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Same-Day Hospital Admission And Discharge, Moderate

South Dakota rates for HCPCS 99235

Covers a doctor's evaluation and treatment of a patient who is admitted to hospital or to an observation bed and sent home on the same calendar day. It includes the history, examination, and decision-making for both the admission and the discharge. This version applies when the problem and the decisions involved are of moderate complexity.

Rates data updated July 2026.

How much does Same-Day Hospital Admission And Discharge, Moderate cost?

$269

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $209 to $302.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $204 · 10th to 90th $126 to $309Professionalmedian $275 · 10th to 90th $204 to $324
$200facility $204professional $275

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
$125.89
Median
$141.25
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$302.00

Where South Dakota sits

The same service costs 4.9 times more in Minnesota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 11th of 49

$269

MN $490MS $100

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.