Emergency department visit at Essentia Health Duluth

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FACILITY EMERGENCY LEVEL 1 VISIT

Duluth, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $156 is 8% above the median hospital's median price ($144), higher than 53% of the 2,608 hospitals reporting CPT 99281. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99281 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Blue Cross Blue Shield medicare facility · case rate · outpatient	$86	$86	—	—	—	$86 – $86
2	Healthpartners medicare facility · case rate · outpatient	$86	$86	—	—	—	$86 – $86
3	Medica medicare facility · case rate · outpatient	$86	$86	—	—	—	$86 – $86
4	Ucare medicare facility · case rate · outpatient	$86	$86	—	—	—	$86 – $86
5	UnitedHealthcare medicare facility · case rate · outpatient	$86	$86	—	—	—	$86 – $86
6	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
7	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
8	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
9	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
10	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
11	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
12	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
13	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
14	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
15	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
16	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
17	Sanford Health Plan commercia-ndpers facility · case rate · outpatient	$156	$156	—	—	—	$156 – $156
18	Sanford Health Plan commercial facility · case rate · outpatient	$156	$156	—	—	—	$156 – $156
19	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
20	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
21	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$164	$164	$8	5%	—	$156 – $172
22	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
23	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
24	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
25	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$188	$188	—	—	—	$188 – $188

Page 1 of 2 · 33 rates

Last updated: Jan 1, 2026

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