Emergency visit, high (level 4) at Daniels Memorial Healthcare Center. CPT 99284.
What Daniels Memorial Healthcare Center publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$974cash price (self-pay)
$1,146list price
$100–$1,112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Choice Health -All Plans | First Choice Health -All Plans | $192 |
| Allegiance Mcr | Allegiance Mcr | $377 |
| Triwest Ccn-All Plans | Triwest Ccn-All Plans | $386 |
| Allegiance Comml-All Other Plans | Allegiance Comml-All Other Plans | $595 |
| UHC-All Plans | UHC-All Plans | $636 |
| Pacific Source Comml-All Plans | Pacific Source Comml-All Plans | $641 |
| Geha - All Plans | Geha - All Plans | $951 |
| Montana Health Co-Op Hpn | Montana Health Co-Op Hpn | $974 |
| Bcbsmt Hlthlink Ntwrk | Bcbsmt Hlthlink Ntwrk | $999 |
| Bcbsmt Trad Ntwrk- All Other Plans | Bcbsmt Trad Ntwrk- All Other Plan | $999 |
| Montana Health Co-Op-All Other Plans | Montana Health Co-Op-All Other | $1,089 |
| Interwest PPO - All Plans | Interwest PPO - All Plans | $1,112 |
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