Emergency visit, high (level 4) at Wickenburg Community Hospital. CPT 99284.
What Wickenburg Community Hospital publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$1,671cash price (self-pay)
$2,571list price
$221–$482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| State_ahcccs_-Pro | Xap | $221 |
| State_ahcccs_-Rec | Xar | $221 |
| State_ahcccs_-Sw | Xas | $221 |
| Health_choice_az_-Clin | X3c | $398 |
| Health_choice_az_-Ip | X3 | $398 |
| Health_choice_az_-Op | X3b | $398 |
| Health_choice_az_-Pro | X3p | $398 |
| Health_choice_az_-Rec | X3r | $398 |
| Health_choice_az_-Sw | X3s | $398 |
| Ahcccs_qmb_-Clin | X9c | $442 |
| Ahcccs_qmb_-Ip | X9 | $442 |
| Ahcccs_qmb_-Op | X9b | $442 |
| Ahcccs_qmb_-Pro | X9p | $442 |
| Ahcccs_qmb_-Rec | X9r | $442 |
| Ahcccs_qmb_-Sw | X9s | $442 |
| Mercy_care_advantage_-Clin | W7c | $442 |
| Mercy_care_advantage_-Ip | W7 | $442 |
| Mercy_care_advantage_-Op | W7b | $442 |
| Mercy_care_advantage_-Pro | W7p | $442 |
| Mercy_care_advantage_-Rec | W7r | $442 |
| Mercy_care_advantage_-Sw | W7s | $442 |
| State_ahcccs_-Clin | Xac | $442 |
| State_ahcccs_-Ip | Xa | $442 |
| State_ahcccs_-Op | Xab | $442 |
| Tricare_east_humana_military_-Clin | Sdc_1 | $453 |
| Tricare_east_humana_military_-Ip | Sd_1 | $453 |
| Tricare_east_humana_military_-Op | Sdb_1 | $453 |
| Tricare_east_humana_military_-Pro | Sdp_1 | $453 |
| Tricare_east_humana_military_-Rec | Sdr_1 | $453 |
| Tricare_east_humana_military_-Sw | Sds_1 | $453 |
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