Emergency visit, high (level 4) at Orange City Area Health System. CPT 99284.
What Orange City Area Health System publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$204cash price (self-pay)
$503list price
$167–$728range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO | Wellmark HMO | $282 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $282 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $428 |
| UHC All Payer-All Plans | UHC All Payer-All Plans | $434 |
| Health Partners Coordinated-All Other Plans | Health Partners Coordina | $436 |
| Health Partners Open | Health Partners Open | $446 |
| Avera-All Plans | Avera-All Plans | $447 |
| Sanford Health-All Plans | Sanford Health-All Plans | $462 |
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