CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Brookings Health System

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$122
about 1.3× the $95 Medicare rate · typically $84–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $10 under the fair price · 1.2× Medicare
Medicare pays $95 Fair price $122 This hospital $112 Cash price $117 Hospital's list price $234

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

On the higher side — 7 of 8 other SD hospitals charge less.

Cheapest $71 Priciest $121

Black dot = this hospital, among the 9 SD hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $122 (about 1.3× the $95 Medicare rate). Brookings Health System charges insurers about $112, or about $117 in cash — about the fair price. Located in Brookings, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $125 - $236 131%
Blue Cross Blue Shieldmajor $102 - $285 107%
Humanamajor $256 269%
Medica $112 - $209 118%
Sanford Health Plan $78 - $271 82%
+ 1 smaller / regional plan $106 - $256
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 22Nd Ave, Brookings, SD 57006
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals