Emergency visit, high (level 4) at Banner University Medical Center Tucson. CPT 99284.
What Banner University Medical Center Tucson publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$1,286cash price (self-pay)
$2,587list price
$221–$2,317range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $221 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $221 |
| Health Net | Medicaid | $221 |
| Mercy Care | Mercy Medicaid | $221 |
| Health Choice Arizona, Inc. | Medicaid | $332 |
| Banner Health | Medicare Advantage | $445 |
| Kaiser Foundation Health Plan | Medicare Advantage | $445 |
| Aetna | Medicare Advantage | $445 |
| Arizona Physicians IPA | Medicare Advantage | $445 |
| Banner University Health Plan | University Care Advantage | $445 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $445 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $445 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $445 |
| Gila River Health Care Corporation | Managed Care Program | $445 |
| Health Choice Arizona, Inc. | Medicare Advantage | $445 |
| Health Net | Medicare | $445 |
| Mercy Care | Mercy Care Advantage | $445 |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $445 |
| Humana | Medicare Advantage | $459 |
| Carekin | Medicare Advantage | $468 |
| Devoted Health Services | Medicare Advantage | $468 |
| Arizona Priority Care | Medicare Advantage | $490 |
| Gold Kidney Health Plan | Medicare Advantage | $490 |
| NaphCare, Inc. | Federal Prison System | $601 |
| Health Choice Arizona, Inc. | ACA Health Plan | $668 |
| Health Net | Commerical Exchange Product | $672 |
| Oscar Health Plan | Commercial | $735 |
| Aetna | Banner Employee Plans | $920 |
| Aetna | Joint Venture | $1,100 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $1,164 |
Inpatient
$1,286cash price (self-pay)
$2,587list price
$905–$1,940range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $905 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $1,164 |
| Plotkin Health | Plotkin Health | $1,164 |
| Aetna | Medical Rental | $1,327 |
| Quiktrip Corporation | Commercial | $1,384 |
| Arizona Medical Network | Commercial | $1,821 |
| Provider Network of America | Commercial | $1,940 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Banner University Medical Center Tucson