Emergency visit, high (level 4) at CHI Alexius Health Dickinson. CPT 99284.
What CHI Alexius Health Dickinson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$243cash price (self-pay)
$405list price
$162–$999range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicare|All Plans | $170 |
| BCBS - ND | Medicare|All Plans | $174 |
| Medica | Medicare|All Plans | $203 |
| BCBS - ND | Medicaid|All Plans | $239 |
| United | Commercial|All Plans | $284 |
| Sanford Health Plan | Commercial|All Plans | $320 |
| Medica | Commercial|All Plans | $352 |
| Health Partners | Commercial|All Plans | $385 |
| MultiPlan | Commercial|All Plans | $393 |
Inpatient
$243cash price (self-pay)
$405list price
$270–$999range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|All Plans | $284 |
| Sanford Health Plan | Commercial|All Plans | $320 |
| Medica | Commercial|All Plans | $352 |
| Health Partners | Commercial|All Plans | $385 |
| MultiPlan | Commercial|All Plans | $393 |
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