Emergency visit, moderate (level 3) at Grand Itasca Clinic and Hospital. CPT 99283.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$302cash price (self-pay)
$717list price
$47.84–$770range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | PMAP | $202 |
| Itasca Medical Care | Managed Medicaid | $258 |
| Primewest | Managed Medicaid | $258 |
| Medica | Managed Medicaid | $263 |
| Itasca Medical Care | Medicare Advantage/MSHO | $279 |
| Primewest | MSHO | $279 |
| Sanford Health Plan | Medicare Advantage | $279 |
| Security Health Plan | Medicare Advantage | $279 |
| UCare | Medicare Advantage/MSHO | $279 |
| United Healthcare | Medicare Advantage | $279 |
| WellCare | Medicare Advantage | $279 |
| Medica | AccessAbility | $286 |
| Blue Cross of Minnesota | Medicare Advantage | $290 |
| Health Partners | Medicare Advantage | $295 |
| Medica | Medicare Advantage Non-SNP | $295 |
| UCare | PMAP | $297 |
| Health Partners | Medicare Cost | $374 |
| Health Partners | PMAP | $380 |
| Sanford Health Plan | Commercial | $422 |
| United Healthcare | Commercial | $469 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $510 |
| Blue Cross of Minnesota | Aware Federal | $534 |
| Security Health Plan | Commercial | $538 |
| Blue Cross of Minnesota | Aware/Blue Plus | $544 |
| UCare | Individual and Family Plans | $547 |
| First Health | Commercial | $588 |
| Health Partners | Federal | $591 |
| Health Partners | Commercial | $601 |
| MultiPlan | Commercial | $610 |
| Private Healthcare Systems | Commercial | $610 |
Inpatient
$302cash price (self-pay)
$717list price
$323–$715range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $326 |
| Health Partners | PMAP | $332 |
| Sanford Health Plan | Commercial | $422 |
| Security Health Plan | Commercial | $538 |
| Health Partners | Federal | $561 |
| Health Partners | Commercial | $571 |
| United Healthcare | Commercial | $576 |
| First Health | Commercial | $588 |
| Medica | Commercial | $597 |
| Health Partners | Cigna Commercial | $600 |
| MultiPlan | Commercial | $610 |
| Private Healthcare Systems | Commercial | $610 |
| Wisconsin Physician Services | Commercial | $646 |
| America's PPO | Commercial/EZCare/Health EZ | $660 |
| Health Partners | Cigna Great West | $714 |
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