Emergency visit, high (level 4) at Sanford Behavioral Health Thief River Falls. CPT 99284.
What Sanford Behavioral Health Thief River Falls publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,048cash price (self-pay)
$1,310list price
$447–$1,231range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Primewest | Medicaid Managed Care | $447 |
| Ucare | Medicaid Managed Care | $447 |
| Blue Cross Blue Shield of Minnesota | PMAP | $450 |
| Sanford Health Plan Align | Medicare Replacement | $498 |
| Ucare | Medicare Replacement | $534 |
| Aetna | Medicare Replacement | $540 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $540 |
| Great Plains Medicare Advantage | Medicare Replacement | $540 |
| Health Partners | Medicare Replacement | $540 |
| United Healthcare | Medicare Replacement | $540 |
| Primewest | Medicare Replacement | $550 |
| Sanford Health Plan | Group Health/TRUE | $702 |
| Sanford Health Plan | SD Exchange True | $702 |
| Security Health Plan | Commercial | $721 |
| Sanford Health Plan | Commercial/ND Pers | $826 |
| Sanford Health Plan | SD Exchange Commercial | $826 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $905 |
| Health Partners | Commercial | $1,061 |
| United Healthcare | Commercial + Top 20 | $1,094 |
| Aetna | Commercial | $1,138 |
| Ucare | Commercial | $1,151 |
| Medica | Choice | $1,151 |
| Cigna | Commercial | $1,179 |
| First Choice Health Network | Commercial | $1,179 |
| Healthez | Commercial | $1,179 |
| Multiplan | Commercial | $1,179 |
| Medica | Elect | $1,231 |
Inpatient
$1,048cash price (self-pay)
$1,310list price
$702–$1,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/TRUE | $702 |
| Sanford Health Plan | SD Exchange True | $702 |
| Security Health Plan | Commercial | $721 |
| Sanford Health Plan | Commercial/ND Pers | $826 |
| Sanford Health Plan | SD Exchange Commercial | $826 |
| Health Partners | Commercial | $1,061 |
| United Healthcare | Commercial + Top 20 | $1,094 |
| Aetna | Commercial | $1,138 |
| Ucare | Commercial | $1,151 |
| Medica | Choice | $1,158 |
| Cigna | Commercial | $1,179 |
| First Choice Health Network | Commercial | $1,179 |
| Healthez | Commercial | $1,179 |
| Multiplan | Commercial | $1,179 |
| Medica | Elect | $1,239 |
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All common services at Sanford Behavioral Health Thief River Falls