Emergency visit, high (level 4) at Banner Page Hospital. CPT 99284.
What Banner Page Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$2,574cash price (self-pay)
$1,140list price
$162–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $338 |
| Banner Health | Medicare Advantage | $398 |
| Aetna | Medicare Advantage | $398 |
| Arizona Physicians IPA | Medicare Advantage | $398 |
| Banner University Health Plan | Medicare Advantage | $398 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $398 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $398 |
| Gila River Health Care Corporation | Managed Care Program | $398 |
| Health Choice Arizona, Inc. | Medicare Advantage | $398 |
| Health Net | Medicare | $398 |
| Kaiser Foundation Health Plan | Medicare Advantage | $398 |
| Mercy Care | Mercy Care Advantage | $398 |
| Carekin | Medicare Advantage | $418 |
| Humana | Medicare Advantage | $422 |
| Arizona Priority Care | Medicare Advantage | $438 |
| Devoted Health Services | Medicare Advantage | $438 |
| Gold Kidney Health Plan | Medicare Advantage | $438 |
| Arizona Physicians IPA | Medicaid | $442 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $442 |
| Health Net | Medicaid | $442 |
| Mercy Care | Mercy Medicaid | $442 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $463 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $494 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $519 |
| Aetna | Joint Venture | $545 |
| Coconino County Sheriff's Department | Commercial | $548 |
| Health Choice Arizona, Inc. | Medicaid | $553 |
| Health Choice Arizona, Inc. | ACA Health Plan | $597 |
| Health Net | Commerical Exchange Product | $601 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $618 |
Inpatient
$2,574cash price (self-pay)
$751list price
$162–$1,083range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $338 |
| Quiktrip Corporation | Commercial | $525 |
| Coconino County Sheriff's Department | Commercial | $548 |
| Aetna | Medical Rental | $669 |
| Provider Network of America | Commercial | $675 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $691 |
| Arizona Medical Network | Commercial | $705 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $713 |
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