Emergency visit, high (level 4) at CHI St. Alexius Health Williston. CPT 99284.
What CHI St. Alexius Health Williston publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$224cash price (self-pay)
$505list price
$170–$981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicare|All Plans | $222 |
| BCBS - ND | Medicare|All Plans | $227 |
| Sanford Health Plan | Commercial|All Plans | $303 |
| BCBS - ND | Medicaid|All Plans | $313 |
| United | Commercial|New Business | $369 |
| United | Commercial|All Other Plans | $414 |
| Health Partners | Commercial|All Plans | $475 |
| Medica | Commercial|All Plans | $475 |
| MultiPlan | Commercial|All Plans | $475 |
Inpatient
$224cash price (self-pay)
$505list price
$232–$981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial|All Plans | $303 |
| United | Commercial|New Business | $369 |
| United | Commercial|All Other Plans | $414 |
| Health Partners | Commercial|All Plans | $475 |
| Medica | Commercial|All Plans | $475 |
| MultiPlan | Commercial|All Plans | $475 |
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