Emergency visit, high (level 4) at Montevideo Hospital and Clinic. CPT 99284.
What Montevideo Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$473cash price (self-pay)
$1,081list price
$77.91–$1,279range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Mcaid | Medica Mcaid | $290 |
| BCBS Mhcp | BCBS Mhcp | $300 |
| Health Partners Mcr | Health Partners Mcr | $341 |
| Ucare Msho | Ucare Msho | $342 |
| Medica Mcr Adv | Medica Mcr Adv | $342 |
| Medica Mcr Cost/Select | Medica Mcr Cost/Select | $342 |
| BCBS Mcare | BCBS Mcare | $342 |
| Ucare Mcr Select | Ucare Mcr Select | $342 |
| Ucare Non-Dual | Ucare Non-Dual | $344 |
| Ucare Mcr Adv | Ucare Mcr Adv | $353 |
| Ucare Ifp - All Other Plans | Ucare Ifp - All Other Plans | $566 |
| BCBS - All Other Plans | BCBS - All Other Plans | $575 |
| Health Partners Comm - All Other Plans | Health Partners Comm - All Ot | $679 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $842 |
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