Emergency · procedure code 99285
ER visit, severe cost in South Dakota
No plan has filed Emergency department visit, high severity in Mitchell, SD in a form we can read, so this page shows South Dakota instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.
State market
ER visit, severe
SD · procedure code 99285
We do not have a publishable distribution for Mitchell, SD, so this is the SD market instead. The label above says so on purpose.
Middle price
$239
Half of this market is above it, half below
Middle half spans
$172 to $363
2.1x from low to high
The expensive end
$468
What the priciest providers charge
Medicare reference · South Dakota (nearest published locality)
$161
Performed in an office
Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.
Reading it
What this distribution actually says.
The spread
The middle half of this market runs from $172 to $363, a 2.1x difference for the same procedure code in the same city. That gap is between contracts, not between quality.
Against Medicare
Medicare pays $161 for this service at its South Dakota locality. We do not turn that into a percentage here, because the price above is South Dakota and that Medicare figure is one locality inside it. Two different maps do not divide.
The expensive end
One in ten filings sits at or above $468. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.
How wide the data runs
The carriers that filed for this procedure in this market, though this is a smaller market and we mark it as one. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.
Put this in front of a client.
Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.