Emergency visit, high (level 4) at Mitchell County Hospital Health Systems. CPT 99284.
What Mitchell County Hospital Health Systems publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$207cash price (self-pay)
$897list price
$90.35–$897range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Va Ccn | UHC Va Ccn | $426 |
| BCBS - All Plans | BCBS - All Plans | $695 |
| Triwest Well Mark All Plans | Triwest Well Mark All Plans | $762 |
| Aetna-All Plans | Aetna-All Plans | $807 |
| First Health-All Plans | First Health-All Plans | $807 |
| Pref Hlth Care Sytms Comm - All Plans | Pref Hlth Care Sytms Comm - Al | $807 |
| UHC-All Other Plans | UHC-All Other Plans | $852 |
| Multiplan PPO - All Plans | Multiplan PPO - All Plans | $852 |
| Phc Leased Ntwrk Access - All Plans | Phc Leased Ntwrk Access - All Pl | $852 |
| Auxiant-All Plans | Auxiant-All Plans | $852 |
| Health Partners Ks-All Plans | Health Partners Ks-All Plans | $888 |
| Cigna-All Plans | Cigna-All Plans | $888 |
| UHC Medicaid | UHC Medicaid | $897 |
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All common services at Mitchell County Hospital Health Systems