Emergency visit, moderate (level 3) at Sanford Worthington Medical Center. CPT 99283.
What Sanford Worthington Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$668cash price (self-pay)
$835list price
$210–$797range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $210 |
| Sanford Health Plan Align | Medicare Replacement | $258 |
| Ucare | Medicare Replacement | $277 |
| Aetna | Medicare Replacement | $280 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $280 |
| Great Plains Medicare Advantage | Medicare Replacement | $280 |
| Health Partners | Medicare Replacement | $280 |
| United Healthcare | Medicare Replacement | $280 |
| Primewest | Medicare Replacement | $285 |
| Primewest | Medicaid Managed Care | $305 |
| Ucare | Medicaid Managed Care | $305 |
| Sanford Health Plan | Group Health/True | $324 |
| Sanford Health Plan | SD Exchange True | $324 |
| Blue Cross Blue Shield of Minnesota | State Employees | $376 |
| Sanford Health Plan | Commercial/ND Pers | $381 |
| Sanford Health Plan | SD Exchange Commercial | $381 |
| Security Health Plan | Commercial | $459 |
| Health Partners | State Employees | $514 |
| Health Partners | Commercial | $593 |
| Ucare | Commercial | $652 |
| Aetna | Commercial | $685 |
| United Healthcare | Commercial + Top 20 | $697 |
| Medica | Choice | $745 |
| First Choice Health Network | Commercial | $752 |
| Healthez | Commercial | $752 |
| Multiplan | Commercial | $752 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $777 |
| Medica | Elect | $797 |
Inpatient
$668cash price (self-pay)
$835list price
$324–$797range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $324 |
| Sanford Health Plan | SD Exchange True | $324 |
| Sanford Health Plan | Commercial/ND Pers | $381 |
| Sanford Health Plan | SD Exchange Commercial | $381 |
| Security Health Plan | Commercial | $459 |
| Ucare | Commercial | $652 |
| Aetna | Commercial | $685 |
| United Healthcare | Commercial + Top 20 | $697 |
| Medica | Choice | $745 |
| First Choice Health Network | Commercial | $752 |
| Healthez | Commercial | $752 |
| Multiplan | Commercial | $752 |
| Medica | Elect | $797 |
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