Ultrasound Cost in South Dakota (2026): Average Prices & What You'll Pay

What does a ultrasound cost in South Dakota?

Where you have an ultrasound done in South Dakota swings the bill from $232 to $559 for identical care. The median cash price across 51 reporting hospitals is $460. The numbers are pulled directly from federally mandated hospital price transparency files.

Where ultrasound 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.

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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 $464 versus $145 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.

Frequently asked questions: ultrasound costs in South Dakota

How much does an ultrasound cost in South Dakota?

Across 51 South Dakota hospitals that publish prices, an ultrasound ranges from $51 to $2,413, with a median of $460. Most facilities fall between $172 and $559. 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 South Dakota?

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

Prices vary up to 47.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $460 versus a median negotiated rate of $198 - about 2.3× 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 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.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).