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Emergency visit, high (level 4) at Pawnee Valley Hospital. CPT 99284.

What Pawnee Valley Hospital publishes for this service, straight from its standard-charges file, last updated March 22, 2026.

Outpatient / ER

$120cash price (self-pay)
$1,570list price
$695–$695range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of KS | Commercial$695
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All common services at Pawnee Valley Hospital