go back

Follow-Up Care After Leaving the Hospital, Moderate

South Dakota rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated July 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$200

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $135 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$200$135 to $398
FacilityA hospital or hospital-owned outpatient department$135$120 to $234

How much rates vary

Facilitymedian $135 · 10th to 90th $24 to $339Professionalmedian $200 · 10th to 90th $115 to $490
$50$100$200$500facility $135professional $200

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$134.90
Typical High
$338.84
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$489.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$501.19
Median
$501.19
Typical High
$575.44
Avera
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$218.78
Avera
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$309.03

Where South Dakota sits

The same service costs 2.1 times more in Minnesota than in Delaware. 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· 7th of 51

$200

MN $288DE $138

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.