Doctor visits and therapy CPT 99215 Inpatient — admitted to hospital

Returning patient visit, 40 min cost in Sioux Falls, SD — inpatient

In Sioux Falls, SD-MN, 2 hospitals list a cash price for returning patient office visit, high complexity or 40+ minutes as an inpatient: from $202.40 to $350.40, with a median of $276.40. The lowest listed price is at Sanford USD Medical Center — $74.00 less than the median here. Across South Dakota, the median is $228.80 at 5 hospitals.

Cash prices at 2 facilities across 2 cities for code 99215, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 4, 2026 and Mar 4, 2026.

Lowest$202.40Sanford USD Medical Center
Median$276.40half pay less
Highest$350.40in this market
Difference1.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Sioux Falls, SD-MN.

median
Lowest $202.40Highest $1,095.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sanford USD Medical Center lowest Sioux Falls, SD · (605) 333-1000 EST AMS OR CONSULT PATIENT LVL 5 $202.40 $253.00 $139.15–$227.70 20% Mar 4, 2026
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Sanford Luverne Medical Center Luverne, MN · (507) 283-2321 ESTAB LEVEL 5 $350.40 $438.00 $234.68–$414.35 20% Mar 4, 2026
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Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 ESTAB LEVEL 5 $479.20 $599.00 $329.45–$539.10 20% Mar 4, 2026
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Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 EST OB CHECK LVL5 $780.00 $975.00 $536.25–$877.50 20% Mar 4, 2026
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Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 LEVEL 5 EST W MOD 25 $781.60 $977.00 $537.35–$879.30 20% Mar 4, 2026
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Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 EST OB CHECK LVL 5 W MOD 25 $997.60 $1,247.00 $685.85–$1,122.30 20% Mar 4, 2026
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Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 NEUROSCIENCE CLINIC EST LVL 5 $1,095.20 $1,369.00 $752.95–$1,232.10 20% Mar 4, 2026
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Inpatient: lowest $202.40, median $276.40, highest $350.40 — a 1.7× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $276.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the highest level of office or outpatient visit for a returning patient, with high complexity decision making or at least 40 minutes of total clinician time on the visit date. It is used for serious or rapidly changing problems that may need urgent decisions.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.