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 you go inside South Dakota counts as much as which plan you have: Sioux Falls's median ($5,358) runs 6× Aberdeen's ($894). The same endoscopy that costs $205 at Community Memorial Hospital, Inc in Burke reaches $6,250 at Sanford Aberdeen Medical Center in Aberdeen — a 30.5× gap across the 36 South Dakota hospitals reporting prices. Half of South Dakota facilities price it at or below $1,514, with most clustered between $872 and $2,464. There's a gap between the sticker and the real price here: a median cash quote of $1,514 sits above the $818 insurers negotiate — about 1.9× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.
One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.
The free toolkit shows you:
- ✓ 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 email it to you immediately. No account required, no spam.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $872
- Median hospital: $1,514
- Higher-cost hospitals (top 30%): $2,464+
That's a 3× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$2,464
- Patient B (lower-rate in-network plan): ~$965
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.
See every South Dakota hospital's price
The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 31 remaining facilities — instantly.
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Estimate YOUR exact out-of-pocket cost →
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.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Endoscopy costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$1,514 |
| Deductible met — 20% coinsurance | ~$303 |
| Out-of-network provider | $3,331+ |
Based on the state median facility price of $1,514. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $1,309+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in South Dakota start around $872 or below. Most hospitals cluster between $872 and $2,680. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Community Memorial Hospital, Inc in Burke (cash price from $205); Black Hills Surgical Hospital in Rapid City (cash price from $276); Avera St. Benedicts in Parkston (cash price from $353). These are declared cash prices — contact each facility for a formal quote before scheduling.
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
- Best value hospitals (lowest prices): Community Memorial Hospital, Inc: $205; Black Hills Surgical Hospital: $276; Avera St. Benedicts: $353
- Most expensive (outpatient): Avera McKennan Hospital: ~$5,358; Avera Specialty Hospital: ~$5,358
→ Choosing the right facility can save $1,309+ vs. the state median.
South Dakota Endoscopy prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Community Memorial Hospital, Inc | Burke, SD | $205 | -$1,309 | $205–$656 |
| #2 | Black Hills Surgical Hospital | Rapid City, SD | $276 | -$1,238 | $461–$2,260 |
| #3 | Avera St. Benedicts | Parkston, SD | $353 | -$1,161 | $364–$2,671 |
| #4 | Brookings Health System | Brookings, SD | $418 | -$1,096 | $836–$1,909 |
| #5 | Coteau des Prairies Hospital | Sisseton, SD | $557 | -$957 | $557–$4,574 |
| #6 | Community Memorial Hospital | Redfield, SD | $566 | -$948 | $667 |
| #7 | Prairie Lakes Health Care System Inc. | SD | $664 | -$850 | $664–$6,034 |
| #8 | Sanford USD Medical Center | Sioux Falls, SD | $711 | -$803 | $889–$4,803 |
| #9 | St Michael's Hospital | Tyndall, SD | $817 | -$697 | $843 |
| #10 | Sanford Aberdeen Medical Center | Aberdeen, SD | $890 | -$624 | $890–$6,250 |
| #11 | Avera St. Luke's | Aberdeen, SD | $898 | -$616 | $998 |
| #12 | Monument Health Network Inc Sturgis Hospital | Sturgis, SD | $1,032 | -$482 | $1,032–$3,992 |
| #13 | Douglas County Memorial Hospital | SD | $1,111 | -$403 | $1,235–$4,431 |
| #14 | Madison Regional Health System | Madison, SD | $1,119 | -$395 | $1,119–$3,574 |
| #15 | Fall River Health Services | "1201 Hwy 71 Hot Springs, SD | $1,221 | -$293 | $1,221–$3,761 |
| #16 | Winner Regional Healthcare Center | Winner, SD | $1,251 | -$263 | $1,251–$3,219 |
| #17 | Freeman Regional Health Svcs. | Freeman, SD | $1,318 | -$196 | $1,359–$1,507 |
| #18 | Dunes Surgical Hospital | Dakota Dunes, SD | $1,387 | -$127 | $372–$3,244 |
| #19 | Sanford Webster Hospital | Webster, SD | $1,641 | +$127 | $2,052–$3,103 |
| #20 | Faulkton Area Medical Center | Faulkton, SD | $1,718 | +$204 | $2,148–$2,154 |
| #21 | Sanford Clear Lake Medical Center | Clear Lake, SD | $1,916 | +$402 | $1,916–$3,445 |
| #22 | Sanford Canton Inwood Medical Center | Canton, SD | $2,135 | +$621 | $2,669–$2,860 |
| #23 | Sanford Vermillion Hospital | Vermillion, SD | $2,152 | +$638 | $2,690–$3,312 |
| #24 | Avera Milbank Hospital | Milbank, SD | $2,367 | +$853 | $2,441 |
| #25 | MOBRIDGE REGIONAL HOSPITAL | SD | $2,452 | +$938 | $2,452 |
| #26 | Critical Care and Rehabilitation Hospital of the Black Hills | Rapid City, SD | $2,476 | +$962 | $2,476–$2,834 |
| #27 | Marshall County Hospital | Britton, SD | $2,658 | +$1,144 | $2,658 |
| #28 | Sanford Chamberlain Medical Center | Chamberlain, SD | $2,748 | +$1,234 | $3,436–$4,770 |
| #29 | Avera Hand County Hospital | Miller, SD | $3,391 | +$1,877 | $3,496 |
| #30 | Pioneer Memorial Hospital and Health Services | Viborg, SD | $3,614 | +$2,100 | $3,614–$3,789 |
| #31 | Avera Gregory Hospital | Gregory, SD | $3,772 | +$2,258 | $3,889 |
| #32 | Avera Sacred Heart Hospital | Yankton, SD | $3,772 | +$2,258 | $3,889 |
| #33 | Avera Dell Rapids Hospital | Dell Rapids, SD | $4,896 | +$3,382 | $5,048–$5,954 |
| #34 | Avera Flandreau Hospital | Flandreau, SD | $5,213 | +$3,699 | $5,375 |
| #35 | Avera McKennan Hospital | Sioux Falls, SD | $5,358 | +$3,844 | $5,954 |
| #36 | Avera Specialty Hospital | Sioux Falls, SD | $5,358 | +$3,844 | $5,954 |
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in South Dakota:
Where you can save the most on endoscopy in South Dakota
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Community Memorial Hospital, Inc | Burke, SD | $205 | -$1,309 |
| Black Hills Surgical Hospital | Rapid City, SD | $276 | -$1,238 |
| Avera St. Benedicts | Parkston, SD | $353 | -$1,161 |
| Brookings Health System | Brookings, SD | $418 | -$1,096 |
| Coteau des Prairies Hospital | Sisseton, SD | $557 | -$957 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive endoscopy providers in South Dakota
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Avera McKennan Hospital | Sioux Falls, SD | $5,358 | +$3,844 |
| Avera Specialty Hospital | Sioux Falls, SD | $5,358 | +$3,844 |
| Avera Flandreau Hospital | Flandreau, SD | $5,213 | +$3,699 |
| Avera Dell Rapids Hospital | Dell Rapids, SD | $4,896 | +$3,382 |
| Avera Gregory Hospital | Gregory, SD | $3,772 | +$2,258 |
Why prices vary this much
Setting drives much of the gap in South Dakota: the median outpatient price is $1,387 versus $566 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the South Dakota facilities reporting prices, 9 fall in a low-cost tier (up to $872) while 9 sit in a high-cost tier ($2,680 and up) — a lower-priced option almost always exists within the same state.
Among the cities with the most reporting hospitals, Sioux Falls has a median reported price of $5,358 across 3 facilities, while facilities in Aberdeen tend to report lower prices (median: $894). City-level variation within a state often reflects local market structure, not procedure complexity.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Compare endoscopy costs in nearby states
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.
Explore all endoscopy cost data
→ See endoscopy costs across all states
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.
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AVERA GETTYSBURG
6057652480 |
GETTYSBURG, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA GREGORY
6058355190 |
GREGORY, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6054285431 |
DELL RAPIDS, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6053226400 |
SIOUX FALLS, SD | General Acute Care Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6053226400 |
SIOUX FALLS, SD | General Acute Care Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6058358394 |
GREGORY, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6059972433 |
FLANDREAU, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6052245901 |
PIERRE, SD | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6054324538 |
MILBANK, SD | Critical Access Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6053226400 |
SIOUX FALLS, SD | General Acute Care Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6053226400 |
SIOUX FALLS, SD | General Acute Care Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AVERA MCKENNAN
6053226400 |
SIOUX FALLS, SD | General Acute Care Hospital | $385–$6,874 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 152 more South Dakota hospitals and ambulatory surgery centers
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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.
Where You Get an Endoscopy Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Ambulatory Surgery Center
Ambulatory Surgery Center typically carries a mid-range price for an endoscopy. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for an endoscopy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
What's Actually on Your Endoscopy Bill
A endoscopy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Asc
- Facility Fee — ASC facility fee — usually lower than hospital outpatient.
- Gastroenterologist Fee
- Anesthesia — Anesthesiologist/CRNA bills separately. Common out-of-network surprise.
- Pathology (if biopsy) (conditional) — CPT 88305 for biopsy specimen — only when tissue is sampled (43239), not a diagnostic-only EGD (43235).
Hospital Outpatient
- Facility Fee — Hospital outpatient facility fee — typically higher than an ASC.
- Gastroenterologist Fee
- Anesthesia
- Pathology (if biopsy) (conditional)
Endoscopy Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Diagnostic Upper Endoscopy (EGD)
Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. CPT 43235 — visualization only, no biopsy.
Upper Endoscopy with Biopsy
Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges. CPT 43239 — adds a pathology bill.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Endoscopy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than ASC, Hospital OP for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Who performs this: Endoscopy is typically performed by a Gastroenterology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.
The free toolkit shows you:
- ✓ 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 email it to you immediately. No account required, no spam.
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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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