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Emergency visit, high (level 4) at Boundary Community Hospital. CPT 99284.

What Boundary Community Hospital publishes for this service, straight from its standard-charges file, last updated July 17, 2026.

Outpatient / ER

$219cash price (self-pay)
$274list price
$94.78–$1,077range insurers pay
Insurance planNegotiated rate
Molina Mcaid | Molina Mcaid$94.78
Molina Comm/Mrketplce - All Other Plans | Molina Comm/Mrketplce - All $111
Molina Mcr Adv | Molina Mcr Adv$111
UHC Comm - All Other Plans | UHC Comm - All Other Plans$111
UHC Med Adv | UHC Med Adv$111
Regence Blue Shield - All Plans | Regence Blue Shield - All Plans$173
Cigna Open Access Plus (Oap) | Cigna Open Access Plus (Oap)$174
Bc Idaho Comm - All Other Plans | Bc Idaho Comm - All Other Plans$195
Cigna PPO - All Other Plans | Cigna PPO - All Other Plans$197
Aetna Mcr - All Plans | Aetna Mcr - All Plans$205
Bc Idaho Qhp | Bc Idaho Qhp$260
Pacificsource Comm - All Other Plans | Pacificsource Comm - All Other $266
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All common services at Boundary Community Hospital