Emergency visit, high (level 4) at Bates County Memorial Hospital. CPT 99284.
What Bates County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 20, 2026.
Outpatient / ER
$1,033cash price (self-pay)
$1,476list price
$101–$1,254range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Home State Health Plan | Managed Medicaid | $101 |
| Healthy Blue | Managed Medicaid | $111 |
| United Healthcare | Managed Medicaid | $111 |
| Aetna | Medicare Advantage | $418 |
| Blue Cross Blue Shield | Medicare Advantage | $418 |
| Centene-Ambetter | Marketplace | $418 |
| Cigna | Medicare Advantage | $418 |
| Humana/Choice Care | Commercial | $418 |
| Humana/Choice Care | Medicare Advantage | $418 |
| United Healthcare | Medicare Advantage | $418 |
| Aetna | Commercial | $1,254 |
| Blue Cross Blue Shield | All PPO Plans | $1,254 |
| Blue Cross Blue Shield | Participating/Traditional | $1,254 |
| Cigna | Commercial | $1,254 |
| United Healthcare | Commercial | $1,254 |
Inpatient
$1,033cash price (self-pay)
$1,476list price
$1,254–$1,254range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,254 |
| Blue Cross Blue Shield | All PPO Plans | $1,254 |
| Blue Cross Blue Shield | Participating/Traditional | $1,254 |
| Cigna | Commercial | $1,254 |
| United Healthcare | Commercial | $1,254 |
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