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
De Smet, SD
See all hospitals reporting CPT 99214 →Price type
Avera DeSmet’s median price of $152 is 4% below the median hospital's median price ($159), higher than 47% 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, 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 | $238.88 | $238.88 | $62.40 – $415.35 |
| 8 | Medica ind percent of total billed charges · outpatientfrom % of charges | $244.39 | $244.39 | $63.84 – $424.94 |
| 9 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $268.28 | $268.28 | $70.08 – $466.47 |
| 10 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $268.28 | $268.28 | $70.08 – $466.47 |
| 11 | Medica com percent of total billed charges · inpatientfrom % of charges | $283.71 | $283.71 | $74.11 – $493.31 |
| 12 | Medica com percent of total billed charges · outpatientfrom % of charges | $290.33 | $290.33 | $75.84 – $504.81 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $313.48 | $313.48 | $81.89 – $545.07 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $313.48 | $313.48 | $81.89 – $545.07 |
| 15 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $349.13 | $349.13 | $91.20 – $607.05 |
| 16 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $349.13 | $349.13 | $91.20 – $607.05 |
Last updated: Apr 1, 2026
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