Emergency visit, high (level 4) at Teton Valley Health Care. CPT 99284.
What Teton Valley Health Care publishes for this service, straight from its standard-charges file, last updated July 21, 2026.
Outpatient / ER
$270cash price (self-pay)
$1,541list price
$94.78–$2,120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Medicaid | Blue Cross Medicaid | $99.25 |
| Town And Country-All Plans | Town And Country-All Plans | $139 |
| Brightpath-All Plans | Brightpath-All Plans | $175 |
| Pacific Source-All Plans | Pacific Source-All Plans | $206 |
| UHC Medicare Advantage | UHC Medicare Advantage | $410 |
| Humana-All Plans | Humana-All Plans | $418 |
| Prime Health Medicare Advantage | Prime Health Medicare Advantage | $418 |
| Regence Blue Shield Medicare Advantage | Regence Blue Shield Medicare | $418 |
| Select Health Medicare Advantage | Select Health Medicare Advantage | $418 |
| Prime Health Services-All Other Plans | Prime Health Services-All Othe | $418 |
| Triwest-All Plans | Triwest-All Plans | $418 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $535 |
| Aetna Medicare | Aetna Medicare | $724 |
| Moda-All Plans | Moda-All Plans | $790 |
| Blue Cross Qhp | Blue Cross Qhp | $800 |
| First Choice-All Plans | First Choice-All Plans | $803 |
| Cigna Oap | Cigna Oap | $815 |
| Select Health-All Other Plans | Select Health-All Other Plans | $820 |
| Cigna PPO-All Other Plans | Cigna PPO-All Other Plans | $826 |
| St Lukes Brightpath-All Plans | St Lukes Brightpath-All Plans | $830 |
| Blue Cross Trad/PPO/POS-All Other Plans | Blue Cross Trad/PPO/POS-All | $837 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,433 |
| Regence Blue Shield-All Other Plans | Regence Blue Shield-All Other Pl | $1,510 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $2,120 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.