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Care Coordination After Hospital Discharge, Complex

South Dakota rates for HCPCS 99496

This service covers the coordination and management of a patient's care during the weeks following a hospital stay, for cases involving more complex medical decision-making. It includes a face-to-face visit soon after discharge along with ongoing coordination such as medication review and communication with other providers. It's meant to help prevent complications or readmission during a vulnerable transition period.

Rates data updated July 2026.

How much does Care Coordination After Hospital Discharge, Complex cost?

$245

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $126 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$245$174 to $575
FacilityA hospital or hospital-owned outpatient department$126$123 to $269

How much rates vary

Facilitymedian $126 · 10th to 90th $120 to $550Professionalmedian $245 · 10th to 90th $151 to $676
$100$200$500facility $126professional $245

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
$120.23
Median
$123.03
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$676.08
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$275.42
Median
$407.38
Typical High
$676.08
Avera
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$295.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$562.34
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$426.58

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· 14th of 51

$245

MN $389DE $186

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.