Emergency visit, high (level 4) at Johnson County Hospital. CPT 99284.
What Johnson County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,131cash price (self-pay)
$1,131list price
$758–$1,131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $758 |
| United Healthcare | Commercial | $758 |
| VA CCN | Commercial | $758 |
| Wellcare | Medicare Advantage | $758 |
| Midland's Choice | Commercial | $905 |
| Molina Healthcare of Nebraska | Commercial | $1,000 |
| Ambetter | Commercial | $1,018 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $1,074 |
| Aetna | Commercial | $1,131 |
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