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 5 High Comp
Sioux Falls, SD
See all hospitals reporting CPT 99215 →Price type
Avera Behavioral Health Hospital’s median price of $264 is 26% above the median hospital's median price ($210), higher than 64% of the 1,976 hospitals reporting CPT 99215. 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 | $27.66 | $27.66 | $27.66 – $27.66 |
| 2 | Wellmark ppo inpatient | $27.66 | $27.66 | $27.66 – $27.66 |
| 3 | UnitedHealthcare com fee schedule · both | $215.01 | $215.01 | $215.01 – $215.01 |
| 4 | Wellmark hmo fee schedule · both | $223.40 | $223.40 | $223.40 – $223.40 |
| 5 | Wellmark ppo fee schedule · both | $223.40 | $223.40 | $223.40 – $223.40 |
| 6 | Healthpartners com fee schedule · both | $253.70 | $253.70 | $253.70 – $253.70 |
| 7 | Healthpartners com case rate · inpatient | $281.87 | $281.87 | $281.87 – $281.87 |
| 8 | Medica com fee schedule · both | $304.86 | $304.86 | $304.86 – $304.86 |
| 9 | Medica ind fee schedule · both | $304.86 | $304.86 | $304.86 – $304.86 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $526.00 | $421.08 | $67.31 – $526.00 |
| 11 | Medica ind percent of total billed charges · outpatientfrom % of charges | $579.63 | $464.01 | $74.17 – $579.63 |
| 12 | Medica com percent of total billed charges · outpatientfrom % of charges | $675.47 | $540.73 | $86.43 – $675.47 |
Last updated: Apr 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.