Emergency visit, high (level 4) at Sanford Hospital Webster. CPT 99284.
What Sanford Hospital Webster publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,078cash price (self-pay)
$1,348list price
$423–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $423 |
| Ucare | Medicare Replacement | $454 |
| Wellmark SD | Medicare Replacement | $454 |
| Aetna | Medicare Replacement | $458 |
| Great Plains Medicare Advantage | Medicare Replacement | $458 |
| Health Partners | Medicare Replacement | $458 |
| United Healthcare | Medicare Replacement | $458 |
| Primewest | Medicare Replacement | $467 |
| Sanford Health Plan | SD Exchange True | $739 |
| Security Health Plan | Commercial | $741 |
| Sanford Health Plan | Group Health/True | $842 |
| Sanford Health Plan | SD Exchange Commercial | $869 |
| Health Partners | State Employees | $890 |
| Sanford Health Plan | Commercial/ND Pers | $991 |
| Health Partners | Commercial | $1,011 |
| Medica | Choice | $1,112 |
| United Healthcare | Commercial + Top 20 | $1,126 |
| Wellmark | PPO | $1,159 |
| Aetna | Commercial | $1,171 |
| Ucare | Commercial | $1,184 |
| Medica | Elect | $1,189 |
| First Choice Health Network | Commercial | $1,213 |
| Healthez | Commercial | $1,213 |
| Multiplan | Commercial | $1,213 |
Inpatient
$1,078cash price (self-pay)
$1,348list price
$739–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | SD Exchange True | $739 |
| Security Health Plan | Commercial | $741 |
| Sanford Health Plan | Group Health/True | $842 |
| Sanford Health Plan | SD Exchange Commercial | $869 |
| Health Partners | State Employees | $890 |
| Sanford Health Plan | Commercial/ND Pers | $991 |
| Health Partners | Commercial | $1,011 |
| Medica | Choice | $1,112 |
| United Healthcare | Commercial + Top 20 | $1,126 |
| Aetna | Commercial | $1,171 |
| Wellmark | PPO | $1,173 |
| Ucare | Commercial | $1,184 |
| Medica | Elect | $1,189 |
| First Choice Health Network | Commercial | $1,213 |
| Healthez | Commercial | $1,213 |
| Multiplan | Commercial | $1,213 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.