Emergency visit, high (level 4) at Powell County Memorial Hospital Association. CPT 99284.
What Powell County Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,185cash price (self-pay)
$1,481list price
$604–$1,437range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Advantage | $604 |
| Allegiance | Allegiance Cigna PPO|Allegiance Mt PPO|Allegiance Other P | $1,318 |
| BCBS Mt [1266] | BCBS Mt Traditional [12660002] | $1,318 |
| First Choice Health | All Plans | $1,407 |
| Pacificsource | Pacific Source Navigator PPO; Pacificsource Voyager; P | $1,407 |
| Mountain Health Coop | Mountain Health Coop | $1,437 |
Inpatient
$1,481cash price (self-pay)
$1,481list price
$604–$1,437range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Allegiance Cigna PPO|Allegiance Mt PPO|Allegiance Other P | $1,318 |
| BCBS Mt [1266] | BCBS Mt Traditional [12660002] | $1,318 |
| First Choice Health | All Plans | $1,407 |
| Pacificsource | Pacific Source Navigator PPO; Pacificsource Voyager; P | $1,407 |
| Mountain Health Coop | Mountain Health Coop | $1,437 |
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All common services at Powell County Memorial Hospital Association