Emergency visit, highest (level 5) at Jacobson Memorial Hospital Care Center. CPT 99285.
What Jacobson Memorial Hospital Care Center publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$1,379cash price (self-pay)
$1,839list price
$1,104–$2,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,104 |
| North Dakota Medicaid | Medicaid | $1,317 |
| TriCare | VA | $1,379 |
| United Healthcare | Commercial | $1,402 |
| Medica | Commercial | $1,471 |
| TLC Advantage | Commercial | $1,471 |
| Cigna | Commercial | $1,655 |
| Healthpartners | Commercial | $1,655 |
| Healthpartners Medicare Advantage | Medicare Replacement | $1,655 |
| Multiplan Commercial | Commercial | $1,655 |
| Aetna | Medicare Replacement | $1,839 |
| North Dakota BCBS | Commercial | $1,839 |
| Humana Medicare | Medicare Replacement | $1,839 |
| Medica Medicare | Medicare Replacement | $1,839 |
| Multiplan Medicare | Medicare Replacement | $1,839 |
| NextBlue | Medicare Replacement | $1,839 |
| Sanford Health Plan | Commercial | $1,839 |
| United Healthcare | Medicare Replacement | $1,839 |
| Noridian Medicare | Medicare | $2,207 |
| North Dakota BCBS Medicaid Expansion | Medicaid Expansion | $2,575 |
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All common services at Jacobson Memorial Hospital Care Center