Emergency visit, moderate (level 3) at Sanford Medical Center Mayville. CPT 99283.
What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$566cash price (self-pay)
$707list price
$171–$657range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $171 |
| Sanford Health Plan Align | Medicare Replacement | $349 |
| Ucare | Medicare Replacement | $375 |
| Aetna | Medicare Replacement | $379 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $379 |
| Great Plains Medicare Advantage | Medicare Replacement | $379 |
| Health Partners | Medicare Replacement | $379 |
| United Healthcare | Medicare Replacement | $379 |
| Primewest | Medicare Replacement | $386 |
| Security Health Plan | Commercial | $389 |
| Blue Cross Blue Shield of North Dakota | Commercial | $479 |
| Health Partners | Commercial | $551 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $558 |
| Medica | Choice | $583 |
| United Healthcare | Commercial | $590 |
| Aetna | Commercial | $614 |
| Ucare | Commercial | $621 |
| Medica | Elect | $624 |
| First Choice Health Network | Commercial | $636 |
| Healthez | Commercial | $636 |
| Multiplan | Commercial | $636 |
| Blue Cross Blue Shield of Minnesota | Commercial | $654 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $657 |
Inpatient
$566cash price (self-pay)
$707list price
$389–$657range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $389 |
| Health Partners | Commercial | $551 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $558 |
| Medica | Choice | $583 |
| United Healthcare | Commercial | $590 |
| Aetna | Commercial | $614 |
| Ucare | Commercial | $621 |
| Medica | Elect | $624 |
| First Choice Health Network | Commercial | $636 |
| Healthez | Commercial | $636 |
| Multiplan | Commercial | $636 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $657 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.