Outpatient follow-up visit with established patient 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

ESTAB LEVEL 2

Wheaton, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Sanford Wheaton’s median price of $147 is 65% above the median hospital's median price ($89), higher than 75% of the 2,065 hospitals reporting CPT 99212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99212 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	$41	$41	—	—	—	$41 – $41
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	1–10	$92 – $92
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	1–10	$92 – $92
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	1–10	$141 – $141
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	1–10	$149 – $149
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	1–10	$156 – $156
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	1–10	$157 – $157
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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