Emergency visit, high (level 4) at Freeman Hospital West Campus Acute Inpatient Hospital. CPT 99284.
What Freeman Hospital West Campus Acute Inpatient Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$742cash price (self-pay)
$1,855list price
$418–$606range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare/Medicaid Managed Care Plan | $418 |
| Allwell | Medicare Managed Care Plan | $422 |
| Devoted Health | Medicare Managed Care Plan | $430 |
| Kansas Health Advantage | Medicare Managed Care Plan | $435 |
| Nhc | Medicare Managed Care Plan | $460 |
| Unitedhealthcare | Exchange | $523 |
| Healthchoice | All Commercial Plans | $533 |
| Ambetter Health | Other Commercial Plan | $606 |
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All common services at Freeman Hospital West Campus Acute Inpatient Hospital