Emergency visit, high (level 4) at HCA HealthONE MOUNTAIN RIDGE. CPT 99284.
What HCA HealthONE MOUNTAIN RIDGE publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$15,578cash price (self-pay)
$15,578list price
$350–$14,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Life Source Services | COMM | $350 |
| Pinnacol Workers Comp | WORKERSCOMP | $682 |
| Multiplan | BeechStreetWorkersComp | $710 |
| Multiplan | WorkersComp | $710 |
| Mutual of Omaha | MCR | $795 |
| Cigna | Connect-SBP | $995 |
| Cigna | SureFit | $1,309 |
| Cigna | Connect-NSBP | $1,511 |
| United | ColoradoDoctorsPlan | $2,043 |
| Cigna | Broad | $2,263 |
| Vail Health | COMM | $2,368 |
| Anthem | PathwayEssentialsStandard | $2,608 |
| Anthem | PathwaySBP | $2,644 |
| Kaiser | HMO | $3,225 |
| United | OptionsPPO | $3,225 |
| Kaiser | PPO | $3,688 |
| Rocky Mountain Health Plan | AllPayerAppendix | $4,029 |
| United | AllPayerAppendix | $4,029 |
| WPPA | UnifiedHealthPlan | $4,382 |
| Aetna | NBR | $4,665 |
| Bright Health | OON | $4,673 |
| Aetna | ExistingBusiness | $5,689 |
| Anthem | HMO | $6,244 |
| Anthem | PPO | $6,244 |
| Aetna | ASA | $6,878 |
| United | GlobalBenefit | $7,010 |
| WPPA | OutofServiceArea | $9,347 |
| Cigna | BroadLeanBenefitPlans | $9,970 |
| Cigna | Connect-NSBPLeanBenefitPlans | $9,970 |
| Cigna | Connect-SBPLeanBenefitPlans | $9,970 |
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