CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sanford Medical Center Aberdeen

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$109

about 0.9× the $118 Medicare rate · typically $86–$123

modeled estimate · not a bill or quote

What this hospital charges insurers

$109

About the fair price

0.9× Medicare

Medicare pays $118 Fair price $109 This hospital $109 Cash price $214 Hospital's list price $268

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

One of the lower prices — 5 of 8 other SD hospitals charge more for the same procedure.

Cheapest $87 Priciest $281

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

A fair price for a New patient office visit (30-44 min) is about $109 (about 0.9× the $118 Medicare rate). Sanford Medical Center Aberdeen charges insurers about $109, or about $214 in cash — about the fair price. Located in Aberdeen, 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✓ Aetna CignaHumanaKaiser 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	$109 - $227	93%
Blue Cross Blue Shieldmajor	$109	93%
Aetnamajor	$109 - $223	93%
Health Net	$238 - $245	202%
HealthPartners	$109 - $171	93%
Medica	$227 - $250	193%
Sanford Health Plan	$101 - $162	86%
Security Health Plan	$145 - $150	123%
UCare	$108 - $212	92%
+ 2 smaller / regional plans	$111 - $245

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 214), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Medical Center Aberdeen is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Medical Center Aberdeen

Compare: New patient office visit (30-44 min) at other SD hospitals

Insurance negotiated median for the same procedure, sorted lowest first.