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Ultrasound Cost in Sioux Falls, SD (2026): Average Prices & What You'll Pay

What does a ultrasound cost in Sioux Falls, SD?

Where you have an ultrasound done in Sioux Falls, SD swings the bill from $100 to $510 for identical care. The median cash price across 9 reporting hospitals is $176. The numbers are pulled directly from federally mandated hospital price transparency files.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where ultrasound costs vary in Sioux Falls, SD

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby 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.

The same ultrasound can be one bill or two - and the radiologist can be out-of-network even when the facility isn't.

Your personalized cost report includes:

  • ✓ Why a facility splits into a technical bill and a separate radiologist bill (and an office bills one global fee)
  • ✓ How the radiologist who reads your images can be out-of-network even at an in-network facility
  • ✓ Why a hospital outpatient department costs far more than an independent imaging center
  • ✓ How a complete vs. limited study changes the price - and the questions to ask first
  • ✓ A real patient billing breakdown, line by line

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Cheapest Ultrasound Providers in Sioux Falls, SD

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Sanford USD Medical Center Sioux Falls, SD $78 -$98
2 Avera McKennan Hospital Sioux Falls, SD $100 -$76
3 Avera Specialty Hospital Sioux Falls, SD $100 -$76
4 Select Specialty Hospital - South Dakota Sioux Falls, SD $176 +$0
5 Avera Dell Rapids Hospital Dell Rapids, SD $460 +$284
6 Sanford Canton Inwood Medical Center Canton, SD $544 +$368
7 Pioneer Memorial Hospital and Health Services Viborg, SD $560 +$384
8 Avera Heart Hospital Sioux Falls, SD $1,183 +$1,007

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

Unlocks all 9 facilities here and sends the full list with 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

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

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Quick take

  • Sanford USD Medical Center is the lowest-cost option at $78 - $98 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 $318, and it's often lower than what insurance pays before your deductible is satisfied.
  • Independent imaging centers often charge much less than hospital outpatient departments for the same scan and may not appear in this hospital-only dataset - ask your doctor whether one is an option.

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. Ultrasound pricing varies more by body part and clinical indication than almost any other imaging type - an OB ultrasound, a vascular duplex study, and an abdominal ultrasound carry different CPT codes and reimbursement rates even though the equipment is the same. Independent imaging centers typically charge 40–60% less than hospital outpatient departments for the same study. The sonographer skill matters more than setting for diagnostic quality.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $460 versus $109 inpatient, so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

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 ~$176
Deductible met - 20% coinsurance ~$35
Out-of-network provider $387+

Frequently asked questions: ultrasound costs in Sioux Falls, SD

How much does an ultrasound cost in Sioux Falls, SD?

The typical price is $176, with most facilities between $100 and $510. Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $42 to $1,183 across all 9 Sioux Falls, SD 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 ultrasound in Sioux Falls, SD?

Based on declared prices, the lowest-cost facility in our Sioux Falls, SD data is Encompass Health Rehabilitation Hospital of Sioux Falls in Sioux Falls at about $42. By metro, Sioux Falls has the lowest median ($100). Independent 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 ultrasound so much cheaper at some Sioux Falls, SD hospitals?

Prices vary up to 28.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Sioux Falls, SD, the median cash (self-pay) price is $318 versus a median negotiated rate of $71 - about 4.5× 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 ultrasound in Sioux Falls, SD?

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 Sioux Falls, SD

Ultrasound, elsewhere

What matters before you schedule

Imaging center vs. hospital

Hospital outpatient departments typically charge 2-4x more than independent imaging centers for the same ultrasound - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

Cost by type

Which type your doctor orders for this ultrasound changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

This is shoppable

Ultrasound is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.

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 ultrasound 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 Sioux Falls, SD

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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 June 12, 2026

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