Office visit (established patient) 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 — 59% above the US median ($175), roughly 2.4× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $132 $137 — — —
Avera Heart Hospital of South Dakota Sioux Falls, SD $278 $179 ★ 5/5 110 min —
Sanford Usd Medical Center Sioux Falls, SD $362 $212 ★ 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
$115
$162$346
Median cash $278  ·  Medicare $115  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $278 — about 2.4× the Medicare rate ($115). On the higher side. A fair cash price is usually within ~2× Medicare ($231).

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.

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