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

What does a xray cost in South Dakota?

For a commercially insured patient, an xray in South Dakota typically runs $153–$309 once facility and physician fees are combined. The median reported facility price across 51 hospitals is $234. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

Where xray 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. 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

Setting matters too: the median outpatient price is $216 versus $234 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.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Frequently asked questions: X-ray costs in South Dakota

How much does an X-ray cost in South Dakota?

Across 51 South Dakota hospitals that publish prices, an X-ray ranges from $30 to $4,723, with a median of $234. Most facilities fall between $129 and $284. 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 South Dakota?

Based on declared prices, the lowest-cost facility in our South Dakota data is HURON REGIONAL MEDICAL CENTER at about $18. 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 South Dakota hospitals?

Prices vary up to 157.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $234 versus a median negotiated rate of $82 - about 2.9× 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 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).