Emergency visit, high (level 4) at Flagstaff Medical Center. CPT 99284.
What Flagstaff Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,073cash price (self-pay)
$2,145list price
$114–$5,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice | Health Choice Generations | $292 |
| VA PCCC TriWest | Triwest Healthcare Alliance | $296 |
| Devoted | Devoted | $309 |
| CareFirst | CareFirst | $408 |
| Mercy Care RHBA | Mercy Care RHBA | $408 |
| Ahcccs | Ahcccs | $415 |
| Health Net of Arizona | AHCCCS AZCH COMPLETE HEALTHCARE | $415 |
| AHCCCS Other | AHCCCS Other | $415 |
| Health Choice Arizona | BCBS Health Choice Standard Health ACA | $415 |
| FMC Jail | FMC Jail | $415 |
| Health Choice | Health Choice AHCCCS | $415 |
| Health Choice Integrated Care | Health Choice Integrated Care | $415 |
| Mercy Care | Mercy Care | $415 |
| NHI Out of State AHCCCS | NHI Out of State AHCCCS | $415 |
| United Healthcare | United Healthcare APIPA AHCCCS | $415 |
| Health Net Federal | Health Net Federal - Tricare | $445 |
| University of Arizona Health Plans | University of Arizona Health Plan | $447 |
| Aetna Healthcare | Aetna Med Advantage | $469 |
| Fmc Ihs | Fmc Ihs | $477 |
| Ambetter Marketplace | Ambetter Marketplace | $539 |
| NaphCare | NaphCare | $578 |
| Health Choice | Health Choice Commercial | $915 |
| Self Pay | Northern Arizona Healthcare Self Pay | $1,073 |
| Umr Nah UHC | Umr Nah UHC | $1,073 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $1,073 |
| BCBS AZ | Neighborhood Network BCBS | $1,258 |
| Workers Comp | Workers Comp | $1,394 |
| BCBS Az | BCBS HMO | $1,572 |
| Copperpoint | Copperpoint | $1,572 |
| Aetna Banner | Aetna Banner | $1,583 |
Inpatient
$1,073cash price (self-pay)
$2,145list price
$751–$2,145range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr Nah UHC | Umr Nah UHC | $751 |
| Self Pay | Northern Arizona Healthcare Self Pay | $1,073 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $1,073 |
| Workers Comp | Workers Comp | $1,394 |
| Aetna Banner | Aetna Banner | $1,583 |
| NAU Athletic Department | NAU Athletic Department | $1,716 |
| Cigna Healthcare | Cigna HMO | $1,931 |
| Fmc 90/10 | Fmc 90/10 | $1,931 |
| Rural Arizona Network Multiplan | Rural Arizona Network Multiplan | $1,931 |
| United Healthcare | United Healthcare Commercial | $1,984 |
| Humana ChoiceCare | Humana ChoiceCare | $2,038 |
| Self Pay | Self-Pay No Discount | $2,145 |
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