Emergency visit, moderate (level 3) at Sanford Tracy Hospital. CPT 99283.
What Sanford Tracy Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$705cash price (self-pay)
$881list price
$213–$828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $213 |
| Ucare | Medicaid Managed Care | $291 |
| Sanford Health Plan Align | Medicare Replacement | $344 |
| Ucare | Medicare Replacement | $368 |
| Wellmark SD | Medicare Replacement | $368 |
| Aetna | Medicare Replacement | $372 |
| Great Plains Medicare Advantage | Medicare Replacement | $372 |
| Health Partners | Medicare Replacement | $372 |
| United Healthcare | Medicare Replacement | $372 |
| Primewest | Medicare Replacement | $379 |
| Primewest | Medicaid Managed Care | $426 |
| Security Health Plan | Commercial | $485 |
| Health Partners | State Employees | $607 |
| Sanford Health Plan | Group Health/True | $695 |
| Sanford Health Plan | SD Exchange True | $695 |
| Health Partners | Commercial | $705 |
| Blue Cross Blue Shield of Minnesota | State Employees | $721 |
| United Healthcare | Commercial + Top 20 | $736 |
| Aetna | Commercial | $766 |
| Ucare | Commercial | $774 |
| Medica | Choice | $774 |
| Cigna | Commercial | $793 |
| First Choice Health Network | Commercial | $793 |
| Healthez | Commercial | $793 |
| Multiplan | Commercial | $793 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $815 |
| Sanford Health Plan | Commercial/ND Pers | $818 |
| Sanford Health Plan | SD Exchange Commercial | $818 |
| Medica | Elect | $828 |
Inpatient
$705cash price (self-pay)
$881list price
$485–$833range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $485 |
| Health Partners | State Employees | $607 |
| Sanford Health Plan | Group Health/True | $695 |
| Sanford Health Plan | SD Exchange True | $695 |
| Health Partners | Commercial | $705 |
| United Healthcare | Commercial + Top 20 | $736 |
| Aetna | Commercial | $766 |
| Ucare | Commercial | $774 |
| Medica | Choice | $779 |
| Cigna | Commercial | $793 |
| First Choice Health Network | Commercial | $793 |
| Healthez | Commercial | $793 |
| Multiplan | Commercial | $793 |
| Sanford Health Plan | Commercial/ND Pers | $818 |
| Sanford Health Plan | SD Exchange Commercial | $818 |
| Medica | Elect | $833 |
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