Emergency visit, high (level 4) at UCHealth Longs Peak Hospital. CPT 99284.
What UCHealth Longs Peak Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$1,991cash price (self-pay)
$5,689list price
$350–$4,428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rocky Mountain Health Plans | Medicaid RAE | $350 |
| Cigna | Medicare Advantage | $428 |
| Devoted Health | Medicare Advantage | $428 |
| Select Health | Medicare Advantage | $428 |
| Humana | Medicare Advantage | $428 |
| Aetna | Medicare Advantage | $428 |
| Kaiser | Medicare Advantage | $428 |
| CMS | Medicare | $428 |
| United Healthcare | Medicare Advantage | $428 |
| Anthem | Medicare Advantage | $428 |
| Select Health | Individual Colorado Option | $1,387 |
| Select Health | Individual ACA | $1,534 |
| Anthem Pathway Standard | Commercial | $1,802 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $2,003 |
| Anthem CU Trust | Commercial | $2,119 |
| Simplified Benefits Administration | Tiered Benefits | $2,378 |
| Colorado Community Health Alliance (CCHA) | Behavioral Health RAE | $2,389 |
| Cigna | Colorado Rockies | $2,440 |
| Cigna | Local Plus/SureFit/Connect | $2,679 |
| Anthem Employee | HMO/PPO | $2,688 |
| Cigna | Broad Networks | $2,807 |
| Rocky Mountain Health Plan | Commercial | $2,901 |
| Anthem Pathway Individual/Small Group | Commercial | $3,048 |
| Anthem Employee High Deductible Health Plan | PPO | $3,267 |
| Anthem Pathway | Commercial | $3,332 |
| First Health | Commercial | $3,357 |
| United Healthcare | Select Rates | $3,383 |
| Denver Health Medical Plan | HighPoint | $3,413 |
| Aetna | Commercial | $3,424 |
| Anthem City of Colorado Springs Employer Group | Commercial | $3,956 |
Inpatient
$1,991cash price (self-pay)
$5,689list price
$2,003–$3,925range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $2,003 |
| Anthem CU Trust | Commercial | $2,119 |
| Simplified Benefits Administration | Tiered Benefits | $2,344 |
| Denver Health Medical Plan | HighPoint | $2,845 |
| First Health | Commercial | $3,357 |
| Multiplan | Commercial | $3,925 |
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