Emergency visit, high (level 4) at Douglas County Hospital, dba Alomere Health. CPT 99284.
What Douglas County Hospital, dba Alomere Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$198cash price (self-pay)
$907list price
$224–$1,195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medicaid Managed Care Plan | $224 |
| America's Ppo | Commercial | $277 |
| Aetna | Medicare Managed Care Plan | $431 |
| Primewest | Medicare Managed Care Plan | $452 |
| Ucare | Commercial | $495 |
| Blue Cross Of Mn | Commercial | $1,067 |
| Cigna | Commercial | $1,195 |
| Healthpartners | Commercial | $1,195 |
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All common services at Douglas County Hospital, dba Alomere Health