Self-Pay Options

Self-pay options are available for the following individuals:

No health insurance or lack of insurance coverage
Ensure full confidentiality
Use of health savings account (HSA) funds
Expedited care

Self-pay guests may submit payment using cash, credit or debit card, or certified check. No additional fees will be charged for credit card use. All prices are subject to change.

Procedure	Details
Comprehensive cardiology or vascular consultation with cardiologist	This includes: Obtaining a full medical, social, and family history Reviewing current medications in detail Taking a history of any medical complaints or concerns Performing a physical examination Electrocardiogram (EKG) Reviewing work, lifestyle and exercise habits Discussing ways to reduce cardiovascular risk and prevent adverse cardiovascular events Consider holistic or alternative therapies Forming and reviewing a plan of action Self-pay price: $400 Scheduled time: 60 minutes
Follow-up visit for cardiac and vascular disease patients	This includes: Reviewing current medications in detail Discussing any cardiovascular concerns Performing a physical examination Reviewing work, lifestyle, and exercise habits Consider holistic or alternative therapies Forming and reviewing a plan of action Self-pay price: $200 Scheduled time: 20-30 minutes
Transthoracic Echocardiogram (TTE)	A comprehensive diagnostic ultrasound examination performed by an expert cardiac sonographer to evaluate performance and function of the heart. This includes: Cost of equipment Cost of supplies (IV Line, imaging enhancer such as Definity) Cardiac sonographer Physician interpretation (Doppler, Global Longitudinal Strain, 3D LVEF) Physician phone call to discuss results Self-pay price: $910 Scheduled time: 45-60 minutes
Transesophageal Echocardiogram (TEE)	A diagnostic ultrasound examination performed by an expert cardiologist, with help from nursing staff and a cardiac sonographer. This test is usually performed to obtain high-definition images of cardiac valves and other cardiac structures. Price includes: Cost of equipment Cost to sterilize equipment Cost of supplies (IV Line, imaging enhancer such as Definity) Moderate conscious sedation (narcotic medications) Cardiac sonographer Physician interpretation Physician phone call to discuss results Self-pay price: $1350 Scheduled time: 90-120 minutes
Nuclear stress test (SPECT)	A form of cardiac stress testing using radioactive isotopes to evaluate heart function at rest and after stress (treadmill or pharmacologic). If radioisotope uptake is abnormal, this may suggest a blockage inside the coronary arteries and higher risk of future heart attack. Price includes: Cost of equipment Cost of supplies (IV line, radioisotope such as Myoview) Licensing fees Nuclear technician Nursing supervision of stress testing (treadmill or pharmacologic) Continues electrocardiogram (EKG) monitoring Physician interpretation Physician phone call to discuss results Self-pay price: $1700 Scheduled time: 120 minutes
Carotid Duplex Ultrasound	A diagnostic ultrasound examination performed by an expert vascular sonographer, used to detect and characterize carotid artery stenosis and risk of future stroke. Cost of equipment Cost of supplies Ultrasound technician Physician interpretation Physician phone call to discuss results Self-pay price: $450 Scheduled time: 30-45 minutes
Peripheral Arterial Duplex Ultrasound	A diagnostic ultrasound examination performed by an expert vascular sonographer, used to evaluate blood flow to the legs and feet. Cost of equipment Cost of supplies Ultrasound technician Physician interpretation Physician phone call to discuss results Self-pay price: $550 (unilateral) or $800 (bilateral) Scheduled time: 30-60 minutes
Varicose Vein or Spider Vein therapy	This procedure typically requires a vascular ultrasound to identify dysfunctional veins in the lower extremities. Depending on the venous anatomy and tortuosity, one or more of the following therapies can be offered: Venaseal (Medtronic) ClosureFast (Medtronic) Varithena (Boston Scientific) Given the wide variation in patient anatomy and procedural needs, the cost of therapy can vary significantly. In general, the cost of varicose or spider vein therapy ranges from $450 to $2,000 (does not include cost of venous reflux ultrasound study). Please call to schedule a consultation to discuss individual needs.
Photon-counting CT (PCCT) Coronary Angiogram (Coming soon)	Black Hills Cardiovascular Institute, in collaboration with Black Hills Surgical Hospital imaging center, are pleased to offer a state-of-the-art cardiovascular diagnostic imaging test. At present time, there are less than 20 CT scanners of this kind in the United States of America. Only 1 CT scanner of this type exists within a 1,500 mile radius of Rapid City, SD. Drs. Thomas and Jeffrey Wilson understand the value of this emerging technology. We are excited to have the best heart scanner in the world arriving in 2025, right here in the Black Hills! For more information, please visit the following website: https://www.siemens-healthineers.com/en-us/computed-tomography/naeotom/pcct-cardiolog