Logo
South Dakota

Cost of a Brain MRI Visit
in South Dakota

Reviewed by Momentary Medical Group West PC

South Dakota's rural healthcare infrastructure presents unique challenges, with over 60% of the state's counties designated as medically underserved areas. Brain MRI costs reflect this geographic reality, with patients typically paying between negotiated rates of $247 to $552 depending on facility type and location. South Dakota maintains 321 active Brain MRI providers across the state, allowing patients to browse options from Sioux Falls medical centers to smaller regional facilities throughout the Mount Rushmore State.

Average

$450

Median

$552

Lowest

$247

Highest

$552

Providers

321

National avg: $478South Dakota: $450

6% below national average

Compare Similar Procedures

How does mri brain compare to related procedures in South Dakota?

ProcedureCPTLowMedianHighProviders
MRI Knee

MRI of the knee without contrast

73721$130$327$327320
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$142$368$368323
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$79$268$2,15688
CT Chest

CT scan of the chest with contrast

71260$134$171$222321

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 70553MRI brain without contrast, then with contrast). 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 70553 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 70553 (MRI brain without contrast, then with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 70553 covers: the provider's professional fee for mri brain. 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 Brain MRI Visit Costs Vary Across South Dakota

South Dakota's Brain MRI costs run approximately 57% above national averages, reflecting the state's rural geography and concentrated provider network. The Mount Rushmore State's sparse population density creates unique cost pressures as medical facilities must serve large geographic areas with fewer patients to spread overhead costs.

Urban vs. Rural Provider Availability

Brain MRI services concentrate heavily in Sioux Falls and Rapid City, with limited options in rural counties covering thousands of square miles. Patients in western South Dakota often travel over 100 miles to reach specialized neuroimaging facilities, adding transportation costs to their care. This geographic disparity creates higher demand and pricing power for urban providers while leaving rural residents with fewer cost-saving alternatives.

Facility Type and Overhead Costs

Sanford Health and Avera Health systems dominate South Dakota's hospital market, with their outpatient imaging centers typically charging premium rates compared to independent facilities. Hospital-based Brain MRI services carry additional facility fees that can double the total cost versus standalone imaging centers. The state's harsh winters and infrastructure challenges increase operational costs for all healthcare facilities, particularly those maintaining expensive MRI equipment.

Insurance Market Competition in South Dakota

Limited insurer competition between Wellmark Blue Cross Blue Shield, Sanford Health Plan, and UnitedHealthcare reduces pricing pressure on Brain MRI services throughout the state. This concentrated market allows insurers to negotiate less aggressively with providers, often resulting in higher allowed amounts that translate to increased patient costs. Rural areas face even less competition, with some counties served by only one or two insurance options.

Physician Supply and Demand in South Dakota

With 321 active Brain MRI providers serving fewer than 900,000 residents, South Dakota maintains adequate specialist coverage in urban areas but faces shortages in rural regions. The state's physician recruitment challenges, particularly in radiology and neurology, create pricing power for existing providers. Long wait times for appointments in some areas allow facilities to maintain higher pricing without losing patient volume.

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 — Brain MRI Costs in South Dakota

What is the average cost of a Brain MRI visit in South Dakota without insurance?

Uninsured patients in South Dakota typically pay between $247 to $552 for Brain MRI services, with a median cost around $552 based on negotiated rate data. These prices reflect what insurers actually pay providers, though self-pay patients may receive discounts of 20-40% at many facilities. Independent imaging centers often charge less than hospital-based services, making it worth comparing options across different facility types.

Does South Dakota Medicaid cover Brain MRI visits?

South Dakota Medicaid covers medically necessary Brain MRI visits for eligible recipients, though the state chose not to expand Medicaid under the Affordable Care Act. This limits coverage to traditional categories like pregnant women, children, elderly, and disabled individuals, leaving many low-income adults without coverage. Prior authorization may be required to ensure the imaging meets medical necessity criteria before approval.

How do I find an affordable Brain MRI near me in South Dakota?

Compare costs between hospital-based imaging centers and independent facilities, as standalone clinics often charge 30-50% less than hospital outpatient departments. Many South Dakota providers offer cash-pay discounts for uninsured patients, so ask about self-pay rates even if you have insurance with high deductibles. Community health centers in larger cities may provide referrals to lower-cost imaging options, and some facilities offer payment plans to spread costs over several months.

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

Brain MRI costs remain consistent whether it's your first scan or a follow-up study, as the imaging procedure itself doesn't vary based on visit type. However, the radiologist consultation or neurologist visit associated with reviewing results may cost differently, with initial consultations typically running higher than established patient follow-ups. The median negotiated rate of $552 applies to the MRI procedure regardless of whether it's screening new symptoms or monitoring known conditions.

Can I use an HSA or FSA to pay for a Brain MRI visit in South Dakota?

Yes, Brain MRI visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) when ordered by a physician for medical reasons. You can use these pre-tax dollars to pay deductibles, copays, and any remaining balance after insurance coverage. Keep receipts and documentation showing the medical necessity of the imaging, as the IRS requires proof that expenses qualify under tax-advantaged account rules.

How does telemedicine affect the cost of seeing a Brain MRI in South Dakota?

While the Brain MRI scan itself must be performed in person at an imaging facility, telemedicine can reduce costs for initial consultations and follow-up visits to discuss results. Many South Dakota neurologists and radiologists offer virtual appointments for $100-200 less than in-person visits, which is particularly valuable for rural patients who would otherwise travel long distances. Telehealth consultations can help determine if brain imaging is necessary before committing to the full cost of the procedure.

Click a state to compare costs

Average Visit Cost

$265
$1,291

Office visit (CPT 70553)

Compare With Other States

RankStateAverage
1North Dakota
Range: $221$3,100
$1,291
2Minnesota
Range: $88$3,100
$1,247
3Wisconsin
Range: $80$2,464
$975
4Nevada
Range: $135$1,458
$698
5Georgia
Range: $101$1,468
$653
6Hawaii
Range: $88$1,014
$577
7Massachusetts
Range: $90$1,060
$567
8Maine
Range: $178$1,023
$548
9Wyoming
Range: $100$1,112
$537
10Utah
Range: $94$1,045
$510
11Nebraska
Range: $208$793
$504
12New Mexico
Range: $98$1,063
$492
13New Hampshire
Range: $129$993
$489
14Washington
Range: $100$863
$489
15North Carolina
Range: $99$988
$485
16Iowa
Range: $95$842
$483
17Colorado
Range: $95$1,015
$475
18Indiana
Range: $85$1,014
$471
19Louisiana
Range: $92$766
$468
20Alaska
Range: $97$948
$454
21South Dakota
Range: $247$552
$450
22West Virginia
Range: $98$687
$446
23Vermont
Range: $82$983
$443
24Virginia
Range: $76$970
$437
25Michigan
Range: $80$917
$430
26Rhode Island
Range: $88$879
$429
27Idaho
Range: $88$793
$428
28District of Columbia
Range: $90$879
$426
29Oregon
Range: $103$623
$426
30Illinois
Range: $93$842
$417
31New York
Range: $82$926
$417
32Tennessee
Range: $109$823
$417
33Montana
Range: $100$590
$414
34Kansas
Range: $107$818
$401
35Kentucky
Range: $83$842
$398
36South Carolina
Range: $82$829
$390
37Alabama
Range: $88$811
$384
38Pennsylvania
Range: $57$879
$384
39Oklahoma
Range: $85$817
$377
40Mississippi
Range: $89$811
$376
41New Jersey
Range: $63$830
$374
42Ohio
Range: $78$813
$373
43Texas
Range: $90$721
$355
44Maryland
Range: $46$737
$351
45Delaware
Range: $98$596
$345
46Missouri
Range: $115$628
$342
47Arkansas
Range: $104$630
$340
48Connecticut
Range: $55$777
$337
49Florida
Range: $35$811
$302
50Arizona
Range: $100$550
$288
51California
Range: $55$654
$265
MRI Brain in Other States