Emergency visit, high (level 4) at Northwest Healthcare Houghton. CPT 99284.
What Northwest Healthcare Houghton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$721cash price (self-pay)
$4,007list price
$219–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| APIPA Medicaid AZ | APIPA Medicaid AZ | $219 |
| AZ Medicaid | AZ Medicaid | $219 |
| AZ Medicaid Non Par | AZ Medicaid Non Par | $219 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $219 |
| Health Choice Medicaid AZ | Health Choice Medicaid AZ | $219 |
| Mercy Care Medicaid AZ | Mercy Care Medicaid AZ | $219 |
| Magellan Medicaid AZ | Magellan Medicaid AZ | $230 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $234 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $438 |
| NODE APIPA UHC Community Plan MCR ADV | NODE APIPA UHC Community Plan | $438 |
| Node BCBS Az Mcr Adv | Node BCBS Az Mcr Adv | $438 |
| NODE Caremore MCR ADV | NODE Caremore MCR ADV | $438 |
| NODE Cigna Healthspring | NODE Cigna Healthspring MC ADV | $438 |
| NODE Medicare Non Par | NODE Medicare Non Par | $438 |
| NODE ChampVA | NODE ChampVA | $445 |
| NODE Tricare | NODE Tricare | $445 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $445 |
| NODE Clover Health MCR ADV | NODE Clover Health MCR ADV | $450 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $451 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $460 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $537 |
| BCBS AZ Pima Connect | BCBS AZ Pima Connect | $550 |
| BCBS Az PPO HMO Nbr | BCBS Az PPO HMO Nbr | $579 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $598 |
| NODE AZ Complete Health Ambetter Exchange | NODE AZ Complete Health Am | $628 |
| NODE Health Choice Health Exchange | NODE Health Choice Health Exchang | $663 |
| Self Pay | Self Pay | $721 |
| BCBS AZ Work Comp | BCBS AZ Work Comp | $783 |
| NODE Fusion Network | NODE Fusion Network | $801 |
| NODE J Allen Inmate Health Svcs | NODE J Allen Inmate Health Svcs | $846 |
Inpatient
$1,563cash price (self-pay)
$4,007list price
$537–$2,404range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $537 |
| Self Pay | Self Pay | $1,563 |
| Coventry Work Comp AL | Coventry Work Comp AZ | $2,404 |
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