How much does an Office visit, established patient cost in South Dakota?

Office visit, established patient (level 4) · CPT 99214 · State: South Dakota

In South Dakota, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $180, with most between $155 and $216 ($209 cash/self-pay). Based on 14 South Dakota hospitals — 13% higher than the national typical of $160. Hospital list charges run about $246 (1.4× higher).

Insurer-negotiated
$180
South Dakota · $155$216
Cash / self-pay
$209
typical cash price
Hospital list charge
$246
1.4× the negotiated rate

Source: medians across 14 South Dakota hospitals' published price files (≥5 reporting). See the national Office visit, established patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Office visit, established patient (level 4) cost in South Dakota — FAQs

How much does an Office visit, established patient (level 4) cost in South Dakota?

In South Dakota, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $180, with most between $155 and $216, based on 14 South Dakota hospitals. That's 13% higher than the national typical of $160.

How much does an Office visit, established patient (level 4) cost without insurance in South Dakota?

Cash or self-pay prices for an Office visit, established patient (level 4) in South Dakota run around $209. Hospitals often bill the higher "list" charge first (about $246), so ask for the cash or self-pay rate.

Why is my South Dakota hospital bill for an Office visit, established patient (level 4) so high?

South Dakota hospital "list" charges for an Office visit, established patient (level 4) run about $246 — roughly 1.4× the $180 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Office visit, established patient (level 4) in South Dakota?

Yes. If a South Dakota hospital charged you well above the typical negotiated rate (about $180), that gap is negotiable. Upfronte audits your bill against real South Dakota hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $180 in South Dakota?

Upload your bill and Upfronte will check it against real South Dakota hospital prices and negotiate overcharges. No savings, no fee.

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