Does Brookings Health System have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Brookings Health System. In a medical emergency, call 911.

Where is Brookings Health System?

300 22nd Ave, Brookings, SD 57006, in Brookings County, South Dakota.

What is the phone number of Brookings Health System?

(605) 696-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Brookings Health System?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Brookings Health System for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Brookings Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 1.0713; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Brookings Health System — Phone, Address & ER

Quick answers

Does Brookings Health System have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Brookings Health System. In a medical emergency, call 911.
Where is Brookings Health System?: 300 22nd Ave, Brookings, SD 57006, in Brookings County, South Dakota.
What is the phone number of Brookings Health System?: (605) 696-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Brookings Health System?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Brookings Health System for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Brookings Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 1.0713; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[5][11]

Emergency
Surgical
Obstetrics
Medical imaging
Laboratory
Rehab and therapy
Cardiopulmonary rehabilitation
Respiratory care
Anesthesia
Orthopedics
Short-term care
General surgery
Gynecological surgery
Urology
Ear, nose and throat
Podiatry

Treatments^[5][10]

Medical imaging
Cardiopulmonary rehabilitation
Respiratory care
Wound care
Sleep studies
Diabetes education
Foot care clinic

Procedures^[5]

da Vinci robotic surgery
Mako robotic-arm procedures
Robotic da Vinci surgery
Mako robotic-arm assisted procedures

Programs and centers^[5][6][9]

American Heart Association Get With The Guidelines stroke program
Emergency department (24/7)
Trauma care (designated trauma receiving hospital)
Hospitalist program
Pediatric emergency care

Emergency care (hospital website)^[5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours vary by unit; ask nursing staff. Doors lock at 8 p.m. (use ER entrance after); quiet hour 1-2 p.m. on the inpatient unit^[7]
Parking	Patient and visitor parking areas are marked green on the hospital parking map^[8]
Patient portal	MyChart

Doctors and clinicians (204)

204 doctors and other clinicians list Brookings Health System as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (204)

Aaron A. Prestbo, MDFamily Practice
Abbie L. Entringer, NPNurse Practitioner
Alan R. Christensen, MDGeneral Surgery
Alese M. Allerdings, MDFamily Practice
Alex Qader, MDFamily Practice
Alexander T. Graves, MDDiagnostic Radiology
Ali Chaudhry, MDInternal Medicine
Ali Nazim, MDHospitalist
Amanda C. Rivera-Begeman, DOPathology
Amber R. Overby, CNACertified Registered Nurse Anesthetist (CRNA)
Amy C. Cook, MDFamily Practice
Amy L. Bakker, PAPhysician Assistant
Amy L. Hogue, MDFamily Practice
Amy N. Evjen, MDInternal Medicine
Anders S. Grinde, MDDiagnostic Radiology
Andrew Chontos, MDGeneral Surgery
Andrew Ellsworth, MDFamily Practice
Andrew J. Winterboer, CNACertified Registered Nurse Anesthetist (CRNA)
Anna G. Gebhart, NPNurse Practitioner
Anne M. Kvamme, NPNurse Practitioner
Anthony Breemo, MDInternal Medicine
April A. Roman, PAPhysician Assistant
Arna K. Mora, MDFamily Practice
Ashley J. Van Hill, NPNurse Practitioner

And 180 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Avera Flandreau Hospital - CAH20 mi · Flandreau, SD · Critical Access Hospital
Hendricks Community Hospital22 mi · Hendricks, MN · Critical Access Hospital
Madison Regional Health System28 mi · Madison, SD · Critical Access Hospital
Pipestone County Medical Center31 mi · Pipestone, MN · Critical Access Hospital
Avera Tyler Hospital32 mi · Tyler, MN · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Brookings

Avera Dells Area Hospital - CAH33 mi · Dell Rapids, SD · Critical Access Hospital

Hospitals in Brookings County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

The Neighborhoods at Brookview0.2 mi · Brookings, SD · 5 of 5 stars
United Living Community1.8 mi · Brookings, SD · 2 of 5 stars
Riverview Healthcare Center20 mi · Flandreau, SD · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Brookings Health System1.4 mi · Brookings, SD
Good Shepherd Hospice22 mi · Hendricks, MN

All hospice providers in the state →

Home health agencies

Brookings Health System1.4 mi · Brookings, SD · 3.5 of 5 stars
Hendricks Community Hospital Association & Retirement Hom22 mi · Hendricks, MN

All home health agencies in the state →

Dialysis facilities

Avera Dialysis - Brookings1.4 mi · Brookings, SD

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Brookings Ambulatory Surgery Center, LLP1.4 mi · Brookings, SD

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Access Health - Brookings0.1 mi · Brookings, SD · Community health center

Clinics and urgent care

Brookings Health System Volga Medical Clinic9.9 mi · Volga, SD · Rural health clinic
Brookings Health System White Medical Clinic12 mi · White, SD · Rural health clinic
Avera Medical Group Flandreau19 mi · Flandreau, SD · Rural health clinic

Pharmacies

CVS Pharmacy Inc1.4 mi · Brookings, SD · Pharmacy
Hy-Vee Inc1.4 mi · Brookings, SD · Community/retail pharmacy
Sanford Medical Center1.4 mi · Brookings, SD · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Brookings Health System reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	83%National average: 80%
“Always” got help as soon as they wanted	73%National average: 64%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	78%National average: 73%
Completed surveys	310Response rate: 30%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients	11.5%
Deaths within 30 days: pneumonia patients	14.8%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	14.1%
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	17.8%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	96 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	84%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Brookings Health System, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	1.0713Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0128More readmissions than expected
Pneumonia	0.9526Fewer readmissions than expected
Hip or knee replacement	0.8760Fewer readmissions than expected
No result published	Heart attack; COPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	50.83 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	13.33 out of 100
Person and community engagement (patient survey)	90.00 out of 100
Safety (infections and sepsis care)	30.00 out of 100
Efficiency and cost reduction (Medicare spending)	70.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.91Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in South Dakota Best hospitals in South Dakota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Brookings Health System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 58 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New Patient Level 3 Low Comp	$342	$342	$134.41 – $342
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $307.80 BCBS — COMMERCIAL: $342 HUMANA — COMMERCIAL: $307.80 MEDICA — COMMERCIAL: $250.34 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $250.34 MEDICA_CHOICE_CARE — COMMERCIAL: $137.48 MEDICA_MEDICARE_ADV — MEDICARE: $342 MEDICA_MSHO — COMMERCIAL: $134.41 MEDICA_SELECTCARE — COMMERCIAL: $250.34 MEDICAID — MEDICAID: $342
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New Patient Level 3	$342	$342	$134.41 – $342
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $307.80 BCBS — COMMERCIAL: $342 HUMANA — COMMERCIAL: $307.80 MEDICA — COMMERCIAL: $250.34 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $250.34 MEDICA_CHOICE_CARE — COMMERCIAL: $137.48 MEDICA_MEDICARE_ADV — MEDICARE: $342 MEDICA_MSHO — COMMERCIAL: $134.41 MEDICA_SELECTCARE — COMMERCIAL: $250.34 MEDICAID — MEDICAID: $342
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New Patient Level 4 Mod Comp	$513	$513	$201.61 – $513
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $461.70 BCBS — COMMERCIAL: $513 HUMANA — COMMERCIAL: $461.70 MEDICA — COMMERCIAL: $375.52 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $375.52 MEDICA_CHOICE_CARE — COMMERCIAL: $206.23 MEDICA_MEDICARE_ADV — MEDICARE: $513 MEDICA_MSHO — COMMERCIAL: $201.61 MEDICA_SELECTCARE — COMMERCIAL: $375.52 MEDICAID — MEDICAID: $513
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New Patient Level 4	$513	$513	$201.61 – $513
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $461.70 BCBS — COMMERCIAL: $513 HUMANA — COMMERCIAL: $461.70 MEDICA — COMMERCIAL: $375.52 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $375.52 MEDICA_CHOICE_CARE — COMMERCIAL: $206.23 MEDICA_MEDICARE_ADV — MEDICARE: $513 MEDICA_MSHO — COMMERCIAL: $201.61 MEDICA_SELECTCARE — COMMERCIAL: $375.52 MEDICAID — MEDICAID: $513
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient Level 5 High Comp	$654	$654	$257.02 – $654
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $588.60 BCBS — COMMERCIAL: $654 HUMANA — COMMERCIAL: $588.60 MEDICA — COMMERCIAL: $478.73 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $478.73 MEDICA_CHOICE_CARE — COMMERCIAL: $262.91 MEDICA_MEDICARE_ADV — MEDICARE: $654 MEDICA_MSHO — COMMERCIAL: $257.02 MEDICA_SELECTCARE — COMMERCIAL: $478.73 MEDICAID — MEDICAID: $654
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient Level 5	$654	$654	$257.02 – $654
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $588.60 BCBS — COMMERCIAL: $654 HUMANA — COMMERCIAL: $588.60 MEDICA — COMMERCIAL: $478.73 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $478.73 MEDICA_CHOICE_CARE — COMMERCIAL: $262.91 MEDICA_MEDICARE_ADV — MEDICARE: $654 MEDICA_MSHO — COMMERCIAL: $257.02 MEDICA_SELECTCARE — COMMERCIAL: $478.73 MEDICAID — MEDICAID: $654
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office Visit Level 3	$285	$285	$112.01 – $285
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $256.50 BCBS — COMMERCIAL: $285 HUMANA — COMMERCIAL: $256.50 MEDICA — COMMERCIAL: $208.62 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $208.62 MEDICA_CHOICE_CARE — COMMERCIAL: $114.57 MEDICA_MEDICARE_ADV — MEDICARE: $285 MEDICA_MSHO — COMMERCIAL: $112.01 MEDICA_SELECTCARE — COMMERCIAL: $208.62 MEDICAID — MEDICAID: $285
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Est Patient Level 3 Wound Care	$285	$285	$112.01 – $285
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $256.50 BCBS — COMMERCIAL: $285 HUMANA — COMMERCIAL: $256.50 MEDICA — COMMERCIAL: $208.62 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $208.62 MEDICA_CHOICE_CARE — COMMERCIAL: $114.57 MEDICA_MEDICARE_ADV — MEDICARE: $285 MEDICA_MSHO — COMMERCIAL: $112.01 MEDICA_SELECTCARE — COMMERCIAL: $208.62 MEDICAID — MEDICAID: $285
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Est Patient Level 3	$285	$285	$112.01 – $285
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $256.50 BCBS — COMMERCIAL: $285 HUMANA — COMMERCIAL: $256.50 MEDICA — COMMERCIAL: $208.62 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $208.62 MEDICA_CHOICE_CARE — COMMERCIAL: $114.57 MEDICA_MEDICARE_ADV — MEDICARE: $285 MEDICA_MSHO — COMMERCIAL: $112.01 MEDICA_SELECTCARE — COMMERCIAL: $208.62 MEDICAID — MEDICAID: $285
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Est Patient Level 4 Mod Comp	$369	$369	$145.02 – $369
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $332.10 BCBS — COMMERCIAL: $369 HUMANA — COMMERCIAL: $332.10 MEDICA — COMMERCIAL: $270.11 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $270.11 MEDICA_CHOICE_CARE — COMMERCIAL: $148.34 MEDICA_MEDICARE_ADV — MEDICARE: $369 MEDICA_MSHO — COMMERCIAL: $145.02 MEDICA_SELECTCARE — COMMERCIAL: $270.11 MEDICAID — MEDICAID: $369
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OB Outpatient Visit A	$369	$369	$145.02 – $369
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $332.10 BCBS — COMMERCIAL: $369 HUMANA — COMMERCIAL: $332.10 MEDICA — COMMERCIAL: $270.11 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $270.11 MEDICA_CHOICE_CARE — COMMERCIAL: $148.34 MEDICA_MEDICARE_ADV — MEDICARE: $369 MEDICA_MSHO — COMMERCIAL: $145.02 MEDICA_SELECTCARE — COMMERCIAL: $270.11 MEDICAID — MEDICAID: $369
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Est Patient Level 4 Wound Care	$369	$369	$145.02 – $369
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $332.10 BCBS — COMMERCIAL: $369 HUMANA — COMMERCIAL: $332.10 MEDICA — COMMERCIAL: $270.11 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $270.11 MEDICA_CHOICE_CARE — COMMERCIAL: $148.34 MEDICA_MEDICARE_ADV — MEDICARE: $369 MEDICA_MSHO — COMMERCIAL: $145.02 MEDICA_SELECTCARE — COMMERCIAL: $270.11 MEDICAID — MEDICAID: $369
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Outpatient Consult Level 3	$393	$393	$86.41 – $314.40
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates AVERA — COMMERCIAL: $142.80 BCBS — COMMERCIAL: $152 MEDICA — COMMERCIAL: $150.09 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $150.09 MEDICA_CHOICE_CARE — COMMERCIAL: $150.09 MEDICA_MEDICARE_ADV — MEDICARE: $150.09 MEDICA_MSHO — COMMERCIAL: $150.09 MEDICA_SELECTCARE — COMMERCIAL: $150.09 MEDICAID — MEDICAID: $119.09 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $86.41
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Outpatient Consult Level 4	$621	$621	$131.88 – $496.80
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates AVERA — COMMERCIAL: $217.95 BCBS — COMMERCIAL: $231 MEDICA — COMMERCIAL: $228.98 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $228.98 MEDICA_CHOICE_CARE — COMMERCIAL: $228.98 MEDICA_MEDICARE_ADV — MEDICARE: $228.98 MEDICA_MSHO — COMMERCIAL: $228.98 MEDICA_SELECTCARE — COMMERCIAL: $228.98 MEDICAID — MEDICAID: $169.29 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $131.88
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Preventive Exam 18-39 Year New	$141	$141	$55.41 – $141
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $126.90 BCBS — COMMERCIAL: $141 HUMANA — COMMERCIAL: $126.90 MEDICA — COMMERCIAL: $103.21 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $103.21 MEDICA_CHOICE_CARE — COMMERCIAL: $56.68 MEDICA_MEDICARE_ADV — MEDICARE: $141 MEDICA_MSHO — COMMERCIAL: $55.41 MEDICA_SELECTCARE — COMMERCIAL: $103.21 MEDICAID — MEDICAID: $141
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Preventive Exam 40-64 Year New	$165	$165	$64.85 – $165
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $148.50 BCBS — COMMERCIAL: $165 HUMANA — COMMERCIAL: $148.50 MEDICA — COMMERCIAL: $120.78 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $120.78 MEDICA_CHOICE_CARE — COMMERCIAL: $66.33 MEDICA_MEDICARE_ADV — MEDICARE: $165 MEDICA_MSHO — COMMERCIAL: $64.85 MEDICA_SELECTCARE — COMMERCIAL: $120.78 MEDICAID — MEDICAID: $165
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Room Visit Level 3	$431	$431	$173.26 – $431
Emergency room visit (moderate): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $387.90 BCBS — COMMERCIAL: $431 HUMANA — COMMERCIAL: $387.90 MEDICA — COMMERCIAL: $315.49 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $315.49 MEDICA_CHOICE_CARE — COMMERCIAL: $173.26 MEDICA_MEDICARE_ADV — MEDICARE: $296.54 MEDICA_MSHO — COMMERCIAL: $413 MEDICA_SELECTCARE — COMMERCIAL: $315.49 MEDICAID — MEDICAID: $431
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Room Visit Level 4	$751	$751	$301.90 – $751
Emergency room visit (moderately high): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $675.90 BCBS — COMMERCIAL: $751 HUMANA — COMMERCIAL: $675.90 MEDICA — COMMERCIAL: $549.73 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $549.73 MEDICA_CHOICE_CARE — COMMERCIAL: $301.90 MEDICA_MEDICARE_ADV — MEDICARE: $456.05 MEDICA_MSHO — COMMERCIAL: $509 MEDICA_SELECTCARE — COMMERCIAL: $549.73 MEDICAID — MEDICAID: $751
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Room Visit Level 5	$1,559	$1,559	$626.72 – $1,559
Emergency room visit (high): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $1,403.10 BCBS — COMMERCIAL: $1,559 HUMANA — COMMERCIAL: $1,403.10 MEDICA — COMMERCIAL: $1,141.19 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $1,141.19 MEDICA_CHOICE_CARE — COMMERCIAL: $626.72 MEDICA_MEDICARE_ADV — MEDICARE: $656.63 MEDICA_MSHO — COMMERCIAL: $825 MEDICA_SELECTCARE — COMMERCIAL: $1,141.19 MEDICAID — MEDICAID: $1,559

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel	$234	$234	$8.46 – $226.98
Basic metabolic panel (blood test): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $210.60 BCBS — COMMERCIAL: $65.84 HUMANA — COMMERCIAL: $210.60 MEDICA — COMMERCIAL: $171.29 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $171.29 MEDICA_CHOICE_CARE — COMMERCIAL: $94.07 MEDICA_MEDICARE_ADV — MEDICARE: $8.46 MEDICA_MSHO — COMMERCIAL: $91.96 MEDICA_SELECTCARE — COMMERCIAL: $171.29 MEDICAID — MEDICAID: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$340	$340	$10.56 – $329.80
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $306 BCBS — COMMERCIAL: $65.84 HUMANA — COMMERCIAL: $306 MEDICA — COMMERCIAL: $248.88 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $248.88 MEDICA_CHOICE_CARE — COMMERCIAL: $136.68 MEDICA_MEDICARE_ADV — MEDICARE: $10.56 MEDICA_MSHO — COMMERCIAL: $133.62 MEDICA_SELECTCARE — COMMERCIAL: $248.88 MEDICAID — MEDICAID: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel	$313	$313	$13.39 – $303.61
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $281.70 BCBS — COMMERCIAL: $65.84 HUMANA — COMMERCIAL: $281.70 MEDICA — COMMERCIAL: $229.12 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $229.12 MEDICA_CHOICE_CARE — COMMERCIAL: $125.83 MEDICA_MEDICARE_ADV — MEDICARE: $13.39 MEDICA_MSHO — COMMERCIAL: $123.01 MEDICA_SELECTCARE — COMMERCIAL: $229.12 MEDICAID — MEDICAID: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$161	$161	$8.68 – $156.17
Kidney function panel: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $144.90 BCBS — COMMERCIAL: $65.84 HUMANA — COMMERCIAL: $144.90 MEDICA — COMMERCIAL: $117.85 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $117.85 MEDICA_CHOICE_CARE — COMMERCIAL: $64.72 MEDICA_MEDICARE_ADV — MEDICARE: $8.68 MEDICA_MSHO — COMMERCIAL: $63.27 MEDICA_SELECTCARE — COMMERCIAL: $117.85 MEDICAID — MEDICAID: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$225	$225	$8.17 – $218.25
Liver function panel: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $202.50 BCBS — COMMERCIAL: $65.84 HUMANA — COMMERCIAL: $202.50 MEDICA — COMMERCIAL: $164.70 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $164.70 MEDICA_CHOICE_CARE — COMMERCIAL: $90.45 MEDICA_MEDICARE_ADV — MEDICARE: $8.17 MEDICA_MSHO — COMMERCIAL: $88.43 MEDICA_SELECTCARE — COMMERCIAL: $164.70 MEDICAID — MEDICAID: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis Auto W Micro	$90	$90	$3.17 – $87.30
Urine test (automated, with microscope): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $81 BCBS — COMMERCIAL: $26.49 HUMANA — COMMERCIAL: $81 MEDICA — COMMERCIAL: $65.88 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $65.88 MEDICA_CHOICE_CARE — COMMERCIAL: $36.18 MEDICA_MEDICARE_ADV — MEDICARE: $3.17 MEDICA_MSHO — COMMERCIAL: $35.37 MEDICA_SELECTCARE — COMMERCIAL: $65.88 MEDICAID — MEDICAID: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urine Dip Stick	$32	$32	$3.48 – $31.04
Urine test (manual, without microscope): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $28.80 BCBS — COMMERCIAL: $26.49 HUMANA — COMMERCIAL: $28.80 MEDICA — COMMERCIAL: $23.42 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $23.42 MEDICA_CHOICE_CARE — COMMERCIAL: $12.86 MEDICA_MEDICARE_ADV — MEDICARE: $3.48 MEDICA_MSHO — COMMERCIAL: $12.58 MEDICA_SELECTCARE — COMMERCIAL: $23.42 MEDICAID — MEDICAID: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Auto WO Scope	$54	$54	$2.25 – $52.38
Urine test (automated, without microscope): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $48.60 BCBS — COMMERCIAL: $26.49 HUMANA — COMMERCIAL: $48.60 MEDICA — COMMERCIAL: $39.53 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $39.53 MEDICA_CHOICE_CARE — COMMERCIAL: $21.71 MEDICA_MEDICARE_ADV — MEDICARE: $2.25 MEDICA_MSHO — COMMERCIAL: $21.22 MEDICA_SELECTCARE — COMMERCIAL: $39.53 MEDICAID — MEDICAID: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Glucose Urine Auto	$54	$54	$2.25 – $52.38
Urine test (automated, without microscope): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $48.60 BCBS — COMMERCIAL: $26.49 HUMANA — COMMERCIAL: $48.60 MEDICA — COMMERCIAL: $39.53 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $39.53 MEDICA_CHOICE_CARE — COMMERCIAL: $21.71 MEDICA_MEDICARE_ADV — MEDICARE: $2.25 MEDICA_MSHO — COMMERCIAL: $21.22 MEDICA_SELECTCARE — COMMERCIAL: $39.53 MEDICAID — MEDICAID: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Ketone Urine Auto	$54	$54	$2.25 – $52.38
Urine test (automated, without microscope): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $48.60 BCBS — COMMERCIAL: $26.49 HUMANA — COMMERCIAL: $48.60 MEDICA — COMMERCIAL: $39.53 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $39.53 MEDICA_CHOICE_CARE — COMMERCIAL: $21.71 MEDICA_MEDICARE_ADV — MEDICARE: $2.25 MEDICA_MSHO — COMMERCIAL: $21.22 MEDICA_SELECTCARE — COMMERCIAL: $39.53 MEDICAID — MEDICAID: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA Total	$90	$90	$18.39 – $87.30
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $81 BCBS — COMMERCIAL: $67.45 HUMANA — COMMERCIAL: $81 MEDICA — COMMERCIAL: $65.88 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $65.88 MEDICA_CHOICE_CARE — COMMERCIAL: $36.18 MEDICA_MEDICARE_ADV — MEDICARE: $18.39 MEDICA_MSHO — COMMERCIAL: $35.37 MEDICA_SELECTCARE — COMMERCIAL: $65.88 MEDICAID — MEDICAID: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$222	$222	$16.80 – $215.34
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $199.80 BCBS — COMMERCIAL: $61.02 HUMANA — COMMERCIAL: $199.80 MEDICA — COMMERCIAL: $162.50 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $162.50 MEDICA_CHOICE_CARE — COMMERCIAL: $89.24 MEDICA_MEDICARE_ADV — MEDICARE: $16.80 MEDICA_MSHO — COMMERCIAL: $87.25 MEDICA_SELECTCARE — COMMERCIAL: $162.50 MEDICAID — MEDICAID: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH Neonatal	$222	$222	$16.80 – $215.34
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $199.80 BCBS — COMMERCIAL: $61.02 HUMANA — COMMERCIAL: $199.80 MEDICA — COMMERCIAL: $162.50 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $162.50 MEDICA_CHOICE_CARE — COMMERCIAL: $89.24 MEDICA_MEDICARE_ADV — MEDICARE: $16.80 MEDICA_MSHO — COMMERCIAL: $87.25 MEDICA_SELECTCARE — COMMERCIAL: $162.50 MEDICAID — MEDICAID: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: OB CBC W/Auto Diff	$57	$57	$7.77 – $55.29
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $51.30 BCBS — COMMERCIAL: $33.72 HUMANA — COMMERCIAL: $51.30 MEDICA — COMMERCIAL: $41.72 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $41.72 MEDICA_CHOICE_CARE — COMMERCIAL: $22.91 MEDICA_MEDICARE_ADV — MEDICARE: $7.77 MEDICA_MSHO — COMMERCIAL: $22.40 MEDICA_SELECTCARE — COMMERCIAL: $41.72 MEDICAID — MEDICAID: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W Auto Diff	$212	$212	$7.77 – $205.64
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $190.80 BCBS — COMMERCIAL: $33.72 HUMANA — COMMERCIAL: $190.80 MEDICA — COMMERCIAL: $155.18 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $155.18 MEDICA_CHOICE_CARE — COMMERCIAL: $85.22 MEDICA_MEDICARE_ADV — MEDICARE: $7.77 MEDICA_MSHO — COMMERCIAL: $83.32 MEDICA_SELECTCARE — COMMERCIAL: $155.18 MEDICAID — MEDICAID: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC WO Auto Diff	$107	$107	$6.47 – $103.79
Complete blood count (CBC), automated: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $96.30 BCBS — COMMERCIAL: $33.72 HUMANA — COMMERCIAL: $96.30 MEDICA — COMMERCIAL: $78.32 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $78.32 MEDICA_CHOICE_CARE — COMMERCIAL: $43.01 MEDICA_MEDICARE_ADV — MEDICARE: $6.47 MEDICA_MSHO — COMMERCIAL: $42.05 MEDICA_SELECTCARE — COMMERCIAL: $78.32 MEDICAID — MEDICAID: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time Ref	$83	$83	$4.29 – $80.51
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $74.70 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $74.70 MEDICA — COMMERCIAL: $60.76 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $60.76 MEDICA_CHOICE_CARE — COMMERCIAL: $33.37 MEDICA_MEDICARE_ADV — MEDICARE: $4.29 MEDICA_MSHO — COMMERCIAL: $32.62 MEDICA_SELECTCARE — COMMERCIAL: $60.76 MEDICAID — MEDICAID: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time	$83	$83	$4.29 – $80.51
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $74.70 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $74.70 MEDICA — COMMERCIAL: $60.76 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $60.76 MEDICA_CHOICE_CARE — COMMERCIAL: $33.37 MEDICA_MEDICARE_ADV — MEDICARE: $4.29 MEDICA_MSHO — COMMERCIAL: $32.62 MEDICA_SELECTCARE — COMMERCIAL: $60.76 MEDICAID — MEDICAID: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time PoCT	$83	$83	$4.29 – $80.51
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $74.70 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $74.70 MEDICA — COMMERCIAL: $60.76 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $60.76 MEDICA_CHOICE_CARE — COMMERCIAL: $33.37 MEDICA_MEDICARE_ADV — MEDICARE: $4.29 MEDICA_MSHO — COMMERCIAL: $32.62 MEDICA_SELECTCARE — COMMERCIAL: $60.76 MEDICAID — MEDICAID: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Aptt Ref	$95	$95	$6.01 – $92.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $85.50 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $85.50 MEDICA — COMMERCIAL: $69.54 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $69.54 MEDICA_CHOICE_CARE — COMMERCIAL: $38.19 MEDICA_MEDICARE_ADV — MEDICARE: $6.01 MEDICA_MSHO — COMMERCIAL: $37.34 MEDICA_SELECTCARE — COMMERCIAL: $69.54 MEDICAID — MEDICAID: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Aptt	$95	$95	$6.01 – $92.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $85.50 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $85.50 MEDICA — COMMERCIAL: $69.54 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $69.54 MEDICA_CHOICE_CARE — COMMERCIAL: $38.19 MEDICA_MEDICARE_ADV — MEDICARE: $6.01 MEDICA_MSHO — COMMERCIAL: $37.34 MEDICA_SELECTCARE — COMMERCIAL: $69.54 MEDICAID — MEDICAID: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Aptt Heparin Neutralized Ref	$45	$45	$6.01 – $43.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $40.50 BCBS — COMMERCIAL: $31.31 HUMANA — COMMERCIAL: $40.50 MEDICA — COMMERCIAL: $32.94 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $32.94 MEDICA_CHOICE_CARE — COMMERCIAL: $18.09 MEDICA_MEDICARE_ADV — MEDICARE: $6.01 MEDICA_MSHO — COMMERCIAL: $17.69 MEDICA_SELECTCARE — COMMERCIAL: $32.94 MEDICAID — MEDICAID: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head/Brain WO Contrast	$2,772	$2,772	$113.89 – $2,772
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $2,494.80 BCBS — COMMERCIAL: $1,118.57 HUMANA — COMMERCIAL: $2,494.80 MEDICA — COMMERCIAL: $2,029.10 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $2,029.10 MEDICA_CHOICE_CARE — COMMERCIAL: $169 MEDICA_MEDICARE_ADV — MEDICARE: $113.89 MEDICA_MSHO — COMMERCIAL: $299 MEDICA_SELECTCARE — COMMERCIAL: $2,029.10 MEDICAID — MEDICAID: $2,772
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain WWO Contrast	$7,090	$7,090	$268 – $7,090
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $6,381 BCBS — COMMERCIAL: $1,369.91 HUMANA — COMMERCIAL: $6,381 MEDICA — COMMERCIAL: $5,189.88 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $5,189.88 MEDICA_CHOICE_CARE — COMMERCIAL: $268 MEDICA_MEDICARE_ADV — MEDICARE: $382.48 MEDICA_MSHO — COMMERCIAL: $499 MEDICA_SELECTCARE — COMMERCIAL: $5,189.88 MEDICAID — MEDICAID: $7,090
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain Pituitary WWO Cont	$7,090	$7,090	$268 – $7,090
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $6,381 BCBS — COMMERCIAL: $1,369.91 HUMANA — COMMERCIAL: $6,381 MEDICA — COMMERCIAL: $5,189.88 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $5,189.88 MEDICA_CHOICE_CARE — COMMERCIAL: $268 MEDICA_MEDICARE_ADV — MEDICARE: $382.48 MEDICA_MSHO — COMMERCIAL: $499 MEDICA_SELECTCARE — COMMERCIAL: $5,189.88 MEDICAID — MEDICAID: $7,090
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-Ray Chest 2V Decubitus	$465	$465	$89.93 – $465
Chest X-ray, 2 views: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $418.50 BCBS — COMMERCIAL: $89.93 HUMANA — COMMERCIAL: $418.50 MEDICA — COMMERCIAL: $340.38 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $340.38 MEDICA_CHOICE_CARE — COMMERCIAL: $186.93 MEDICA_MEDICARE_ADV — MEDICARE: $94.30 MEDICA_MSHO — COMMERCIAL: $182.75 MEDICA_SELECTCARE — COMMERCIAL: $340.38 MEDICAID — MEDICAID: $465
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-Ray Chest 2V PA/Lateral	$465	$465	$89.93 – $465
Chest X-ray, 2 views: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $418.50 BCBS — COMMERCIAL: $89.93 HUMANA — COMMERCIAL: $418.50 MEDICA — COMMERCIAL: $340.38 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $340.38 MEDICA_CHOICE_CARE — COMMERCIAL: $186.93 MEDICA_MEDICARE_ADV — MEDICARE: $94.30 MEDICA_MSHO — COMMERCIAL: $182.75 MEDICA_SELECTCARE — COMMERCIAL: $340.38 MEDICAID — MEDICAID: $465
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-Ray Lumbosacral 4 Views	$712	$712	$89.93 – $712
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $640.80 BCBS — COMMERCIAL: $89.93 HUMANA — COMMERCIAL: $640.80 MEDICA — COMMERCIAL: $521.18 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $521.18 MEDICA_CHOICE_CARE — COMMERCIAL: $286.22 MEDICA_MEDICARE_ADV — MEDICARE: $113.89 MEDICA_MSHO — COMMERCIAL: $279.82 MEDICA_SELECTCARE — COMMERCIAL: $521.18 MEDICAID — MEDICAID: $712
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Lumbar Spine WO Dye	$5,547	$5,547	$258.88 – $5,547
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $4,992.30 BCBS — COMMERCIAL: $990.90 HUMANA — COMMERCIAL: $4,992.30 MEDICA — COMMERCIAL: $4,060.40 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $4,060.40 MEDICA_CHOICE_CARE — COMMERCIAL: $268 MEDICA_MEDICARE_ADV — MEDICARE: $258.88 MEDICA_MSHO — COMMERCIAL: $499 MEDICA_SELECTCARE — COMMERCIAL: $4,060.40 MEDICAID — MEDICAID: $5,547
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W Dye	$3,153	$3,153	$169 – $3,153
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $2,837.70 BCBS — COMMERCIAL: $1,118.57 HUMANA — COMMERCIAL: $2,837.70 MEDICA — COMMERCIAL: $2,308 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $2,308 MEDICA_CHOICE_CARE — COMMERCIAL: $169 MEDICA_MEDICARE_ADV — MEDICARE: $190.65 MEDICA_MSHO — COMMERCIAL: $299 MEDICA_SELECTCARE — COMMERCIAL: $2,308 MEDICAID — MEDICAID: $3,153
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI Joint LE WO Dye LT	$3,778	$3,778	$258.88 – $3,778
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $3,400.20 BCBS — COMMERCIAL: $990.90 HUMANA — COMMERCIAL: $3,400.20 MEDICA — COMMERCIAL: $2,765.50 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $2,765.50 MEDICA_CHOICE_CARE — COMMERCIAL: $268 MEDICA_MEDICARE_ADV — MEDICARE: $258.88 MEDICA_MSHO — COMMERCIAL: $499 MEDICA_SELECTCARE — COMMERCIAL: $2,765.50 MEDICAID — MEDICAID: $3,778
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI Joint LE WO Dye RT	$3,778	$3,778	$258.88 – $3,778
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $3,400.20 BCBS — COMMERCIAL: $990.90 HUMANA — COMMERCIAL: $3,400.20 MEDICA — COMMERCIAL: $2,765.50 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $2,765.50 MEDICA_CHOICE_CARE — COMMERCIAL: $268 MEDICA_MEDICARE_ADV — MEDICARE: $258.88 MEDICA_MSHO — COMMERCIAL: $499 MEDICA_SELECTCARE — COMMERCIAL: $2,765.50 MEDICAID — MEDICAID: $3,778
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd & Pelv W Contrast	$4,446	$4,446	$169 – $4,446
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $4,001.40 BCBS — COMMERCIAL: $1,118.57 HUMANA — COMMERCIAL: $4,001.40 MEDICA — COMMERCIAL: $3,254.47 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $3,254.47 MEDICA_CHOICE_CARE — COMMERCIAL: $169 MEDICA_MEDICARE_ADV — MEDICARE: $382.48 MEDICA_MSHO — COMMERCIAL: $299 MEDICA_SELECTCARE — COMMERCIAL: $3,254.47 MEDICAID — MEDICAID: $4,446
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound Abdomen Complete	$1,486	$1,486	$113.89 – $1,486
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $1,337.40 BCBS — COMMERCIAL: $470.55 HUMANA — COMMERCIAL: $1,337.40 MEDICA — COMMERCIAL: $1,087.75 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $1,087.75 MEDICA_CHOICE_CARE — COMMERCIAL: $597.37 MEDICA_MEDICARE_ADV — MEDICARE: $113.89 MEDICA_MSHO — COMMERCIAL: $584 MEDICA_SELECTCARE — COMMERCIAL: $1,087.75 MEDICAID — MEDICAID: $1,486
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >14 Wk TVTA Single Fetus	$737	$737	$113.89 – $737
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $663.30 BCBS — COMMERCIAL: $256.95 HUMANA — COMMERCIAL: $663.30 MEDICA — COMMERCIAL: $539.48 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $539.48 MEDICA_CHOICE_CARE — COMMERCIAL: $296.27 MEDICA_MEDICARE_ADV — MEDICARE: $113.89 MEDICA_MSHO — COMMERCIAL: $289.64 MEDICA_SELECTCARE — COMMERCIAL: $539.48 MEDICAID — MEDICAID: $737
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound Transvaginal	$500	$500	$113.89 – $500
Transvaginal ultrasound: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $450 BCBS — COMMERCIAL: $305.14 HUMANA — COMMERCIAL: $450 MEDICA — COMMERCIAL: $366 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $366 MEDICA_CHOICE_CARE — COMMERCIAL: $201 MEDICA_MEDICARE_ADV — MEDICARE: $113.89 MEDICA_MSHO — COMMERCIAL: $196.50 MEDICA_SELECTCARE — COMMERCIAL: $366 MEDICAID — MEDICAID: $500
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: Mammo DX Digit Implant Uni LT	$202	$202	$79.39 – $248.93
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $181.80 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $181.80 MEDICA — COMMERCIAL: $147.86 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $147.86 MEDICA_CHOICE_CARE — COMMERCIAL: $81.20 MEDICA_MEDICARE_ADV — MEDICARE: $202 MEDICA_MSHO — COMMERCIAL: $79.39 MEDICA_SELECTCARE — COMMERCIAL: $147.86 MEDICAID — MEDICAID: $85.13
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: Mammography DX Digital LT	$202	$202	$79.39 – $248.93
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $181.80 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $181.80 MEDICA — COMMERCIAL: $147.86 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $147.86 MEDICA_CHOICE_CARE — COMMERCIAL: $81.20 MEDICA_MEDICARE_ADV — MEDICARE: $202 MEDICA_MSHO — COMMERCIAL: $79.39 MEDICA_SELECTCARE — COMMERCIAL: $147.86 MEDICAID — MEDICAID: $85.13
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: Mammo DX Digit Implant Uni RT	$202	$202	$79.39 – $248.93
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $181.80 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $181.80 MEDICA — COMMERCIAL: $147.86 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $147.86 MEDICA_CHOICE_CARE — COMMERCIAL: $81.20 MEDICA_MEDICARE_ADV — MEDICARE: $202 MEDICA_MSHO — COMMERCIAL: $79.39 MEDICA_SELECTCARE — COMMERCIAL: $147.86 MEDICAID — MEDICAID: $85.13
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammo Dx Digit Impl BI	$258	$258	$101.39 – $258
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $232.20 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $232.20 MEDICA — COMMERCIAL: $188.86 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $188.86 MEDICA_CHOICE_CARE — COMMERCIAL: $103.72 MEDICA_MEDICARE_ADV — MEDICARE: $258 MEDICA_MSHO — COMMERCIAL: $101.39 MEDICA_SELECTCARE — COMMERCIAL: $188.86 MEDICAID — MEDICAID: $109.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammography Diagnostic Digital	$258	$258	$101.39 – $258
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $232.20 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $232.20 MEDICA — COMMERCIAL: $188.86 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $188.86 MEDICA_CHOICE_CARE — COMMERCIAL: $103.72 MEDICA_MEDICARE_ADV — MEDICARE: $258 MEDICA_MSHO — COMMERCIAL: $101.39 MEDICA_SELECTCARE — COMMERCIAL: $188.86 MEDICAID — MEDICAID: $109.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammo Screen Implant BI	$281	$281	$90.97 – $281
Screening mammogram, both breasts: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $252.90 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $252.90 MEDICA — COMMERCIAL: $205.69 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $205.69 MEDICA_CHOICE_CARE — COMMERCIAL: $112.96 MEDICA_MEDICARE_ADV — MEDICARE: $281 MEDICA_MSHO — COMMERCIAL: $110.43 MEDICA_SELECTCARE — COMMERCIAL: $205.69 MEDICAID — MEDICAID: $90.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammography Screening Digital	$281	$281	$90.97 – $281
Screening mammogram, both breasts: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $252.90 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $252.90 MEDICA — COMMERCIAL: $205.69 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $205.69 MEDICA_CHOICE_CARE — COMMERCIAL: $112.96 MEDICA_MEDICARE_ADV — MEDICARE: $281 MEDICA_MSHO — COMMERCIAL: $110.43 MEDICA_SELECTCARE — COMMERCIAL: $205.69 MEDICAID — MEDICAID: $90.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier LT In the file: Mammo Screen Implant LT	$281	$281	$90.97 – $281
Screening mammogram, both breasts: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $252.90 BCBS — COMMERCIAL: $248.93 HUMANA — COMMERCIAL: $252.90 MEDICA — COMMERCIAL: $205.69 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $205.69 MEDICA_CHOICE_CARE — COMMERCIAL: $112.96 MEDICA_MEDICARE_ADV — MEDICARE: $281 MEDICA_MSHO — COMMERCIAL: $110.43 MEDICA_SELECTCARE — COMMERCIAL: $205.69 MEDICAID — MEDICAID: $90.97

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnogram	$5,231	$5,231	$1,089.61 – $5,231
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $4,707.90 BCBS — COMMERCIAL: $3,193.53 HUMANA — COMMERCIAL: $4,707.90 MEDICA — COMMERCIAL: $3,829.09 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $3,829.09 MEDICA_CHOICE_CARE — COMMERCIAL: $2,102.86 MEDICA_MEDICARE_ADV — MEDICARE: $1,089.61 MEDICA_MSHO — COMMERCIAL: $2,055.78 MEDICA_SELECTCARE — COMMERCIAL: $3,829.09 MEDICAID — MEDICAID: $5,231

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapeutic Exer PT	$150	$150	$20.92 – $150
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $135 BCBS — COMMERCIAL: $149.35 HUMANA — COMMERCIAL: $135 MEDICA — COMMERCIAL: $109.80 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $109.80 MEDICA_CHOICE_CARE — COMMERCIAL: $60.30 MEDICA_MEDICARE_ADV — MEDICARE: $150 MEDICA_MSHO — COMMERCIAL: $58.95 MEDICA_SELECTCARE — COMMERCIAL: $109.80 MEDICAID — MEDICAID: $20.92
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapeutic Exer OT	$150	$150	$20.92 – $150
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $135 BCBS — COMMERCIAL: $149.35 HUMANA — COMMERCIAL: $135 MEDICA — COMMERCIAL: $109.80 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $109.80 MEDICA_CHOICE_CARE — COMMERCIAL: $60.30 MEDICA_MEDICARE_ADV — MEDICARE: $150 MEDICA_MSHO — COMMERCIAL: $58.95 MEDICA_SELECTCARE — COMMERCIAL: $109.80 MEDICAID — MEDICAID: $20.92
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT Eval Low Complexity	$146	$146	$57.38 – $232.86
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $131.40 BCBS — COMMERCIAL: $232.86 HUMANA — COMMERCIAL: $131.40 MEDICA — COMMERCIAL: $106.87 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $106.87 MEDICA_CHOICE_CARE — COMMERCIAL: $58.69 MEDICA_MEDICARE_ADV — MEDICARE: $146 MEDICA_MSHO — COMMERCIAL: $57.38 MEDICA_SELECTCARE — COMMERCIAL: $106.87 MEDICAID — MEDICAID: $70.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT Eval Mod Complexity	$217	$217	$70.20 – $232.86
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $195.30 BCBS — COMMERCIAL: $232.86 HUMANA — COMMERCIAL: $195.30 MEDICA — COMMERCIAL: $158.84 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $158.84 MEDICA_CHOICE_CARE — COMMERCIAL: $87.23 MEDICA_MEDICARE_ADV — MEDICARE: $217 MEDICA_MSHO — COMMERCIAL: $85.28 MEDICA_SELECTCARE — COMMERCIAL: $158.84 MEDICAID — MEDICAID: $70.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT Eval High Complexity	$289	$289	$70.20 – $289
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates AVERA — COMMERCIAL: $260.10 BCBS — COMMERCIAL: $232.86 HUMANA — COMMERCIAL: $260.10 MEDICA — COMMERCIAL: $211.55 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $211.55 MEDICA_CHOICE_CARE — COMMERCIAL: $116.18 MEDICA_MEDICARE_ADV — MEDICARE: $289 MEDICA_MSHO — COMMERCIAL: $113.58 MEDICA_SELECTCARE — COMMERCIAL: $211.55 MEDICAID — MEDICAID: $70.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy 45 minutes	$260	$260	$102.18 – $286.67
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $234 BCBS — COMMERCIAL: $286.67 HUMANA — COMMERCIAL: $234 MEDICA — COMMERCIAL: $190.32 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $190.32 MEDICA_CHOICE_CARE — COMMERCIAL: $104.52 MEDICA_MEDICARE_ADV — MEDICARE: $172.06 MEDICA_MSHO — COMMERCIAL: $102.18 MEDICA_SELECTCARE — COMMERCIAL: $190.32 MEDICAID — MEDICAID: $260

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD Diagnostic Brush Wash	$836	$836	$116.39 – $755.92
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates AVERA — COMMERCIAL: $247.29 BCBS — COMMERCIAL: $281 MEDICA — COMMERCIAL: $203.97 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $203.97 MEDICA_CHOICE_CARE — COMMERCIAL: $203.97 MEDICA_MEDICARE_ADV — MEDICARE: $203.97 MEDICA_MSHO — COMMERCIAL: $203.97 MEDICA_SELECTCARE — COMMERCIAL: $203.97 MEDICAID — MEDICAID: $337.21 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $116.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD Biopsy Single/Multiple	$1,183	$1,183	$131.33 – $1,011.03
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $279.04 BCBS — COMMERCIAL: $317 MEDICA — COMMERCIAL: $230.07 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $230.07 MEDICA_CHOICE_CARE — COMMERCIAL: $230.07 MEDICA_MEDICARE_ADV — MEDICARE: $230.07 MEDICA_MSHO — COMMERCIAL: $230.07 MEDICA_SELECTCARE — COMMERCIAL: $230.07 MEDICAID — MEDICAID: $376.26 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $131.33
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Diagnostic	$1,367	$1,367	$174.61 – $1,093.60
Colonoscopy (diagnostic): 10 of 13 insurance plan rates AVERA — COMMERCIAL: $371.01 BCBS — COMMERCIAL: $448 MEDICA — COMMERCIAL: $304.80 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $304.80 MEDICA_CHOICE_CARE — COMMERCIAL: $304.80 MEDICA_MEDICARE_ADV — MEDICARE: $304.80 MEDICA_MSHO — COMMERCIAL: $304.80 MEDICA_SELECTCARE — COMMERCIAL: $304.80 MEDICAID — MEDICAID: $365.51 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $174.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W Biopsy(s)	$628	$628	$190.11 – $1,148.17
Colonoscopy with biopsy: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $403.93 BCBS — COMMERCIAL: $487 MEDICA — COMMERCIAL: $331.74 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $331.74 MEDICA_CHOICE_CARE — COMMERCIAL: $331.74 MEDICA_MEDICARE_ADV — MEDICARE: $331.74 MEDICA_MSHO — COMMERCIAL: $331.74 MEDICA_SELECTCARE — COMMERCIAL: $331.74 MEDICAID — MEDICAID: $473.55 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $190.11
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy W Lesion Removal	$794	$794	$240.60 – $1,193.65
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates AVERA — COMMERCIAL: $511.21 BCBS — COMMERCIAL: $616 MEDICA — COMMERCIAL: $419.49 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $419.49 MEDICA_CHOICE_CARE — COMMERCIAL: $419.49 MEDICA_MEDICARE_ADV — MEDICARE: $419.49 MEDICA_MSHO — COMMERCIAL: $419.49 MEDICA_SELECTCARE — COMMERCIAL: $419.49 MEDICAID — MEDICAID: $489.72 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $240.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic Cholecystectomy	$2,233	$2,233	$614.43 – $1,786.40
Gallbladder removal by laparoscope: rates for 7 insurance plans AVERA — COMMERCIAL: $1,305.49 BCBS — COMMERCIAL: $1,544 MEDICAID — MEDICAID: $656.08 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $614.43 MULTIPLAN — COMMERCIAL: $1,786.40 SANFORD_BHCAG — COMMERCIAL: $839.14 UHC — COMMERCIAL: $1,703.25
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy Prostate	$4,637	$4,637	$1,822.34 – $4,637
Prostate biopsy: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $4,173.30 BCBS — COMMERCIAL: $3,440.85 HUMANA — COMMERCIAL: $4,173.30 MEDICA — COMMERCIAL: $3,394.28 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $3,394.28 MEDICA_CHOICE_CARE — COMMERCIAL: $1,864.07 MEDICA_MEDICARE_ADV — MEDICARE: $4,637 MEDICA_MSHO — COMMERCIAL: $1,822.34 MEDICA_SELECTCARE — COMMERCIAL: $3,394.28 MEDICAID — MEDICAID: $4,637
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$6,926	$6,926	$2,721.92 – $6,926
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $6,233.40 BCBS — COMMERCIAL: $6,131.70 HUMANA — COMMERCIAL: $6,233.40 MEDICA — COMMERCIAL: $5,069.83 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $5,069.83 MEDICA_CHOICE_CARE — COMMERCIAL: $2,784.25 MEDICA_MEDICARE_ADV — MEDICARE: $6,926 MEDICA_MSHO — COMMERCIAL: $2,721.92 MEDICA_SELECTCARE — COMMERCIAL: $5,069.83 MEDICAID — MEDICAID: $6,926
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Inj Epidural L/S W Guide	$507	$507	$95.07 – $694.09
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates AVERA — COMMERCIAL: $202 BCBS — COMMERCIAL: $208 MEDICA — COMMERCIAL: $167.54 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $167.54 MEDICA_CHOICE_CARE — COMMERCIAL: $167.54 MEDICA_MEDICARE_ADV — MEDICARE: $167.54 MEDICA_MSHO — COMMERCIAL: $167.54 MEDICA_SELECTCARE — COMMERCIAL: $167.54 MEDICAID — MEDICAID: $260.81 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $95.07
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier LT In the file: Inj Foramen Epidural L/S LT	$388	$388	$106.93 – $639.93
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $227.20 BCBS — COMMERCIAL: $233 MEDICA — COMMERCIAL: $189.02 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $189.02 MEDICA_CHOICE_CARE — COMMERCIAL: $189.02 MEDICA_MEDICARE_ADV — MEDICARE: $189.02 MEDICA_MSHO — COMMERCIAL: $189.02 MEDICA_SELECTCARE — COMMERCIAL: $189.02 MEDICAID — MEDICAID: $265.84 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $106.93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier RT In the file: Inj Foramen Epidural L/S RT	$388	$388	$106.93 – $639.93
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $227.20 BCBS — COMMERCIAL: $233 MEDICA — COMMERCIAL: $189.02 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $189.02 MEDICA_CHOICE_CARE — COMMERCIAL: $189.02 MEDICA_MEDICARE_ADV — MEDICARE: $189.02 MEDICA_MSHO — COMMERCIAL: $189.02 MEDICA_SELECTCARE — COMMERCIAL: $189.02 MEDICAID — MEDICAID: $265.84 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $106.93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Inj Foramen Epidural L/S BI	$582	$582	$106.93 – $639.93
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $227.20 BCBS — COMMERCIAL: $233 MEDICA — COMMERCIAL: $189.02 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $189.02 MEDICA_CHOICE_CARE — COMMERCIAL: $189.02 MEDICA_MEDICARE_ADV — MEDICARE: $189.02 MEDICA_MSHO — COMMERCIAL: $189.02 MEDICA_SELECTCARE — COMMERCIAL: $189.02 MEDICAID — MEDICAID: $265.84 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $106.93
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier LT In the file: After Cataract Laser SurgeryLT	$422	$422	$165.85 – $1,023.02
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $379.80 BCBS — COMMERCIAL: $1,023.02 HUMANA — COMMERCIAL: $379.80 MEDICA — COMMERCIAL: $308.90 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $308.90 MEDICA_CHOICE_CARE — COMMERCIAL: $169.64 MEDICA_MEDICARE_ADV — MEDICARE: $587.54 MEDICA_MSHO — COMMERCIAL: $165.85 MEDICA_SELECTCARE — COMMERCIAL: $308.90 MEDICAID — MEDICAID: $422
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier RT In the file: After Cataract Laser SurgeryRT	$422	$422	$165.85 – $1,023.02
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $379.80 BCBS — COMMERCIAL: $1,023.02 HUMANA — COMMERCIAL: $379.80 MEDICA — COMMERCIAL: $308.90 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $308.90 MEDICA_CHOICE_CARE — COMMERCIAL: $169.64 MEDICA_MEDICARE_ADV — MEDICARE: $587.54 MEDICA_MSHO — COMMERCIAL: $165.85 MEDICA_SELECTCARE — COMMERCIAL: $308.90 MEDICAID — MEDICAID: $422
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 50 In the file: After Cataract Laser SurgeryBI	$633	$633	$248.77 – $1,023.02
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates AVERA — COMMERCIAL: $569.70 BCBS — COMMERCIAL: $1,023.02 HUMANA — COMMERCIAL: $569.70 MEDICA — COMMERCIAL: $463.36 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $463.36 MEDICA_CHOICE_CARE — COMMERCIAL: $254.47 MEDICA_MEDICARE_ADV — MEDICARE: $587.54 MEDICA_MSHO — COMMERCIAL: $248.77 MEDICA_SELECTCARE — COMMERCIAL: $463.36 MEDICAID — MEDICAID: $633
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Cataract Surg W IOL 1 Stage BI	$1,705	$1,705	$530 – $1,461.94
Cataract removal with lens implant: 10 of 13 insurance plan rates AVERA — COMMERCIAL: $1,126.09 BCBS — COMMERCIAL: $1,249 MEDICA — COMMERCIAL: $935.51 MEDICA_ACCESSIBILITY_SOLUTION — COMMERCIAL: $935.51 MEDICA_CHOICE_CARE — COMMERCIAL: $935.51 MEDICA_MEDICARE_ADV — MEDICARE: $935.51 MEDICA_MSHO — COMMERCIAL: $935.51 MEDICA_SELECTCARE — COMMERCIAL: $935.51 MEDICAID — MEDICAID: $558.65 MEDICARE_AND_MEDICARE_ADV — MEDICARE: $530

Source: Brookings Health System’s standard charges file (brookingshealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 18, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	300 22nd Ave, Brookings, SD 57006
County	Brookings County
State	South Dakota
Phone	(605) 696‑9000
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	430008
Name in Medicare records	BROOKINGS HEALTH SYSTEM
Profile level	Medicare data + hospital website
Name on the hospital’s website	Brookings Hospital, Brookings Health System
Official website	brookingshealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Brookings Hospital, Brookings Health System — brookingshealth.org
Brookings Health System Emergency Department — brookingshealth.org
Visiting Brookings Hospital — brookingshealth.org
Parking at Brookings Hospital | Brookings Health System | High Quality Healthcare — brookingshealth.org
Pediatric Emergency Care | Brookings Health System | High Quality Healthcare — brookingshealth.org
Outpatient | Brookings Health System | High Quality Healthcare — brookingshealth.org
Surgical | Brookings Health System | High Quality Healthcare — brookingshealth.org