Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Est Patient Level 4 Mod Comp
Sioux Falls, SD
See all hospitals reporting CPT 99214 →Price type
Avera Behavioral Health Hospital’s median price of $179 is 12% above the median hospital's median price ($159), higher than 57% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Wellmark hmo inpatient | $102.36 | $102.36 | $102.36 – $102.36 |
| 2 | Wellmark ppo inpatient | $102.36 | $102.36 | $102.36 – $102.36 |
| 3 | Wellmark hmo fee schedule · both | $151.00 | $151.00 | $151.00 – $151.00 |
| 4 | Wellmark ppo fee schedule · both | $151.00 | $151.00 | $151.00 – $151.00 |
| 5 | UnitedHealthcare com fee schedule · both | $152.04 | $152.04 | $152.04 – $152.04 |
| 6 | Healthpartners com fee schedule · both | $170.96 | $170.96 | $170.96 – $170.96 |
| 7 | Medica com fee schedule · both | $205.61 | $205.61 | $205.61 – $205.61 |
| 8 | Medica ind fee schedule · both | $205.61 | $205.61 | $205.61 – $205.61 |
| 9 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $279.37 | $224.40 | $59.47 – $279.37 |
| 10 | Medica ind percent of total billed charges · outpatientfrom % of charges | $307.85 | $247.27 | $65.53 – $307.85 |
| 11 | Medica com percent of total billed charges · outpatientfrom % of charges | $358.75 | $288.16 | $76.37 – $358.75 |
| 12 | UnitedHealthcare com fee schedule · outpatient | $313.07 | $313.07 | $313.07 – $313.07 |
Last updated: Apr 1, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.