Emergency visit, high (level 4) at West Valley Medical Center. CPT 99284.
What West Valley Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,557cash price (self-pay)
$3,557list price
$95.80–$4,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $95.80 |
| Blue Cross | MMCP | $95.80 |
| Magellan | MGMCD | $95.80 |
| Molina | MCD | $95.80 |
| Blue Cross | POS | $806 |
| Blue Cross | PPO | $806 |
| Blue Cross | TRAD | $806 |
| Select Health Idaho (EIRMC only) | SelectMed | $1,135 |
| St Alphonsus Health | COMM | $1,135 |
| St Alphonsus Health | PPO | $1,135 |
| Regence | HIX | $1,147 |
| Regence | PPO | $1,147 |
| True Blue | MCRHMO | $1,405 |
| United | GlobalBenefitPlan | $1,600 |
| Cigna | PPO | $1,992 |
| PacificSource Health | PPO | $2,123 |
| United | OptionsPPO | $2,123 |
| Moda | Connexus | $2,173 |
| Moda | ModaSelect | $2,173 |
| St Luke's Health Partners | LARGEGROUP | $2,312 |
| St Luke's Health Partners | QHP | $2,312 |
| Aetna | COMM | $2,813 |
| EverNorth BH | COMM | $2,845 |
| Four Rivers Hospice | MCR | $2,845 |
| Multiplan | COMPLEMENTARY | $2,845 |
| Multiplan | PRIMARY | $2,845 |
| Geha PPO Usa | Comm | $3,023 |
| Coventry First Health | COMM | $3,201 |
| Coventry First Health | WCOMP | $3,201 |
| Blue Cross | ConnectedCare | $3,379 |
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