Emergency visit, moderate (level 3) at Sanford Jackson Hospital. CPT 99283.
What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$690cash price (self-pay)
$862list price
$209–$810range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $209 |
| Sanford Health Plan Align | Medicare Replacement | $271 |
| Ucare | Medicare Replacement | $290 |
| Wellmark SD | Medicare Replacement | $290 |
| Ucare | Medicaid Managed Care | $291 |
| Aetna | Medicare Replacement | $293 |
| Great Plains Medicare Advantage | Medicare Replacement | $293 |
| Health Partners | Medicare Replacement | $293 |
| United Healthcare | Medicare Replacement | $293 |
| Primewest | Medicare Replacement | $299 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $299 |
| Primewest | Medicaid Managed Care | $322 |
| Sanford Health Plan | Group Health/True | $462 |
| Sanford Health Plan | SD Exchange True | $462 |
| Security Health Plan | Commercial | $474 |
| Sanford Health Plan | Commercial/ND Pers | $543 |
| Sanford Health Plan | SD Exchange Commercial | $543 |
| Health Partners | State Employees | $594 |
| Health Partners | Commercial | $690 |
| Blue Cross Blue Shield of Minnesota | State Employees | $705 |
| United Healthcare | Commercial + Top 20 | $720 |
| Aetna | Commercial | $749 |
| Ucare | Commercial | $757 |
| Medica | Choice | $758 |
| Cigna | Commercial | $776 |
| First Choice Health Network | Commercial | $776 |
| Healthez | Commercial | $776 |
| Multiplan | Commercial | $776 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $798 |
| Medica | Elect | $810 |
Inpatient
$690cash price (self-pay)
$862list price
$462–$815range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $462 |
| Sanford Health Plan | SD Exchange True | $462 |
| Security Health Plan | Commercial | $474 |
| Sanford Health Plan | Commercial/ND Pers | $543 |
| Sanford Health Plan | SD Exchange Commercial | $543 |
| Health Partners | State Employees | $594 |
| Health Partners | Commercial | $690 |
| United Healthcare | Commercial + Top 20 | $720 |
| Aetna | Commercial | $749 |
| Ucare | Commercial | $757 |
| Medica | Choice | $762 |
| Cigna | Commercial | $776 |
| First Choice Health Network | Commercial | $776 |
| Healthez | Commercial | $776 |
| Multiplan | Commercial | $776 |
| Medica | Elect | $815 |
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