Office visit, established patient (level 4) cost in Sioux Falls, SD

Prices at 3 hospitals in Sioux Falls, SD, from their machine-readable files. Here the median cash price is $278 — 43% above the US median ($194), roughly 2.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $220 $171 — — —
Avera Heart Hospital of South Dakota Sioux Falls, SD $278 $179 ★ 5/5 110 min —
Sanford Usd Medical Center Sioux Falls, SD $447 $274 ★ 5/5 207 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)
$278
Cash / self-pay
$278
Insurer-negotiated
$179
Medicare pays
$136
$232$413
Median cash $278  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $278 — about 2.1× the Medicare rate ($136). On the higher side. A fair cash price is usually within ~2× Medicare ($271).

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
Tomasz Stys, M.D.Interventional CardiologySioux Falls, SD1,381
William Brunner, MDDermatologySioux Falls, SD1,173
Orvar Jonsson, MDAdvanced Heart Failure and Transplant CardiologySioux Falls, SD1,147
Arvin Santos, MDNephrologySioux Falls, SD1,106
Mark Huber, M.D.Hematology-OncologySioux Falls, SD1,032
Marian Petrasko, M.D.Interventional CardiologySioux Falls, SD1,028
Adam Stys, MDInterventional CardiologySioux Falls, SD1,011
Kelly Steffen, DOCardiologySioux Falls, SD964
Scott Pham, M.D.Clinical Cardiac ElectrophysiologySioux Falls, SD888
David Nelson, M.D.Internal MedicineSioux Falls, SD864
Naveen Rajpurohit, M.D.CardiologySioux Falls, SD822
Eric Larson, M.D.Internal MedicineSioux Falls, SD808

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All Office visit, established patient (level 4) prices in South Dakota → · All Office visit, established patient (level 4) prices (national) · All hospitals in Sioux Falls