Emergency visit, highest (level 5) at Gundersen Lutheran Medical Center. CPT 99285.
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
$249–$1,198range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbsmn | Mhcp | $249 |
| UCARE | Dually Eligible | $612 |
| UCARE | Non-Dually Eligible | $612 |
| Aetna | Medicare Advantage | $631 |
| Amerigroup | Medicare Advantage | $631 |
| Anthem | Medicare HMO/PPO | $631 |
| Health Partners | Medicare Advantage | $631 |
| iCare | Medicare Advantage | $631 |
| Medical Associates | Medicare Advantage | $631 |
| Quartz | Medicare Advantage | $631 |
| UHC | Medicare Advantage | $631 |
| UCARE | MSHO/Minnesota Special Needs | $643 |
| BCBSMN | All Products | $1,198 |
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