Emergency visit, high (level 4) at Mountrail County Medical Center. CPT 99284.
What Mountrail County Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$403cash price (self-pay)
$702list price
$111–$955range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NextBlue | Medicare Advantage | $266 |
| United Healthcare | Medicare Advantage | $266 |
| Aetna | Commercial | $526 |
| Provider Network of America | Commercial | $561 |
| First Choice Health | Commercial | $632 |
| Health Partners | Commercial | $667 |
| Humana | Choice Care | $667 |
| Sanford Health Plan | Commercial | $667 |
| Blue Cross Blue Shield | PPO | $702 |
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