Emergency visit, high (level 4) at Granite County Hospital District. CPT 99284.
What Granite County Hospital District publishes for this service, straight from its standard-charges file, last updated September 9, 2026.
Outpatient / ER
$414cash price (self-pay)
$525list price
$118–$620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcr Adv | UHC Mcr Adv | $118 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $191 |
| First Choice Hlth - All Plans | First Choice Hlth - All Plans | $333 |
| BCBS Mcr Adv - All Plans | BCBS Mcr Adv - All Plans | $460 |
| Aetna/Fchn - All Plans | Aetna/Fchn - All Plans | $473 |
| Allegiance/Cigna- All Plans | Allegiance/Cigna- All Plans | $494 |
| Pacific Source - All Plans | Pacific Source - All Plans | $499 |
| Mt Coop - All Plans | Mt Coop - All Plans | $509 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $540 |
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