Cost of a Cataract Surgery Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's healthcare market operates with limited competition and significant rural-urban disparities, affecting specialized surgical care access across the state. Cataract Surgery patients typically pay between $95 and $1,313, with a median out-of-pocket cost of $778 based on negotiated insurance rates. South Dakota has 53 active Cataract Surgery providers serving patients throughout the state's diverse geographic regions.
Average
$729
Median
$778
Lowest
$95
Highest
$1,313
Providers
53
18% below national average
Compare Similar Procedures
How does cataract surgery compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,099 | $1,965 | $5,330 | 50 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,769 | $3,012 | 67 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $387 | $776 | $1,811 | 53 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $975 | $6,146 | 77 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $877 | $2,418 | 66 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,242 | $2,541 | 56 |
| Septoplasty Nasal septum repair | 30520 | $90 | $848 | $1,627 | 54 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $197 | $411 | $705 | 51 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $439 | $769 | $2,034 | 50 |
| Mastectomy Partial or simple mastectomy | 19301 | $491 | $940 | $2,423 | 53 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $296 | $622 | $1,068 | 53 |
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 66984 — Extracapsular cataract removal with insertion of intraocular lens). 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 66984 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 66984 (Extracapsular cataract removal with insertion of intraocular lens), as mandated by the CMS Price Transparency Rule.
What CPT 66984 covers: the provider's professional fee for cataract surgery. 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.
RAPID CITY, SD
SIOUX FALLS, SD
SIOUX FALLS, SD
DAKOTA DUNES, SD
SIOUX FALLS, SD
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Cataract Surgery Visit Costs Vary Across South Dakota
South Dakota's cataract surgery costs run approximately 5% above national averages, reflecting the state's rural geography and limited provider competition. The concentration of surgical facilities in Sioux Falls and Rapid City creates access challenges for patients in remote areas, potentially affecting both cost and travel expenses.
Urban vs. Rural Provider Availability
Most cataract surgeons practice in Sioux Falls, Rapid City, or Aberdeen, leaving vast rural areas underserved and requiring patients to travel considerable distances. This geographic concentration allows urban practices to maintain higher pricing while rural patients face additional costs for travel and overnight stays.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers typically charge more than independent ambulatory surgery centers in South Dakota. Major health systems like Sanford Health and Avera Health operate most surgical facilities, with their market dominance contributing to higher facility fees compared to independent surgery centers.
Insurance Market Competition in South Dakota
The limited number of major insurers - primarily Wellmark BCBS, Sanford Health Plan, and UnitedHealthcare - creates less competitive pressure on negotiated rates. This concentrated market allows providers to maintain higher prices compared to states with more robust insurance competition.
Physician Supply and Demand in South Dakota
With 53 active cataract surgery providers serving the entire state's population, South Dakota faces a relative shortage of ophthalmologists compared to national averages. This supply constraint contributes to longer wait times and higher prices, particularly for patients seeking surgery with premium lens implants or specialized techniques.
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.
Frequently Asked Questions — Cataract Surgery Costs in South Dakota
What is the average cost of a Cataract Surgery visit in South Dakota without insurance?
Does South Dakota Medicaid cover Cataract Surgery visits?
How do I find an affordable Cataract Surgery near me in South Dakota?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Cataract Surgery visit in South Dakota?
How does telemedicine affect the cost of seeing a Cataract Surgery in South Dakota?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 66984)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $80 – $10,062 | $3,412 |
| 2 | Wyoming Range: $667 – $2,130 | $1,240 |
| 3 | Rhode Island Range: $448 – $2,135 | $1,181 |
| 4 | Massachusetts Range: $403 – $2,078 | $1,139 |
| 5 | Montana Range: $85 – $2,744 | $1,127 |
| 6 | Delaware Range: $343 – $2,135 | $1,056 |
| 7 | Nebraska Range: $641 – $1,313 | $1,055 |
| 8 | Washington Range: $616 – $1,521 | $1,034 |
| 9 | New Hampshire Range: $528 – $1,548 | $1,023 |
| 10 | New York Range: $364 – $2,135 | $1,005 |
| 11 | Colorado Range: $85 – $2,114 | $1,003 |
| 12 | New Mexico Range: $474 – $1,551 | $982 |
| 13 | Alaska Range: $85 – $2,135 | $972 |
| 14 | Georgia Range: $93 – $2,005 | $970 |
| 15 | Connecticut Range: $70 – $2,135 | $961 |
| 16 | Pennsylvania Range: $85 – $2,135 | $946 |
| 17 | Maine Range: $643 – $1,123 | $945 |
| 18 | North Carolina Range: $390 – $1,609 | $940 |
| 19 | California Range: $85 – $1,401 | $899 |
| 20 | Nevada Range: $415 – $1,453 | $892 |
| 21 | District of Columbia Range: $414 – $1,311 | $871 |
| 22 | Vermont Range: $403 – $1,548 | $865 |
| 23 | Iowa Range: $85 – $1,313 | $861 |
| 24 | Oregon Range: $85 – $1,687 | $858 |
| 25 | North Dakota Range: $80 – $1,609 | $812 |
| 26 | Mississippi Range: $430 – $1,451 | $806 |
| 27 | Minnesota Range: $90 – $1,548 | $800 |
| 28 | Utah Range: $85 – $1,209 | $791 |
| 29 | New Jersey Range: $364 – $1,380 | $790 |
| 30 | South Carolina Range: $327 – $1,383 | $785 |
| 31 | Illinois Range: $418 – $1,200 | $771 |
| 32 | Alabama Range: $418 – $1,195 | $767 |
| 33 | Idaho Range: $85 – $1,348 | $743 |
| 34 | Tennessee Range: $418 – $1,090 | $741 |
| 35 | Hawaii Range: $85 – $1,386 | $739 |
| 36 | Louisiana Range: $226 – $1,345 | $730 |
| 37 | South Dakota Range: $95 – $1,313 | $729 |
| 38 | West Virginia Range: $85 – $1,409 | $721 |
| 39 | Maryland Range: $477 – $1,083 | $714 |
| 40 | Kansas Range: $502 – $912 | $711 |
| 41 | Virginia Range: $360 – $1,157 | $710 |
| 42 | Indiana Range: $70 – $1,385 | $708 |
| 43 | Kentucky Range: $85 – $1,313 | $691 |
| 44 | Missouri Range: $502 – $811 | $680 |
| 45 | Ohio Range: $335 – $1,087 | $678 |
| 46 | Texas Range: $85 – $1,210 | $662 |
| 47 | Michigan Range: $85 – $1,073 | $645 |
| 48 | Arkansas Range: $85 – $1,042 | $624 |
| 49 | Arizona Range: $448 – $898 | $614 |
| 50 | Oklahoma Range: $85 – $960 | $525 |
| 51 | Florida Range: $35 – $964 | $351 |