Emergency visit, high (level 4) at Sanford Sheldon Medical Center. CPT 99284.
What Sanford Sheldon Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,318cash price (self-pay)
$1,648list price
$470–$1,483range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $470 |
| Ucare | Medicare Replacement | $504 |
| Aetna | Medicare Replacement | $509 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $509 |
| Great Plains Medicare Advantage | Medicare Replacement | $509 |
| Health Partners | Medicare Replacement | $509 |
| United Healthcare | Medicare Replacement | $509 |
| Primewest | Medicare Replacement | $519 |
| Sanford Health Plan | Group Health/True | $883 |
| Sanford Health Plan | SD Exchange True | $883 |
| Security Health Plan | Commercial | $906 |
| Sanford Health Plan | Commercial/ND Pers | $1,039 |
| Sanford Health Plan | SD Exchange Commercial | $1,039 |
| Health Partners | State Employees | $1,088 |
| Health Partners | Commercial | $1,236 |
| Medica | Choice | $1,360 |
| United Healthcare | Commercial + Top 20 | $1,376 |
| Aetna | Commercial | $1,432 |
| Ucare | Commercial | $1,448 |
| Medica | Elect | $1,454 |
| First Choice Health Network | Commercial | $1,483 |
| Healthez | Commercial | $1,483 |
| Multiplan | Commercial | $1,483 |
Inpatient
$1,318cash price (self-pay)
$1,648list price
$824–$1,483range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | HMO | $824 |
| Wellmark | PPO | $857 |
| Sanford Health Plan | Group Health/True | $883 |
| Sanford Health Plan | SD Exchange True | $883 |
| Security Health Plan | Commercial | $906 |
| Sanford Health Plan | Commercial/ND Pers | $1,039 |
| Sanford Health Plan | SD Exchange Commercial | $1,039 |
| Health Partners | State Employees | $1,088 |
| Health Partners | Commercial | $1,236 |
| Medica | Choice | $1,360 |
| United Healthcare | Commercial + Top 20 | $1,376 |
| Aetna | Commercial | $1,432 |
| Ucare | Commercial | $1,448 |
| Medica | Elect | $1,454 |
| First Choice Health Network | Commercial | $1,483 |
| Healthez | Commercial | $1,483 |
| Multiplan | Commercial | $1,483 |
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