Office visit, established patient (20-29 min)
Facility: Faulkton Area Medical Center
Billing Code: 99213 (CPT)
On the higher side — 6 of 8 other SD hospitals charge less.
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 $67 (about 0.7× the $95 Medicare rate). Faulkton Area Medical Center charges insurers about $110, or about $129 in cash — above the fair price. Located in Faulkton, SD.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $67. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $80 | 84% |
| Blue Cross Blue Shieldmajor | $140 | 147% |
| Humanamajor | $65 | 68% |
| Medica | $42 | 44% |
| + 2 smaller / regional plans | $142 - $147 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Faulkton Area Medical Center
Compare: Office visit, established patient (20-29 min) at other SD hospitals
- Douglas County Memorial Hospital-Cah · Armour $71
- Mobridge Regional Hospital - Cah · Mobridge $71
- Sanford Usd Medical Center · Sioux Falls $90
- Sanford Medical Center Aberdeen · Aberdeen $90
- Black Hills Surgical Hospital LLC · Rapid City $92
- Bowdle Hospital - Cah · Bowdle $109
- Brookings Health System · Brookings $112
- Huron Regional Medical Center · Huron $121
Insurance negotiated median for the same procedure, sorted lowest first.