Emergency visit, high (level 4) at Sanford Worthington Medical Center. CPT 99284.
What Sanford Worthington Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$880cash price (self-pay)
$1,100list price
$326–$1,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $326 |
| Sanford Health Plan Align | Medicare Replacement | $397 |
| Ucare | Medicare Replacement | $426 |
| Sanford Health Plan | Group Health/True | $426 |
| Sanford Health Plan | SD Exchange True | $426 |
| Aetna | Medicare Replacement | $430 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $430 |
| Great Plains Medicare Advantage | Medicare Replacement | $430 |
| Health Partners | Medicare Replacement | $430 |
| United Healthcare | Medicare Replacement | $430 |
| Primewest | Medicare Replacement | $439 |
| Primewest | Medicaid Managed Care | $468 |
| Ucare | Medicaid Managed Care | $468 |
| Blue Cross Blue Shield of Minnesota | State Employees | $495 |
| Sanford Health Plan | Commercial/ND Pers | $502 |
| Sanford Health Plan | SD Exchange Commercial | $502 |
| Security Health Plan | Commercial | $605 |
| Health Partners | State Employees | $678 |
| Health Partners | Commercial | $781 |
| Ucare | Commercial | $859 |
| Aetna | Commercial | $902 |
| United Healthcare | Commercial + Top 20 | $919 |
| Medica | Choice | $981 |
| First Choice Health Network | Commercial | $990 |
| Healthez | Commercial | $990 |
| Multiplan | Commercial | $990 |
| Medica | Elect | $1,051 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,206 |
Inpatient
$880cash price (self-pay)
$1,100list price
$426–$1,051range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $426 |
| Sanford Health Plan | SD Exchange True | $426 |
| Sanford Health Plan | Commercial/ND Pers | $502 |
| Sanford Health Plan | SD Exchange Commercial | $502 |
| Security Health Plan | Commercial | $605 |
| Ucare | Commercial | $859 |
| Aetna | Commercial | $902 |
| United Healthcare | Commercial + Top 20 | $919 |
| Medica | Choice | $981 |
| First Choice Health Network | Commercial | $990 |
| Healthez | Commercial | $990 |
| Multiplan | Commercial | $990 |
| Medica | Elect | $1,051 |
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