Sigmoidoscopy cost in South Dakota
In South Dakota, 13 hospitals publish a cash price for flexible sigmoidoscopy, diagnostic (lower colon only): from $185.00 to $3,328.00, with a median of $1,144.80. The lowest price is at Brookings Health System (Brookings). The highest price is 18.0× the lowest.
- The median here, $1,144.80, is 5% below the US median of $1,203.93.
- That is 1.2× Medicare's 2026 national rate for the same service ($950.10).
- South Dakota ranks 21st of 47 states by median, cheapest first.
- 3 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 45330. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 5, 2026. See them on a map
Lowest$185.00Brookings Health System
Median$1,144.80half of hospitals charge less
Highest$3,328.00in South Dakota
Lowest saves$959.80vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Brookings Health System lowest Brookings · Brookings, SD Sigmoidoscopy Diagnostic | $185.00 | $185.00 | May 18, 2026 source file |
| Douglas County Memorial Hospital Armour · Armour, SD SIGMOIDOSCOPY FLEXIBLE DX WWO SPECIMENS BRUSHING WASHING(SEP PROC) | $451.80 | $502.00 | Jan 9, 2026 source file |
| Faulkton Area Medical Center Faulkton · Faulkton, SD SIGMOIDOSCOPY | $984.94 | $1,158.75 | Jul 17, 2026 source file |
| Black Hills Surgical Hospital Rapid City · Rapid City, SD FLEXIBLE SIGMOIDOSCOPY | $1,087.96 | $1,813.26 | Jan 30, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,144.80 | $1,431.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,144.80 | $1,431.00 | Oct 20, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,144.80 | $1,431.00 | Oct 22, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,144.80 | $1,431.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,144.80 | $1,431.00 | Oct 21, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN FLEX SIG DIAG | $1,346.00 | $1,346.00 | Apr 30, 2026 source file |
| Same Day Surgery Center Rapid City · Rapid City, SD Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,746.02 | $2,182.53 | Sep 10, 2026 source file |
| Madison Community Hospital Madison · Madison, SD HC Sigmoidoscopy, Flex, Dx W/Collect Specim | $2,185.00 | $2,185.00 | Oct 12, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN ED 45330 SIGMOIDOSCOPY DIAG | $3,328.00 | $4,160.00 | Mar 4, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Rapid City, SD | 5 | $1,087.96 | $1,144.80 |
| Sioux Falls, SD-MN | 2 | $1,346.00 | $2,337.00 |
| Spearfish, SD | 2 | $1,144.80 | $1,144.80 |
| Armour, SD | 1 | $451.80 | $451.80 |
| Brookings, SD | 1 | $185.00 | $185.00 |
| Faulkton, SD | 1 | $984.94 | $984.94 |
| Madison, SD | 1 | $2,185.00 | $2,185.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What sigmoidoscopy is, what the price covers and why prices differ: Sigmoidoscopy explained.
Flexible sigmoidoscopy, diagnostic (lower colon only) in other states
- Alabama$1,150.60
- Alaska$1,620.84
- Arizona$2,618.00
- Arkansas$677.64
- California$1,829.60
- Colorado$756.44
- Connecticut$3,217.67
- Delaware$1,480.08
- District of Columbia$2,239.64, 1 hospital
- Florida$2,801.60
- Georgia$1,331.00
- Hawaii$1,259.30
- Idaho$1,082.00
- Illinois$1,065.00
- Indiana$2,076.98
- Iowa$1,755.40
- Kansas$876.00
- Kentucky$2,608.70
- Louisiana$504.78
- Maine$558.13, 4 hospitals
- Maryland$2,784.86, 1 hospital
- Massachusetts$1,850.58
- Michigan$2,399.00
- Minnesota$944.38
- Mississippi$759.79
- Missouri$1,246.20
- Montana$1,088.90
- Nebraska$1,455.24
- Nevada$1,011.00
- New Hampshire$603.74
- New Jersey$1,216.56
- New Mexico$965.10
- New York$1,994.00
- North Carolina$1,217.40
- North Dakota$1,103.25
- Ohio$2,563.60
- Oklahoma$1,014.60
- Oregon$1,069.17
- Pennsylvania$1,158.00
- Puerto Rico$1,850.00, 2 hospitals
- Rhode Island$2,331.60
- South Carolina$1,812.00
- Tennessee$672.75
- Texas$924.13
- Utah$819.32, 2 hospitals
- Vermont$1,255.84
- Virginia$1,130.85
- Washington$1,571.88
- West Virginia$859.59
- Wisconsin$819.51
- Wyoming$1,618.20
Median cash price across the state's hospitals.