South Dakota · 17110

Destruction Of Skin Growth, 1-14 Growths in South Dakota

South Dakota Medicare Avg
$53.69
28% below national avg
National Medicare Avg
$74.80
All states combined
Billed Charge (SD)
$182.00
What providers submit
Est. Commercial (SD)
$157.65
National avg: $233.63
Est. Cash / Self-Pay (SD)
$107.73
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

11.5K
Services in SD
305
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Dakota

Provider Medicare Services
Brunner, William MD $28.06 1.6K

South Dakota Pricing in Context

In South Dakota, CPT code 17110 (Destruction Of Skin Growth, 1-14 Growths) carries an average Medicare payment of $53.69 — 28% below the national benchmark of $74.80. 305 providers across the state submitted claims for this procedure in 2023, performing 11.5K total services. Individual payments in SD ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in South Dakota is $182.00, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because South Dakota sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in South Dakota lands near $157.65, with self-pay cash prices typically around $107.73. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Destruction Of Skin Growth, 1-14 Growths cost in South Dakota?

The average Medicare payment for Destruction Of Skin Growth, 1-14 Growths in South Dakota is $53.69, which is 28% below the national average of $74.80. Providers in SD typically bill $182.00 for this procedure.

What does Destruction Of Skin Growth, 1-14 Growths cost with insurance in South Dakota?

With commercial insurance in South Dakota, Destruction Of Skin Growth, 1-14 Growths costs an estimated $157.65. Without insurance, the estimated cash price is $107.73. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Destruction Of Skin Growth, 1-14 Growths in South Dakota?

305 providers in South Dakota billed Medicare for Destruction Of Skin Growth, 1-14 Growths in 2023, performing 11.5K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Destruction Of Skin Growth, 1-14 Growths cheaper in South Dakota than the national average?

Yes — Destruction Of Skin Growth, 1-14 Growths costs 28% below the national average in South Dakota. The state average Medicare payment is $53.69 compared to $74.80 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial