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Emergency visit, high (level 4) at Glacial Ridge Health System. CPT 99284.

What Glacial Ridge Health System publishes for this service, straight from its standard-charges file, last updated September 3, 2026.

Outpatient / ER

$420cash price (self-pay)
$1,032list price
$155–$988range insurers pay
Insurance planNegotiated rate
BCBS Mhcp | BCBS Mhcp$220
Medica Msho | Medica Msho$318
Medica Mcare Adv | Medica Mcare Adv$318
UHC Mcaid | UHC Mcaid$392
Health Partners Mcaid | Health Partners Mcaid$398
Triwest - All Plans | Triwest - All Plans$402
UHC Mcare Adv | UHC Mcare Adv$413
BCBS Mcare Adv | BCBS Mcare Adv$414
Health Partners Mcare | Health Partners Mcare$478
Medica Mcaid | Medica Mcaid$500
BCBS Advantage | BCBS Advantage$514
Medica Comm - All Other Plans | Medica Comm - All Other Plans$553
BCBS Blue Plus - All Other Plans | BCBS Blue Plus - All Other Plans$674
Preferred One Pic/Pas | Preferred One Pic/Pas$697
Health Partners Comm - All Other Plans | Health Partners Comm - All Ot$731
Multiplan - All Plans | Multiplan - All Plans$748
Preferred One PPO - All Other Plans | Preferred One PPO - All Other Pl$762
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$836
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All common services at Glacial Ridge Health System