X-Ray Cost in Sioux Falls, SD (2026): Average Prices & What You'll Pay
What does a x-ray cost in Sioux Falls, SD?
Where you have an x-ray done in Sioux Falls, SD swings the bill from $129 to $172 for identical care. The median cash price across 8 reporting hospitals is $135. The numbers are pulled directly from federally mandated hospital price transparency files.
Where x-ray costs vary in Sioux Falls, SD
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.
26+ people checked prices near them this month.
Cheapest X-Ray Providers in Sioux Falls, SD
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Pioneer Memorial Hospital and Health Services | Viborg, SD | $129 | -$6 |
| 2 | Avera McKennan Hospital | Sioux Falls, SD | $129 | -$6 |
| 3 | Avera Specialty Hospital | Sioux Falls, SD | $129 | -$6 |
| 4 | Avera Heart Hospital | Sioux Falls, SD | $141 | +$6 |
| 5 | Select Specialty Hospital - South Dakota | Sioux Falls, SD | $175 | +$40 |
| 6 | Sanford Canton Inwood Medical Center | Canton, SD | $210 | +$75 |
| 7 | Avera Dell Rapids Hospital | Dell Rapids, SD | $283 | +$148 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Pioneer Memorial Hospital and Health Services is the lowest-cost option at $129 - $6 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 $135, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if 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. X-ray is the most commoditized of all imaging procedures, and price differences are almost entirely explained by facility type: a hospital outpatient chest X-ray can cost 5–10× more than the same study at an urgent care center or independent imaging clinic. For non-emergency X-rays, asking your physician for a referral to an outpatient imaging center rather than a hospital radiology department is the simplest and most reliable cost reduction available.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $266, including Avera Dell Rapids Hospital at $283, 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 $129 versus $175 inpatient (about 1.4× more), 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.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$135 |
| Deductible met - 20% coinsurance | ~$27 |
| Out-of-network provider | $297+ |
Frequently asked questions: X-ray costs in Sioux Falls, SD
How much does an X-ray cost in Sioux Falls, SD?
Across 8 Sioux Falls, SD hospitals that publish prices, an X-ray ranges from $24 to $283, with a median of $135. Most facilities fall between $129 and $172. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an X-ray in Sioux Falls, SD?
Based on declared prices, the lowest-cost facility in our Sioux Falls, SD data is Sanford USD Medical Center in Sioux Falls at about $24. By metro, Sioux Falls has the lowest median ($129). 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 X-ray so much cheaper at some Sioux Falls, SD hospitals?
Prices vary up to 11.8× 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 $135 versus a median negotiated rate of $38 - about 3.6× 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 X-ray 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
- 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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