CT scan of the lower back (lumbar spine) with and without contrast cost in South Dakota

Prices at 12 hospitals in South Dakota, from their machine-readable files. Here the median cash price is $2,968 — 69% above the US median ($1,754), roughly 15.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Brookings Health System Brookings, SD $1,847 $2,704 ★ 4/5 100 min 13.7%
Sanford Medical Center Aberdeen Aberdeen, SD $2,604 $2,296 ★ 4/5 134 min 14.6%
Sanford Clear Lake Medical Center Clear Lake, SD $2,625 $2,691 100 min
Sanford Chamberlain Medical Center Chamberlain, SD $2,746 $2,549 87 min 15.6%
Sanford Hospital Webster-CAH Webster, SD $2,968 $2,755 111 min 14.7%
Winner Regional Healthcare Center-CAH Winner, SD $3,017 $2,564 108 min 15.1%
Sanford Usd Medical Center Sioux Falls, SD $3,156 $1,430 ★ 5/5 196 min 14.5%
Avera Sacred Heart Hospital Yankton, SD $3,796 $3,391 ★ 3/5 116 min 15.4%
Avera Gregory Hospital Gregory, SD $3,796 $3,391 140 min 14.3%
Avera St Mary's Hospital Pierre, SD $4,525 $2,163 ★ 2/5 129 min 14.3%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$3,694
Cash / self-pay
$2,968
Insurer-negotiated
$2,557
Medicare pays
$197
$1,847$3,796
Median cash $2,968  ·  Medicare $197  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $2,968 — about 15.1× the Medicare rate ($197). High vs Medicare. A fair cash price is usually within ~2× Medicare ($393).

💡 Asking for the cash price instead of the $3,694 list price could save about $726 (20%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

CT scan of the lower back (lumbar spine) with and without contrast cost in other states

All CT scan of the lower back (lumbar spine) with and without contrast prices (national) → · All hospitals in South Dakota →