Outpatient follow-up visit with established patient at Avera DeSmet

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 2 SF Comp

De Smet, SD

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Pricing by billing methodology

Price type

How this price compares nationally

Avera DeSmet’s median price of $130 is 46% above the median hospital's median price ($89), higher than 69% of the 2,065 hospitals reporting CPT 99212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99212 at Avera DeSmet

Negotiated rates from the hospital’s own file: 4 payers, 15 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	UnitedHealthcare com fee schedule · both	$49	$49	—	—	—	$49 – $49
2	Wellmark ppo fee schedule · both	$55	$55	—	—	—	$55 – $55
3	Healthpartners com fee schedule · both	$62	$62	—	—	—	$62 – $62
4	Medica com fee schedule · both	$75	$75	—	—	—	$75 – $75
5	Medica ind fee schedule · both	$75	$75	—	—	—	$75 – $75
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$150	$150	$60	40%	—	$89 – $210
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$153	$153	$62	40%	—	$91 – $215
8	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$168	$168	$68	40%	—	$100 – $236
9	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$168	$168	$68	40%	—	$100 – $236
10	Medica com percent of total billed charges · inpatientfrom % of charges	$178	$178	$72	40%	—	$106 – $249
11	Medica com percent of total billed charges · outpatientfrom % of charges	$182	$182	$73	40%	—	$108 – $255
12	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$196	$196	$79	40%	—	$117 – $276
13	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$196	$196	$79	40%	—	$117 – $276
14	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$219	$219	$88	40%	—	$130 – $307
15	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$219	$219	$88	40%	—	$130 – $307

Last updated: Apr 1, 2026

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