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Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in SD
Hospitals
3
Min
$141.2
Median
$141.2
Max
$186.59
Range multiplier
1.3×
By payer (3 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 3 | 9 | $141.2 | $141.2 | $186.59 | 1.3× |
| Medicare | 3 | 3 | $137.76 | $137.76 | $182.04 | 1.3× |
| UnitedHealthcare | 3 | 3 | $125.14 | $137.76 | $137.76 | 1.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MONUMENT HEALTH LEAD-DEADWOOD HOSPIT | DEADWOOD | SD | 3 | $492 | $492 | $125.14 | $186.59 | $186.59 |
| MONUMENT HEALTH STURGIS REGIONAL | STURGIS | SD | 3 | $492 | $492 | $137.76 | $141.2 | $141.2 |
| MONUMENT HEALTH CUSTER HOSPITAL | CUSTER | SD | 3 | $492 | $492 | $137.76 | $141.2 | $141.2 |
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.