Emergency visit, high (level 4) at Maricopa County Special Health Care District. CPT 99284.

What Maricopa County Special Health Care District publishes for this service, straight from its standard-charges file, last updated June 28, 2026.

Outpatient / ER

$512cash price (self-pay)

$1,400list price

$13.99–$2,232range insurers pay

Insurance plan	Negotiated rate
Arizona Complete Health \| Individual Exchange	$13.99
Banner University \| Ahcccs Managed Medicaid - Specialist	$89.54
Aetna \| Medical Rental - Office	$101
Aetna \| All Products - Office	$101
Aetna \| Qhp - Office	$101
Banner University \| Ahcccs Managed Medicaid - Primary Care	$105
Alignment Health \| Medicare Advantage - Non-Facility	$117
Alignment Health \| Medicare Advantage - Facility	$117
Arizona Complete Health \| Medicare Advantage - Facility	$117
Arizona Complete Health \| Medicare Advantage - Non-Facility	$117
Banner University \| Medicare Advantage - Facility	$117
Banner University \| Medicare Advantage - Non-Facility	$117
BCBS \| Medicare Advantage - Facility	$117
BCBS \| Medicare Advantage - Non-Facility	$117
Devoted \| Medicare Advantage - Specialist_facility	$117
Devoted \| Medicare Advantage - Specialist_non-Facility	$117
Eternal Health \| Medicare Advantage	$120
Devoted \| Medicare Advantage - Pcp_facility	$134
Devoted \| Medicare Advantage - Pcp_non-Facility	$134
BCBS \| All Products	$268
Humana \| Medicare Advantage	$280
Humana Bh \| Medicare Advantage	$280
Aetna \| Medicare Advantage	$281
Gold Kidney \| Medicare Advantage	$295
Molina \| Medicare Advantage	$302
Health Choice \| Individual Exchange	$320
Imperial Health \| Individual Exchange	$393
Antidote \| Individual Exchange	$415
Verda \| Medicare Advantage	$468
Creighton \| All Products	$471

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