Emergency visit, high (level 4) at Tucson Medical Center Rincon Hospital. CPT 99284.
What Tucson Medical Center Rincon Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$512cash price (self-pay)
$1,827list price
$206–$1,143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $206 |
| Arizona Complete | Arizona Health Care Cost Containment System (AHCCCS | $221 |
| Banner University Family Care | Arizona Health Care Cost Containment S | $221 |
| United Healthcare Community Care | Arizona Health Care Cost Containmen | $221 |
| Arizona Complete | Medicare Advantage | $426 |
| Blue Cross Blue Shield | Medicare Advantage | $426 |
| Alignment | Medicare Advantage | $426 |
| Humana | Medicare Advantage | $433 |
| United Healthcare | Medicare Advantage | $435 |
| CareMore/Carelon/Wellpoint | Medicare Advantage | $435 |
| Devoted | Medicare Advantage | $456 |
| Arizona Complete | Marketplace | $546 |
| Blue Cross/Health Choice | Marketplace | $639 |
| Aetna | Commercial | $859 |
| United Healthcare | Commercial | $1,143 |
Inpatient
$512cash price (self-pay)
$1,827list price
—range insurers pay
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All common services at Tucson Medical Center Rincon Hospital