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Emergency visit, moderate (level 3) at Gundersen Lutheran Medical Center. CPT 99283.

What Gundersen Lutheran Medical Center publishes for this service, straight from its standard-charges file, last updated June 27, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$111–$536range insurers pay
Insurance planNegotiated rate
Bcbsmn | Mhcp$111
UCARE | Dually Eligible$272
UCARE | Non-Dually Eligible$272
UCARE | MSHO/Minnesota Special Needs$285
Aetna | Medicare Advantage$289
Amerigroup | Medicare Advantage$289
Anthem | Medicare HMO/PPO$289
Health Partners | Medicare Advantage$289
iCare | Medicare Advantage$289
Medical Associates | Medicare Advantage$289
Quartz | Medicare Advantage$289
UHC | Medicare Advantage$289
BCBSMN | All Products$536
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All common services at Gundersen Lutheran Medical Center