Emergency visit, high (level 4) at Sanford Medical Center Bismarck. CPT 99284.
What Sanford Medical Center Bismarck publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,049cash price (self-pay)
$1,311list price
$120–$1,180range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial/ND Pers | $120 |
| Sanford Health Plan | Group Health/True | $120 |
| Sanford Health Plan | SD Exchange Commercial | $120 |
| Sanford Health Plan | SD Exchange True | $120 |
| Sanford Health Plan Align | Medicare Replacement | $405 |
| Ucare | Medicare Replacement | $434 |
| Aetna | Medicare Replacement | $439 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $439 |
| Great Plains Medicare Advantage | Medicare Replacement | $439 |
| Health Partners | Medicare Replacement | $439 |
| United Healthcare | Medicare Replacement | $439 |
| Primewest | Medicare Replacement | $447 |
| Health Partners | Commercial | $603 |
| Security Health Plan | Commercial | $721 |
| Medica | Choice | $893 |
| Ucare | Commercial | $947 |
| Medica | Elect | $956 |
| United Healthcare | CSP Top 20 | $965 |
| United Healthcare | Commercial | $1,088 |
| Aetna | Commercial | $1,109 |
| Cigna | Commercial | $1,180 |
| First Choice Health Network | Commercial | $1,180 |
| Healthez | Commercial | $1,180 |
| Multiplan | Commercial | $1,180 |
Inpatient
$1,049cash price (self-pay)
$1,311list price
$721–$1,180range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $721 |
| Ucare | Commercial | $922 |
| United Healthcare | CSP Top 20 | $957 |
| United Healthcare | Commercial | $1,088 |
| Aetna | Commercial | $1,109 |
| Cigna | Commercial | $1,180 |
| First Choice Health Network | Commercial | $1,180 |
| Healthez | Commercial | $1,180 |
| Multiplan | Commercial | $1,180 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.