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Primary Care Clinics

Sick today...be seen today. The state has partnered with Sanford to provide select services for a reduced cost at three Primary Care Clinics as part of a new pilot program.

Covered members can receive select services at state sponsored Primary Care Clinics in Sioux Falls for a $10 per visit charge*.

Select Services List:

  1. Cold / Sore Throat
  2. Pneumonia / Bronchitis / etc.
  3. Flu
  4. Diabetes Management
  5. Hypertension Management
  6. Asthma Management
  7. Well Child Checks
  8. Immunizations/injections
  9. Chronic fatigue
  10. Gout
  11. Pre-Operative Physical
  12. Abdominal Pain
  13. Shortness of Breath
  14. Dizziness
  15. Follow up from Hospitalizations
  16. Chronic Headaches
  17. Rashes
  18. Medication Checks
  19. Cleaning of the Ears
  20. Urinary Tract Infections (UTI)
  21. Prostate Exams
  22. Mild Sports Injuries
  23. Fracture Care
  24. Pap Smear
  25. GYN Exams

This is a list of the top 25 select services offered at the Primary Care Clinics. Additional services may be included in the $10 per visit charge*. If you have coverage questions, please call DAKOTACARE at 1.877.573.7347, option 1.

Primary Care Clinic Locations:

26th and Sycamore Family Medicine
(Pediatricians on staff)
Hours: Monday thru Friday 7:30 a.m. to 5 p.m.
4405 E. 26th St. 605.328.9000
41st and Sertoma Family Medicine
Hours: Monday thru Friday 7:30 a.m. to 5 p.m.
7220 W. 41st St. 605.328.9600
69th and Minnesota Family Medicine
Hours: Monday thru Friday 7:30 a.m. to 5 p.m.
6110 S. Minnesota Ave. 605.328.5800

To Schedule an Appointment:

Important Information:

* This does not apply to members on the HSA plan. IRS guidelines require that members on a high deductible health plan, with the health savings account option, pay fair market value for services received prior to meeting the deductible.

Please see the per visit charge for members on the HSA plan below.

Plan Per Visit Charge
High Deductible HSA Plan*
  • $50 per visit charge prior to satisfying the deductible
  • $12.50 per visit charge after satisfying the deductible

Coverage Examples:

Using a Primary Care Clinic for lower deductible plans

CPT Code Type Charge Example Plan Allowable
99201 Office Visit $92.00 $50.13
81001 Urinalysis $38.00 $7.15
87880 Strep Test $46.58 $20.39
82465 Cholesterol $24.30 $10.47
71020 Chest X-Ray $74.00 $52.00
Member Responsibility $10.00 per visit charge*
Not on the select services list (submitted to health insurance)
11101 Mucous Skin Biopsy $87.00 $46.93 (applied to deductible)
Total Member Responsibility (per visit charge + non covered) $56.93

Using a Non Primary Care Clinic for lower deductible plans

CPT Code Type Charge Example Plan Allowable
99201 Office Visit $92.00 $50.13
81001 Urinalysis $38.00 $7.15
87880 Strep Test $46.58 $20.39
82465 Cholesterol $24.30 $10.47
71020 Chest X-Ray $74.00 $52.00
11101 Mucous Skin Biopsy $87.00 $46.93
Member responsibility (applied to deductible & coinsurance) $187.07

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