Emergency visit, high (level 4) at Mahnomen Health Center. CPT 99284.
What Mahnomen Health Center publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$374cash price (self-pay)
$948list price
$267–$1,014range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | Minnesota Health Care Programs ( | $267 |
| Sanford Health Plan | Medicare Advantage | $426 |
| Medica | Medicare Advantage | $427 |
| United Healthcare | Managed Medicaid | $447 |
| UCare Minnesota | Medicare Advantage | $447 |
| United Healthcare | Medicare Advantage | $465 |
| Medica | Minnesota Senior Health Options/Select Solution/Prime Solutio | $615 |
| United Healthcare | Commercial | $626 |
| Medica | Choice Care | $628 |
| Blue Cross Blue Shield of Minnesota | Blue Cross Blue Plus | $683 |
| Sanford Health Plan | Commercial | $901 |
| Medica | Commercial | $1,014 |
Inpatient
$948cash price (self-pay)
$948list price
—range insurers pay
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