Emergency visit, high (level 4) at Mercy Gilbert Medical Center. CPT 99284.

What Mercy Gilbert Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$67.65cash price (self-pay)

$1,608list price

$38.50–$6,644range insurers pay

Insurance plan	Negotiated rate
Health Choice \| Medicaid\|All Plans	$105
United \| Medicaid\|All Plans	$105
United \| Commercial\|DignityHealthEmployee	$225
Mercy Care Plan \| Medicaid\|All Plans	$454
Aetna \| Medicare\|All Plans	$454
BCBS - AZ \| Medicare\|All Plans	$454
Care 1st \| Medicare\|All Plans	$454
Cigna \| Medicare\|All Plans	$454
First Health \| Medicare\|All Plans	$454
Health Choice \| Medicare\|All Plans	$454
Humana \| Medicare\|All Plans	$454
Mercy Care Plan \| Medicare\|All Plans	$454
United \| Medicare\|All Plans	$465
BCBS - AZ \| Commercial\|MaricopaFocus	$527
BCBS - AZ \| Commercial\|Neighborhood	$527
BCBS - AZ \| Commercial\|All Other Plans	$703
First Health \| Commercial\|All Plans	$868
BCBS - AZ \| Commercial\|Workers Comp	$1,044
MultiPlan \| Commercial\|All Plans	$1,238
Cigna \| Commercial\|Exchange	$1,672
Cigna \| Commercial\|LocalPlus SureFit	$1,790
United \| Commercial\|Navigate	$2,157
Connected Care \| Commercial\|Intel	$2,202
United \| Commercial\|Options PPO	$2,334
Cigna \| Commercial\|All Other Plans	$2,355
Cigna \| Commercial\|PPO	$2,355
United \| Commercial\|All Other Plans	$2,455
Aetna \| Commercial\|All Other Plans	$3,061
Aetna \| Commercial\|HMO	$3,061
Aetna \| Commercial\|PPO	$3,061

$67.65cash price (self-pay)

$1,608list price

$149–$6,644range insurers pay

Insurance plan	Negotiated rate
First Health \| Commercial\|All Plans	$868
MultiPlan \| Commercial\|All Plans	$1,238
Aetna \| Commercial\|All Other Plans	$4,380
Aetna \| Commercial\|HMO	$4,380
Aetna \| Commercial\|PPO	$4,380
Cigna \| Commercial\|LocalPlus SureFit	$5,091

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