Preventive checkup visit for ages 12 to 17 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 12-17 Year Est

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $129 is 4% above the median hospital's median price ($124), higher than 52% of the 1,251 hospitals reporting CPT 99394. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99394 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	$88	$88	—	—	—	$88 – $88
2	Medica ind percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
3	Medica com percent of total billed charges · inpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
4	Medica com percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
5	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
8	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
11	Wellmark ppo fee schedule · both	$147	$147	—	—	—	$147 – $147
12	Healthpartners com fee schedule · both	$164	$164	—	—	—	$164 – $164
13	UnitedHealthcare com fee schedule · both	$169	$169	—	—	—	$169 – $169
14	Medica com fee schedule · both	$176	$176	—	—	—	$176 – $176
15	Medica ind fee schedule · both	$176	$176	—	—	—	$176 – $176

Last updated: Apr 1, 2026

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