Emergency visit, high (level 4) at Platte Valley Medical Center. CPT 99284.
What Platte Valley Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$5,556list price
$79.70–$4,428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Denv Hlth Med Plan | Denver Hlth Med Pl | $428 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $1,297 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $1,297 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $1,984 |
| BCBS/Anthem | BCBS Co Exchange Plan | $2,211 |
| BCBS/Anthem | BCBS Co Federal | $2,211 |
| BCBS/Anthem | BCBS Co HMO | $2,211 |
| BCBS/Anthem | BCBS Co PPO | $2,211 |
| Choicecare Humana | Choicecare Humana HMO EPO | $2,334 |
| Choicecare Humana | Choicecare Humana PPO | $2,334 |
| United Healthcare | Selectcolorado | $3,078 |
| Cigna | Cigna HMO | $3,853 |
| Cigna | Cigna Indemnity | $3,853 |
| Cigna | Cigna Other | $3,853 |
| Cigna | Cigna POS/Qpos | $3,853 |
| Cigna | Cigna PPO | $3,853 |
| Cigna | Eighth Dist Elect Ben Pln | $3,853 |
| Cigna | Health-Partners | $3,853 |
| Geha | Geha | $4,106 |
| Geha | Geha Mcr Supplemental | $4,106 |
| United Healthcare | All Savers Alternative Funding | $4,106 |
| United Healthcare | Golden Rule Ins | $4,106 |
| United Healthcare | Healthscope | $4,106 |
| United Healthcare | Medica | $4,106 |
| United Healthcare | Surest | $4,106 |
| United Healthcare | UHC Charter/Navigate | $4,106 |
| United Healthcare | UHC Exchange Plan | $4,106 |
| United Healthcare | UHC Other/Supplemental | $4,106 |
| United Healthcare | Umr-United Med Resources | $4,106 |
| United Healthcare | United Healthcare | $4,106 |
Inpatient
—cash price (self-pay)
$5,556list price
$2,412–$4,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $2,412 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $2,412 |
| Cigna | Cigna HMO | $3,853 |
| Cigna | Cigna Indemnity | $3,853 |
| Cigna | Cigna Other | $3,853 |
| Cigna | Cigna POS/Qpos | $3,853 |
| Cigna | Cigna PPO | $3,853 |
| Cigna | Eighth Dist Elect Ben Pln | $3,853 |
| Cigna | Health-Partners | $3,853 |
| BCBS/Anthem | BCBS Co Indemnity | $4,326 |
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