Endoscopy Cost in South Dakota (2026): Average Prices & What You'll Pay
What does a endoscopy cost in South Dakota?
The same endoscopy in South Dakota might cost you $1,112 at one facility and $2,739 at another - the building you walk into drives the difference. The median cash price across 38 reporting hospitals is $2,026. These figures come straight from hospital price transparency files published under federal law. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, endoscopy in South Dakota typically runs $1,112–$2,739, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. For endoscopy that rate is about $927–$2,385 (typically near $1,444). After the $257 Part B deductible you generally pay 20% of the approved amount, about $289.
Read the full Medicare coverage guide →
Your personalized cost report includes:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
- ✓ A real patient billing breakdown, line by line
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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
Your personalized cost report includes:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email — click it to get your guide. No account required, no spam.
No insurance
Posted cash prices for endoscopy at 38 South Dakota hospitals range from $330–$4,991, with a median of $2,026. The lowest posted price we found is Coteau des Prairies Hospital in Sisseton, SD at $557. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where endoscopy costs vary in South Dakota
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.
Your personalized cost report includes:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Endoscopy Providers in South Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Avera St. Benedicts | Parkston, SD | $353 | -$1,673 |
| 2 | Hospital name hidden | Your City, SD | $540 | -$000 |
| 3 | Hospital name hidden | Your City, SD | $539 | -$000 |
| 4 | Hospital name hidden | Your City, SD | $538 | -$000 |
| 5 | St Michael's Hospital | Tyndall, SD | $817 | -$1,209 |
| 6 | Hospital name hidden | Your City, SD | $536 | -$000 |
| 7 | Avera St. Luke's | Aberdeen, SD | $898 | -$1,128 |
| 8 | Hospital name hidden | Your City, SD | $534 | -$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 38 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?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Avera St. Benedicts is the lowest-cost option at $353 - $1,673 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 $2,026, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $927 to $2,385 | $1,444 |
| With insurance (commercial, average) | 21 | $328 to $2,496 | $1,136 |
| Without insurance (cash price) | 38 | $330 to $4,991 | $2,026 |
| Wellmark Blue Cross and Blue Shield of South Dakota | 18 | $290 to $2,754 | $885 |
| UnitedHealthcare | 18 | $373 to $2,626 | $782 |
| Aetna | 6 | $1,085 to $2,903 | $2,562 |
| Cigna | 3 | $1,535 to $2,884 | $2,743 |
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 South Dakota?
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 with insurance in South Dakota?
Across 21 South Dakota hospitals, the negotiated rates commercial insurers pay for endoscopy average $328 to $2,496 per hospital, with a median near $1,136. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an endoscopy cost without insurance in South Dakota?
Cash (self-pay) prices for endoscopy at 38 South Dakota hospitals range from $330 to $4,991, with a median of $2,026. 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.
How much does an endoscopy cost with Wellmark Blue Cross and Blue Shield of South Dakota?
Wellmark Blue Cross and Blue Shield of South Dakota negotiated rates for endoscopy at 18 South Dakota hospitals range from $290 to $2,754, with a median near $885. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an endoscopy cost with UnitedHealthcare in South Dakota?
UnitedHealthcare negotiated rates for endoscopy at 18 South Dakota hospitals range from $373 to $2,626, with a median near $782. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does an endoscopy cost with Aetna in South Dakota?
Aetna negotiated rates for endoscopy at 6 South Dakota hospitals range from $1,085 to $2,903, with a median near $2,562. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does an endoscopy cost with Cigna in South Dakota?
Cigna negotiated rates for endoscopy at 3 South Dakota hospitals range from $1,535 to $2,884, with a median near $2,743. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for endoscopy
The same endoscopy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $205–$5,358
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $205–$2,476
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
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
Setting matters too: the median outpatient price is $1,916 versus $566 inpatient, so where a procedure happens often matters more than which hospital you pick. 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.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$2,026 |
| Deductible met - 20% coinsurance | ~$405 |
| Out-of-network provider | $4,457+ |
Frequently asked questions: endoscopy costs in South Dakota
How much does an endoscopy cost in South Dakota?
The typical insurer-negotiated rate is $818, with most facilities between $310 and $1,180 (based on 37 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $205 to $9,532 across all 38 South Dakota 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 South Dakota?
Based on declared prices, the lowest-cost facility in our South Dakota data is Community Memorial Hospital, Inc in Burke at about $205. By metro, Aberdeen has the lowest median ($894). 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 South Dakota hospitals?
Prices vary up to 46.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $2,026 versus a median negotiated rate of $1,136 - about 1.8× 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 South Dakota?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
Other procedures in South Dakota
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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