Emergency visit, high (level 4) at HCA HealthONE BELMAR ER, A PART OF SWEDISH. CPT 99284.
What HCA HealthONE BELMAR ER, A PART OF SWEDISH publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,411cash price (self-pay)
$11,262list price
$682–$10,136range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | BeechStreetWorkersComp | $710 |
| Multiplan | WorkersComp | $710 |
| Kaiser | CommercialSmallGroupPlans | $1,166 |
| Kaiser | KPIF | $1,166 |
| Kaiser | KPSelect | $1,166 |
| Cigna | Connect-SBP | $1,230 |
| Cigna | SureFit | $1,309 |
| Cigna | Connect-NSBP | $1,511 |
| Vail Health | COMM | $1,712 |
| United | ColoradoDoctorsPlan | $1,938 |
| Kaiser | HMO | $1,995 |
| Kaiser | PPO | $2,174 |
| Cigna | Broad | $2,263 |
| United | OptionsPPO | $2,331 |
| Anthem | PathwaySBP | $2,536 |
| Anthem | PathwayEssentialsStandard | $2,691 |
| Bright Health | OON | $3,379 |
| Rocky Mountain Health Plan | AllPayerAppendix | $4,007 |
| United | AllPayerAppendix | $4,007 |
| WPPA | UnifiedHealthPlan | $4,382 |
| Aetna | NBR | $4,665 |
| United | GlobalBenefit | $5,068 |
| Aetna | ExistingBusiness | $5,689 |
| Anthem | HMO | $6,244 |
| Anthem | PPO | $6,244 |
| WPPA | OutofServiceArea | $6,757 |
| Aetna | ASA | $6,878 |
| Cigna | BroadLeanBenefitPlans | $7,208 |
| Cigna | Connect-NSBPLeanBenefitPlans | $7,208 |
| Cigna | Connect-SBPLeanBenefitPlans | $7,208 |
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All common services at HCA HealthONE BELMAR ER, A PART OF SWEDISH