Emergency visit, high (level 4) at Portneuf Medical Partners. CPT 99284.
What Portneuf Medical Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,718cash price (self-pay)
$2,863list price
$427–$2,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $1,002 |
| Moda Health [6100] | Moda Health [610000] | $1,002 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $1,002 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $1,002 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $1,002 |
| Lucent Health [6000] | Lucent Health [600000] | $1,002 |
| Pending Ssi [1616] | Pending Ssi Rca [161601] | $1,002 |
| Black Lung [6055] | Black Lung [605500] | $1,002 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $1,002 |
| Employee Benefit Management Services [2445] | Employee Benefit Managem | $1,002 |
| Pacific Source Health Plans [2850] | Pacific Source Health Plans [2850 | $1,646 |
| Medishare Christian Care [1645] | Medishare Christian Care [164500] | $1,718 |
| Employee Benefit Management Services [2445] | Ebms Bingham Memorial Ho | $1,718 |
| Multiplan [1680] | Hma [168003] | $1,918 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $2,577 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $2,577 |
| Geha [1415] | Geha - Asa [141503] | $2,577 |
| Umr [2035] | Umr United Healthcare [203502] | $2,577 |
| Umr [2035] | United Medical Resources [203503] | $2,577 |
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