Outpatient follow-up visit with established patient at Wagner Community Memorial

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

Est Patient Level 2 SF Comp

Wagner, SD

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Pricing by billing methodology

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How this price compares nationally

Wagner Community Memorial’s median price of $276 is 207% above the median hospital's median price ($90), higher than 95% of the 2,027 hospitals reporting CPT 99212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99212 at Wagner Community Memorial

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	UnitedHealthcare com fee schedule · both	$49	$49	—	—	—	$49 – $49
2	Wellmark ppo fee schedule · both	$55	$55	—	—	—	$55 – $55
3	Healthpartners com fee schedule · both	$62	$62	—	—	—	$62 – $62
4	Medica com fee schedule · both	$75	$75	—	—	—	$75 – $75
5	Medica ind fee schedule · both	$75	$75	—	—	—	$75 – $75
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$272	$298	$102	34%	—	$189 – $434
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$279	$305	$104	34%	—	$193 – $444
8	Medica com percent of total billed charges · inpatientfrom % of charges	$323	$354	$121	34%	—	$224 – $516
9	Medica com percent of total billed charges · outpatientfrom % of charges	$331	$363	$124	34%	—	$229 – $528
10	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$352	$386	$132	34%	—	$244 – $561
11	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$352	$386	$132	34%	—	$244 – $561
12	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$357	$392	$134	34%	—	$247 – $570
13	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$357	$392	$134	34%	3–30	$247 – $570
14	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$398	$436	$149	34%	—	$276 – $635
15	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$398	$436	$149	34%	—	$276 – $635

Last updated: Apr 1, 2026

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