Outpatient office visit, established patient, level 4 at Avera Dell Rapids Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Est Patient Level 4 Mod Comp

Dell Rapids, SD

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Pricing by billing methodology

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How this price compares nationally

Avera Dell Rapids Hospital’s median price of $171 is 7% above the median hospital's median price ($159), higher than 55% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Avera Dell Rapids Hospital

Negotiated rates from the hospital’s own file: 4 payers, 16 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 outpatient	$90.81	$90.81	$90.81 – $90.81
2	Wellmark ppo fee schedule · both	$151.00	$151.00	$151.00 – $151.00
3	UnitedHealthcare com fee schedule · both	$152.04	$152.04	$152.04 – $152.04
4	Healthpartners com fee schedule · both	$170.96	$170.96	$170.96 – $170.96
5	Medica com fee schedule · both	$205.61	$205.61	$205.61 – $205.61
6	Medica ind fee schedule · both	$205.61	$205.61	$205.61 – $205.61
7	Medica ind percent of total billed charges · inpatientfrom % of charges	$243.75	$243.75	$89.05 – $398.45
8	Medica ind percent of total billed charges · outpatientfrom % of charges	$249.38	$249.38	$91.11 – $407.64
9	Medica com percent of total billed charges · inpatientfrom % of charges	$289.50	$289.50	$105.76 – $473.24
10	Medica com percent of total billed charges · outpatientfrom % of charges	$296.25	$296.25	$108.23 – $484.27
11	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$300.00	$300.00	$109.60 – $490.40
12	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$300.00	$300.00	$109.60 – $490.40
13	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$319.88	$319.88	$116.86 – $522.89
14	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$319.88	$319.88	$116.86 – $522.89
15	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$356.25	$356.25	$130.15 – $582.35
16	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$356.25	$356.25	$130.15 – $582.35

Last updated: Apr 1, 2026

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