Emergency visit, high (level 4) at Pagosa Springs Medical Center. CPT 99284.
What Pagosa Springs Medical Center publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$1,164cash price (self-pay)
$1,455list price
$242–$1,455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid_new_mexico_plan | Medicaid | $382 |
| Triwest_plan | Commercial | $565 |
| Aetna_medicare_advantage_plan | Medicare | $582 |
| Medicare_plan | Medicare | $582 |
| Presbyterian_health_plan | Commercial | $582 |
| Aetna_commercial_plan | Commercial | $1,091 |
| Pinnacol_assurance__plan | Commercial | $1,106 |
| Anthem_bcbs_hmo_plan | HMO | $1,152 |
| Cover_colorado_plan | Commercial | $1,164 |
| Three_rivers_plan | Commercial | $1,164 |
| Cigna_plan | Commercial | $1,237 |
| First_health_plan | Commercial | $1,237 |
| Rocky_mountain_health_plan | Commercial | $1,237 |
| Uhc_plan | Commercial | $1,237 |
| Humana_choicecare_plan | Commercial | $1,310 |
| Multiplan_plan | Commercial | $1,310 |
| Colorado_network_plan | Medicare | $1,382 |
| Colorado_access_medicaid_hmo_plan | Medicaid_hmo | $1,455 |
| Medicaid_plan | Medicaid | $1,455 |
| Rocky_mountain_health_medicaid_plan | Medicaid | $1,455 |
| Western_sky_community_care_plan | Commercial | $1,455 |
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