Avera De Smet Memorial Hospital-CAH — prices & quality

Published cash, insurer and chargemaster prices for 238 procedures at Avera De Smet Memorial Hospital-CAH, De Smet, SD — from its federally-required machine-readable file.

123% abovethe US average price, across 238 priced procedures
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(605) 854-3329 Website Directions Compare with another hospital

306 Prairie Avenue Sw Post Office Box 160, De Smet, SD 57231

ER wait (median)119 min

Critical Access Hospitals · Voluntary non-profit - Private · 6 beds

Price vs US average = median of this hospital’s cash prices against the national median across 238 procedures. Quality ratings from CMS Care Compare.

All published prices

ProcedureCashChargemasterInsurerMedicareEst. you pay
3D mammogram (tomosynthesis) $77 $79 $65 $51
Abdominal ultrasound $1,304 $1,344 $1,212 $100
Abdominal ultrasound (complete) $2,341 $2,413 $1,982 $114
Abdominal ultrasound (limited) $1,304 $1,344 $1,104 $86
Albumin blood test $90 $93 $76 $5
Aldosterone test $305 $314 $258 $41
Allergy shots $49 $51 $42 $11
Alpha-fetoprotein (AFP) test $176 $181 $149 $17
ALT liver enzyme test $90 $93 $76 $5
Ammonia blood test $310 $320 $263 $15
Amylase test $269 $277 $228 $6
Annual physical (established patient) $112 $115 $98 —
Arterial blood gas (ABG) $366 $377 $310 $26
AST liver enzyme test $90 $93 $76 $5
Basic metabolic panel $370 $381 $313 $8
Benign skin lesion removal $790 $814 $594 $171
Bilirubin blood test $90 $93 $76 $5
Blood clotting test (PT/INR) $260 $268 $220 $4
Blood glucose test $90 $93 $76 $5
Blood transfusion $437 $451 $371 $47
Blood type and screen $167 $172 $120 $10
Blood type test $137 $142 $116 $3
Blood type test (ABO group) $143 $147 $129 $3
Blood type test (Rh/D antigen) $51 $53 $44 $3
BNP (heart failure) test $598 $617 $477 $39
Breathing tube insertion (intubation) $942 $971 $709 $133
Burn dressing and debridement (small) $313 $323 $236 $93
Burn treatment $313 $323 $236 $129
C-reactive protein (CRP) $364 $375 $308 $5
CA-125 ovarian marker test $194 $200 $164 $21
Calcium blood test $90 $93 $76 $5
Cardiac rehabilitation $435 $448 $368 $26
Cardiac stress test $2,028 $2,091 $1,718 $39
Carotid artery ultrasound $2,052 $2,115 $1,737 $156
CEA tumor marker test $342 $353 $290 $19
Celiac disease test $175 $180 $148 $12
Chemotherapy infusion $748 $771 $534 $81
Chemotherapy infusion (each additional) $199 $205 $168 $28
Chemotherapy infusion (first hour) $1,297 $1,337 $1,098 $133
Chest X-ray $604 $623 $539 $37
Chest X-ray (1 view) $493 $508 $458 $25
Chest X-ray (2 views) $716 $738 $665 $33
Clotting time test (PTT) $244 $252 $207 $6
Complete blood count (CBC) $278 $287 $232 $7
Complete blood count (CBC) (complete) $199 $205 $140 $8
Comprehensive metabolic panel $441 $455 $374 $11
Copper blood test $235 $242 $199 $12
Cortisol test $275 $284 $230 $16
COVID-19 PCR test $150 $155 $127 $51
CPAP titration study $1,535 $1,582 $1,214 $69
Creatine kinase (CK) test $90 $93 $76 $7
CT angiography of the chest $4,090 $4,217 $3,426 $281
CT angiography of the head $3,940 $4,062 $3,300 $274
CT scan of the abdomen $3,717 $3,832 $3,104 $230
CT scan of the abdomen and pelvis $6,002 $6,188 $5,278 $300
CT scan of the abdomen and pelvis with and without contrast $7,075 $7,294 $5,926 $338
CT scan of the abdomen and pelvis with contrast $6,002 $6,188 $5,028 $300
CT scan of the abdomen and pelvis without contrast $6,002 $6,188 $5,028 $183
CT scan of the abdomen with and without contrast $4,124 $4,252 $3,455 $259
CT scan of the abdomen with contrast $3,717 $3,832 $3,114 $230
CT scan of the abdomen without contrast $3,244 $3,344 $2,717 $136
CT scan of the arm $2,431 $2,506 $2,036 $199
CT scan of the arm without contrast $2,431 $2,506 $2,036 $161
CT scan of the chest $3,521 $3,630 $2,881 $167
CT scan of the chest with and without contrast $3,828 $3,946 $3,206 $196
CT scan of the chest with contrast $3,521 $3,630 $2,949 $167
CT scan of the chest without contrast $3,232 $3,332 $2,707 $133
CT scan of the head $3,334 $3,437 $2,738 $148
CT scan of the head with and without contrast $3,638 $3,751 $3,048 $173
CT scan of the head without contrast $3,029 $3,123 $2,537 $107
CT scan of the leg $2,437 $2,512 $2,041 $166
CT scan of the leg without contrast $2,437 $2,512 $2,041 $130
CT scan of the lower back (lumbar spine) $4,024 $4,148 $3,364 $169
CT scan of the lower back (lumbar spine) with contrast $4,177 $4,306 $3,499 $169
CT scan of the lower back (lumbar spine) without contrast $3,870 $3,990 $3,242 $130
CT scan of the neck $2,831 $2,919 $2,351 $183
CT scan of the neck (cervical spine) $3,492 $3,601 $2,922 $168
CT scan of the neck (cervical spine) with contrast $3,573 $3,684 $2,993 $168
CT scan of the neck (cervical spine) without contrast $3,411 $3,517 $2,858 $131
CT scan of the neck with contrast $2,990 $3,082 $2,504 $183
CT scan of the neck without contrast $2,673 $2,756 $2,239 $150
CT scan of the pelvis $2,655 $2,737 $2,222 $226
CT scan of the pelvis with contrast $2,708 $2,792 $2,269 $226
CT scan of the pelvis without contrast $2,602 $2,682 $2,179 $133
CT scan of the sinuses $1,837 $1,894 $1,539 $152
CT scan of the sinuses without contrast $1,837 $1,894 $1,539 $128
D-dimer test $484 $499 $410 $10
DHEA-sulfate test $319 $329 $270 $22
Drug screen (urine) $800 $825 $678 $17
Echocardiogram $2,031 $2,094 $1,449 $138
Echocardiogram with and without contrast $534 $551 $453 $101
EKG / ECG (tracing only) $233 $240 $197 $7
Electrocardiogram (EKG) $141 $145 $88 $8
Electrolyte panel $192 $198 $163 $7
Emergency department visit $657 $677 $577 $69
Emergency department visit (level 1) $531 $548 $424 $11
Emergency department visit (level 2) $657 $677 $556 $40
Emergency department visit (level 3) $1,008 $1,039 $758 $69
Emergency department visit (level 4) $1,821 $1,877 $1,370 $118
Emergency department visit (level 5) $2,599 $2,679 $1,956 $171
Estradiol (estrogen) test $364 $375 $308 $28
Fecal occult blood (stool) test $96 $99 $81 $10
Fecal occult blood (stool) test (immunochemical, FIT) $96 $99 $81 $16
Ferritin (iron) test $282 $291 $239 $14
Flu test $295 $304 $250 $17
Flu vaccine $21 $22 $19 —
Folate (folic acid) test $344 $355 $292 $15
Foreign body removal (skin) $588 $606 $442 $157
Free T4 thyroid test $299 $308 $253 $9
FSH hormone test $271 $279 $229 $19
GGT liver test $59 $61 $50 $7
Glucose tolerance test $158 $163 $118 $8
Hematocrit test $95 $98 $81 $2
Hemoglobin A1c (diabetes test) $271 $279 $229 $10
Hepatitis A vaccine $305 $314 $283 —
Hepatitis B test $61 $63 $52 $10
Hepatitis B vaccine $199 $205 $185 —
Hepatitis C test $94 $97 $76 $14
HIV test $203 $209 $172 $19
HIV test (antigen/antibody combo) $203 $209 $172 $24
Holter heart monitor $1,230 $1,269 $933 $26
HPV vaccine $1,081 $1,114 $905 —
Iron blood test $197 $203 $167 $6
IUD insertion $131 $135 $109 —
IUD removal $311 $321 $234 $112
IV infusion therapy $408 $421 $293 $44
IV infusion therapy (each additional) $99 $103 $84 $21
IV infusion therapy (initial) $702 $724 $595 $67
Kidney ultrasound $1,957 $2,018 $1,660 $84
Kidney ultrasound (limited) $1,677 $1,729 $1,420 $61
Knee joint injection $360 $371 $271 $69
Lactate test $243 $251 $206 $12
LDH test $90 $93 $76 $6
LDL cholesterol test $109 $112 $92 $11
Leg vein ultrasound (Doppler) $1,491 $1,537 $1,448 $150
Leg vein ultrasound (Doppler) (limited) $1,491 $1,537 $1,263 $116
LH hormone test $271 $279 $229 $19
Lipase test $268 $276 $227 $7
Lipid (cholesterol) panel $432 $445 $366 $13
Liver function panel $328 $338 $278 $8
Magnesium blood test $183 $189 $155 $7
Nebulizer breathing treatment $238 $245 $217 $9
Nuclear cardiac stress test $5,850 $6,031 $4,954 $428
Occupational therapy evaluation $350 $361 $292 $101
Occupational therapy evaluation (low complexity) $327 $337 $277 $101
Occupational therapy evaluation (moderate complexity) $373 $385 $316 $101
Office visit (established patient) $248 $256 $145 $115
Office visit (new patient) $278 $287 $282 $177
Office visit, established patient (level 3) $248 $256 $132 $95
Office visit, established patient (level 4) $303 $312 $162 $136
Office visit, new patient (level 3) $156 $161 $144 $118
Office visit, new patient (level 4) $541 $558 $405 $177
Office visit, new patient (level 5) $331 $342 $320 $237
Parathyroid hormone (PTH) test $252 $260 $214 $41
Pelvic ultrasound $1,722 $1,775 $1,458 $78
Pelvic ultrasound (complete) $1,722 $1,775 $1,458 $105
Phosphorus blood test $90 $93 $76 $5
Physical therapy evaluation $317 $327 $266 $98
Physical therapy evaluation (high complexity) $276 $285 $234 $98
Physical therapy evaluation (moderate complexity) $347 $358 $294 $98
Platelet count $62 $64 $53 $4
Pregnancy blood test (hCG) $210 $216 $177 $8
Prolactin test $306 $315 $259 $19
Prostate test (PSA) $254 $262 $215 $18
Pulmonary rehabilitation $282 $291 $239 $87
Rheumatoid factor test $65 $67 $55 $6
Scoliosis spine X-ray $746 $769 $625 $58
Scoliosis spine X-ray (3 views) $746 $769 $625 $72
Screening mammogram $552 $569 $467 $126
Scrotal ultrasound $821 $846 $695 $99
Sedimentation rate (ESR) test $150 $155 $127 $3
Sex hormone binding globulin test $112 $115 $94 $22
Shingles vaccine $276 $285 $240 —
Simple laceration repair (small, up to 2.5 cm) $364 $375 $200 $114
Simple wound stitches $364 $375 $224 $127
Skin biopsy $404 $416 $321 $121
Skin biopsy (punch) $404 $416 $304 $121
Skin lesion freezing (cryotherapy) $56 $58 $76 $36
Skin tag removal $242 $249 $187 $92
Soft tissue ultrasound $782 $806 $662 $64
Speech therapy $457 $471 $387 $76
Strep throat test $237 $244 $200 $17
Stress echocardiogram $3,540 $3,649 $2,998 $209
Stress echocardiogram (complete) $3,540 $3,649 $2,998 $233
Swallow study $445 $459 $377 $85
T3 thyroid test $163 $168 $138 $14
Tdap (tetanus) vaccine $164 $169 $137 —
Testosterone test $354 $365 $300 $26
Thyroid test (TSH) $271 $279 $229 $17
Thyroid ultrasound $942 $971 $798 $109
Total IgE allergy test $253 $261 $214 $16
Total protein test $90 $93 $76 $4
Transvaginal ultrasound $783 $807 $663 $118
Triglycerides test $59 $61 $50 $6
Troponin (heart) test $306 $315 $259 $12
Uric acid (gout) test $90 $93 $76 $5
Urinalysis $104 $107 $88 $3
Urine microalbumin test $252 $260 $215 $5
Urine pregnancy test $210 $216 $177 $9
Vaccine administration $84 $87 $72 $19
Vaccine administration (each additional) $85 $88 $72 $16
Vitamin B12 test $288 $297 $244 $15
Vitamin D test $179 $185 $152 $30
Wart removal $242 $249 $185 $121
Wound debridement $1,566 $1,614 $1,326 $186
X-ray of the abdomen $531 $547 $491 $36
X-ray of the ankle $563 $580 $471 $37
X-ray of the collarbone $503 $519 $422 $33
X-ray of the elbow $645 $665 $540 $33
X-ray of the foot $615 $634 $515 $34
X-ray of the forearm $466 $480 $390 $29
X-ray of the hand $652 $672 $546 $38
X-ray of the hip $409 $422 $485 $49
X-ray of the hip (1 view) $334 $344 $310 $34
X-ray of the hip (3 views) $624 $643 $631 $49
X-ray of the knee $590 $608 $531 $42
X-ray of the knee (2 views) $554 $571 $464 $34
X-ray of the knee (3 views) $590 $608 $494 $42
X-ray of the knee (4+ views) $844 $870 $707 $49
X-ray of the lower back (lumbar spine) $1,182 $1,219 $980 $47
X-ray of the lower back (lumbar spine) (2 views) $1,001 $1,032 $839 $40
X-ray of the lower back (lumbar spine) (4+ views) $1,363 $1,405 $1,142 $53
X-ray of the lower leg $547 $564 $458 $31
X-ray of the mid-back (thoracic spine) $733 $756 $667 $36
X-ray of the mid-back (thoracic spine) (2 views) $674 $695 $627 $33
X-ray of the mid-back (thoracic spine) (3 views) $792 $816 $697 $39
X-ray of the neck (cervical spine) $972 $1,002 $773 $47
X-ray of the neck (cervical spine) (3 views) $787 $811 $659 $40
X-ray of the pelvis $501 $517 $420 $36
X-ray of the pelvis (1 view) $501 $517 $420 $28
X-ray of the ribs $1,055 $1,088 $948 $42
X-ray of the ribs (2 views) $864 $891 $803 $36
X-ray of the ribs (3 views) $1,286 $1,326 $1,195 $42
X-ray of the shoulder $598 $617 $501 $36
X-ray of the skull $665 $686 $557 $40
X-ray of the upper arm $587 $605 $492 $32
X-ray of the wrist $610 $629 $511 $43
Zinc blood test $242 $249 $205 $11
What the columns mean
  • Cash — the hospital’s self-pay price if you don’t use insurance.
  • Chargemaster — the full list (sticker) price, before any discount.
  • Insurer — the median rate insurers have negotiated (pick your insurer above to see its rate).
  • Medicare — what Medicare pays — a benchmark for judging whether a price is fair.
  • Est. you pay — your estimated out-of-pocket cost for the deductible and coinsurance you enter above.

Lower-priced hospitals nearby

Within 60 miles, with below-this-hospital prices (≥10 procedures priced).

Hendricks Community Hospital
Hendricks, MN · 57 mi · 84% below avg
Brookings Health System ★4
Brookings, SD · 40 mi · 9% below avg
Community Memorial Hospital ★4
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Avera Dells Area Hospital-CAH
Dell Rapids, SD · 57 mi · -94% below avg
Avera Flandreau Hospital-CAH
Flandreau, SD · 53 mi · -114% below avg

Doctors affiliated with Avera De Smet Memorial Hospital-CAH

Clinicians who report a care affiliation with this hospital in CMS data, ranked by Medicare patient volume. A signal from Original Medicare, not a quality ranking.

ClinicianSpecialtyMedicare patients
Michael Gedwill, DODiagnostic Radiology1,411
Bruce Watt, MDInterventional Cardiology1,028
Kenneth Knudtson, MDOphthalmology899
Maddie Jans, PA-CPhysician Assistant373
Peter Looby, MDOrthopedic Surgery369
Stephanie PreisterNurse Practitioner356
Dileep Bhat, M DUrology334
Lindsey Mayer, DNPNurse Practitioner316
Keri Orstad, MDFamily Practice290
Jonathan Olegario, M.D.Internal Medicine267
Tina Melanson, M.D.Nephrology251
Grant JaspersNurse Practitioner189
Lance Lim, MDGeneral Practice148
Kelli Smith, FNP-CNurse Practitioner145
Kari Jo Fleming, PA-CPhysician Assistant85

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Before you go — your checklist at Avera De Smet Memorial Hospital-CAH

View this hospital’s source price file ↗. Source: this hospital’s machine-readable file (45 CFR §180), retrieved Jun 2026; Medicare from CMS fee schedules; quality from CMS Care Compare. Estimates — confirm with the hospital. Report an incorrect price.