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Hospital Inpatient Follow-Up Visit, High Complexity

South Dakota rates for HCPCS 99233

This covers a doctor's daily follow-up visit to a hospitalized patient on a day when the patient's condition is unstable, has a significant new problem, or otherwise requires a high degree of medical decision-making. It's billed once per day, reflecting a check-in on how the patient is doing and adjustments to the treatment plan while admitted. It differs from more routine daily hospital visits mainly by that greater complexity or the amount of time involved.

Rates data updated July 2026.

How much does Hospital Inpatient Follow-Up Visit, High Complexity cost?

$115

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$102 to $240
FacilityA hospital or hospital-owned outpatient department$148$110 to $182

How much rates vary

Facilitymedian $148 · 10th to 90th $89 to $224Professionalmedian $115 · 10th to 90th $93 to $295
$20.0$50.0$100.0$200.0$500.0facility $148professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$295.12
Avera
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Avera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$199.53

Where South Dakota sits

The same service costs 1.7 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $115 · 29th of 51
WV $158DC $95.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.