Emergency visit, high (level 4) at Sanford Wheaton. CPT 99284.
What Sanford Wheaton publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$958cash price (self-pay)
$1,197list price
$290–$1,125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $290 |
| Ucare | Medicaid Managed Care | $447 |
| Sanford Health Plan Align | Medicare Replacement | $603 |
| Ucare | Medicare Replacement | $648 |
| Aetna | Medicare Replacement | $654 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $654 |
| Great Plains Medicare Advantage | Medicare Replacement | $654 |
| Health Partners | Medicare Replacement | $654 |
| United Healthcare | Medicare Replacement | $654 |
| Security Health Plan | Commercial | $658 |
| Primewest | Medicare Replacement | $666 |
| Primewest | Medicaid Managed Care | $724 |
| Blue Cross Blue Shield of North Dakota | Commercial | $824 |
| Sanford Health Plan | Group Health/True | $945 |
| Health Partners | Commercial | $970 |
| United Healthcare | Commercial + Top 20 | $1,000 |
| Aetna | Commercial | $1,040 |
| Ucare | Commercial | $1,052 |
| Medica | Choice | $1,052 |
| First Choice Health Network | Commercial | $1,077 |
| Healthez | Commercial | $1,077 |
| Multiplan | Commercial | $1,077 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,107 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $1,112 |
| Sanford Health Plan | SD Exchange True | $1,112 |
| Medica | Elect | $1,125 |
Inpatient
$958cash price (self-pay)
$1,197list price
$658–$1,132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $658 |
| Sanford Health Plan | Group Health/True | $945 |
| United Healthcare | Commercial + Top 20 | $1,000 |
| Aetna | Commercial | $1,040 |
| Ucare | Commercial | $1,052 |
| Medica | Choice | $1,058 |
| First Choice Health Network | Commercial | $1,077 |
| Healthez | Commercial | $1,077 |
| Multiplan | Commercial | $1,077 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $1,112 |
| Sanford Health Plan | SD Exchange True | $1,112 |
| Medica | Elect | $1,132 |
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