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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in SD

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Hospitals
3
Min
$141.20
Median
$141.20
Max
$186.59
Range multiplier
1.3×

By payer (3 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield39$141.20$141.20$186.591.3×
Medicare33$137.76$137.76$182.041.3×
UnitedHealthcare33$125.14$137.76$137.761.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Lead-Deadwood HospitDeadwoodSD3$492.00$492.00$125.14$186.59$186.59
Monument Health Sturgis RegionalSturgisSD3$492.00$492.00$137.76$141.20$141.20
Monument Health Custer HospitalCusterSD3$492.00$492.00$137.76$141.20$141.20

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.