Emergency visit, high (level 4) at Douglas County Memorial Hospital. CPT 99284.
What Douglas County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 9, 2026.
Outpatient / ER
$474cash price (self-pay)
$527list price
$127–$1,103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Medicare Advantage | $258 |
| United Healthcare | All Commercial Plans | $448 |
| Avera Health | All Plans | $501 |
| Sanford Health Plan | All Commercial Plans | $511 |
| Wellmark Blue Cross Blue Shield | All Plans | $527 |
Inpatient
$448cash price (self-pay)
$815list price
$448–$1,103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Commercial Plans | $693 |
| Avera Health | All Plans | $774 |
| Sanford Health Plan | All Commercial Plans | $791 |
| Wellmark Blue Cross Blue Shield | All Plans | $815 |
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