Physical Therapy Cost in South Dakota (2026): Average Prices & What You'll Pay
What does a physical therapy cost in South Dakota?
Where you have a physical therapy done in South Dakota swings the bill from $234 to $290 for identical care. The median cash price across 48 reporting hospitals is $261. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Three low-priced facilities in South Dakota, from hospital price files
- SAME DAY SURGERY CENTER LLC $172
- Prairie Lakes Health Care System Inc. $174
- Community Memorial Hospital · Redfield, SD $193
All 48 facilities are listed below, free.
Where physical therapy costs vary in South Dakota
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a physical therapy depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Physical Therapy Providers in South Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($261) |
|---|---|---|---|---|
| 1 | SAME DAY SURGERY CENTER LLC | SD | $172 | $89 below |
| 2 | Prairie Lakes Health Care System Inc. | SD | $174 | $87 below |
| 3 | Community Memorial Hospital | Redfield, SD | $193 | $68 below |
| 4 | Sanford Aberdeen Medical Center | Aberdeen, SD | $199 | $62 below |
| 5 | Madison Regional Health System | Madison, SD | $210 | $51 below |
| 6 | Pioneer Memorial Hospital and Health Services | Viborg, SD | $218 | $43 below |
| 7 | Sanford Vermillion Hospital | Vermillion, SD | $229 | $32 below |
| 8 | Eureka Hospital | Eureka, SD | $233 | $28 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
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
- SAME DAY SURGERY CENTER LLC is the lowest-cost option at $172 - $89 below the median posted price ($261), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $261, and it's often lower than what insurance pays before your deductible is satisfied.
- Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $101 to $101 | $101 |
| With insurance (commercial, average) | 42 | $145 to $306 | $229 |
| Without insurance (cash price) | 48 | $168 to $377 | $261 |
| Wellmark Blue Cross and Blue Shield of South Dakota | 33 | $148 to $331 | $251 |
| UnitedHealthcare | 37 | $203 to $322 | $261 |
| Aetna | 10 | $175 to $290 | $265 |
| Cigna | 4 | $219 to $294 | $284 |
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 a physical therapy cost with Medicare in South Dakota?
Medicare's national fee-schedule payment for physical therapy is about $101 to $101 (typically near $101). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $20 on a $101 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 a physical therapy cost with insurance in South Dakota?
Across 42 South Dakota hospitals, the negotiated rates commercial insurers pay for physical therapy average $145 to $306 per hospital, with a median near $229. 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 a physical therapy cost without insurance in South Dakota?
Cash (self-pay) prices for physical therapy at 48 South Dakota hospitals range from $168 to $377, with a median of $261. 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 a physical therapy cost with Wellmark Blue Cross and Blue Shield of South Dakota?
Wellmark Blue Cross and Blue Shield of South Dakota negotiated rates for physical therapy at 33 South Dakota hospitals range from $148 to $331, with a median near $251. 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 a physical therapy cost with UnitedHealthcare in South Dakota?
UnitedHealthcare negotiated rates for physical therapy at 37 South Dakota hospitals range from $203 to $322, with a median near $261. 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 a physical therapy cost with Aetna in South Dakota?
Aetna negotiated rates for physical therapy at 10 South Dakota hospitals range from $175 to $290, with a median near $265. 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 a physical therapy cost with Cigna in South Dakota?
Cigna negotiated rates for physical therapy at 4 South Dakota hospitals range from $219 to $294, with a median near $284. 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 physical therapy
The same physical therapy 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 $94–$589
- Professional fee $150–$400
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $89–$278
- Professional fee $150–$400
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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (4) report prices above $396, including Avera Heart Hospital at $589, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $263 versus $134 inpatient, so where a procedure happens often matters more than which hospital you pick.
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 | ~$261 |
| Deductible met - 20% coinsurance | ~$52 |
| Out-of-network provider | $574+ |
Frequently asked questions: physical therapy costs in South Dakota
How much does a physical therapy cost in South Dakota?
The typical insurer-negotiated rate is $139, with most facilities between $96 and $178 (based on 46 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of South Dakota hospitals run $168–$377; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a physical therapy in South Dakota?
Based on declared prices, the lowest posted price in our South Dakota data is SAME DAY SURGERY CENTER LLC at about $172. By metro, Rapid City has the lowest median ($92).
Why is a physical therapy so much cheaper at some South Dakota hospitals?
Typical prices vary about 1.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $261 versus a median negotiated rate of $229 - about 1.1× 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 a physical therapy 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
- 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
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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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