Emergency department visit at Sanford Wheaton

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

ED 99281 EMER CASE LEVEL I

Wheaton, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Sanford Wheaton’s median price of $260 is 81% above the median hospital's median price ($144), higher than 72% 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 Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
2	Ucare medicaid managed care case rate · outpatient	$92	$92	—	—	—	$92 – $92
3	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
4	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
5	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
6	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
7	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
8	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
9	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
10	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
11	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
12	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
13	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$265	$265	—	—	—	$265 – $265
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$265	$265	—	—	—	$265 – $265
15	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
16	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
17	Medica choice percent of total billed charges · outpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
19	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
20	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
21	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$282	$282	—	—	—	$282 – $282
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
23	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
24	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
25	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$283	$283	—	—	—	$283 – $283

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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