Emergency visit, high (level 4) at Eastern Idaho Rmc. CPT 99284.
What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,935cash price (self-pay)
$3,935list price
$95.80–$4,045range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $95.80 |
| Select Health ICHN Brightpath | COMM | $1,149 |
| Select Health Idaho (EIRMC only) | SelectMed | $1,255 |
| Doug Andrus Distributing | COMM | $1,574 |
| University of Utah | HIX | $1,653 |
| University of Utah | HMP | $1,653 |
| University of Utah | PPO | $1,653 |
| United | GlobalBenefitPlan | $1,771 |
| Aetna | PEAKPERFERENCE | $1,916 |
| Mountain Health Co-Op | Individual | $1,968 |
| PacificSource Health | PPO | $2,109 |
| Cigna | PPO | $2,164 |
| United | OptionsPPO | $2,274 |
| First Choice Health Of Washington | WCOMP | $2,361 |
| Moda | Connexus | $2,404 |
| Moda | ModaSelect | $2,404 |
| Dmba | HMO | $2,534 |
| Dmba | PPO | $2,534 |
| Mountain Health Co-Op | Group | $2,951 |
| Prime Health | INDIGENTCARE | $2,951 |
| EverNorth BH | COMM | $3,148 |
| Geha PPO Usa | Comm | $3,148 |
| Multiplan | PRIMARY | $3,305 |
| Prime Health | GROUPHEALTH | $3,345 |
| Prime Health | WCOMP | $3,345 |
| First Choice of the Midwest | COMM | $3,542 |
| Interwest Health | PPO | $3,542 |
| Multiplan | COMPLEMENTARY | $3,542 |
| St. John's Health Network | COMM | $3,542 |
| Coventry First Health | COMM | $3,581 |
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