Emergency visit, high (level 4) at Delta County Memorial Hospital. CPT 99284.
What Delta County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$492cash price (self-pay)
$820list price
$440–$804range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mcradv_aetna | Aetna Medicare Advantage | $440 |
| Mcradv_bcbs | BCBS Medicare Advantage | $440 |
| Mcradv_humana | Humana Medicare Advantage | $440 |
| Mcradv_select_health | Select Health Medicare Advantage | $440 |
| Mcradv_uhc | UHC Medicare Advantage | $440 |
| Tricare | Tricare | $440 |
| Mcradv_cigna | Cigna Medicare Advantage | $462 |
| Monument_health | Monument Health | $525 |
| Anthem_st | Anthem BCBS- PPO/HMO Standard Network | $591 |
| UHC | United Healthcare | $640 |
| Anthem_ns | Anthem BCBS- PPO/HMO Non Standard (Pathway) | $656 |
| Uchealth | Uchealth Plan Administrators | $714 |
| Aetna | Aetna | $804 |
| Humana | Humana Commercial Plan | $804 |
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