Logo
South Dakota

Cost of a C-Section Visit
in South Dakota

Reviewed by Momentary Medical Group West PC

South Dakota ranks among the states with the lowest physician density per capita, yet maintains 56 active C-Section providers across its largely rural landscape. C-Section patients typically pay between $1,979 and $6,114, with a median out-of-pocket cost of $3,036 based on negotiated insurance rates. Patients can browse all available C-Section providers throughout South Dakota to compare costs and find in-network options.

Average

$3,710

Median

$3,036

Lowest

$1,979

Highest

$6,114

Providers

56

National avg: $3,776South Dakota: $3,710

2% below national average

Compare Similar Procedures

How does c-section compare to related procedures in South Dakota?

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$85$2,621$5,55459

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 59510Routine obstetric care including cesarean delivery). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 59510 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 59510 (Routine obstetric care including cesarean delivery), as mandated by the CMS Price Transparency Rule.

What CPT 59510 covers: the provider's professional fee for c-section. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in South Dakota

These hospitals in South Dakota are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
93% would recommend805 patient surveys
5/5
91% would recommend609 patient surveys
5/5
86% would recommend298 patient surveys
DUNES SURGICAL HOSPITAL

DAKOTA DUNES, SD

5/5
85% would recommend192 patient surveys
5/5
85% would recommend218 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why C-Section Visit Costs Vary Across South Dakota

C-Section costs in South Dakota run approximately 10% below national averages, reflecting the state's lower cost of living and competitive rural healthcare market. The state's sparse population density creates unique cost dynamics where rural hospitals compete aggressively for patients while urban centers like Sioux Falls command premium pricing.

Urban vs. Rural Provider Availability

Sioux Falls and Rapid City concentrate most of South Dakota's high-volume OB-GYN practices and birthing centers, while rural counties often rely on family practitioners for basic prenatal care. Rural hospitals frequently offer competitive C-Section pricing to prevent patient migration to urban centers. Travel costs to urban specialists can offset any potential savings for rural patients seeking specialized maternal care.

Facility Type and Overhead Costs

Sanford Health and Avera Health dominate South Dakota's hospital market, with their employed physician practices typically charging higher rates than independent OB-GYN groups. Hospital-based birthing centers carry higher facility fees but offer comprehensive NICU services that independent practices cannot provide. Critical access hospitals in rural areas often have lower overhead costs, resulting in more competitive C-Section pricing.

Insurance Market Competition in South Dakota

Limited insurer competition between Wellmark BCBS, Sanford Health Plan, and UnitedHealthcare reduces negotiating pressure on provider rates. Wellmark's dominant market position in South Dakota gives it significant leverage in rate negotiations with hospitals and specialists. The lack of a robust individual insurance marketplace limits consumer choice and price competition.

Physician Supply and Demand in South Dakota

With 56 active C-Section providers serving a population of 900,000, South Dakota maintains adequate OB-GYN coverage despite rural access challenges. The state's physician shortage in rural areas drives some pregnant women to travel significant distances for specialized care. Recruitment incentives and loan forgiveness programs help maintain physician supply, though competition for specialists keeps urban pricing elevated.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — C-Section Costs in South Dakota

What is the average cost of a C-Section visit in South Dakota without insurance?

Uninsured patients in South Dakota typically pay between $1,979 and $6,114 for C-Section procedures, with a median cost of $3,036 based on negotiated insurance rates. Many providers offer self-pay discounts of 20-40% for upfront payment. Rural hospitals often provide more competitive pricing than urban medical centers to attract patients from wider geographic areas.

Does South Dakota Medicaid cover C-Section visits?

South Dakota Medicaid covers C-Section deliveries and related prenatal care for eligible pregnant women, including those who qualify through emergency Medicaid for delivery services. However, South Dakota has not expanded Medicaid, limiting coverage to women with very low incomes or specific circumstances. Pregnant women may qualify for Medicaid even if they don't meet other eligibility requirements.

How do I find an affordable C-Section near me in South Dakota?

Compare costs between hospital-employed and independent OB-GYN practices, as independent providers often charge 30-50% less than hospital-owned practices. Rural hospitals frequently offer competitive pricing and payment plans to attract patients. Community health centers in Sioux Falls, Rapid City, and other cities provide sliding-scale fees based on income for prenatal care and delivery services.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial C-Section consultations typically cost $1,979-$6,114 for the full procedure, while routine prenatal follow-up visits range from $150-$400 depending on the provider and services included. Comprehensive new patient evaluations with ultrasounds and lab work cost significantly more than brief follow-up appointments. Most insurance plans cover routine prenatal visits as preventive care with minimal out-of-pocket costs.

Can I use an HSA or FSA to pay for a C-Section visit in South Dakota?

Yes, C-Section procedures and related prenatal care qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use HSA or FSA funds to pay deductibles, copays, and any out-of-network costs associated with your delivery. Keep all receipts and documentation for tax purposes when using these pre-tax healthcare dollars.

How does telemedicine affect the cost of seeing a C-Section in South Dakota?

Telemedicine consultations for prenatal care typically cost 30-50% less than in-person visits, making them attractive for routine follow-ups in rural South Dakota. However, C-Section procedures require in-person delivery at a hospital or birthing center. Many South Dakota OB-GYN practices now offer virtual prenatal visits for routine monitoring, reducing travel costs for patients in remote areas.

Click a state to compare costs

Average Visit Cost

$1,255
$13,567

Office visit (CPT 59510)

Compare With Other States

RankStateAverage
1Kentucky
Range: $2,043$19,329
$13,567
2West Virginia
Range: $2,199$19,329
$8,244
3Wisconsin
Range: $73$18,189
$7,236
4Iowa
Range: $85$12,254
$5,786
5Minnesota
Range: $90$12,428
$5,136
6Alaska
Range: $98$11,867
$5,001
7Nebraska
Range: $2,560$6,114
$4,565
8New York
Range: $2,228$7,603
$4,543
9Massachusetts
Range: $2,111$7,609
$4,495
10Georgia
Range: $1,846$7,945
$4,411
11Wyoming
Range: $2,474$6,748
$4,393
12Maine
Range: $2,875$5,140
$4,261
13New Hampshire
Range: $2,156$5,919
$4,190
14Washington
Range: $2,480$6,440
$4,088
15Rhode Island
Range: $1,996$5,919
$3,929
16Connecticut
Range: $2,007$6,163
$3,864
17South Dakota
Range: $1,979$6,114
$3,710
18California
Range: $1,979$5,068
$3,697
19District of Columbia
Range: $2,100$5,187
$3,684
20New Mexico
Range: $2,093$5,520
$3,679
21Vermont
Range: $2,280$5,532
$3,612
22Colorado
Range: $1,979$5,427
$3,602
23Hawaii
Range: $2,156$5,068
$3,508
24Pennsylvania
Range: $1,743$5,806
$3,501
25New Jersey
Range: $1,847$5,806
$3,468
26Idaho
Range: $1,979$5,262
$3,443
27Utah
Range: $1,250$4,802
$3,232
28Oregon
Range: $95$6,223
$3,220
29Delaware
Range: $1,985$4,794
$3,163
30North Carolina
Range: $1,753$4,945
$3,138
31Indiana
Range: $81$6,574
$3,122
32North Dakota
Range: $92$6,114
$3,120
33Montana
Range: $96$6,114
$3,054
34Maryland
Range: $2,100$4,565
$2,988
35Illinois
Range: $80$6,052
$2,938
36Arkansas
Range: $1,601$4,386
$2,929
37Michigan
Range: $1,926$4,497
$2,921
38South Carolina
Range: $1,652$4,450
$2,855
39Tennessee
Range: $1,874$3,931
$2,787
40Virginia
Range: $1,695$4,355
$2,783
41Ohio
Range: $1,401$4,305
$2,685
42Louisiana
Range: $1,666$3,854
$2,683
43Missouri
Range: $1,970$3,300
$2,644
44Arizona
Range: $1,875$3,966
$2,607
45Kansas
Range: $1,970$3,374
$2,595
46Oklahoma
Range: $1,795$3,423
$2,498
47Alabama
Range: $1,632$3,518
$2,468
48Texas
Range: $90$4,541
$2,460
49Nevada
Range: $1,400$3,868
$2,415
50Mississippi
Range: $1,789$3,249
$2,402
51Florida
Range: $35$3,675
$1,255
C-Section in Other States