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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in South Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 46 South Dakota hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $326
📉 Low $206
📈 High $622
🏥 46 hospitals
🏛️ 42 with insurance contracts
🇺🇸 Medicare $100
Hospital comparison — South Dakota
Sorted by cash price (lowest first). Showing top 46 of 46 hospitals.
Billed more than $326 for this? That gap is evidence.
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| Hospital | Cash | UHC | BCBS | Aetna | MultiPlan | Medicare | Health Net | Cigna | Humana |
|---|---|---|---|---|---|---|---|---|---|
| FAULKTON AREA MEDICAL CENTER FAULKTON |
$206 | $55.00 | $100 | — | — | — | — | — | $55.00 |
| DOUGLAS COUNTY MEMORIAL HOSPITAL TH ST ARMOUR |
$216 | $204 | $240 | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL BURKE |
$217 | $259 | $305 | $115 | $284 | — | — | $274 | $115 |
| WINNER REGIONAL HEALTHCARE CENTER WINNER |
$225 | — | $191 | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL AVERA REDFIELD |
$225 | $85.30 | $21.20 | — | — | — | — | — | — |
| BENNETT COUNTY HOSPITAL MARTIN |
$243 | — | — | — | — | — | — | — | — |
| WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA WAGNER |
$246 | $85.30 | — | — | — | — | — | — | — |
| AVERA DAKOTA PLAINS SURGICAL CENTER ABERDEEN |
$248 | $76.00 | — | — | — | — | — | — | — |
| LANDMANN-JUNGMAN MEMORIAL HOSPITAL AVERA SCOTLAND |
$253 | $85.30 | — | — | — | — | — | — | — |
| PRAIRIE LAKES HOSPITAL WATERTOWN |
$254 | $92.40 | — | — | — | $99.80 | — | — | — |
| MADISON COMMUNITY HOSPITAL MADISON |
$256 | — | — | — | — | — | — | — | — |
| FALL RIVER HOSPITAL HOT SPRINGS |
$258 | — | — | — | — | — | — | — | — |
| EUREKA COMMUNITY HEALTH SERVICES EUREKA |
$261 | $85.30 | — | — | — | — | — | — | — |
| FREEMAN REGIONAL HEALTH SERVICES FREEMAN |
$263 | $85.30 | — | — | — | — | — | — | — |
| SANFORD ABERDEEN MEDICAL CENTER ABERDEEN |
$267 | $103 | $103 | $103 | $301 | $103 | $301 | — | — |
| SANFORD VERMILLION MEDICAL CENTER VERMILLION |
$273 | $113 | — | $113 | $307 | $113 | $307 | — | — |
| PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES VIBORG |
$287 | $100 | $276 | $227 | — | — | — | $244 | — |
| SANFORD CANTON-INWOOD MEDICAL CENTER CANTON |
$288 | $134 | — | $134 | $324 | $134 | $324 | — | — |
| SANFORD HOSPITAL WEBSTER WEBSTER |
$295 | $125 | — | $125 | $332 | $125 | $332 | — | — |
| SANFORD CLEAR LAKE MEDICAL CENTER CLEAR LAKE |
$314 | $218 | $321 | $218 | $353 | $218 | $353 | $353 | — |
| SANFORD CHAMBERLAIN MEDICAL CENTER CHAMBERLAIN |
$324 | $150 | — | $150 | $364 | $150 | $364 | — | — |
| HANS P. PETERSON MEMORIAL HOSPITAL PHILIP |
$326 | — | — | — | — | — | — | — | — |
| BOWDLE HEALTHCARE BOWDLE |
$327 | $85.30 | — | — | — | — | — | — | — |
| MILBANK AREA HOSPITAL AVERA MILBANK |
$328 | $85.30 | $37.60 | — | — | — | — | — | — |
| SANFORD CHILDREN'S HOSPITAL SIOUX FALLS SIOUX FALLS |
$337 | $103 | $103 | $103 | $379 | $103 | $379 | — | — |
| AVERA FLANDREAU HOSPITAL FLANDREAU |
$359 | $85.30 | $22.00 | — | — | — | — | — | — |
| AVERA HAND COUNTY MEMORIAL HOSPITAL MILLER |
$359 | $85.30 | — | — | — | — | — | — | — |
| REHABILITATION AND CRITICAL CARE HOSPITAL OF THE BLACK HILLS RAPID CITY |
$363 | — | — | — | — | — | — | $80.00 | — |
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$372 | $85.30 | — | — | — | — | — | — | — |
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$372 | $85.30 | — | — | — | — | — | — | — |
| AVERA DELLS AREA HOSPITAL DELL RAPIDS |
$373 | $85.30 | $27.90 | — | — | — | — | — | — |
| AVERA DE SMET MEMORIAL HOSPITAL DE SMET |
$373 | $85.30 | — | — | — | — | — | — | — |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER DE SMET |
$373 | $85.30 | — | — | — | — | — | — | — |
| PLATTE HEALTH CENTER PLATTE |
$380 | $86.70 | — | — | — | — | — | — | — |
| AVERA ST. MARY'S HOSPITAL PIERRE |
$383 | $76.00 | — | — | — | — | — | — | — |
| AVERA GREGORY HOSPITAL GREGORY |
$393 | $85.30 | — | — | — | — | — | — | — |
| AVERA FOX RUN HEALTH CAMPUS YANKTON |
$393 | $85.30 | — | — | — | — | — | — | — |
| AVERA MISSOURI RIVER HEALTH CENTER GETTYSBURG |
$413 | $85.30 | — | — | — | — | — | — | — |
| AVERA SAINT BENEDICT HEALTH CENTER PARKSTON |
$425 | $85.30 | — | — | — | — | — | — | — |
| DUNES SURGICAL HOSPITAL DAKOTA DUNES |
$513 | — | $122 | — | — | — | — | — | — |
| DUNES SURGICAL HOSPITAL DAKOTA DUNES |
$513 | — | $122 | — | — | — | — | — | — |
| COTEAU HEALTH CARE SYSTEM HOSPITAL SISSETON |
$543 | $179 | $407 | — | — | — | — | — | $179 |
| ST. MICHAEL'S HOSPITAL AVERA TYNDALL |
$570 | $85.30 | — | — | — | — | — | — | — |
| AVERA ORTHOPEDIC HOSPITAL SIOUX FALLS |
$590 | — | $143 | — | — | — | — | — | — |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER SIOUX FALLS |
$590 | — | $143 | — | — | — | — | — | — |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA SIOUX FALLS |
$622 | $76.20 | $143 | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97166, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $243 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $326 for this?
That is the median of what the 46 South Dakota hospitals above publish for Evaluation for occupational therapy, typically 45 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97166 in South Dakota, Medicare reimburses about $100 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in South Dakota range from $206 to $622 — that means hospital cash prices are typically 3.2x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation for occupational therapy, typically 45 minutes cost in South Dakota?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in South Dakota range from $206 to $622, with a median of $326. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in South Dakota?
- The cheapest South Dakota hospital published cash price for this procedure is $206. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Evaluation for occupational therapy, typically 45 minutes in nearby states
Other procedures in South Dakota
Methodology. Cash prices and insurance-negotiated rates published by each South Dakota facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.