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Emergency visit, high (level 4) at Oro Valley Hospital. CPT 99284.

What Oro Valley Hospital 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 planNegotiated 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
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$613
Aetna | Aetna ASBAIT$761
BCBS AZ | BCBS AZ Work Comp$783
Health Net | Health Net Commercial$935
Self Pay | Self Pay$962
Humana | Humana Behavioral$1,000
UHC Hix | UHC Hix$1,053
United Healthcare | UHC Navigate$1,263
United Healthcare | UHC APA$1,316
Beacon Health Options | Beacon$2,004
Mtc | Mtc$2,004
First Health Coventry | First Health Coventry$2,104
Aetna QHP | Aetna QHP$2,202
Cigna | Cigna LocalPlus$2,218

Inpatient

$1,683cash price (self-pay)
$4,007list price
$613–$3,606range insurers pay
Insurance planNegotiated rate
CHS Group Health Plan BCBST | CHS Group Health Plan BCBST$613
Aetna | Aetna ASBAIT$761
Self Pay | Self Pay$1,683
Beacon Health Options | Beacon$2,004
Mtc | Mtc$2,004
First Health Coventry | First Health Coventry$2,104
Coventry Work Comp AL | Coventry Work Comp AZ$2,404
Magellan | Magellan Behavioral$2,404
Multiplan | Multiplan Complementary$3,326
Prime Health | Prime Health$3,406
Three Rivers | Three Rivers$3,406
HealthSmart | HealthSmart HPO$3,606
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All common services at Oro Valley Hospital