First preventive checkup for young child 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Preventive Exam 5-11 Year New

De Smet, SD

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Pricing by billing methodology

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How this price compares nationally

Avera DeSmet’s median price of $83 is 35% below the median hospital's median price ($128), higher than 21% of the 1,215 hospitals reporting CPT 99383. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99383 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	Medica ind percent of total billed charges · inpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
3	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
4	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
5	Medica com percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
6	Medica com percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
7	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
8	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$83	$83	—	—	—	$83 – $83
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$83	$83	—	—	—	$83 – $83
11	Wellmark ppo fee schedule · both	$147	$147	—	—	—	$147 – $147
12	Healthpartners com fee schedule · both	$164	$164	—	—	—	$164 – $164
13	UnitedHealthcare com fee schedule · both	$169	$169	—	—	—	$169 – $169
14	Medica com fee schedule · both	$176	$176	—	—	—	$176 – $176
15	Medica ind fee schedule · both	$176	$176	—	—	—	$176 – $176

Last updated: Apr 1, 2026

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