Cost of a Hip Replacement Surgery Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's rural geography creates unique challenges for accessing orthopedic specialists, with many patients traveling significant distances for Hip Replacement Surgery consultations. Based on negotiated insurance rates, Hip Replacement Surgery visits in South Dakota show costs approximately 3% above national averages, with significant variation between Sioux Falls' concentrated provider network and the state's frontier regions. South Dakota maintains 67 active Hip Replacement Surgery providers across the state, giving patients options for finding quality orthopedic care.
Average
$1,624
Median
$1,769
Lowest
$90
Highest
$3,012
Providers
67
19% below national average
Compare Similar Procedures
How does hip replacement 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 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $95 | $778 | $1,313 | 53 |
| 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 27130 — Total hip arthroplasty). 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 27130 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27130 (Total hip arthroplasty), as mandated by the CMS Price Transparency Rule.
What CPT 27130 covers: the provider's professional fee for hip replacement. 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 Hip Replacement Surgery Visit Costs Vary Across South Dakota
South Dakota's orthopedic surgery costs run approximately 3% above national averages, reflecting the state's rural geography and concentrated specialist networks in major cities. The significant distances between communities create unique cost pressures as practices must serve large geographic areas with relatively small patient populations.
Urban vs. Rural Provider Availability
Sioux Falls and Rapid City concentrate most of South Dakota's Hip Replacement Surgery specialists, while vast rural areas may have no local orthopedic coverage within 100 miles. This geographic disparity forces rural patients to travel significant distances for specialized care, often adding travel costs to medical expenses. The limited rural provider network can also mean longer wait times and higher demand-driven pricing in smaller communities.
Facility Type and Overhead Costs
Hospital-affiliated orthopedic clinics dominate South Dakota's major medical centers, with Sanford Health and Monument Health operating extensive networks that include facility fees. Independent orthopedic practices are more common in mid-sized communities like Aberdeen and Brookings, typically offering lower overhead costs and more negotiable pricing. The consolidation trend toward hospital ownership has generally increased Hip Replacement Surgery visit costs across the state.
Insurance Market Competition in South Dakota
Wellmark Blue Cross Blue Shield, Sanford Health Plan, and United Healthcare control most of South Dakota's insurance market, creating limited competition that can keep negotiated rates elevated. The concentrated insurer marketplace means fewer competitive pressures to reduce Hip Replacement Surgery reimbursement rates. Rural areas often have even fewer insurer options, sometimes leaving patients with just one or two in-network orthopedic providers.
Physician Supply and Demand in South Dakota
With 67 active Hip Replacement Surgery providers serving the entire state, South Dakota maintains adequate but not abundant orthopedic specialist coverage for its population. This moderate supply-demand balance generally supports stable pricing without the extreme shortages seen in some frontier states. However, subspecialty services like pediatric orthopedics or complex revision surgeries may require referral to larger regional centers, potentially increasing costs.
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 — Hip Replacement Surgery Costs in South Dakota
What is the average cost of a Hip Replacement Surgery visit in South Dakota without insurance?
Does South Dakota Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement 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 Hip Replacement Surgery visit in South Dakota?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in South Dakota?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27130)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,565 | $4,747 |
| 2 | Alaska Range: $1,137 – $6,292 | $3,083 |
| 3 | Connecticut Range: $807 – $6,060 | $2,863 |
| 4 | New York Range: $900 – $6,060 | $2,750 |
| 5 | Georgia Range: $1,115 – $5,088 | $2,741 |
| 6 | Massachusetts Range: $80 – $6,060 | $2,717 |
| 7 | Wyoming Range: $1,632 – $4,245 | $2,717 |
| 8 | Rhode Island Range: $80 – $6,060 | $2,706 |
| 9 | New Hampshire Range: $1,435 – $4,083 | $2,653 |
| 10 | Montana Range: $80 – $6,442 | $2,639 |
| 11 | Delaware Range: $80 – $6,060 | $2,571 |
| 12 | Nebraska Range: $1,627 – $3,012 | $2,526 |
| 13 | Pennsylvania Range: $80 – $6,060 | $2,506 |
| 14 | Washington Range: $1,500 – $3,707 | $2,415 |
| 15 | Iowa Range: $91 – $3,950 | $2,326 |
| 16 | New Jersey Range: $953 – $4,590 | $2,322 |
| 17 | Maine Range: $1,585 – $2,639 | $2,238 |
| 18 | New Mexico Range: $1,203 – $3,377 | $2,225 |
| 19 | District of Columbia Range: $1,045 – $3,311 | $2,214 |
| 20 | West Virginia Range: $90 – $4,590 | $2,119 |
| 21 | Colorado Range: $940 – $3,328 | $2,082 |
| 22 | Utah Range: $90 – $2,909 | $1,936 |
| 23 | North Carolina Range: $90 – $3,786 | $1,919 |
| 24 | Vermont Range: $959 – $3,289 | $1,902 |
| 25 | Oregon Range: $90 – $3,637 | $1,883 |
| 26 | Mississippi Range: $1,040 – $3,084 | $1,819 |
| 27 | Illinois Range: $85 – $3,707 | $1,819 |
| 28 | Missouri Range: $1,274 – $2,249 | $1,813 |
| 29 | Kentucky Range: $386 – $3,244 | $1,804 |
| 30 | Tennessee Range: $1,095 – $2,579 | $1,792 |
| 31 | Indiana Range: $85 – $3,549 | $1,751 |
| 32 | Nevada Range: $1,115 – $2,360 | $1,717 |
| 33 | California Range: $80 – $3,012 | $1,704 |
| 34 | Kansas Range: $1,274 – $2,226 | $1,700 |
| 35 | Maryland Range: $1,124 – $2,667 | $1,694 |
| 36 | Virginia Range: $920 – $2,659 | $1,684 |
| 37 | Louisiana Range: $960 – $2,505 | $1,674 |
| 38 | Idaho Range: $90 – $3,023 | $1,652 |
| 39 | Hawaii Range: $90 – $2,947 | $1,644 |
| 40 | South Dakota Range: $90 – $3,012 | $1,624 |
| 41 | Michigan Range: $80 – $2,869 | $1,566 |
| 42 | Arizona Range: $1,097 – $2,279 | $1,504 |
| 43 | Arkansas Range: $90 – $2,535 | $1,488 |
| 44 | South Carolina Range: $80 – $2,907 | $1,477 |
| 45 | Alabama Range: $80 – $2,767 | $1,453 |
| 46 | Ohio Range: $85 – $2,491 | $1,331 |
| 47 | Oklahoma Range: $85 – $2,536 | $1,298 |
| 48 | Texas Range: $90 – $2,602 | $1,277 |
| 49 | Minnesota Range: $91 – $3,227 | $1,136 |
| 50 | Florida Range: $35 – $2,391 | $827 |
| 51 | North Dakota Range: $91 – $2,019 | $734 |