Emergency visit, high (level 4) at Rice County District Hospital. CPT 99284.
What Rice County District Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$135cash price (self-pay)
$345list price
$98.48–$1,123range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Blue | Medicaid MCO | $98.48 |
| Sunflower Health Plan | Medicaid MCO | $98.48 |
| United Healthcare | Medicaid MCO | $98.48 |
| Ambetter | PPO | $204 |
| Healthy Blue | Medicare Advantage | $204 |
| Sunflower Health Plan | Medicare Advantage | $204 |
| United Healthcare | Medicare Advantage | $204 |
| Health Choices | PPO | $266 |
| Medical Associates Health Plan | PPO | $266 |
| Aetna | PPO | $269 |
| United Healthcare | All Payer | $297 |
| Cigna | PPO | $328 |
| Health Partners of Kansas | PPO | $328 |
| Wppa | PPO | $639 |
| Blue Cross Blue Shield Kansas | POS | $695 |
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