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Emergency visit, high (level 4) at Grand River Hospital. CPT 99284.

What Grand River Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.

Outpatient / ER

$227cash price (self-pay)
$822list price
$102–$382range insurers pay
Insurance planNegotiated rate
Medicaid | CO$102
Rocky Mountain | CHP+$382
Rocky Mountain | Medicaid$382
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All common services at Grand River Hospital