Emergency visit, high (level 4) at Humboldt County Memorial Hospital. CPT 99284.
What Humboldt County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$18.00cash price (self-pay)
$270list price
$14.00–$545range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $189 |
| PHYSICIANS MUTUAL | Plans | $194 |
| CIGNA | Commercial | $203 |
| PHCS | Plans | $203 |
| DEANHEALTH | Plan | $216 |
| HEALTH PARTNERS | Commercial | $216 |
| HUMANA | Commercial | $230 |
| HUMANA | Medicare | $230 |
| Wellpoint | Medicare | $259 |
| AETNA | Commercial | $270 |
| AETNA | Medicare | $270 |
| BLUE CROSS | Medicare | $270 |
| HEALTH PARTNERS | Medicare | $270 |
| IOWA HEALTH | Medicare | $270 |
| IOWA TOTAL CARE | Medicaid | $270 |
| Molina | Medicare | $270 |
| Wellpoint | Medicaid | $270 |
Inpatient
$18.00cash price (self-pay)
$283list price
$14.00–$545range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $198 |
| AETNA | Medicare | $201 |
| HEALTH PARTNERS | Medicare | $201 |
| PHYSICIANS MUTUAL | Plans | $203 |
| AETNA | Commercial | $212 |
| CIGNA | Commercial | $212 |
| PHCS | Plans | $212 |
| BLUE CROSS | Medicare | $220 |
| HUMANA | Medicare | $220 |
| IOWA HEALTH | Medicare | $220 |
| Molina | Medicare | $220 |
| DEANHEALTH | Plan | $226 |
| HEALTH PARTNERS | Commercial | $226 |
| HUMANA | Commercial | $240 |
| BLUE CROSS | Commercial | $246 |
| UHC | Commercial | $271 |
| UHC | Medicare | $271 |
| Wellpoint | Medicare | $271 |
| IOWA TOTAL CARE | Medicaid | $283 |
| Molina | Medicaid | $283 |
| Wellpoint | Medicaid | $283 |
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