Emergency visit, moderate (level 3) at M Health Fairview Ridges Hospital. CPT 99283.
What M Health Fairview Ridges Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$303cash price (self-pay)
$719list price
$47.84–$1,617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | MSHO/Medicare Advantage SNP | $192 |
| Medica | Managed Medicaid/AccessAbility | $202 |
| Blue Cross of Minnesota | PMAP | $226 |
| Health Partners | Medicare Cost | $237 |
| Health Partners | PMAP | $241 |
| Itasca Medical Care | Managed Medicaid | $258 |
| Primewest | Managed Medicaid | $258 |
| South Country Health Alliance | PMAP | $258 |
| Itasca Medical Care | Medicare Advantage/MSHO | $269 |
| Primewest | MSHO | $269 |
| Sanford Health Plan | Medicare Advantage | $269 |
| Security Health Plan | Medicare Advantage | $269 |
| South Country Health Alliance | Medicare Advantage | $269 |
| United Healthcare | Medicare Advantage | $269 |
| WellCare | Medicare Advantage | $269 |
| UCare | Medicare Advantage/MSHO | $273 |
| Hennepin Health | PMAP | $279 |
| Blue Cross of Minnesota | Medicare Advantage | $280 |
| UCare | PMAP | $280 |
| Health Partners | Medicare Advantage | $286 |
| Medica | Medicare Advantage Non-SNP | $286 |
| America's PPO | EZCare | $431 |
| America's PPO | Health EZ | $431 |
| Medica | Bold | $474 |
| UCare | Individual and Family with M Health Fairview | $479 |
| Health Partners | Federal | $490 |
| Medica | City of St. Paul/Essential-Uplan | $491 |
| Health Partners | Commercial | $499 |
| Medica | Vantage Self Insured | $514 |
| America's PPO | Commercial | $517 |
Inpatient
$303cash price (self-pay)
$719list price
$371–$656range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| America's PPO | EZCare | $374 |
| Sanford Health Plan | Commercial | $423 |
| America's PPO | Health EZ | $424 |
| America's PPO | Commercial | $459 |
| Security Health Plan | Commercial | $539 |
| First Health | Commercial | $589 |
| MultiPlan | Commercial | $611 |
| Private Healthcare Systems | Commercial | $611 |
| Wisconsin Physician Services | Commercial | $647 |
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