Outpatient new patient office visit at Avera Gregory Hospital

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

New Patient Level 4

Gregory, SD

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Pricing by billing methodology

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How this price compares nationally

Avera Gregory Hospital’s median price of $151 is 27% below the median hospital's median price ($206), higher than 29% of the 1,963 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99204 at Avera Gregory Hospital

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	Medica ind percent of total billed charges · inpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
3	Medica com percent of total billed charges · inpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
4	Wellmark hmo outpatient	$124	$124	—	—	1–10	$124 – $124
5	Medica com percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
6	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
7	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
8	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
9	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	1–10	$140 – $140
10	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
11	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
12	Wellmark ppo fee schedule · both	$208	$208	—	—	—	$208 – $208
13	Healthpartners com fee schedule · both	$233	$233	—	—	—	$233 – $233
14	UnitedHealthcare com fee schedule · both	$248	$248	—	—	—	$248 – $248
15	Medica com fee schedule · both	$281	$281	—	—	—	$281 – $281
16	Medica ind fee schedule · both	$281	$281	—	—	—	$281 – $281

Last updated: Apr 1, 2026

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