South Dakota · 73100

X-Ray Of Wrist, 2 Views in South Dakota

South Dakota Medicare Avg
$7.98
50% below national avg
National Medicare Avg
$15.93
All states combined
Billed Charge (SD)
$28.77
What providers submit
Est. Commercial (SD)
$22.76
National avg: $47.83
Est. Cash / Self-Pay (SD)
$16.24
Typical self-pay discount

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

515
Services in SD
125
Providers
N/A
Min Payment
N/A
Max Payment

South Dakota Pricing in Context

In South Dakota, CPT code 73100 (X-Ray Of Wrist, 2 Views) carries an average Medicare payment of $7.98 — 50% below the national benchmark of $15.93. 125 providers across the state submitted claims for this procedure in 2023, performing 515 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 $28.77, 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 X-Ray procedures, the estimated commercial insurance price in South Dakota lands near $22.76, with self-pay cash prices typically around $16.24. 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 X-Ray Of Wrist, 2 Views cost in South Dakota?

The average Medicare payment for X-Ray Of Wrist, 2 Views in South Dakota is $7.98, which is 50% below the national average of $15.93. Providers in SD typically bill $28.77 for this procedure.

What does X-Ray Of Wrist, 2 Views cost with insurance in South Dakota?

With commercial insurance in South Dakota, X-Ray Of Wrist, 2 Views costs an estimated $22.76. Without insurance, the estimated cash price is $16.24. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Wrist, 2 Views in South Dakota?

125 providers in South Dakota billed Medicare for X-Ray Of Wrist, 2 Views in 2023, performing 515 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Wrist, 2 Views cheaper in South Dakota than the national average?

Yes — X-Ray Of Wrist, 2 Views costs 50% below the national average in South Dakota. The state average Medicare payment is $7.98 compared to $15.93 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