South Dakota · 95910

Nerve Conduction, 7-8 Studies in South Dakota

South Dakota Medicare Avg
$95.51
22% below national avg
National Medicare Avg
$122.44
All states combined
Billed Charge (SD)
$560.10
What providers submit
Est. Commercial (SD)
$262.57
National avg: $343.36
Est. Cash / Self-Pay (SD)
$250.09
Typical self-pay discount

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

679
Services in SD
36
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Dakota

Provider Medicare Services
Grudem, Jon MD $128.22 86

South Dakota Pricing in Context

In South Dakota, CPT code 95910 (Nerve Conduction, 7-8 Studies) carries an average Medicare payment of $95.51 — 22% below the national benchmark of $122.44. 36 providers across the state submitted claims for this procedure in 2023, performing 679 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 $560.10, 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 Medicine procedures, the estimated commercial insurance price in South Dakota lands near $262.57, with self-pay cash prices typically around $250.09. 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 Nerve Conduction, 7-8 Studies cost in South Dakota?

The average Medicare payment for Nerve Conduction, 7-8 Studies in South Dakota is $95.51, which is 22% below the national average of $122.44. Providers in SD typically bill $560.10 for this procedure.

What does Nerve Conduction, 7-8 Studies cost with insurance in South Dakota?

With commercial insurance in South Dakota, Nerve Conduction, 7-8 Studies costs an estimated $262.57. Without insurance, the estimated cash price is $250.09. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Nerve Conduction, 7-8 Studies in South Dakota?

36 providers in South Dakota billed Medicare for Nerve Conduction, 7-8 Studies in 2023, performing 679 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Nerve Conduction, 7-8 Studies cheaper in South Dakota than the national average?

Yes — Nerve Conduction, 7-8 Studies costs 22% below the national average in South Dakota. The state average Medicare payment is $95.51 compared to $122.44 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