Physical therapy evaluation (high 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 $367 — 38% above the US median ($265), roughly 3.8× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sioux Falls Specialty Hospital Sioux Falls, SD $210 $185 — — —
Sanford Usd Medical Center Sioux Falls, SD $367 $216 ★ 5/5 207 min —
Avera Heart Hospital of South Dakota Sioux Falls, SD $590 $342 ★ 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)
$459
Cash / self-pay
$367
Insurer-negotiated
$216
Medicare pays
$98
$242$545
Median cash $367  ·  Medicare $98  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $367 — about 3.8× the Medicare rate ($98). High vs Medicare. A fair cash price is usually within ~2× Medicare ($196).

💡 Asking for the cash price instead of the $459 list price could save about $92 (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
Mark Bau, DPTPhysical Therapist in Private PracticeSioux Falls, SD24
Robert PlemelPhysical Therapist in Private PracticeSioux Falls, SD17
Britt Zink, MSPT, CERT MDTPhysical Therapist in Private PracticeSioux Falls, SD15
Jena Haigh, DPTPhysical Therapist in Private PracticeSioux Falls, SD12

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