Outpatient new patient office visit at Avera St. Benedicts

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 3 Wound Care

Parkston, SD

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Pricing by billing methodology

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How this price compares nationally

Avera St. Benedicts’s median price of $409 is 180% above the median hospital's median price ($146), higher than 94% of the 1,938 hospitals reporting CPT 99203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99203 at Avera St. Benedicts

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	Wellmark hmo outpatient	$128	$128	—	—	2–20	$128 – $128
2	Wellmark ppo fee schedule · both	$128	$128	—	—	—	$128 – $128
3	Healthpartners com fee schedule · both	$143	$143	—	—	—	$143 – $143
4	UnitedHealthcare com fee schedule · both	$145	$145	—	—	—	$145 – $145
5	Medica com fee schedule · both	$172	$172	—	—	—	$172 – $172
6	Medica ind fee schedule · both	$172	$172	—	—	—	$172 – $172
7	Medica ind percent of total billed charges · inpatientfrom % of charges	$364	$364	—	—	—	$364 – $364
8	Medica ind percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
9	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$386	$386	—	—	—	$386 – $386
10	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$386	$386	—	—	2–20	$386 – $386
11	Medica com percent of total billed charges · inpatientfrom % of charges	$432	$432	—	—	—	$432 – $432
12	Medica com percent of total billed charges · outpatientfrom % of charges	$442	$442	—	—	2–20	$442 – $442
13	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$478	$478	—	—	—	$478 – $478
14	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$478	$478	—	—	—	$478 – $478
15	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$532	$532	—	—	—	$532 – $532
16	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$532	$532	—	—	—	$532 – $532

Last updated: Apr 1, 2026

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