Emergency visit, high (level 4) at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's. CPT 99284.
What HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,639cash price (self-pay)
$13,639list price
$682–$12,275range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | CommercialSmallGroupPlans | $1,041 |
| Kaiser | KPIF | $1,041 |
| Kaiser | KPSelect | $1,041 |
| Kaiser | HMO | $1,995 |
| Vail Health | COMM | $2,073 |
| Kaiser | PPO | $2,174 |
| United | ColoradoDoctorsPlan | $2,179 |
| Cigna | Broad | $2,263 |
| Anthem | PathwaySBP | $2,502 |
| Anthem | PathwayEssentialsStandard | $2,705 |
| United | OptionsPPO | $2,823 |
| Rocky Mountain Health Plan | AllPayerAppendix | $3,851 |
| United | AllPayerAppendix | $3,851 |
| Cigna Transplant | COMM | $3,955 |
| Aetna | MCRADVHMO | $4,092 |
| Bright Health | OON | $4,092 |
| WPPA | UnifiedHealthPlan | $4,382 |
| Aetna | NBR | $4,654 |
| Aetna | ExistingBusiness | $5,676 |
| United | GlobalBenefit | $6,138 |
| Anthem | HMO | $6,244 |
| Anthem | PPO | $6,244 |
| Kaiser National Transplant | COMM | $6,547 |
| Emerging Therapy Solutions | MGMCR | $6,547 |
| Aetna | ASA | $6,878 |
| WPPA | OutofServiceArea | $8,183 |
| Cigna | BroadLeanBenefitPlans | $8,729 |
| Cigna | Connect-NSBPLeanBenefitPlans | $8,729 |
| Cigna | Connect-SBPLeanBenefitPlans | $8,729 |
| Cigna | SureFitLeanBenefitPlans | $8,729 |
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All common services at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's