Emergency visit, high (level 4) at Jewell County Hospital. CPT 99284.
What Jewell County Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$165cash price (self-pay)
$513list price
$187–$487range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rural Carriers - All Plans | Rural Carriers - All Plans | $436 |
| Aetna - All Plans | Aetna - All Plans | $462 |
| Meritain - All Plans | Meritain - All Plans | $462 |
| First Health - All Plans | First Health - All Plans | $487 |
| Cigna - All Plans | Cigna - All Plans | $487 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $487 |
| UHC - All Plans | UHC - All Plans | $487 |
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