Emergency visit, high (level 4) at Great Plains Health. CPT 99284.
What Great Plains Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$162cash price (self-pay)
$1,040list price
$121–$2,808range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicare Advantage | $518 |
| Molina | Medicare Advantage | $566 |
| Midwest Network Alliance | Owner | $875 |
| Midwest Network Alliance | Non-Owner | $906 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $924 |
| Medica | Commercial | $956 |
| Midlands Choice | Commercial | $956 |
| Oscar Health | Midlands Premier | $967 |
| Coventry | HMO | $977 |
| GEHA | Commercial | $977 |
| Coventry | PPO | $988 |
| Mutual of Omaha | Commercial | $988 |
| United Health Care | Commercial | $988 |
| Ambetter | Commercial | $1,310 |
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