Outpatient new patient office visit at Sanford Wheaton

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

Wheaton, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Sanford Wheaton’s median price of $202 is 38% above the median hospital's median price ($146), higher than 66% of the 1,972 hospitals reporting CPT 99203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99203 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	1–10	$127 – $127
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$195	$195	—	—	—	$195 – $195
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$195	$195	—	—	—	$195 – $195
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	1–10	$205 – $205
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	1–10	$216 – $216
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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