Emergency visit, high (level 4) at Cherry County Hospital. CPT 99284.
What Cherry County Hospital publishes for this service, straight from its standard-charges file, last updated May 26, 2026.
Outpatient / ER
$420cash price (self-pay)
$420list price
$11.24–$1,048range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Mcr Adv | Molina Mcr Adv | $115 |
| Molina Mcaid - All Other Plans | Molina Mcaid - All Other Plans | $117 |
| Avera HMO | Avera HMO | $123 |
| Ambetter Comm - All Plans | Ambetter Comm - All Plans | $163 |
| Avera Aca PPO | Avera Aca PPO | $164 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $182 |
| Avera Aso PPO | Avera Aso PPO | $191 |
| Avera Non-Aca PPO - All Other Plans | Avera Non-Aca PPO - All Other Pl | $205 |
| Oscar Profee Only - All Plans | Oscar Profee Only - All Plans | $220 |
| Midwest Ntwrk Profee Only - All Plans | Midwest Ntwrk Profee Only - Al | $220 |
| UHC-All Plans | UHC-All Plans | $261 |
| First Choice-All Plans | First Choice-All Plans | $408 |
| Multiplan-All Plans | Multiplan-All Plans | $408 |
| Phcs-All Plans | Phcs-All Plans | $408 |
| Tlc Advantage-All Plans | Tlc Advantage-All Plans | $408 |
| BCBS-All Plans | BCBS-All Plans | $1,037 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.