Emergency visit, high (level 4) at Northwest Medical Center. CPT 99284.
What Northwest Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$962cash price (self-pay)
$4,007list price
$115–$3,606range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $115 |
| APIPA Medicaid AZ | APIPA Medicaid AZ | $219 |
| Medicaid | AZ Medicaid | $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 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $219 |
| Magellan | 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 |
| Department of Veterans Affairs | NODE ChampVA | $445 |
| NODE Tricare | NODE Tricare | $445 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $460 |
| BCBS PimaConnect | BCBS PimaConnect | $550 |
| BCBS Az PPO HMO Nbr | BCBS Az PPO HMO Nbr | $579 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $598 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $601 |
| NODE AZ Complete Health Ambetter Exchange | NODE AZ Complete Health Am | $628 |
| Health Net | Health Net Commercial | $706 |
| Aetna | Aetna ASBAIT | $721 |
| BCBS AZ | BCBS AZ Work Comp | $783 |
| Self Pay | Self Pay | $962 |
| UHC Health Exchange | UHC HIX | $1,053 |
| United Healthcare | UHC Navigate | $1,263 |
| United Healthcare | UHC APA | $1,316 |
| Aetna | Aetna IHS | $1,803 |
| BridgeHealth Medical | BridgeHealth Medical | $2,004 |
| OptumHealth | OptumHealth Care Solutions | $2,004 |
| First Health Coventry | First Health Coventry | $2,104 |
Inpatient
$1,443cash price (self-pay)
$4,007list price
$601–$3,606range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $601 |
| Aetna | Aetna ASBAIT | $721 |
| Self Pay | Self Pay | $1,443 |
| Aetna | Aetna IHS | $1,803 |
| First Health Coventry | First Health Coventry | $2,104 |
| Coventry Medical Center | Coventry Work Comp AZ | $2,404 |
| Multiplan | Multiplan Complementary | $3,326 |
| Prime Health | Prime Health | $3,406 |
| HealthSmart | HealthSmart HPO | $3,606 |
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