Surgery and procedures CPT 46221 South Dakota Outpatient

Hemorrhoid banding cost in South Dakota

In South Dakota, 14 hospitals publish a cash price for hemorrhoid banding (rubber band ligation): from $177.00 to $1,746.03, with a median of $1,183.20. The lowest price is at Pioneer Memorial Hospital - Cah (Viborg). The highest price is 9.9× the lowest.

  • The median here, $1,183.20, is 4% above the US median of $1,132.30.
  • That is 1.2× Medicare's 2026 national rate for the same service ($950.10).
  • South Dakota ranks 22nd of 45 states by median, cheapest first.
  • 3 of 14 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 46221. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 5, 2026. See them on a map

Lowest$177.00Pioneer Memorial Hospital - Cah
Median$1,183.20half of hospitals charge less
Highest$1,746.03in South Dakota
Lowest saves$1,006.20vs the median

Hospitals in South Dakota, cheapest first

HospitalCash priceList priceFile date
Pioneer Memorial Hospital - Cah lowest Viborg · Sioux Falls, SD-MN ED 46221 HEMORRHOIDECTOMY SMPL LIG $177.00 $177.00 Apr 30, 2026
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Madison Community Hospital Madison · Madison, SD Hemorrhoidectomy Internal Rubber Band Ligations $205.00 $205.00 Oct 12, 2026
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Brookings Health System Brookings · Brookings, SD Ligation Hemorrhoid(s) $230.00 $460.00 May 18, 2026
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Huron Regional Medical Center Huron · Huron, SD Hemorrhoidectomy Internal Rubber Band Ligation $547.20 $912.00 Mar 31, 2026
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Winner Regional Healthcare Center Winner · Winner, SD ED 46221 HEMORRHOIDECTOMY SMPL LIG $1,057.00 $1,057.00 May 7, 2026
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Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN ED 46221 HEMORRHOIDECTOMY SMPL LIG $1,080.00 $1,350.00 Mar 4, 2026
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Monument Health Custer Hospital Custer · Rapid City, SD Removal of external hemorrhoids by rubber banding $1,183.20 $1,479.00 Oct 20, 2026
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Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Removal of external hemorrhoids by rubber banding $1,183.20 $1,479.00 Oct 20, 2026
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Monument Health Rapid City Hospital Rapid City · Rapid City, SD Removal of external hemorrhoids by rubber banding $1,183.20 $1,479.00 Oct 22, 2026
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Monument Health Spearfish Hospital Spearfish · Spearfish, SD Removal of external hemorrhoids by rubber banding $1,183.20 $1,479.00 Oct 20, 2026
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Monument Health Sturgis Hospital Sturgis · Rapid City, SD Removal of external hemorrhoids by rubber banding $1,183.20 $1,479.00 Oct 21, 2026
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Sanford Aberdeen Medical Center Aberdeen · Aberdeen, SD ED 46221 HEMORRHOIDECTOMY SMPL LIG $1,230.40 $1,538.00 Mar 4, 2026
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Black Hills Surgical Hospital Rapid City · Rapid City, SD HEMORRHOIDECTOMY BY SIMPLE LIGATURE $1,600.70 $2,667.84 Jan 30, 2026
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Same Day Surgery Center Rapid City · Rapid City, SD Removal of external hemorrhoids by rubber banding $1,746.03 $2,182.54 Sep 10, 2026
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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 areaHospitalsLowestMedian
Rapid City, SD 5 $1,183.20 $1,183.20
Sioux Falls, SD-MN 2 $177.00 $628.50
Spearfish, SD 2 $1,183.20 $1,183.20
Aberdeen, SD 1 $1,230.40 $1,230.40
Brookings, SD 1 $230.00 $230.00
Huron, SD 1 $547.20 $547.20
Madison, SD 1 $205.00 $205.00
Winner, SD 1 $1,057.00 $1,057.00
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 hemorrhoid banding is, what the price covers and why prices differ: Hemorrhoid banding explained.

Hemorrhoid banding (rubber band ligation) in other states

Median cash price across the state's hospitals.