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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 $965 at one facility and $2,464 at another - the building you walk into drives the difference. The median cash price across 36 reporting hospitals is $1,514. These figures come straight from hospital price transparency files published under federal law.

Where endoscopy costs vary in South Dakota

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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

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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 Coteau des Prairies Hospital Sisseton, SD $557 -$957
2 Community Memorial Hospital Redfield, SD $566 -$948
3 Prairie Lakes Health Care System Inc. SD $664 -$850
4 Sanford USD Medical Center Sioux Falls, SD $711 -$803
5 St Michael's Hospital Tyndall, SD $817 -$697
6 Sanford Aberdeen Medical Center Aberdeen, SD $890 -$624
7 Avera St. Luke's Aberdeen, SD $898 -$616
8 Monument Health Network Inc Sturgis Hospital Sturgis, SD $1,032 -$482

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • Coteau des Prairies Hospital is the lowest-cost option at $557 - $957 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 $1,514, 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.

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.

Hospital Outpatient
$385–$6,874
  • Facility fee $205–$5,358
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$385–$3,992
  • 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 $1,387 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 ~$1,514
Deductible met - 20% coinsurance ~$303
Out-of-network provider $3,331+

Frequently asked questions: endoscopy costs in South Dakota

How much does an endoscopy cost in South Dakota?

Across 36 South Dakota hospitals that publish prices, an endoscopy ranges from $205 to $6,250, with a median of $1,514. Most facilities fall between $872 and $2,464. 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 and imaging 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 30.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $1,514 versus a median negotiated rate of $818 - about 1.9× higher. Asking for the cash price or 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

Other procedures in South Dakota

Endoscopy, elsewhere

Other South Dakota Hospitals and ambulatory surgery centers for Endoscopy

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in South Dakota. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
AVERA GETTYSBURG
6057652480
GETTYSBURG, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA GREGORY
6058355190
GREGORY, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6054285431
DELL RAPIDS, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6058358394
GREGORY, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6059972433
FLANDREAU, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6052245901
PIERRE, SD Ambulatory Surgical Center -
AVERA MCKENNAN
6054324538
MILBANK, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
▼ Show 88 more South Dakota hospitals and ambulatory surgery centers (of 164 registered)
AVERA MCKENNAN
6058532421
MILLER, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA MCKENNAN
6053225123
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA MCKENNAN HOSPITAL AND HEALTH SYSTEM
6053228000
SIOUX FALLS, SD Children's Hospital $385–$6,874 bundled est.
AVERA QUEEN OF PEACE
6059952000
MITCHELL, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA QUEEN OF PEACE
6058543329
DE SMET, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA QUEEN OF PEACE
6059952000
MITCHELL, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA ST LUKES
6052291367
ABERDEEN, SD Ambulatory Surgical Center -
AVERA ST MARYS
6052245901
PIERRE, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA ST MARYS
6052243100
PIERRE, SD Critical Access Hospital $385–$6,874 bundled est.
AVERA ST MARYS
6052243100
PIERRE, SD General Acute Care Hospital $385–$6,874 bundled est.
AVERA ST MARYS
6052245901
PIERRE, SD General Acute Care Hospital $385–$6,874 bundled est.
BENNETT COUNTY HOSPITAL AND NURSING HOME
6056856622
MARTIN, SD Critical Access Hospital $385–$6,874 bundled est.
BENNETT COUNTY RURAL HEALTH CLINIC
6056851660
MARTIN, SD Critical Access Hospital $385–$6,874 bundled est.
BLACK HILLS REGIONAL EYE SURGERY CENTER, LLC
6053412000
RAPID CITY, SD Ambulatory Surgical Center -
BOWDLE HOSPITAL
6052856146
BOWDLE, SD Critical Access Hospital $385–$6,874 bundled est.
BROOKINGS AMBULATORY SURGERY CENTER, LLP
6056932272
BROOKINGS, SD Ambulatory Surgical Center -
CITY OF BROOKINGS
6056969000
BROOKINGS, SD General Acute Care Hospital $385–$6,874 bundled est.
CITY OF BROOKINGS
6056969000
BROOKINGS, SD General Acute Care Hospital $385–$6,874 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $385–$6,874 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $385–$6,874 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $385–$6,874 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $385–$6,874 bundled est.
CJ ELMWOOD PARTNERS L P
8003382015
SIOUX FALLS, SD Ambulatory Surgical Center -
COMMUNITY BIRTH GROUP
8003494054
CONDE, SD General Acute Care Hospital $385–$6,874 bundled est.
COMMUNITY MEMORIAL HOSPITAL, INC
6057752631
BURKE, SD Critical Access Hospital $385–$6,874 bundled est.
COMMUNITY MEMORIAL HOSPITAL, INC
6057752631
BURKE, SD Critical Access Hospital $385–$6,874 bundled est.
COTEAU DES PRAIRIES HOSPITAL
6056987647
SISSETON, SD General Acute Care Hospital $385–$6,874 bundled est.
COTEAU DES PRAIRIES HOSPITAL,INC
6056987647
SISSETON, SD General Acute Care Hospital $385–$6,874 bundled est.
DOUGLAS COUNTY MEMORIAL HOSPITAL
6057242159
ARMOUR, SD Critical Access Hospital $385–$6,874 bundled est.
DOUGLAS COUNTY MEMORIAL HOSPITAL
6057242159
ARMOUR, SD Critical Access Hospital $385–$6,874 bundled est.
EAGLE BUTTE INDIAN HEALTH SERVICE
6059642653
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052286631
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY BENEVOLANT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052082661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL SOOCIATION
6052842661
EUREKA, SD Critical Access Hospital $385–$6,874 bundled est.
FALL RIVER HEALTH SERVICES
6057453159
HOT SPRINGS, SD Critical Access Hospital $385–$6,874 bundled est.
FAULKTON AREA MEDICAL CENTER
6055986262
FAULKTON, SD Critical Access Hospital $385–$6,874 bundled est.
FORT MEADE VAMC
9135784409
HOT SPRINGS, SD General Acute Care Hospital $385–$6,874 bundled est.
FORT MEADE VAMC
9135784409
FORT MEADE, SD General Acute Care Hospital $385–$6,874 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $385–$6,874 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $385–$6,874 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $385–$6,874 bundled est.
HEART HOSPITAL OF SOUTH DAKOTA LLC
6059777000
SIOUX FALLS, SD General Acute Care Hospital $385–$6,874 bundled est.
HOLY INFANT HOSPITAL
6059482262
HOVEN, SD General Acute Care Hospital $385–$6,874 bundled est.
HURON REGIONAL MEDICAL CENTER
6058543329
DE SMET, SD Critical Access Hospital $385–$6,874 bundled est.
HURON REGIONAL MEDICAL CENTER INC
6053536200
HURON, SD Rural Acute Care Hospital $385–$6,874 bundled est.
IHS EAGLE BUTTE
6059642814
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICE
6059647724
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICE
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICE
6057472231
ROSEBUD, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICE
6053552500
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICE
6057472231
ROSEBUD, SD General Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICES
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INDIAN HEALTH SERVICES
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $385–$6,874 bundled est.
INNOVATIVE PROCEDURAL CENTER LLC
6058840100
WATERTOWN, SD Ambulatory Surgical Center -
ISURGERY, LLC
6052262108
ABERDEEN, SD Ambulatory Surgical Center -
LEOLA SCHOOL DISTRICT 44-2
6054393143
LEOLA, SD Rural Acute Care Hospital $385–$6,874 bundled est.
MARSHALL COUNTY MEMORIAL HOSPITAL
6054482253
BRITTON, SD Critical Access Hospital $385–$6,874 bundled est.
MEDICAL ASSOCIATES CLINIC SURGERY CENTER
6059455210
PIERRE, SD Ambulatory Surgical Center -
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $385–$6,874 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $385–$6,874 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $385–$6,874 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $385–$6,874 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC
6056734150
CUSTER, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056444460
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC.
6057202400
STURGIS, SD Critical Access Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056423113
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056444170
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH NETWORK, INC.
6057178860
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL INC
6057552273
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC
6057552273
BOX ELDER, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057552273
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057191000
RAPID CITY, SD Children's Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057554060
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057557700
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057557700
SPEARFISH, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057910602
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057554855
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057552273
RAPID CITY, SD General Acute Care Hospital $385–$6,874 bundled est.
OGLALA SIOUX TRIBE OTITIS MEDIA
6058673004
PINE RIDGE, SD Rural Acute Care Hospital $385–$6,874 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent 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).

Other Procedure Costs in South Dakota

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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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Published July 17, 2026

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