Emergency visit, high (level 4) at Palo Alto County Health System. CPT 99284.
What Palo Alto County Health System publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$347cash price (self-pay)
$607list price
$174–$713range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medicare | $200 |
| Wellpoint | Medicare | $200 |
| Medigold | Medicare | $360 |
| UHC | Medicare | $360 |
| United Behavioral Health | Medicare | $360 |
| Wellpoint | Medicaid | $475 |
| Molina | Medicaid | $476 |
| Corvel | Work Comp | $546 |
| Midlands Choice | Commercial | $713 |
Inpatient
$563cash price (self-pay)
$750list price
$510–$750range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | HMO | $510 |
| Blue Cross | PPO | $510 |
| Corvel | Work Comp | $675 |
| Midlands Choice | Commercial | $713 |
| Blue Cross | Medicare | $750 |
| Humana | Medicare | $750 |
| Iowa Total Care | Medicaid | $750 |
| Medigold | Medicare | $750 |
| Molina | Medicaid | $750 |
| UHC | Medicare | $750 |
| United Behavioral Health | Medicare | $750 |
| Wellpoint | Medicaid | $750 |
| Wellpoint | Medicare | $750 |
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