Emergency visit, high (level 4) at Cheyenne County Hospital. CPT 99284.
What Cheyenne County Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$786cash price (self-pay)
$925list price
$4.06–$1,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health - All Plans | First Health - All Plans | $648 |
| BCBS PPO - All Plans | BCBS PPO - All Plans | $688 |
| Firstguard - All Plans | Firstguard - All Plans | $740 |
| Tricare/Triwest - All Plans | Tricare/Triwest - All Plans | $740 |
| UHC Mcr Adv | UHC Mcr Adv | $740 |
| Aetna Mcr Adv | Aetna Mcr Adv | $740 |
| Healthy Blue Mcr Adv | Healthy Blue Mcr Adv | $740 |
| UHC Optum Va | UHC Optum Va | $740 |
| Choice Care - All Plans | Choice Care - All Plans | $747 |
| Wppa - All Plans | Wppa - All Plans | $833 |
| Aetna Coventry - All Other Plans | Aetna Coventry - All Other Plans | $879 |
| Preferred Hc - All Plans | Preferred Hc - All Plans | $879 |
| Cpm - All Plans | Cpm - All Plans | $879 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $897 |
| Health Partners - All Plans | Health Partners - All Plans | $907 |
| Integrated Hp - All Plans | Integrated Hp - All Plans | $907 |
| PPO Next - All Plans | PPO Next - All Plans | $907 |
| Unicare - All Plans | Unicare - All Plans | $907 |
| Childrens Mercy - All Plans | Childrens Mercy - All Plans | $925 |
| Healthy Blue Mcaid - All Other Plans | Healthy Blue Mcaid - All Other | $925 |
| Healthwave Mcaid - All Plans | Healthwave Mcaid - All Plans | $925 |
| UHC Medicaid & Chip | UHC Medicaid & Chip | $925 |
| Providers Care-All Plans | Providers Care-All Plans | $1,388 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,704 |
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