Occupational therapy evaluation (moderate complexity) cost in Sioux Falls, SD

Prices at 3 hospitals in Sioux Falls, SD, from their machine-readable files. Here the median cash price is $337 — 39% above the US median ($242), roughly 3.4× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $199 $175 — — —
Sanford Usd Medical Center Sioux Falls, SD $337 $198 ★ 5/5 207 min —
Avera Heart Hospital of South Dakota Sioux Falls, SD $622 $360 ★ 5/5 110 min —

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 October 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)
$421
Cash / self-pay
$337
Insurer-negotiated
$198
Medicare pays
$101
$226$565
Median cash $337  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $337 — about 3.4× the Medicare rate ($101). On the higher side. A fair cash price is usually within ~2× Medicare ($201).

💡 Asking for the cash price instead of the $421 list price could save about $84 (20%).

Estimate what you’ll pay
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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.

Doctors who perform this in Sioux Falls

Clinicians who reported the most Medicare volume for this service locally. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Jennifer Lund, OTOccupational Therapist in Private PracticeSioux Falls, SD56
Samantha Grimsley, OTR/LOccupational Therapist in Private PracticeSioux Falls, SD25
Tiffany Mccorison, OTOccupational Therapist in Private PracticeSioux Falls, SD13

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All Occupational therapy evaluation (moderate complexity) prices in South Dakota → · All Occupational therapy evaluation (moderate complexity) prices (national) · All hospitals in Sioux Falls