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Hospital Discharge Visit

South Dakota rates for HCPCS 99238

This is the final visit by a doctor or other clinician on the day a patient leaves the hospital, including a review of the hospital stay, final examination, instructions for ongoing care, and preparation of discharge paperwork, for a discharge that takes a shorter amount of time. A longer, more involved discharge process is billed differently.

Rates data updated July 2026.

How much does Hospital Discharge Visit cost?

$77.62

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $107 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$75.86$66.07 to $120
FacilityA hospital or hospital-owned outpatient department$107$74.13 to $120

How much rates vary

Facilitymedian $107 · 10th to 90th $62 to $126Professionalmedian $76 · 10th to 90th $63 to $178
$20.0$50.0$100.0$200.0$500.0facility $107professional $76

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
$61.66
Median
$120.23
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$177.83
Avera
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$74.13
Avera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$186.21
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$138.04
Typical High
$141.25

Where South Dakota sits

The same service costs 1.8 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $77.62 · 42nd of 51
MN $117DC $64.57

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.