Emergency visit, high (level 4) at Shenandoah Medical Center. CPT 99284.
What Shenandoah Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$194cash price (self-pay)
$298list price
$93.42–$1,005range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $93.42 |
| Triwest Wellmark - All Plans | Triwest Wellmark - All Plans | $109 |
| Aetna Mcr Adv | Aetna Mcr Adv | $110 |
| Molina Mcr - All Other Plans | Molina Mcr - All Other Plans | $110 |
| Tricare-All Plans | Tricare-All Plans | $110 |
| UHC Healthy Well Kids (Hawk-I) | UHC Healthy Well Kids (Hawk-I) | $110 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $110 |
| UHC Va Ccn | UHC Va Ccn | $110 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $197 |
| BCBS Wellmark PPO | BCBS Wellmark PPO | $198 |
| BCBS Wellmark HMO - All Plans | BCBS Wellmark HMO - All Plans | $198 |
| UHC Community Plan Medicaid | UHC Community Plan Medicaid | $318 |
| Nebraska Total Care Mcaid-All Plans | Nebraska Total Care Mcaid-All Pl | $339 |
| Home State Health Plan Mcaid-All Plans | Home State Health Plan Mcaid- | $339 |
| Molina Mcd | Molina Mcd | $339 |
| UHC Medicaid | UHC Medicaid | $339 |
| Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans | $342 |
| Amerigroup Mcaid-All Plans | Amerigroup Mcaid-All Plans | $345 |
| Aetna Comm-All Other Plans | Aetna Comm-All Other Plans | $984 |
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