Emergency visit, moderate (level 3) at Sanford Luverne Medical Center. CPT 99283.
What Sanford Luverne Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$658cash price (self-pay)
$823list price
$199–$779range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $199 |
| Sanford Health Plan Align | Medicare Replacement | $290 |
| Ucare | Medicaid Managed Care | $291 |
| Ucare | Medicare Replacement | $310 |
| Aetna | Medicare Replacement | $314 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $314 |
| Great Plains Medicare Advantage | Medicare Replacement | $314 |
| Health Partners | Medicare Replacement | $314 |
| United Healthcare | Medicare Replacement | $314 |
| Primewest | Medicare Replacement | $320 |
| Primewest | Medicaid Managed Care | $389 |
| Sanford Health Plan | Group Health/True | $441 |
| Sanford Health Plan | SD Exchange True | $441 |
| Security Health Plan | Commercial | $453 |
| Sanford Health Plan | Commercial/ND Pers | $519 |
| Sanford Health Plan | SD Exchange Commercial | $519 |
| Health Partners | State Employees | $567 |
| Health Partners | Commercial | $658 |
| Blue Cross Blue Shield of Minnesota | State Employees | $673 |
| United Healthcare | Commercial + Top 20 | $687 |
| Aetna | Commercial | $715 |
| Ucare | Commercial | $723 |
| Medica | Choice | $723 |
| Cigna | Commercial | $741 |
| First Choice Health Network | Commercial | $741 |
| Healthez | Commercial | $741 |
| Multiplan | Commercial | $741 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $761 |
| Medica | Elect | $779 |
Inpatient
$658cash price (self-pay)
$823list price
$441–$779range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $441 |
| Sanford Health Plan | SD Exchange True | $441 |
| Security Health Plan | Commercial | $453 |
| Sanford Health Plan | Commercial/ND Pers | $519 |
| Sanford Health Plan | SD Exchange Commercial | $519 |
| Health Partners | State Employees | $567 |
| Health Partners | Commercial | $658 |
| Blue Cross Blue Shield of Minnesota | State Employees | $673 |
| United Healthcare | Commercial + Top 20 | $687 |
| Aetna | Commercial | $715 |
| Ucare | Commercial | $723 |
| Medica | Choice | $728 |
| Cigna | Commercial | $741 |
| First Choice Health Network | Commercial | $741 |
| Healthez | Commercial | $741 |
| Multiplan | Commercial | $741 |
| Medica | Elect | $779 |
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