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Emergency visit, high (level 4) at Gibson Area Hospital. CPT 99284.

What Gibson Area Hospital publishes for this service, straight from its standard-charges file, last updated January 27, 2026.

Outpatient / ER

$828cash price (self-pay)
$2,297list price
$44.00–$3,578range insurers pay
Insurance planNegotiated rate
Aetna | Medicaid$44.00
Blue_Cross_Community_Health_Plan | Medicaid$44.00
TriWest | Healthcare Alliance$44.00
Health_Alliance | Medicare_HMO$121
Health_Alliance | Medicare_PPO$121
BCBS | Blue_Choice$128
BCBS | PPO$169

Inpatient

$3,766cash price (self-pay)
$3,766list price
$2,580–$3,578range insurers pay
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All common services at Gibson Area Hospital