Emergency visit, high (level 4) at UCHealth Pikes Peak Regional Hospital. CPT 99284.
What UCHealth Pikes Peak Regional Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$1,563cash price (self-pay)
$1,954list price
$489–$3,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Medicare Advantage | $489 |
| Select Health | Medicare Advantage | $489 |
| United Healthcare | Medicare Advantage | $489 |
| Anthem | Medicare Advantage | $489 |
| Devoted Health | Medicare Advantage | $489 |
| Aetna | Medicare Advantage | $489 |
| Kaiser | Medicare Advantage | $489 |
| CMS | Medicare | $489 |
| Humana | Medicare Advantage | $489 |
| Anthem CU Trust | Commercial | $889 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $895 |
| Simplified Benefits Administration | Tiered Benefits | $987 |
| Cigna | Connect Colorado Option | $1,116 |
| Kaiser Public Option | Commercial | $1,172 |
| Kaiser KP Select | Commercial | $1,407 |
| Multiplan/PHCS | Commercial | $1,544 |
| Cigna | Broad Networks/Local Plus/SureFit | $1,563 |
| Aetna | Commercial | $1,602 |
| Kaiser | Commercial | $1,661 |
| Rocky Mountain Health Plan | Private/HCO | $1,661 |
| First Health | Commercial | $1,661 |
| Anthem Employee High Deductible Health Plan | PPO | $2,089 |
| Select Health | Individual Colorado Option | $2,167 |
| Select Health | Individual ACA | $2,400 |
| Anthem Employee | HMO/PPO | $2,507 |
| United Healthcare | Select Colorado | $2,860 |
| Anthem Pathway | Commercial | $3,214 |
| United Healthcare | Broad Networks | $3,303 |
| Anthem Broad Network | HMO/PPO | $3,838 |
Inpatient
$1,563cash price (self-pay)
$1,954list price
$889–$1,692range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem CU Trust | Commercial | $889 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $895 |
| Simplified Benefits Administration | Tiered Benefits | $987 |
| Cigna | Connect Colorado Option | $1,116 |
| Kaiser Public Option | Commercial | $1,172 |
| Kaiser KP Select | Commercial | $1,407 |
| Multiplan/PHCS | Commercial | $1,544 |
| Cigna | Broad Networks/Local Plus/SureFit | $1,563 |
| Aetna | Commercial | $1,602 |
| First Health | Commercial | $1,661 |
| Rocky Mountain Health Plan | Private/HCO | $1,661 |
| Kaiser | Commercial | $1,661 |
| Select Health | Individual Colorado Option | $1,692 |
| Select Health | Individual ACA | $1,692 |
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All common services at UCHealth Pikes Peak Regional Hospital