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Sentinel lymph node biopsy (underarm) in South Dakota: what insurers pay

Posted commercial rates at 5 South Dakota hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Huron Regional Medical Center Huron$5,2431.3×12026-03-31
Monument Health Spearfish Hospital Spearfish$5,5021.4×12026-09-01
Monument Health Rapid City Hospital Rapid City$5,6031.4×12026-09-01
Sanford Usd Medical Center Sioux Falls$5,9091.5×12026-03-04
Same Day Surgery Center Llc Rapid City$18,4964.6×22026-09-10

Questions

How much do insurers pay for sentinel lymph node biopsy (underarm) in South Dakota?

5 South Dakota hospitals post usable commercial rates for sentinel lymph node biopsy (underarm) in their federal price-transparency files. For CPT 38525, hospital outpatient, the median across 5 hospitals is $5,603, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.