South Dakota · 92542

Test For Abnormal Eye Movement Using 3 Positions With Recording in South Dakota

South Dakota Medicare Avg
$21.28
1% above national avg
National Medicare Avg
$21.09
All states combined
Billed Charge (SD)
$72.95
What providers submit
Est. Commercial (SD)
$57.56
National avg: $59.99
Est. Cash / Self-Pay (SD)
$41.12
Typical self-pay discount

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

21
Services in SD
3
Providers
N/A
Min Payment
N/A
Max Payment

South Dakota Pricing in Context

In South Dakota, CPT code 92542 (Test For Abnormal Eye Movement Using 3 Positions With Recording) carries an average Medicare payment of $21.28 — 1% above the national benchmark of $21.09. 3 providers across the state submitted claims for this procedure in 2023, performing 21 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 $72.95, 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 above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in South Dakota lands near $57.56, with self-pay cash prices typically around $41.12. 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 Test For Abnormal Eye Movement Using 3 Positions With Recording cost in South Dakota?

The average Medicare payment for Test For Abnormal Eye Movement Using 3 Positions With Recording in South Dakota is $21.28, which is 1% above the national average of $21.09. Providers in SD typically bill $72.95 for this procedure.

What does Test For Abnormal Eye Movement Using 3 Positions With Recording cost with insurance in South Dakota?

With commercial insurance in South Dakota, Test For Abnormal Eye Movement Using 3 Positions With Recording costs an estimated $57.56. Without insurance, the estimated cash price is $41.12. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Test For Abnormal Eye Movement Using 3 Positions With Recording in South Dakota?

3 providers in South Dakota billed Medicare for Test For Abnormal Eye Movement Using 3 Positions With Recording in 2023, performing 21 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Test For Abnormal Eye Movement Using 3 Positions With Recording cheaper in South Dakota than the national average?

No — Test For Abnormal Eye Movement Using 3 Positions With Recording costs 1% above the national average in South Dakota. The state average Medicare payment is $21.28 compared to $21.09 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