Emergency visit, high (level 4) at Allen County Regional Hospital. CPT 99284.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$490cash price (self-pay)
$817list price
$105–$817range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $105 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $105 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $109 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $109 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy HMO | $241 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy PPO | $241 |
| Medicare Replacement Plan [1250] | Bc Out Of Area Medicare Advantage [ | $241 |
| Medicare Replacement Plan [1250] | Humana Medicare [12505] | $241 |
| Medicare Replacement Plan [1250] | Medica Prime Solution Medicare Cost | $241 |
| Medicare Replacement Plan [1250] | Mo Health Advantage Medicare Replac | $241 |
| Medicare Replacement Plan [1250] | Optum UHC Medicare Advantage [12508 | $241 |
| Medicare Replacement Plan [1250] | Provider Partner Health Plans [1252 | $241 |
| Medicare Replacement Plan [1250] | UHC Dual Complete Snp Ks [12521] | $241 |
| Medicare Replacement Plan [1250] | UHC Dual Complete Snp Mo [12522] | $241 |
| Medicare Replacement Plan [1250] | UHC Medicare Complete Aarp [12509] | $241 |
| Medicare Replacement Plan [1250] | UHC Medicare Gold Silver Or Choice | $241 |
| Medicare Replacement Plan [1250] | United Behavioral Health Medicare R | $241 |
| Medicare Replacement Plan [1250] | Zzzbc Kc Medicare Advantage [12517] | $241 |
| Transplants-Case Rates [5750] | Hb Medicare Replacement Transplant [57 | $241 |
| Transplants-Case Rates [5750] | Humana Commercial Transplant [57515] | $241 |
| Transplants-Case Rates [5750] | Humana Govt Transplant [57518] | $241 |
| Transplants-Case Rates [5750] | Pretransplant [57510] | $241 |
| Transplants-Case Rates [5750] | Transplant Case Rate [57508] | $241 |
| Transplants-Case Rates [5750] | Transplant Single Case Agreement [5750 | $241 |
| Medicare Replacement Plan [1250] | Devoted Health Medicare Advantage [ | $386 |
| Blue Cross Blue Shield [4000] | Bc Blue Choice Allen Anderson Cushing | $660 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $694 |
| Aetna [5000] | Aetna Nap [50014] | $694 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $695 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $695 |
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