Emergency visit, high (level 4) at Fairview Bethesda Hospital. CPT 99284.
What Fairview Bethesda Hospital publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$487cash price (self-pay)
$1,244list price
$81.32–$1,124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $307 |
| Health Partners | PMAP | $313 |
| Blue Cross of Minnesota | Managed Medicaid | $343 |
| Itasca Medical Care | Managed Medicaid | $397 |
| Primewest | Managed Medicaid | $397 |
| South Country Health Alliance | PMAP | $397 |
| Itasca Medical Care | Medicare Advantage/MSHO | $424 |
| Primewest | MSHO | $424 |
| Sanford Health Plan | Medicare Advantage | $424 |
| Security Health Plan | Medicare Advantage | $424 |
| South Country Health Alliance | Medicare Advantage | $424 |
| United Healthcare | Medicare Advantage | $424 |
| WellCare | Medicare Advantage | $424 |
| Hennepin Health | PMAP | $429 |
| UCare | Medicare Advantage/MSHO | $430 |
| UCare | PMAP | $431 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $440 |
| Blue Cross of Minnesota | Medicare Advantage | $441 |
| Health Partners | Medicare Advantage | $449 |
| Medica | Medicare Advantage | $449 |
| Medica | MSHO | $537 |
| United Healthcare | Core | $659 |
| United Healthcare | Commercial | $710 |
| Blue Cross of Minnesota | Aware Federal | $720 |
| Blue Cross of Minnesota | Commercial | $733 |
| Health Partners | Federal | $734 |
| UCare | Individual and Family with M Health Fairview | $746 |
| America's PPO | EZCare | $746 |
| America's PPO | Health EZ | $746 |
| Health Partners | Commercial | $747 |
Inpatient
$487cash price (self-pay)
$1,244list price
$325–$1,124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Managed Medicaid | $333 |
| Health Partners | Medicare Cost | $411 |
| Health Partners | PMAP | $418 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $443 |
| Medica | MSHO | $500 |
| UCare | PMAP | $521 |
| America's PPO | EZCare | $648 |
| United Healthcare | Core | $659 |
| Blue Cross of Minnesota | Aware Federal | $699 |
| United Healthcare | Commercial | $710 |
| Blue Cross of Minnesota | Commercial | $712 |
| Sanford Health Plan | Commercial | $733 |
| America's PPO | Health EZ | $734 |
| Medica | BOLD | $756 |
| Medica | City of St Paul and Essential/Uplan | $756 |
| Medica | Vantage SI | $756 |
| Health Partners | Federal | $761 |
| Health Partners | Commercial | $775 |
| America's PPO | Commercial | $795 |
| Health Partners | Cigna Commercial | $814 |
| Medica | Choice | $841 |
| Medica | Individual and Family, Elect | $841 |
| Security Health Plan | Commercial | $933 |
| Health Partners | Cigna Great West | $969 |
| First Health | Commercial | $1,020 |
| MultiPlan | Commercial | $1,057 |
| Private Healthcare Systems | Commercial | $1,057 |
| Wisconsin Physician Services | Commercial | $1,120 |
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