Emergency visit, moderate (level 3) at Jacobson Memorial Hospital Care Center. CPT 99283.
What Jacobson Memorial Hospital Care Center publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$623cash price (self-pay)
$831list price
$498–$1,163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $498 |
| North Dakota Medicaid | Medicaid | $595 |
| TriCare | VA | $623 |
| United Healthcare | Commercial | $633 |
| Medica | Commercial | $665 |
| TLC Advantage | Commercial | $665 |
| Cigna | Commercial | $748 |
| Healthpartners | Commercial | $748 |
| Healthpartners Medicare Advantage | Medicare Replacement | $748 |
| Multiplan Commercial | Commercial | $748 |
| Aetna | Medicare Replacement | $831 |
| North Dakota BCBS | Commercial | $831 |
| Humana Medicare | Medicare Replacement | $831 |
| Medica Medicare | Medicare Replacement | $831 |
| Multiplan Medicare | Medicare Replacement | $831 |
| NextBlue | Medicare Replacement | $831 |
| Sanford Health Plan | Commercial | $831 |
| United Healthcare | Medicare Replacement | $831 |
| Noridian Medicare | Medicare | $997 |
| North Dakota BCBS Medicaid Expansion | Medicaid Expansion | $1,163 |
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All common services at Jacobson Memorial Hospital Care Center