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Below-Knee Amputation With Immediate Cast

South Dakota rates for HCPCS 27881

Removes the leg through the two bones of the lower leg, below the knee, shaping a stump that can later carry an artificial limb. A rigid cast is applied straight away in the operating room to control swelling, protect the stump and allow early fitting of a prosthesis. Keeping the knee joint makes walking with an artificial limb considerably easier.

Rates data updated October 2026.

How much does Below-Knee Amputation With Immediate Cast cost?

$4,896

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,896 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,660$1,288 to $1,950
Facility feeThe hospital or surgery center$3,236$1,148 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $3,890Professionalmedian $1,660 · 10th to 90th $933 to $2,344
$1K$2K$5Kfacility $3,236professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,819.70
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,949.84
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,905.46
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,659.59
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,659.59
Typical High
$1,949.84

Where South Dakota sits

The same service costs 5.0 times more in Alabama than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 16th of 51

$4,896

$1,660 physician + $3,236 facility

AL $11,256KY $2,261

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.