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South Dakota

Cost of a ECG / EKG Visit
in South Dakota

Reviewed by Momentary Medical Group West PC

South Dakota's largely rural healthcare infrastructure creates unique challenges for cardiac care access, with many residents traveling significant distances for specialized testing. ECG / EKG services are available through the state's 328 active providers, though costs can vary substantially based on location and facility type. The state's concentrated insurance market, dominated by Wellmark Blue Cross Blue Shield and regional health systems, influences pricing structures across both urban centers and frontier communities.

Average

$27

Median

$27

Lowest

$27

Highest

$27

Providers

328

National avg: $44South Dakota: $27

39% below national average

Compare Similar Procedures

How does ecg / ekg compare to related procedures in South Dakota?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$345$2,25579
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$389$1,03566
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$491$1,09061
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$103$275$69152
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$85$332$2,39677
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$67$169$46073
OB Ultrasound

Obstetric ultrasound, complete

76805$68$68$117309

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 93000Electrocardiogram, routine, with interpretation). 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 93000 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 93000 (Electrocardiogram, routine, with interpretation), as mandated by the CMS Price Transparency Rule.

What CPT 93000 covers: the provider's professional fee for ecg / ekg. 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.

Why ECG / EKG Visit Costs Vary Across South Dakota

South Dakota's healthcare costs run approximately 3% above national averages despite the state's lower overall cost of living. The state's vast rural geography and limited provider competition contribute to pricing variations that can exceed 100% between metropolitan areas and frontier communities.

Urban vs. Rural Provider Availability

The Sioux Falls and Rapid City metropolitan areas contain the majority of South Dakota's cardiac testing facilities, while residents in counties like Harding and Jones may travel over 100 miles for ECG / EKG services. This geographic disparity creates transportation costs and often forces rural patients to accept higher pricing due to limited options.

Facility Type and Overhead Costs

Sanford Health and Avera Health System dominate South Dakota's hospital market, operating both inpatient facilities and outpatient clinics that may charge facility fees for ECG / EKG services. Independent cardiology practices and urgent care centers typically offer lower base prices but may have limited hours or services compared to hospital-based departments.

Insurance Market Competition in South Dakota

Wellmark Blue Cross Blue Shield maintains significant market share across South Dakota, particularly in rural areas where they may be the only option on the individual marketplace. Limited insurer competition allows for higher negotiated rates compared to states with more robust insurance markets, directly affecting patient out-of-pocket costs.

Physician Supply and Demand in South Dakota

With 328 active ECG / EKG providers serving approximately 895,000 residents, South Dakota maintains adequate access in urban areas but faces shortages in rural regions. This supply imbalance allows providers in underserved areas to maintain higher pricing due to limited patient alternatives for cardiac testing services.

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 — ECG / EKG Costs in South Dakota

What is the average cost of a ECG / EKG visit in South Dakota without insurance?

Based on transparency data, ECG / EKG visits in South Dakota show consistent pricing at $26.50 across providers. However, facility fees and additional testing can significantly increase total costs, with uninsured patients potentially paying $100-300 for a complete cardiac evaluation including ECG / EKG interpretation.

Does South Dakota Medicaid cover ECG / EKG visits?

South Dakota Medicaid covers medically necessary ECG / EKG services for eligible recipients, though the state has not expanded Medicaid under the Affordable Care Act. Traditional Medicaid categories include pregnant women, children, elderly, and disabled individuals, with prior authorization sometimes required for non-emergency cardiac testing.

How do I find an affordable ECG / EKG near me in South Dakota?

Compare costs between independent clinics and hospital-based facilities, as the latter often charge additional facility fees. Community health centers in cities like Sioux Falls and Aberdeen may offer sliding scale fees based on income, while many rural clinics provide cash-pay discounts for uninsured patients.

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

Initial ECG / EKG consultations typically cost more due to comprehensive evaluation and testing, while follow-up visits for established patients may only involve ECG / EKG monitoring without extended consultation. The difference can range from $50-150 depending on the provider and complexity of your cardiac condition.

Can I use an HSA or FSA to pay for a ECG / EKG visit in South Dakota?

ECG / EKG visits qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for copays, deductibles, and any out-of-pocket costs related to cardiac diagnostic testing, including transportation costs if traveling significant distances for care.

How does telemedicine affect the cost of seeing a ECG / EKG in South Dakota?

While ECG / EKG testing requires in-person visits for the actual procedure, telemedicine can reduce costs for consultation and results interpretation. South Dakota expanded telehealth coverage during the pandemic, allowing remote follow-up visits that may cost 20-30% less than in-person consultations while eliminating travel expenses for rural patients.

Click a state to compare costs

Average Visit Cost

$22
$132

Office visit (CPT 93000)

Compare With Other States

RankStateAverage
1Missouri
Range: $16$358
$132
2Arkansas
Range: $14$358
$132
3Wisconsin
Range: $19$102
$65
4Alaska
Range: $14$95
$63
5Kentucky
Range: $14$88
$61
6Connecticut
Range: $14$93
$57
7Pennsylvania
Range: $13$90
$53
8California
Range: $16$88
$51
9Florida
Range: $16$80
$45
10Georgia
Range: $14$93
$45
11Iowa
Range: $14$93
$45
12Virginia
Range: $13$98
$44
13Rhode Island
Range: $14$90
$44
14Michigan
Range: $15$95
$44
15Indiana
Range: $14$88
$43
16Idaho
Range: $14$90
$43
17District of Columbia
Range: $13$85
$43
18Texas
Range: $14$90
$43
19Nevada
Range: $14$85
$43
20Oklahoma
Range: $14$85
$43
21Utah
Range: $14$88
$42
22Colorado
Range: $16$85
$42
23New Mexico
Range: $15$83
$42
24Illinois
Range: $17$85
$42
25North Carolina
Range: $14$85
$42
26Minnesota
Range: $25$73
$42
27Hawaii
Range: $14$85
$41
28South Carolina
Range: $14$88
$41
29Wyoming
Range: $14$80
$41
30Louisiana
Range: $14$90
$40
31West Virginia
Range: $14$91
$39
32Tennessee
Range: $14$85
$39
33Ohio
Range: $11$85
$39
34Oregon
Range: $14$85
$37
35Alabama
Range: $11$80
$37
36Arizona
Range: $14$80
$37
37Washington
Range: $14$80
$36
38Montana
Range: $14$80
$36
39New Hampshire
Range: $17$60
$36
40Massachusetts
Range: $14$80
$36
41New Jersey
Range: $13$68
$35
42Vermont
Range: $11$73
$34
43New York
Range: $10$63
$30
44Kansas
Range: $14$53
$29
45Mississippi
Range: $13$58
$29
46Maine
Range: $22$35
$28
47South Dakota
Range: $27$27
$27
48North Dakota
Range: $26$27
$26
49Delaware
Range: $15$46
$25
50Maryland
Range: $14$37
$23
51Nebraska
Range: $14$37
$22
ECG / EKG in Other States