Prostate Biopsy Cost in South Dakota (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in South Dakota?
Where you have a prostate biopsy done in South Dakota swings the bill from $993 to $2,572 for identical care. The median cash price across 15 reporting hospitals is $2,000. 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
- Avera Gregory Hospital · Gregory, SD $725
- Avera Sacred Heart Hospital · Yankton, SD $725
- Sanford USD Medical Center · Sioux Falls, SD $902
All 15 facilities are listed below, free.
Where prostate biopsy 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 prostate biopsy depends on where you go and what is billed separately. Most patients find out after.
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- ✓ Guidance method: Ultrasound-guided and MRI-guided biopsies are priced differently, and MRI fusion biopsies tend to cost more.
- ✓ Pathology is separate: The lab that examines the samples bills on its own, and the number of samples affects that bill.
- ✓ Which bills usually arrive separately, and which providers to check are in-network
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Cheapest Prostate Biopsy Providers in South Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($2,000) |
|---|---|---|---|---|
| 1 | Avera Gregory Hospital | Gregory, SD | $725 | $1,275 below |
| 2 | Avera Sacred Heart Hospital | Yankton, SD | $725 | $1,275 below |
| 3 | Sanford USD Medical Center | Sioux Falls, SD | $902 | $1,098 below |
| 4 | Black Hills Surgical Hospital | Rapid City, SD | $1,355 | $645 below |
| 5 | Sanford Aberdeen Medical Center | Aberdeen, SD | $1,946 | $54 below |
| 6 | Sanford Vermillion Hospital | Vermillion, SD | $2,000 | $0 above |
| 7 | Avera St. Mary's Hospital | Pierre, SD | $2,017 | $17 above |
| 8 | Brookings Health System | Brookings, SD | $2,318 | $318 above |
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?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Avera Gregory Hospital is the lowest-cost option at $725 - $1,275 below the median posted price ($2,000), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $2,000, 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) | — | $240 to $240 | $240 |
| With insurance (commercial, average) | 9 | $269 to $3,439 | $2,034 |
| Without insurance (cash price) | 15 | $699 to $3,216 | $2,000 |
| Wellmark Blue Cross and Blue Shield of South Dakota | 6 | $760 to $3,362 | $1,873 |
| UnitedHealthcare | 6 | $321 to $4,917 | $1,891 |
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 prostate biopsy cost with Medicare in South Dakota?
Medicare's national fee-schedule payment for prostate biopsy is about $240 to $240 (typically near $240). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $48 on a $240 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 prostate biopsy cost with insurance in South Dakota?
Across 9 South Dakota hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $269 to $3,439 per hospital, with a median near $2,034. 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 prostate biopsy cost without insurance in South Dakota?
Cash (self-pay) prices for prostate biopsy at 15 South Dakota hospitals range from $699 to $3,216, with a median of $2,000. 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 prostate biopsy cost with Wellmark Blue Cross and Blue Shield of South Dakota?
Wellmark Blue Cross and Blue Shield of South Dakota negotiated rates for prostate biopsy at 6 South Dakota hospitals range from $760 to $3,362, with a median near $1,873. 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 prostate biopsy cost with UnitedHealthcare in South Dakota?
UnitedHealthcare negotiated rates for prostate biopsy at 6 South Dakota hospitals range from $321 to $4,917, with a median near $1,891. 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 where you go changes what you pay for prostate biopsy
The same prostate biopsy 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 $318–$3,685
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,355–$3,117
- Professional fee $189–$504
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
Setting matters too: the median outpatient price is $2,000 versus $2,236 inpatient, so where a procedure happens often matters more than which hospital you pick.
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 | ~$2,000 |
| Deductible met - 20% coinsurance | ~$400 |
| Out-of-network provider | $4,400+ |
Frequently asked questions: prostate biopsy costs in South Dakota
How much does a prostate biopsy cost in South Dakota?
The typical insurer-negotiated rate is $847, with most facilities between $482 and $1,429 (based on 15 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of South Dakota hospitals run $699–$3,216; 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 prostate biopsy in South Dakota?
Based on declared prices, the lowest posted price in our South Dakota data is Avera Gregory Hospital in Gregory at about $725. By metro, Aberdeen has the lowest median ($2,396).
Why is a prostate biopsy so much cheaper at some South Dakota hospitals?
Typical prices vary about 3× (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 $2,000 versus a median negotiated rate of $2,034 - cash is the lower number at many hospitals. 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 prostate biopsy 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
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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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