Preventive Exam 40-64 Year Est at Avera DeSmet

De Smet, SD

Pricing by billing methodology

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How this price compares nationally

Avera DeSmet’s median price of $109 is 21% below the median hospital's median price ($138), higher than 31% of the 1,297 hospitals reporting CPT 99396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99396 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	$75	$75	—	—	—	$75 – $75
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
3	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
4	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
5	Medica com percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
6	Medica com percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
7	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
8	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
11	Wellmark ppo fee schedule · both	$166	$166	—	—	—	$166 – $166
12	Healthpartners com fee schedule · both	$183	$183	—	—	—	$183 – $183
13	UnitedHealthcare com fee schedule · both	$189	$189	—	—	—	$189 – $189
14	Medica com fee schedule · both	$198	$198	—	—	—	$198 – $198
15	Medica ind fee schedule · both	$198	$198	—	—	—	$198 – $198

Last updated: Apr 1, 2026

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See Preventive Exam 40-64 Year Est pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.