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Emergency visit, high (level 4) at Bingham Memorial Hospital. CPT 99284.

What Bingham Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 2, 2026.

Outpatient / ER

$718cash price (self-pay)
$1,025list price
$297–$1,113range insurers pay
Insurance planNegotiated rate
Ebms-All Plans | Ebms-All Plans$297
Blue Cross Qhp | Blue Cross Qhp$325
Blue Cross Comm-All Other Plans | Blue Cross Comm-All Other Plans$433
Partners Direct-All Plans | Partners Direct-All Plans$461
Altius Hosp Empl | Altius Hosp Empl$513
Pacificsource-All Plans | Pacificsource-All Plans$615
Altius Nonpar Empl | Altius Nonpar Empl$718
Selecthealth-All Plans | Selecthealth-All Plans$769
UHC Comm-All Plans | UHC Comm-All Plans$769
Aetna Comm-All Plans | Aetna Comm-All Plans$923
Three Rivers-All Plans | Three Rivers-All Plans$923
Altius Coventry-All Other Plans | Altius Coventry-All Other Plans$953
Deseret Mutual-All Plans | Deseret Mutual-All Plans$974
Bright Path-All Plans | Bright Path-All Plans$974
First Choice Health-All Plans | First Choice Health-All Plans$974
Regence Blue Shield-All Plans | Regence Blue Shield-All Plans$1,113
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All common services at Bingham Memorial Hospital