Endoscopy Cost in Sioux Falls, SD (2026): Average Prices & What You'll Pay
What does a endoscopy cost in Sioux Falls, SD?
You could pay $1,996 or $4,988 for the same endoscopy in Sioux Falls, SD - depending entirely on which facility you choose. The median cash price across 7 reporting hospitals is $3,686. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Sioux Falls, SD, from hospital price files
- Sioux Falls Specialty Hospital $1,440
- Sanford Canton Inwood Medical Center · Canton, SD $2,135
- Avera Specialty Hospital · Sioux Falls, SD $5,358
Free: the typical range and the facilities above. Add your email and we send the full ranked list of all 7 facilities (PDF) plus a checklist of what to ask before you book. We don't sell your information (privacy policy).
Where endoscopy costs vary in Sioux Falls, SD
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
One upper endoscopy can become four separate bills - and a biopsy adds a fifth surprise weeks later.
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Cheapest Endoscopy Providers in Sioux Falls, SD
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Sioux Falls Specialty Hospital | SD | $1,440 | -$2,246 |
| 2 | Sanford Canton Inwood Medical Center | Canton, SD | $2,135 | -$1,551 |
| 3 | Hospital name hidden | Your City, SD | $136 | -$000 |
| 4 | Hospital name hidden | Your City, SD | $137 | -$000 |
| 5 | Avera Specialty Hospital | Sioux Falls, SD | $5,358 | +$1,672 |
| 6 | Hospital name hidden | Your City, SD | $139 | -$000 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 7 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
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Quick take
- Sioux Falls Specialty Hospital is the lowest-cost option at $1,440 - $2,246 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,686, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $927 to $2,385 | $1,444 |
| Without insurance (cash price) | 7 | $954 to $5,358 | $3,686 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an endoscopy cost with Medicare in Sioux Falls, SD?
Medicare's national hospital outpatient payment for endoscopy is about $927 to $2,385 (typically near $1,444). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $289 on a $1,444 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an endoscopy cost without insurance in Sioux Falls, SD?
Cash (self-pay) prices for endoscopy at 7 Sioux Falls, SD hospitals range from $954 to $5,358, with a median of $3,686. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
Sanford Health and Monument Health are the dominant systems. The Sanford Health network extends across both Dakotas and into Minnesota and Iowa, giving it extraordinary commercial contracting leverage. South Dakota's rural geography - and the Sanford network's reach - means most residents have very limited facility alternatives.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$3,686 |
| Deductible met - 20% coinsurance | ~$737 |
| Out-of-network provider | $8,109+ |
Frequently asked questions: endoscopy costs in Sioux Falls, SD
How much does an endoscopy cost in Sioux Falls, SD?
The typical insurer-negotiated rate is $1,290, with most facilities between $670 and $1,618 (based on 7 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $225 to $5,358 across all 7 Sioux Falls, SD hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an endoscopy in Sioux Falls, SD?
Based on declared prices, the lowest-cost facility in our Sioux Falls, SD data is Sanford USD Medical Center in Sioux Falls at about $225. By metro, Sioux Falls has the lowest median ($5,358). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an endoscopy so much cheaper at some Sioux Falls, SD hospitals?
Prices vary up to 23.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Sioux Falls, SD, the median cash (self-pay) price is $3,686 versus a median negotiated rate of $1,290 - about 2.9× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an endoscopy in Sioux Falls, SD?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
Other procedures in Sioux Falls, SD
Endoscopy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ambulatory surgery centers for the same endoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A endoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this endoscopy changes the billing code, and what you pay. For example: Ordered to investigate symptoms or a prior finding - standard cost-sharing (deductible, coinsurance) applies.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for endoscopy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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