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
Preventive Exam 12-17 Year Est
De Smet, SD
See all hospitals reporting CPT 99394 →Price type
Avera DeSmet’s median price of $84 is 33% below the median hospital's median price ($124), higher than 22% of the 1,251 hospitals reporting CPT 99394. 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, 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 | $59 | $59 | — | — | — | $59 – $59 |
| 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 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Medica com percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 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
See Preventive checkup visit for ages 12 to 17 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.