Emergency visit, high (level 4) at Children's Nebraska. CPT 99284.
What Children's Nebraska publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
$496list price
$77.37–$879range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Medicaid | Managed Medicaid - NP | $77.37 |
| Iowa Medicaid | Managed Medicaid - Midlevel | $77.37 |
| Iowa Medicaid | Managed Medicaid - PA | $79.02 |
| Iowa Medicaid | Total Care - NP | $79.69 |
| Iowa Medicaid | Total Care - PA | $81.39 |
| Iowa Medicaid | Managed Medicaid - Physician | $91.03 |
| Nebraska Medicaid | Managed Medicaid - Phys - Non-Facility | $114 |
| Avera | All Products - Non-Facility | $179 |
| Avera | All Products - Facility | $179 |
| UHC | UMR_ Phys_Facility | $198 |
| Ambetter | All Products - Non -Facility | $208 |
| Ambetter | All Products - Facility | $208 |
| Centivo | All Products - Facility | $211 |
| Centivo | All Products - Non-Facility | $211 |
| Aetna | All Products - Facility | $229 |
| Aetna | All Products - Non -Facility | $229 |
| Blue Cross Blue Shield | Select Blue - Non-Facility | $251 |
| Blue Cross Blue Shield | BluePrint - Non-Facility | $256 |
| Blue Cross Blue Shield | All Products_Non_Facility | $264 |
| Health Partners | All Products - Non-Facility | $265 |
| Health Partners | All Products - Facility | $265 |
| Nebraska Medicaid | Managed Medicaid | $310 |
| Iowa Medicaid | Managed Medicaid | $521 |
| Wellpoint | Managed Medicaid | $521 |
| Iowa Medicaid | Total Care | $537 |
| Molina (Iowa) | Managed Medicaid | $540 |
| Midlands Choice CHI | All Products | $699 |
| Blue Cross Blue Shield | Select Blue | $719 |
| UHC | TNMC - University Regents | $759 |
| Blue Cross Blue Shield | BluePrint | $791 |
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