Physical 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 $298 — 27% above the US median ($234), roughly 3.0× 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 $298 $175 ★ 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)
$372
Cash / self-pay
$298
Insurer-negotiated
$185
Medicare pays
$98
$228$531
Median cash $298  ·  Medicare $98  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $298 — about 3.0× the Medicare rate ($98). On the higher side. A fair cash price is usually within ~2× Medicare ($196).

💡 Asking for the cash price instead of the $372 list price could save about $74 (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
Ryan OttoPhysical Therapist in Private PracticeSioux Falls, SD111
Kristin Lohnes, PTPhysical Therapist in Private PracticeSioux Falls, SD47
Jana Creel, PT,ACTPhysical Therapist in Private PracticeSioux Falls, SD41
Isaac Grode, PTPhysical Therapist in Private PracticeSioux Falls, SD38
Jena Haigh, DPTPhysical Therapist in Private PracticeSioux Falls, SD30
Nicolas Albers, DPTPhysical Therapist in Private PracticeSioux Falls, SD24
Craig RileyPhysical Therapist in Private PracticeSioux Falls, SD23
Kathryn Koehn, M.P.T.Physical Therapist in Private PracticeSioux Falls, SD22
Robert PlemelPhysical Therapist in Private PracticeSioux Falls, SD22
Kelsey Rosebrock, PT, DPTPhysical Therapist in Private PracticeSioux Falls, SD21
Kate Beacom, PT, DPTPhysical Therapist in Private PracticeSioux Falls, SD21
Kent Nelson, PTPhysical Therapist in Private PracticeSioux Falls, SD20

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