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.

Across 8 Sioux Falls, SD hospitals that publish prices, an X-ray runs from as little as $24 (Sanford USD Medical Center in Sioux Falls) to $283 (Select Specialty Hospital - South Dakota in Sioux Falls) — a 11.8× spread for the same procedure. A typical Sioux Falls, SD facility lands around $135 — most sit in the $129–$172 band. There's a gap between the sticker and the real price here: a median cash quote of $135 sits above the $38 insurers negotiate — about 3.6× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.

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.

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The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

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Lower-cost options in Sioux Falls, SD start around $129 or below. Most hospitals cluster between $129 and $184. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Sanford USD Medical Center in Sioux Falls (cash price from $24); Pioneer Memorial Hospital and Health Services in Viborg (cash price from $129); Avera McKennan Hospital in Sioux Falls (cash price from $129). These are declared cash prices — contact each facility for a formal quote before scheduling.

Sioux Falls, SD X-Ray prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

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Compare other procedures in Sioux Falls, SD:

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Where you can save the most on x-ray in Sioux Falls, SD

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Most expensive x-ray providers in Sioux Falls, SD

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Why prices vary this much

A small number of hospitals (1) report very high prices above $266, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Sioux Falls, SD: the median outpatient price is $129 versus $175 inpatient — about 1.4× more, so where a procedure is performed often matters more than which hospital you choose. Of the Sioux Falls, SD facilities reporting prices, 4 fall in a low-cost tier (up to $129) while 2 sit in a high-cost tier ($184 and up) — a lower-priced option almost always exists within the same state.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)

Compare x-ray costs in nearby states

• New York
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• Texas
• Florida

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.

Explore all x-ray cost data

→ See x-ray costs across all states

CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)