Emergency visit, highest (level 5) at Essentia Health-St. Mary's Children's Hospital (Duluth). CPT 99285.
What Essentia Health-St. Mary's Children's Hospital (Duluth) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,167cash price (self-pay)
$1,768list price
$585–$1,520range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Access | Medicaid | $585 |
| Itasca Med Care | Medicaid | $613 |
| Advocare/Security Health | Medicare | $615 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $615 |
| Freedom Blue PPO | Medicare | $615 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $615 |
| IMCARE MSHO (REF REQ) | Medicare | $615 |
| IMCARE MSHO PCC PRIME | Medicare | $615 |
| IMCARE MSHO REF REQ | Medicare | $615 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $615 |
| MEDICA MSHO/Dual Solutions | Medicare | $615 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $615 |
| MEDICARE ADV PFFS | Medicare | $615 |
| ND VA ADMINISTRATION | Medicare | $615 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $615 |
| PRIMEWEST MSHO | Medicare | $615 |
| Platinum Blue / Vantage Blue | Medicare | $615 |
| SECURE BLUE MSHO | Medicare | $615 |
| SECURITY HEALTH MEDICARE | Medicare | $615 |
| Primewest | Medicaid | $619 |
| HealthPartners CARE PMAP | Medicaid | $704 |
| Blue Plus PMAP PCC Prime | Medicaid | $781 |
| BCBS Mn | Shp | $781 |
| Sanford Health Plan | Commercial-NDPERS | $922 |
| Sanford Health Plan | Commercial | $942 |
| Medica Uplan | Commercial | $978 |
| Medica | Commercial-FI | $978 |
| Medica | Commercial-SI | $1,004 |
| HealthPartners | SHP | $1,059 |
| Medica Choice | Commercial | $1,080 |
Inpatient
$1,167cash price (self-pay)
$1,768list price
$758–$1,520range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial-NDPERS | $758 |
| BCBS Mn | Shp | $781 |
| Sanford Health Plan | Commercial | $798 |
| Blue Plus PMAP PCC Prime | Medicaid | $884 |
| MN BCBS Commercial | BCBS MN | $972 |
| UCare | Commercial | $1,163 |
| WEA | Commercial-Narrow Network | $1,273 |
| BCBS WI | Commercial | $1,344 |
| Security Health | Commercial | $1,361 |
| WEA | Commercial | $1,361 |
| America's PPO | Commercial | $1,370 |
| WPS | Commercial | $1,467 |
| Aetna First Health | Commercial | $1,503 |
| HealthScope Benefits | Commercial | $1,503 |
| HealthEOS | Commercial | $1,520 |
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All common services at Essentia Health-St. Mary's Children's Hospital (Duluth)