Emergency visit, high (level 4) at Northern Itasca Hospital District. CPT 99284.
What Northern Itasca Hospital District publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$361cash price (self-pay)
$1,163list price
$124–$1,128range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $393 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $393 |
| Medicare A MN J6 | All plans | $393 |
| Medicaid Minnesota | All plans | $413 |
| Humana | Medicare Advantage | $475 |
| Medica | All commercial | $724 |
| United Healthcare | All commercial | $802 |
| Aetna | All commercial | $810 |
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