Emergency visit, high (level 4) at Sanford Clear Lake Medical Center. CPT 99284.
What Sanford Clear Lake Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,103cash price (self-pay)
$1,379list price
$707–$1,282range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $707 |
| Security Health Plan | Commercial | $758 |
| Ucare | Medicare Replacement | $760 |
| Wellmark SD | Medicare Replacement | $760 |
| Aetna | Medicare Replacement | $767 |
| Great Plains Medicare Advantage | Medicare Replacement | $767 |
| Health Partners | Medicare Replacement | $767 |
| United Healthcare | Medicare Replacement | $767 |
| Primewest | Medicare Replacement | $782 |
| Health Partners | State Employees | $892 |
| Sanford Health Plan | SD Exchange True | $956 |
| Health Partners | Commercial | $1,034 |
| Sanford Health Plan | Group Health/True | $1,090 |
| Sanford Health Plan | SD Exchange Commercial | $1,125 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,128 |
| Medica | Choice | $1,138 |
| United Healthcare | Commercial + Top 20 | $1,151 |
| Wellmark | PPO | $1,186 |
| Aetna | Commercial | $1,198 |
| Ucare | Commercial | $1,212 |
| Medica | Elect | $1,216 |
| Cigna | Commercial | $1,241 |
| First Choice Health Network | Commercial | $1,241 |
| Healthez | Commercial | $1,241 |
| Multiplan | Commercial | $1,241 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,276 |
| Sanford Health Plan | Commercial/ND Pers | $1,282 |
Inpatient
$1,103cash price (self-pay)
$1,379list price
$758–$1,282range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $758 |
| Health Partners | State Employees | $892 |
| Sanford Health Plan | SD Exchange True | $956 |
| Health Partners | Commercial | $1,034 |
| Sanford Health Plan | Group Health/True | $1,090 |
| Sanford Health Plan | SD Exchange Commercial | $1,125 |
| Medica | Choice | $1,138 |
| United Healthcare | Commercial + Top 20 | $1,151 |
| Aetna | Commercial | $1,198 |
| Wellmark | PPO | $1,200 |
| Ucare | Commercial | $1,212 |
| Medica | Elect | $1,216 |
| Cigna | Commercial | $1,241 |
| First Choice Health Network | Commercial | $1,241 |
| Healthez | Commercial | $1,241 |
| Multiplan | Commercial | $1,241 |
| Sanford Health Plan | Commercial/ND Pers | $1,282 |
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