Emergency visit, high (level 4) at Sanford Canby Medical Center. CPT 99284.
What Sanford Canby Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,224cash price (self-pay)
$1,530list price
$370–$1,438range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $370 |
| Ucare | Medicaid Managed Care | $447 |
| Sanford Health Plan Align | Medicare Replacement | $698 |
| Ucare | Medicare Replacement | $750 |
| Aetna | Medicare Replacement | $756 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $756 |
| Great Plains Medicare Advantage | Medicare Replacement | $756 |
| Health Partners | Medicare Replacement | $756 |
| United Healthcare | Medicare Replacement | $756 |
| Primewest | Medicare Replacement | $771 |
| Primewest | Medicaid Managed Care | $842 |
| Security Health Plan | Commercial | $842 |
| Health Partners | State Employees | $1,054 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,194 |
| Sanford Health Plan | Group Health/True | $1,208 |
| Sanford Health Plan | SD Exchange True | $1,208 |
| Health Partners | Commercial | $1,224 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,252 |
| United Healthcare | Commercial + Top 20 | $1,278 |
| Aetna | Commercial | $1,330 |
| Ucare | Commercial | $1,344 |
| Medica | Choice | $1,345 |
| Cigna | Commercial | $1,377 |
| First Choice Health Network | Commercial | $1,377 |
| Healthez | Commercial | $1,377 |
| Multiplan | Commercial | $1,377 |
| Sanford Health Plan | Commercial/ND Pers | $1,421 |
| Sanford Health Plan | SD Exchange Commercial | $1,421 |
| Medica | Elect | $1,438 |
Inpatient
$1,224cash price (self-pay)
$1,530list price
$842–$1,447range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $842 |
| Health Partners | State Employees | $1,054 |
| Sanford Health Plan | Group Health/True | $1,208 |
| Sanford Health Plan | SD Exchange True | $1,208 |
| Health Partners | Commercial | $1,224 |
| United Healthcare | Commercial + Top 20 | $1,278 |
| Aetna | Commercial | $1,330 |
| Ucare | Commercial | $1,344 |
| Medica | Choice | $1,353 |
| Cigna | Commercial | $1,377 |
| First Choice Health Network | Commercial | $1,377 |
| Healthez | Commercial | $1,377 |
| Multiplan | Commercial | $1,377 |
| Sanford Health Plan | Commercial/ND Pers | $1,421 |
| Sanford Health Plan | SD Exchange Commercial | $1,421 |
| Medica | Elect | $1,447 |
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