Emergency visit, highest (level 5) at Essentia Health-Holy Trinity Hospital (Graceville). CPT 99285.
What Essentia Health-Holy Trinity Hospital (Graceville) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,365cash price (self-pay)
$1,847list price
$613–$1,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Med Care | Medicaid | $613 |
| Primewest | Medicaid | $619 |
| HealthPartners CARE PMAP | Medicaid | $718 |
| Medica Access | Medicaid | $735 |
| Sanford HealthPlan | Commercial-NDPERS | $792 |
| Sanford HealthPlan | Commercial | $834 |
| BCBS Nd | BCBS Mn | $988 |
| HealthPartners | SHP | $1,123 |
| Advocare/Security Health | Medicare | $1,145 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $1,145 |
| Freedom Blue PPO | Medicare | $1,145 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $1,145 |
| IMCARE MSHO PCC PRIME | Medicare | $1,145 |
| IMCARE MSHO REF REQ | Medicare | $1,145 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $1,145 |
| MEDICA MSHO/Dual Solutions | Medicare | $1,145 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $1,145 |
| MEDICARE ADV PFFS | Medicare | $1,145 |
| ND VA ADMINISTRATION | Medicare | $1,145 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $1,145 |
| PRIMEWEST MSHO | Medicare | $1,145 |
| Platinum Blue/Vantage Blue | Medicare | $1,145 |
| SECURE BLUE MSHO | Medicare | $1,145 |
| SECURITY HEALTH MEDICARE | Medicare | $1,145 |
| UBH COST PLAN | Medicare | $1,145 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $1,145 |
| UBH MSHO | Medicare | $1,145 |
| Cigna | Commercial | $1,228 |
| HealthPartners PCC Prime | Commercial | $1,228 |
| HealthPartners | Commercial | $1,228 |
Inpatient
$1,365cash price (self-pay)
$1,847list price
$718–$1,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $718 |
| Sanford HealthPlan | Commercial-NDPERS | $792 |
| Sanford HealthPlan | Commercial | $834 |
| BCBS MN | Medicaid | $1,016 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $1,016 |
| HealthPartners | SHP | $1,123 |
| Medica Access | Medicaid | $1,151 |
| Ucare | Commercial | $1,215 |
| Cigna | Commercial | $1,228 |
| HealthPartners PCC Prime | Commercial | $1,228 |
| HealthPartners | Commercial | $1,228 |
| MN BCBS Commercial | BCBS MN | $1,293 |
| WEA | Commercial-Narrow Network | $1,330 |
| WEA | Commercial | $1,422 |
| America's PPO | Commercial | $1,431 |
| WPS | Commercial | $1,533 |
| Medica Uplan | Commercial | $1,535 |
| Medica | Commercial-FI | $1,535 |
| Medica | Commercial-SI | $1,535 |
| Aetna First Health | Commercial | $1,570 |
| Medica | IFB ACO | $1,616 |
| Medica Choice | Commercial | $1,664 |
| UHC | Commercial | $1,672 |
| UMR | Commercial | $1,672 |
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All common services at Essentia Health-Holy Trinity Hospital (Graceville)