Emergency visit, high (level 4) at Sanford Westbrook Hospital. CPT 99284.
What Sanford Westbrook Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,293cash price (self-pay)
$1,616list price
$391–$1,519range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $391 |
| Ucare | Medicaid Managed Care | $447 |
| Sanford Health Plan Align | Medicare Replacement | $692 |
| Ucare | Medicare Replacement | $742 |
| Wellmark SD | Medicare Replacement | $742 |
| Aetna | Medicare Replacement | $750 |
| Great Plains Medicare Advantage | Medicare Replacement | $750 |
| Health Partners | Medicare Replacement | $750 |
| United Healthcare | Medicare Replacement | $750 |
| Primewest | Medicare Replacement | $764 |
| Primewest | Medicaid Managed Care | $818 |
| Security Health Plan | Commercial | $889 |
| Health Partners | State Employees | $1,113 |
| Sanford Health Plan | Group Health/True | $1,276 |
| Sanford Health Plan | SD Exchange True | $1,276 |
| Health Partners | Commercial | $1,293 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,322 |
| United Healthcare | Commercial + Top 20 | $1,349 |
| Aetna | Commercial | $1,404 |
| Ucare | Commercial | $1,420 |
| Medica | Choice | $1,420 |
| Cigna | Commercial | $1,454 |
| First Choice Health Network | Commercial | $1,454 |
| Healthez | Commercial | $1,454 |
| Multiplan | Commercial | $1,454 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,495 |
| Sanford Health Plan | Commercial/ND Pers | $1,501 |
| Sanford Health Plan | SD Exchange Commercial | $1,501 |
| Medica | Elect | $1,519 |
Inpatient
$1,293cash price (self-pay)
$1,616list price
$889–$1,529range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $889 |
| Health Partners | State Employees | $1,113 |
| Sanford Health Plan | Group Health/True | $1,276 |
| Sanford Health Plan | SD Exchange True | $1,276 |
| Health Partners | Commercial | $1,293 |
| United Healthcare | Commercial + Top 20 | $1,349 |
| Aetna | Commercial | $1,404 |
| Ucare | Commercial | $1,420 |
| Medica | Choice | $1,429 |
| Cigna | Commercial | $1,454 |
| First Choice Health Network | Commercial | $1,454 |
| Healthez | Commercial | $1,454 |
| Multiplan | Commercial | $1,454 |
| Sanford Health Plan | Commercial/ND Pers | $1,501 |
| Sanford Health Plan | SD Exchange Commercial | $1,501 |
| Medica | Elect | $1,529 |
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