Emergency visit, high (level 4) at UCHealth Poudre Valley Hospital. CPT 99284.
What UCHealth Poudre Valley Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$1,273cash price (self-pay)
$1,819list price
$350–$4,292range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Colorado Access | Behavioral Health RAE | $350 |
| Rocky Mountain Health Plans | Medicaid RAE | $350 |
| Select Health | Medicare Advantage | $428 |
| United Healthcare | Medicare Advantage | $428 |
| CMS | Medicare | $428 |
| Aetna | Medicare Advantage | $428 |
| Kaiser | Medicare Advantage | $428 |
| Anthem | Medicare Advantage | $428 |
| Cigna | Medicare Advantage | $428 |
| Devoted Health | Medicare Advantage | $428 |
| Humana | Medicare Advantage | $428 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $688 |
| Colorado Community Health Alliance (CCHA) | Behavioral Health RAE | $873 |
| First Health | Commercial | $1,073 |
| Anthem CU Trust | Commercial | $1,131 |
| Aetna | New Business Discount | $1,164 |
| Select Health | Individual Colorado Option | $1,210 |
| Select Health | Individual ACA | $1,335 |
| Simplified Benefits Administration | Tiered Benefits | $1,479 |
| Rocky Mountain Health Plans | Commercial | $1,637 |
| Midlands Choice | Commercial | $1,637 |
| Anthem Pathway Standard | Commercial | $1,648 |
| PHCS | Commercial | $1,655 |
| Multiplan | Commercial | $1,655 |
| Anthem Employee | HMO/PPO | $1,691 |
| First Choice of the Midwest | Commercial | $1,764 |
| Cigna | Connect Colorado Option | $1,855 |
| Cigna | Colorado Rockies | $2,440 |
| Anthem Pathway | Commercial | $2,527 |
| Cigna | Local Plus/SureFit/Connect | $2,584 |
Inpatient
$1,273cash price (self-pay)
$1,819list price
$703–$1,764range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $703 |
| Select Health | Individual ACA | $775 |
| First Health | Commercial | $1,073 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $1,111 |
| Anthem CU Trust | Commercial | $1,131 |
| Aetna | New Business Discount | $1,164 |
| Aetna Core/Meritain | Commercial | $1,401 |
| Denver Health Medical Plan | HighPoint | $1,419 |
| Simplified Benefits Administration | Tiered Benefits | $1,437 |
| Aetna ASA | Commercial | $1,504 |
| Rocky Mountain Health Plans | Commercial | $1,637 |
| Midlands Choice | Commercial | $1,637 |
| Multiplan | Commercial | $1,655 |
| PHCS | Commercial | $1,655 |
| First Choice of the Midwest | Commercial | $1,764 |
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