Emergency visit, high (level 4) at Kiowa County Memorial Hospital. CPT 99284.
What Kiowa County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$179cash price (self-pay)
$995list price
$98.48–$1,493range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Va Ccn Op & Profee Only | UHC Va Ccn Op & Profee Only | $111 |
| BCBS-All Other Plans | BCBS-All Other Plans | $695 |
| UHC Military & Va | UHC Military & Va | $797 |
| Health Partners Of Ks-All Plans | Health Partners Of Ks-All Plans | $876 |
| Aetna Better Health Mcare-All Plans | Aetna Better Health Mcare-All Pl | $886 |
| BCBS Mcare Advan | BCBS Mcare Advan | $886 |
| Celtic Comml Exchange-All Other Plans | Celtic Comml Exchange-All Othe | $886 |
| Humana Medicare-All Plans | Humana Medicare-All Plans | $886 |
| Medica Prime Mcare Cost-All Plans | Medica Prime Mcare Cost-All Plans | $886 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $995 |
| Celtic Medicaid | Celtic Medicaid | $995 |
| UHC Medicaid Chip-All Other Plans | UHC Medicaid Chip-All Other Plans | $995 |
| Providrs Care/Wppa-All Plans | Providrs Care/Wppa-All Plans | $1,493 |
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