Cost of a General Doctor (Adult) Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota operates with just 14 active General Doctor (Adult) providers across the entire state, creating unique access patterns in this largely rural healthcare market. Patients typically pay between $80 and $293 for visits, with a median out-of-pocket cost of $88, placing the state 18th nationally for affordability. Browse all General Doctor (Adult) providers in South Dakota to compare costs and find in-network options in your area.
Average
$154
Median
$88
Lowest
$80
Highest
$293
Providers
14
17% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $77 | $80 | $239 | 9 |
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 99214 — Office/outpatient visit, established patient, moderate complexity). 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 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for internal medicine visit. 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 Internists in South Dakota
Dr. Hollis Nipe, MD
Internal Medicine Physician · Watertown, SD
Dr. Eric Larson, MD
Internal Medicine Physician · Sioux Falls, SD
Dr. Brandon Allard, MD
Internal Medicine Physician · Sioux Falls, SD
Dr. David Nelson, MD
Internal Medicine Physician · Sioux Falls, SD
Dr. Douglas Lehmann, MD
Internal Medicine Physician · Rapid City, SD
Why General Doctor (Adult) Visit Costs Vary Across South Dakota
South Dakota's healthcare costs run approximately 3% above national averages despite the state's rural character, reflecting limited provider competition and the challenges of serving a geographically dispersed population. The concentration of medical services in Sioux Falls and Rapid City creates cost and access disparities that affect pricing patterns across the state's 66 counties.
Urban vs. Rural Provider Availability
Nearly two-thirds of South Dakota's General Doctor (Adult) providers practice in Sioux Falls and Rapid City, leaving vast rural areas dependent on telemedicine or long-distance travel for specialist care. This geographic concentration allows urban providers to maintain higher rates while rural patients face additional travel costs and limited scheduling options.
Facility Type and Overhead Costs
Hospital-owned specialty clinics in South Dakota typically charge 25-50% more than independent practices due to higher overhead costs and facility fees. Sanford Health and Avera Health systems dominate the market, with their employed physicians often charging premium rates compared to remaining independent practitioners.
Insurance Market Competition in South Dakota
Limited insurer competition between Wellmark Blue Cross Blue Shield, Sanford Health Plan, and UnitedHealthcare reduces negotiating pressure on provider rates throughout the state. Rural counties may have only one or two insurance options, allowing providers to maintain higher negotiated rates than in more competitive markets.
Physician Supply and Demand in South Dakota
With only 14 active General Doctor (Adult) providers serving nearly 900,000 residents, South Dakota faces a significant specialist shortage that drives up costs and extends wait times. This limited supply allows existing providers to maintain premium pricing while patients have few alternatives, particularly in rural regions where specialists may visit only monthly.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in South Dakota.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
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 — General Doctor (Adult) Costs in South Dakota
What is the average cost of a General Doctor (Adult) visit in South Dakota without insurance?
Does South Dakota Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) 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 General Doctor (Adult) visit in South Dakota?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in South Dakota?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $80 – $314 | $236 |
| 2 | New Hampshire Range: $113 – $282 | $205 |
| 3 | Maine Range: $85 – $255 | $197 |
| 4 | Wyoming Range: $98 – $303 | $177 |
| 5 | Iowa Range: $80 – $274 | $165 |
| 6 | Wisconsin Range: $73 – $315 | $162 |
| 7 | Minnesota Range: $73 – $313 | $159 |
| 8 | Vermont Range: $73 – $243 | $158 |
| 9 | New Mexico Range: $80 – $234 | $157 |
| 10 | South Dakota Range: $80 – $293 | $154 |
| 11 | Illinois Range: $73 – $226 | $151 |
| 12 | District of Columbia Range: $59 – $242 | $148 |
| 13 | Delaware Range: $80 – $200 | $141 |
| 14 | Massachusetts Range: $80 – $255 | $140 |
| 15 | California Range: $80 – $250 | $138 |
| 16 | New York Range: $73 – $200 | $135 |
| 17 | Washington Range: $80 – $242 | $134 |
| 18 | Michigan Range: $66 – $236 | $130 |
| 19 | Hawaii Range: $70 – $228 | $128 |
| 20 | Georgia Range: $74 – $202 | $127 |
| 21 | Connecticut Range: $80 – $202 | $125 |
| 22 | Arkansas Range: $72 – $175 | $125 |
| 23 | Indiana Range: $74 – $209 | $125 |
| 24 | Louisiana Range: $70 – $202 | $124 |
| 25 | Colorado Range: $80 – $203 | $124 |
| 26 | West Virginia Range: $80 – $159 | $124 |
| 27 | Oregon Range: $80 – $206 | $124 |
| 28 | Ohio Range: $70 – $201 | $124 |
| 29 | Rhode Island Range: $80 – $200 | $123 |
| 30 | Pennsylvania Range: $74 – $202 | $122 |
| 31 | Kentucky Range: $80 – $201 | $122 |
| 32 | Utah Range: $75 – $204 | $121 |
| 33 | North Dakota Range: $80 – $188 | $120 |
| 34 | North Carolina Range: $73 – $200 | $119 |
| 35 | Florida Range: $55 – $207 | $117 |
| 36 | Tennessee Range: $73 – $173 | $115 |
| 37 | Missouri Range: $72 – $146 | $115 |
| 38 | Maryland Range: $49 – $202 | $112 |
| 39 | Nevada Range: $48 – $202 | $112 |
| 40 | Kansas Range: $72 – $151 | $111 |
| 41 | Arizona Range: $65 – $179 | $111 |
| 42 | South Carolina Range: $73 – $163 | $105 |
| 43 | Oklahoma Range: $72 – $158 | $105 |
| 44 | New Jersey Range: $53 – $193 | $103 |
| 45 | Alabama Range: $64 – $160 | $101 |
| 46 | Mississippi Range: $64 – $150 | $101 |
| 47 | Idaho Range: $75 – $125 | $93 |
| 48 | Montana Range: $80 – $102 | $87 |
| 49 | Alaska Range: $80 – $91 | $84 |