Emergency visit, high (level 4) at Rainy Lake Medical Center. CPT 99284.
What Rainy Lake Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$76.49cash price (self-pay)
$426list price
$21.71–$1,072range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Minnesota Health Care Programs | $93.04 |
| HealthPartners | Medicare Advantage | $120 |
| Humana/ChoiceCare | Medicare Advantage | $120 |
| UCare Minnesota | MinnesotaCare/Senior Care Plus/Non-Integrated Specia | $120 |
| Medica | Medicare Advantage | $129 |
| UCare Minnesota | MSHO/Integrated Dual Eligible Special Needs/Medicare | $132 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $167 |
| United Healthcare | Minnesota Medicaid Benefit Plans/CHIP | $183 |
| UCare Minnesota | Individual and Family Plans | $193 |
| Medica | Commercial Plans | $232 |
| HealthPartners | MinnesotaCare Programs | $277 |
| HealthPartners | Medicare Cost Products | $340 |
| United Healthcare | Commercial Plans | $361 |
| HealthPartners | State of Minnesota Advantage Products | $363 |
| Blue Cross of Minnesota | Commercial Plans | $371 |
| Sanford Health Plan | PHO | $372 |
| HealthPartners | Commercial Plans | $404 |
| Humana/ChoiceCare | Commercial Plans | $404 |
| Preferred One | All Plans | $413 |
| Medica | Minnesota Health Care Programs | $545 |
Inpatient
$76.49cash price (self-pay)
$426list price
$21.71–$1,072range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Minnesota Health Care Programs | $93.04 |
| HealthPartners | MinnesotaCare Programs | $277 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $330 |
| HealthPartners | Medicare Cost Products | $340 |
| HealthPartners | State of Minnesota Advantage Products | $363 |
| Blue Cross of Minnesota | Commercial Plans | $371 |
| Sanford Health Plan | PHO | $372 |
| Medica | Commercial Plans | $391 |
| HealthPartners | Commercial Plans | $404 |
| Humana/ChoiceCare | Commercial Plans | $404 |
| Preferred One | All Plans | $413 |
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