Emergency visit, high (level 4) at Sleepy Eye Medical Center. CPT 99284.
What Sleepy Eye Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$978cash price (self-pay)
$1,546list price
$108–$1,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B MN J6 | Default | $108 |
| BCBSMN Blue Plus MCD Rep Plan DOS after 1/1/19 | Default | $267 |
| Aetna | Medicare Advantage | $621 |
| HealthPartners | Medicare Advantage | $621 |
| Humana | Medicare Advantage | $621 |
| Medica | Medicare Advantage | $621 |
| Medicare A MN J6 | Default | $621 |
| Prime West | Medicare Advantage | $621 |
| South Country Health Alliance SCHA | Medicare Advantage | $621 |
| Ucare | Medicare Advantage | $621 |
| United Healthcare | Medicare Advantage | $634 |
| VA Community Care Network VACCN Region 1-3 Optum | All Plans | $634 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $636 |
| Medicaid Minnesota | Default | $678 |
| Prime West | Default | $678 |
| South Country Health Alliance SCHA | Medicaid Replacement | $678 |
| Ucare | Default | $678 |
| Ucare | Medicaid Replacement | $678 |
| TriWest | Default | $723 |
| Blue Cross Blue Shield of MN | Default | $978 |
| Blue Cross Blue Shield of MN | PPO | $1,012 |
| Medica | Default | $1,166 |
| HealthPartners | Default | $1,359 |
| UMR Onalaska Midwest Securities | Default | $1,365 |
| UMR Wausau/UHIS | Default | $1,365 |
| United Healthcare | Default | $1,365 |
| Sanford Health Plan | Default | $1,422 |
| Cigna | Default | $1,453 |
| Companion Life Insurance Company | Default | $1,453 |
| Group Resources PHCS | Default | $1,453 |
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