Routine preventive checkup visit for an established patient 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 5-11 Year Est

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $115 is 1% above the median hospital's median price ($113), higher than 51% of the 1,225 hospitals reporting CPT 99393. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99393 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	$80	$80	—	—	—	$80 – $80
3	Medica com percent of total billed charges · inpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
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	$103	$103	—	—	—	$103 – $103
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
8	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
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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