Emergency visit, high (level 4) at Altru Hospital Devils Lake. CPT 99284.
What Altru Hospital Devils Lake publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$299cash price (self-pay)
$892list price
$69.40–$853range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicaid Managed Care Plan | $69.40 |
| Medica | Medicaid Managed Care Plan – Hmo | $69.40 |
| Medica | Medicare Managed Care Plan | $125 |
| Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $159 |
| Medica | All Commercial Plans | $204 |
| Aetna | Medicare Managed Care Plan | $426 |
| Sanford Health Plan | All Commercial Plans | $583 |
| Aetna | All Commercial Plans | $607 |
| Umr | All Commercial Plans | $751 |
| Bcbs Blueplus Of Mn | All Commercial Plans | $772 |
| Bcbs Of Mn | All Commercial Plans | $772 |
| United Healthcare | All Commercial Plans | $835 |
| Acuity Group | All Commercial Plans | $853 |
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