Emergency visit, high (level 4) at St. James Healthcare. CPT 99284.
What St. James Healthcare publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$1,397list price
$434–$1,397range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Cigna Sclhs Employees | $732 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $732 |
| First Choice Health | Healthcomp Tpa New | $796 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit New PPO | $908 |
| First Choice Health | Boon-Chapman New PPO | $908 |
| First Choice Health | First Choice Health New PPO | $908 |
| First Choice Health | First Choice Other New PPO | $908 |
| Pacificsource | Pacificsource Smart Health/Nav Network | $978 |
| First Choice Health | Healthcomp Tpa | $1,187 |
| Geha | Geha | $1,187 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $1,257 |
| First Choice Health | Boon-Chapman | $1,257 |
| First Choice Health | First Choice Health | $1,257 |
| First Choice Health | First Choice Other | $1,257 |
| Mt Health Co-Op | Mountain Health Co-Op | $1,271 |
| Mt Health Co-Op | Rocky Mountain Health Plan | $1,271 |
| BCBS/Anthem | BCBS Mt - Federal | $1,299 |
| BCBS/Anthem | BCBS Mt Closed Plan | $1,299 |
| BCBS/Anthem | BCBS Mt POS | $1,299 |
| BCBS/Anthem | BCBS Mt POS Exchange | $1,299 |
| BCBS/Anthem | St Of Mt Employees | $1,299 |
| Aetna | Aetna HMO/EPO | $1,327 |
| Aetna | Aetna POS/Qpos | $1,327 |
| Aetna | Aetna PPO | $1,327 |
| Aetna | Aetna Src | $1,327 |
| Allegiance | Allegiance Group Health | $1,327 |
| Allegiance | Cigna - Commercial | $1,327 |
| Cigna | Cigna Connect Exchange | $1,327 |
| Cigna | Cigna HMO | $1,327 |
| Cigna | Cigna Other | $1,327 |
Inpatient
—cash price (self-pay)
$1,397list price
$796–$1,397range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Choice Health | Healthcomp Tpa New | $796 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit New PPO | $908 |
| First Choice Health | Boon-Chapman New PPO | $908 |
| First Choice Health | First Choice Health New PPO | $908 |
| First Choice Health | First Choice Other New PPO | $908 |
| Pacificsource | Pacificsource Smart Health/Nav Network | $978 |
| Allegiance | Cigna Sclhs Employees | $1,093 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $1,093 |
| First Choice Health | Healthcomp Tpa | $1,187 |
| Geha | Geha | $1,187 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $1,257 |
| First Choice Health | Boon-Chapman | $1,257 |
| First Choice Health | First Choice Health | $1,257 |
| First Choice Health | First Choice Other | $1,257 |
| Mt Health Co-Op | Mountain Health Co-Op | $1,271 |
| Mt Health Co-Op | Rocky Mountain Health Plan | $1,271 |
| BCBS/Anthem | BCBS Mt - Federal | $1,320 |
| BCBS/Anthem | BCBS Mt Closed Plan | $1,320 |
| BCBS/Anthem | BCBS Mt POS | $1,320 |
| BCBS/Anthem | BCBS Mt POS Exchange | $1,320 |
| BCBS/Anthem | St Of Mt Employees | $1,320 |
| Aetna | Aetna HMO/EPO | $1,327 |
| Aetna | Aetna POS/Qpos | $1,327 |
| Aetna | Aetna PPO | $1,327 |
| Aetna | Aetna Src | $1,327 |
| Allegiance | Allegiance Group Health | $1,327 |
| Allegiance | Cigna - Commercial | $1,327 |
| Cigna | Cigna Connect Exchange | $1,327 |
| Cigna | Cigna HMO | $1,327 |
| Cigna | Cigna Other | $1,327 |
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