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.
Original text from hospital filings
Emergency Room Visit Level 4
Eureka, SD
Negotiated rates from the hospital’s own file: 4 payers, 16 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 | Wellmark ppo fee schedule · both | $204 | $204 | — | — | — | $204 – $204 |
| 2 | Healthpartners com fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Wellmark hmo outpatient | $207 | $207 | — | — | 15 | $207 – $207 |
| 4 | UnitedHealthcare com fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 5 | Medica com fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 6 | Medica ind fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 7 | Medica ind percent of total billed charges · inpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 8 | Medica ind percent of total billed charges · outpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 9 | Medica com percent of total billed charges · inpatientfrom % of charges | $617 | $617 | — | — | — | $617 – $617 |
| 10 | Medica com percent of total billed charges · outpatientfrom % of charges | $632 | $632 | — | — | — | $632 – $632 |
| 11 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $682 | $682 | — | — | — | $682 – $682 |
| 12 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $682 | $682 | — | — | 1–10 | $682 – $682 |
| 13 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $760 | $760 | — | — | — | $760 – $760 |
| 14 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $760 | $760 | — | — | — | $760 – $760 |
| 15 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $800 | $800 | — | — | — | $800 – $800 |
| 16 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $800 | $800 | — | — | 15 | $800 – $800 |