Yearly preventive checkup for young child 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 1-4 Year Est

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $115 is 2% above the median hospital's median price ($113), higher than 51% of the 1,208 hospitals reporting CPT 99392. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99392 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	$79	$79	—	—	—	$79 – $79
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
3	Medica com percent of total billed charges · inpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
4	Medica com percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
5	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
8	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
11	Wellmark ppo fee schedule · both	$129	$129	—	—	—	$129 – $129
12	Healthpartners com fee schedule · both	$144	$144	—	—	—	$144 – $144
13	UnitedHealthcare com fee schedule · both	$149	$149	—	—	—	$149 – $149
14	Medica com fee schedule · both	$155	$155	—	—	—	$155 – $155
15	Medica ind fee schedule · both	$155	$155	—	—	—	$155 – $155

Last updated: Apr 1, 2026

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