Emergency visit, high (level 4) at Stormont Vail Healthcare. CPT 99284.
What Stormont Vail Healthcare publishes for this service, straight from its standard-charges file, last updated December 19, 2025.
Outpatient / ER
—cash price (self-pay)
$989list price
$107–$826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centene | Kancare Sunflower | $107 |
| United Healthcare | Kancare UHC | $107 |
| BCBS | Kancare BCBS | $108 |
| Aetna | Medicare Aetna | $392 |
| BCBS | Medicare BCBS | $392 |
| Humana | Medicare Humana | $392 |
| BCBS | BCBS Cho | $785 |
| BCBS | BCBS Cap | $826 |
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