Emergency visit, high (level 4) at UCHealth Memorial Hospital North. CPT 99284.
What UCHealth Memorial Hospital North publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$1,892cash price (self-pay)
$4,205list price
$428–$4,628range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CMS | Medicare | $428 |
| Cigna | Medicare Advantage | $428 |
| Select Health | Medicare Advantage | $428 |
| Kaiser | Medicare Advantage | $428 |
| Anthem | Medicare Advantage | $428 |
| Devoted Health | Medicare Advantage | $428 |
| Humana | Medicare Advantage | $428 |
| Aetna | Medicare Advantage | $428 |
| United Healthcare | Medicare Advantage | $428 |
| Select Health | Individual Colorado Option | $1,272 |
| Select Health | Individual ACA | $1,407 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $1,413 |
| Anthem CU Trust | Commercial | $1,596 |
| Kaiser Public Option | Commercial | $1,624 |
| Simplified Benefits Administration | Tiered Benefits | $1,640 |
| Cigna | Connect Colorado Option | $1,761 |
| Denver Health Medical Plan | HighPoint | $2,103 |
| Aetna ASA | Commercial | $2,153 |
| Cigna | Local Plus/SureFit/Connect | $2,277 |
| Anthem Employee | HMO/PPO | $2,366 |
| Kaiser KP Select | Commercial | $2,399 |
| Cigna | Colorado Rockies | $2,440 |
| First Health | Commercial | $2,481 |
| Cigna | Broad Networks | $2,812 |
| Rocky Mountain Health Plan | Private/HCO | $2,900 |
| Kaiser | HMO | $2,925 |
| Anthem Pathway Individual/Small Group | Commercial | $3,172 |
| Anthem Employee High Deductible Health Plan | PPO | $3,369 |
| Anthem Pathway | Commercial | $3,372 |
| United Healthcare | Select Colorado | $3,638 |
Inpatient
$1,892cash price (self-pay)
$4,205list price
$1,350–$2,986range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $1,350 |
| Anthem CU Trust | Commercial | $1,596 |
| Simplified Benefits Administration | Tiered Benefits | $1,611 |
| Denver Health Medical Plan | HighPoint | $2,103 |
| Aetna ASA | Commercial | $2,153 |
| Rocky Mountain Health Plan | Private/HCO | $2,271 |
| First Health | Commercial | $2,481 |
| Multiplan | Commercial | $2,986 |
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