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South Dakota

Cost of a Knee MRI Visit
in South Dakota

Reviewed by Momentary Medical Group West PC

South Dakota's predominantly rural healthcare infrastructure creates unique pricing patterns for specialized imaging services across the state's 66 counties. Patients seeking a Knee MRI typically pay between $131 and $327, with a median out-of-pocket cost of $327 based on negotiated insurance rates. South Dakota maintains 320 active Knee MRI providers, offering patients reasonable access to imaging services throughout the state.

Average

$262

Median

$327

Lowest

$131

Highest

$327

Providers

320

National avg: $268South Dakota: $262

3% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$247$552$552321
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 73721MRI any joint of lower extremity without 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 73721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 73721 (MRI any joint of lower extremity without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 73721 covers: the provider's professional fee for mri knee. 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 Knee MRI Visit Costs Vary Across South Dakota

South Dakota's healthcare costs run approximately 3% above the national average, reflecting the state's unique blend of rural access challenges and urban healthcare concentration. The state's dispersed population across vast geographic distances creates cost pressures that affect medical imaging pricing throughout the region.

Urban vs. Rural Provider Availability

Sioux Falls and Rapid City anchor the state's imaging infrastructure, while rural counties often lack local MRI capabilities, forcing patients to travel significant distances for services. This geographic reality creates pricing advantages in urban markets due to competition while rural areas may face higher costs due to limited options. Transportation costs for rural patients effectively increase the total cost of obtaining imaging services.

Facility Type and Overhead Costs

Hospital-based outpatient imaging departments typically charge higher facility fees than independent radiology centers due to increased overhead and regulatory requirements. Sanford Health and Avera Health Systems operate many of the state's hospital-based imaging centers, while several independent practices provide competition in urban markets. Equipment financing costs for expensive MRI machines are often reflected in pricing structures across all facility types.

Insurance Market Competition in South Dakota

The presence of Wellmark Blue Cross Blue Shield, Sanford Health Plan, and UnitedHealthcare creates moderate insurer competition, though rural markets may have fewer plan options than urban areas. Regional insurers often negotiate different rates with the same providers, leading to cost variations based on plan selection. Limited insurer competition in some markets can result in higher negotiated rates compared to states with more robust insurance marketplaces.

Physician Supply and Demand in South Dakota

With 320 active providers offering Knee MRI services, South Dakota maintains reasonable access to imaging relative to its population size, though geographic distribution favors urban centers. The state's physician shortage in rural areas extends to radiology services, potentially affecting wait times and pricing in underserved regions. Adequate provider supply in metropolitan areas helps maintain competitive pricing while rural markets may experience premium pricing due to limited alternatives.

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 — Knee MRI Costs in South Dakota

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

Uninsured patients in South Dakota typically pay between $131 and $327 for a Knee MRI, with a median cost of $327 based on current negotiated rates. Many facilities offer cash-pay discounts of 20-40% off standard rates for uninsured patients who pay at the time of service. Independent imaging centers often provide more flexible pricing than hospital-based facilities, making it worthwhile to compare options across different provider types.

Does South Dakota Medicaid cover Knee MRI visits?

South Dakota Medicaid covers medically necessary Knee MRI studies when ordered by participating providers and meeting clinical criteria. Since South Dakota has not expanded Medicaid, coverage is limited to pregnant women, children, elderly, and disabled individuals who meet strict income requirements. Prior authorization is typically required, and the referring physician must demonstrate that conservative treatments have been attempted or that urgent clinical indications exist.

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

Compare pricing between hospital-based imaging departments and independent radiology centers, as independent facilities often offer lower rates. Ask about cash-pay discounts if you're uninsured or have high deductible plans, as many South Dakota providers offer substantial savings for immediate payment. Community health centers in urban areas may offer sliding fee scales based on income, while teleradiology partnerships can sometimes reduce interpretation costs.

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

The provided data focuses specifically on MRI imaging costs rather than consultation fees. Knee MRI studies typically cost between $131-$327 regardless of whether they're ordered during an initial evaluation or follow-up visit. However, the physician consultation fees associated with ordering and reviewing the MRI results would be separate charges that vary based on visit complexity and provider type.

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

Yes, Knee MRI studies ordered by a physician for medical diagnosis are qualified medical expenses that can be paid using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. Keep all documentation including the physician order and receipt for tax purposes. HSA funds offer the additional advantage of rolling over year to year, while FSA funds typically must be used within the plan year or during a brief grace period.

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

Telemedicine can reduce costs by enabling remote consultations to determine if MRI imaging is necessary before scheduling expensive studies. South Dakota's rural population particularly benefits from telehealth options that eliminate travel costs for initial evaluations with specialists. Some imaging centers partner with teleradiology services for interpretation, which can reduce overall costs compared to traditional radiologist fees, though the imaging procedure itself still requires in-person visits.

Click a state to compare costs

Average Visit Cost

$183
$447

Office visit (CPT 73721)

Compare With Other States

RankStateAverage
1Georgia
Range: $64$1,036
$447
2Wisconsin
Range: $73$1,001
$404
3Maine
Range: $105$701
$366
4Nevada
Range: $80$642
$357
5Wyoming
Range: $59$697
$336
6Massachusetts
Range: $70$590
$329
7Hawaii
Range: $75$505
$322
8Nebraska
Range: $123$504
$322
9Minnesota
Range: $83$507
$306
10Colorado
Range: $60$642
$299
11Washington
Range: $59$505
$297
12New Hampshire
Range: $77$590
$296
13Iowa
Range: $80$516
$296
14Illinois
Range: $69$595
$295
15North Carolina
Range: $65$580
$290
16Indiana
Range: $59$595
$284
17Vermont
Range: $57$617
$281
18New Mexico
Range: $57$588
$281
19West Virginia
Range: $71$425
$274
20Utah
Range: $59$504
$273
21District of Columbia
Range: $53$560
$272
22Louisiana
Range: $55$429
$270
23Rhode Island
Range: $59$537
$267
24Oregon
Range: $75$393
$265
25Virginia
Range: $45$569
$262
26New York
Range: $48$582
$262
27South Dakota
Range: $131$327
$262
28Alaska
Range: $59$527
$261
29Idaho
Range: $59$462
$255
30Michigan
Range: $62$506
$252
31Kansas
Range: $65$504
$249
32Montana
Range: $59$358
$248
33Tennessee
Range: $66$479
$247
34North Dakota
Range: $83$327
$246
35Kentucky
Range: $59$492
$242
36Missouri
Range: $69$461
$238
37Alabama
Range: $53$479
$232
38Pennsylvania
Range: $55$506
$232
39Texas
Range: $59$464
$230
40South Carolina
Range: $58$468
$230
41Delaware
Range: $63$399
$226
42California
Range: $75$505
$220
43Mississippi
Range: $52$465
$220
44Oklahoma
Range: $55$464
$219
45New Jersey
Range: $47$466
$219
46Maryland
Range: $26$457
$218
47Ohio
Range: $45$452
$214
48Connecticut
Range: $55$472
$211
49Arkansas
Range: $66$327
$192
50Florida
Range: $35$479
$191
51Arizona
Range: $59$350
$183
MRI Knee in Other States