Emergency visit, high (level 4) at Ellsworth County Medical Center. CPT 99284.
What Ellsworth County Medical Center publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$250cash price (self-pay)
$1,078list price
$98.48–$1,617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Blue Mcr Adv | Healthy Blue Mcr Adv | $320 |
| Humana Mcr Adv | Humana Mcr Adv | $320 |
| Triwest -All Plans | Triwest -All Plans | $320 |
| Va Ccn-All Plans | Va Ccn-All Plans | $320 |
| UHC Mcr Adv | UHC Mcr Adv | $406 |
| BCBS Blue Choice-All Other Plans | BCBS Blue Choice-All Other Plans | $423 |
| BCBS Cap | BCBS Cap | $441 |
| Aetna-All Plans | Aetna-All Plans | $545 |
| Coventry Mcaid-All Plans | Coventry Mcaid-All Plans | $588 |
| Healthy Blue Mcaid- All Other Plans | Healthy Blue Mcaid- All Other Pl | $588 |
| UHC Mcaid/Chip | UHC Mcaid/Chip | $588 |
| Sunflower Mcaid - All Plans | Sunflower Mcaid - All Plans | $588 |
| Cigna/Hpk-All Plans | Cigna/Hpk-All Plans | $596 |
| Providers Care-Wppa-All Plans | Providers Care-Wppa-All Plans | $910 |
| First Health - All Plans | First Health - All Plans | $970 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $1,024 |
| UHC Comm-All Other Plans | UHC Comm-All Other Plans | $1,024 |
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