Emergency visit, high (level 4) at Ortonville Area Health Services. CPT 99284.
What Ortonville Area Health Services publishes for this service, straight from its standard-charges file, last updated June 18, 2026.
Outpatient / ER
$823cash price (self-pay)
$968list price
$270–$939range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $270 |
| Blue Cross Blue Shield | Managed Medicaid | $398 |
| Health Partners | Managed Medicaid | $484 |
| Medica | Medicare Advantage | $484 |
| Medica Minnesota Senior Health Options (MSHO)/Select Solution/Prime So | $484 |
| PrimeWest | Medicare Advantage | $484 |
| United Healthcare | Medicare Advantage | $484 |
| Ucare Health | HMO | $484 |
| United Healthcare | Managed Medicaid | $503 |
| Health Partners | Medicare Advantage | $581 |
| Medica Choice/Focus/IFB/MHPS/Care System | Commercial | $825 |
| Sanford Health Plan | Commercial | $852 |
| United Healthcare | Commercial | $852 |
| Health Partners | Commercial | $863 |
| MultiPlan | Commercial | $910 |
| Blue Cross Blue Shield | Commercial | $920 |
| America's Health System | PPO | $939 |
Inpatient
$823cash price (self-pay)
$968list price
$484–$939range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Managed Medicaid | $484 |
| Health Partners | Medicare Advantage | $581 |
| United Healthcare | Commercial | $852 |
| Health Partners | Commercial | $863 |
| Sanford Health Plan | Commercial | $891 |
| MultiPlan | Commercial | $910 |
| Blue Cross Blue Shield | Commercial | $920 |
| America's Health System | PPO | $939 |
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