Emergency visit, high (level 4) at Sanford Luverne Medical Center. CPT 99284.
What Sanford Luverne Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,190cash price (self-pay)
$1,488list price
$360–$1,408range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $360 |
| Ucare | Medicaid Managed Care | $447 |
| Sanford Health Plan Align | Medicare Replacement | $524 |
| Ucare | Medicare Replacement | $561 |
| Aetna | Medicare Replacement | $567 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $567 |
| Great Plains Medicare Advantage | Medicare Replacement | $567 |
| Health Partners | Medicare Replacement | $567 |
| United Healthcare | Medicare Replacement | $567 |
| Primewest | Medicare Replacement | $578 |
| Primewest | Medicaid Managed Care | $704 |
| Sanford Health Plan | Group Health/True | $797 |
| Sanford Health Plan | SD Exchange True | $797 |
| Security Health Plan | Commercial | $818 |
| Sanford Health Plan | Commercial/ND Pers | $938 |
| Sanford Health Plan | SD Exchange Commercial | $938 |
| Health Partners | State Employees | $1,025 |
| Health Partners | Commercial | $1,190 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,217 |
| United Healthcare | Commercial + Top 20 | $1,242 |
| Aetna | Commercial | $1,293 |
| Ucare | Commercial | $1,307 |
| Medica | Choice | $1,308 |
| Cigna | Commercial | $1,339 |
| First Choice Health Network | Commercial | $1,339 |
| Healthez | Commercial | $1,339 |
| Multiplan | Commercial | $1,339 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,377 |
| Medica | Elect | $1,408 |
Inpatient
$1,190cash price (self-pay)
$1,488list price
$797–$1,408range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $797 |
| Sanford Health Plan | SD Exchange True | $797 |
| Security Health Plan | Commercial | $818 |
| Sanford Health Plan | Commercial/ND Pers | $938 |
| Sanford Health Plan | SD Exchange Commercial | $938 |
| Health Partners | State Employees | $1,025 |
| Health Partners | Commercial | $1,190 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,217 |
| United Healthcare | Commercial + Top 20 | $1,242 |
| Aetna | Commercial | $1,293 |
| Ucare | Commercial | $1,307 |
| Medica | Choice | $1,315 |
| Cigna | Commercial | $1,339 |
| First Choice Health Network | Commercial | $1,339 |
| Healthez | Commercial | $1,339 |
| Multiplan | Commercial | $1,339 |
| Medica | Elect | $1,408 |
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