Emergency visit, high (level 4) at Western Arizona Regional Medical Center. CPT 99284.
What Western Arizona Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$524cash price (self-pay)
$4,364list price
$108–$3,927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | NV Medicaid | $108 |
| Veterans Eval Services | Veterans Eval Services | $115 |
| Medicaid | AZ Medicaid | $287 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $287 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $287 |
| UHCCP Medicaid AZ | UHCCP Medicaid AZ | $287 |
| Care1st | Care1st Medicaid AZ | $301 |
| Magellan | Magellan Medicaid AZ | $301 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $307 |
| Mercy Care | Mercy Care Medicaid AZ | $330 |
| NODE ChampVA | NODE ChampVA | $445 |
| NODE Tricare | NODE Tricare | $445 |
| NODE Health Choice MCR ADV | NODE Health Choice MCR ADV | $469 |
| Humana | NODE Humana MCR ADV | $469 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $477 |
| Healthnet | NODE Healthnet Senior MCR ADV | $483 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $493 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $493 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $493 |
| Self Pay | Self Pay | $524 |
| BCBS Az | BCBS Az All | $559 |
| NODE AZ Complete Health Exchange | NODE AZ Complete Health Exchange | $811 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $873 |
| NODE Health Choice Integrated Care | NODE Health Choice Integrated Car | $882 |
| BCBS AZ | BCBS Work Comp AZ | $883 |
| NODE Health Choice Health Exchange | NODE Health Choice Health Exchang | $1,216 |
| Aetna | Aetna ASBAIT | $1,344 |
| Sierra Health Plan | Sierra Commercial | $1,722 |
| Cigna | Cigna HMO | $1,885 |
| Sierra Health Plan | Sierra Option | $2,032 |
Inpatient
$916cash price (self-pay)
$4,364list price
$873–$3,927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $873 |
| Self Pay | Self Pay | $916 |
| Aetna | Aetna ASBAIT | $1,344 |
| Cigna | Cigna HMO | $1,885 |
| Coventry Work Comp AL | Coventry Work Comp AZ | $2,618 |
| Aetna | Aetna | $2,692 |
| Multiplan Primary | Multiplan Primary | $2,793 |
| Multiplan | Multiplan Complementary | $3,011 |
| United Healthcare | UHC APA | $3,068 |
| Three Rivers | Three Rivers PPO | $3,709 |
| Three Rivers | Three Rivers Work Comp AZ | $3,709 |
| First Health Coventry | First Health Coventry | $3,927 |
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All common services at Western Arizona Regional Medical Center