abdomen	$12,017.24	$15,021.55	$771.83–$12,768.32	155% above	20%
Hysteroscopy with endometrial ablation CPT 58563 Exam of uterus with destruction of lining of uterus using an endoscope	$9,700.98	$12,126.23	$4,599.72–$25,828.87	45% above	20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope	$5,771.06	$7,213.82	$2,976.52–$15,365.44	58% above	20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention	$619.26	$774.07	$410.26–$657.96	63% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$2,176.00	$2,720.00	$184.48–$5,793.60	377% above	20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older)	$7,792.25	$9,740.31	$3,292.16–$20,746.86	157% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$574.58	$718.22	$282.24–$1,529.81	7% above	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue	$237.34	$296.67	$122.34–$252.17	23% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint	$574.57	$718.21	$282.24–$1,529.79	17% above	20%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Repair of inside or outside knee joint cartilage using an endoscope	$6,226.88	$7,783.60	$3,008.58–$16,579.07	70% above	20%
Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope	$6,226.88	$7,783.60	$3,008.58–$16,579.07	37% above	20%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Removal of both knee cartilages using an endoscope	$6,226.88	$7,783.60	$3,008.58–$16,579.07	32% above	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Removal or shaving of knee joint cartilage using an endoscope	$6,226.88	$7,783.60	$3,008.58–$16,579.07	129% above	20%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Bypass of stomach using an endoscope	$18,582.81	$23,228.51	$1,303.95–$19,744.23	—	20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	12% below	20%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Strengthening of muscle between esophagus and stomach by wrapping part of stomach around esophagus using an endoscope	$17,196.85	$21,496.06	$9,774.09–$45,786.61	24% below	20%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Removal of uterus through abdomen using an endoscope, 250.0 g or less	$16,547.48	$20,684.35	$9,774.09–$44,057.67	—	20%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less	$16,547.48	$20,684.35	$9,774.09–$44,057.67	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repair of groin hernia using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	258% above	20%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Repair of recurrent groin hernia using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	—	20%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	—	20%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Partial removal of stomach for weight loss using an endoscope	$17,114.25	$21,392.81	$795.03–$18,183.89	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$760.85	$951.06	$373.79–$2,025.76	5% above	20%
Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast	$6,947.02	$8,683.78	$3,600.22–$18,496.45	—	20%
Mastectomy (total removal of the breast) CPT 19303 Simple complete removal of breast	$12,174.66	$15,218.33	$6,105.59–$32,415.04	—	20%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of miscarriage during first trimester	$5,771.06	$7,213.82	$2,976.52–$15,365.44	58% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less	$1,368.33	$1,710.41	$651.12–$3,643.17	68% above	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	$1,368.34	$1,710.42	$651.12–$3,643.19	48% above	20%
Partial knee replacement (one compartment) CPT 27446 Replacement of knee joint on side of knee	$20,788.80	$25,986.00	$11,805.12–$55,350.18	58% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$760.85	$951.06	$373.79–$2,025.76	10% below	20%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	$22,904.68	$28,630.85	$9,774.09–$60,983.71	—	20%
Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple	$6,947.02	$8,683.78	$3,600.22–$18,496.45	58% above	20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$3,095.40	$3,869.25	$373.79–$8,241.50	390% above	20%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Removal of thyroid lobe on side of neck	$11,132.97	$13,916.21	$5,558.82–$29,641.53	—	20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$1,505.16	$1,881.45	$855.09–$4,007.49	24% above	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$1,505.16	$1,881.45	$855.09–$4,007.49	59% above	20%
Septoplasty to straighten the nasal septum CPT 30520 Reshaping of nasal cartilage	$6,020.06	$7,525.07	$3,048.54–$16,028.40	21% below	20%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Partial removal of collar bone at shoulder using an endoscope	$6,226.88	$7,783.60	$3,008.58–$16,579.07	56% above	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	$6,226.88	$7,783.60	$121.29–$6,616.06	183% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$395.01	$493.76	$184.48–$419.70	14% below	20%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth	$733.18	$916.48	$373.79–$1,952.10	57% above	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less	$1,368.33	$1,710.41	$651.12–$3,643.17	48% above	20%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags	$395.01	$493.76	$184.48–$419.70	at median	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth	$397.28	$496.60	$347.62–$1,057.76	at median	20%
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal of tonsils and adenoid glands (12 years or older)	$3,400.00	$4,250.00	$2,975.00–$9,052.50	—	20%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands (younger than 12 years)	$3,400.00	$4,250.00	$2,975.00–$9,052.50	at median	20%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older)	$3,400.00	$4,250.00	$2,975.00–$9,052.50	51% above	20%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils (younger than 12 years)	$3,400.00	$4,250.00	$2,975.00–$9,052.50	at median	20%
Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee	$20,788.80	$25,986.00	$11,805.12–$55,350.18	69% above	20%
Total shoulder replacement CPT 23472 Prosthetic repair of shoulder joint, total shoulder	$24,858.80	$31,073.50	$16,122.24–$66,186.56	122% above	20%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$11,132.97	$13,916.21	$5,558.82–$29,641.53	—	20%
Trigger finger release surgery CPT 26055 Incision of tendon covering of finger	$3,063.17	$3,828.96	$1,478.54–$8,155.68	22% below	20%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Destruction of fallopian tubes using an endoscope	$11,132.97	$13,916.21	$5,558.82–$29,641.53	156% above	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$3,095.40	$3,869.25	$1,518.63–$8,241.50	18% below	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	$2,405.02	$3,006.28	$1,764.42–$6,403.38	5% below	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$1,781.12	$2,226.40	$833.97–$4,742.23	27% above	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	$2,405.02	$3,006.28	$1,764.42–$6,403.38	68% above	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$1,781.12	$2,226.40	$833.97–$4,742.23	at median	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$1,781.12	$2,226.40	$833.97–$4,742.23	49% above	20%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of stone of ureter using an endoscope	$9,710.58	$12,138.23	$4,930.14–$25,854.43	371% above	20%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope	$9,710.58	$12,138.22	$4,930.14–$25,854.41	487% above	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct	$3,944.58	$4,930.72	$1,922.09–$10,502.43	44% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$2,176.00	$2,720.00	$373.79–$5,793.60	141% above	20%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device	$11,788.58	$14,735.73	$6,672.04–$31,387.10	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$873.54	$1,091.92	$100.15–$928.13	10% below	20%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes	$167.20	$209.00	$90.28–$177.65	36% below	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes	$172.80	$216.00	$87.88–$183.60	21% below	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes	$173.60	$217.00	$87.88–$184.45	34% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$59.20	$74.00	$25.96–$62.90	50% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$61.60	$77.00	$31.37–$65.45	46% below	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Dakota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza vaccine, inactivated	$96.00	$120.00	$63.60–$102.00	39% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage	$33.60	$42.00	$22.26–$35.70	19% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine	$42.54	$53.17	$28.18–$66.20	31% below	20%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSDSCRAPIDCITYSD&type=CDMWithoutLabel&fileType=CSV