Yearly preventive checkup for an infant 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-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 <1 Year Est

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $104 is 3% below the median hospital's median price ($107), higher than 46% of the 1,210 hospitals reporting CPT 99391. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99391 at Avera Gregory Hospital

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	$71	$71	—	—	—	$71 – $71
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
3	Medica com percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
4	Medica com percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
5	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
8	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
11	Wellmark ppo fee schedule · both	$118	$118	—	—	—	$118 – $118
12	Healthpartners com fee schedule · both	$131	$131	—	—	—	$131 – $131
13	UnitedHealthcare com fee schedule · both	$137	$137	—	—	—	$137 – $137
14	Medica com fee schedule · both	$142	$142	—	—	—	$142 – $142
15	Medica ind fee schedule · both	$142	$142	—	—	—	$142 – $142

Last updated: Apr 1, 2026

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