Emergency visit, high (level 4) at Bob Wilson Memorial Grant County Hospital. CPT 99284.
What Bob Wilson Memorial Grant County Hospital publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$970cash price (self-pay)
$2,425list price
$485–$2,304range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $485 |
| Aetna | Managed Medicare | $776 |
| Humana | Managed Medicare | $776 |
| Kansas Health | Managed Medicare | $776 |
| Managed Medicare | Managed Medicare | $776 |
| Medicare | Medicare | $776 |
| United Healthcare | Managed Medicare | $776 |
| Blue Cross Blue Shield of Kansas | Commercial PPO/HMO | $928 |
| Aetna | Commercial | $1,940 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $2,023 |
| Multiplan | Commercial Primary | $2,183 |
| Multiplan | Commercial Complementary | $2,255 |
| Health Partners of Kansas | Commercial | $2,280 |
| WPPA | Commercial | $2,304 |
Inpatient
$970cash price (self-pay)
$2,425list price
$1,940–$2,304range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,940 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $2,023 |
| Multiplan | Commercial Primary | $2,183 |
| Multiplan | Commercial Complementary | $2,255 |
| Health Partners of Kansas | Commercial | $2,280 |
| WPPA | Commercial | $2,304 |
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All common services at Bob Wilson Memorial Grant County Hospital