Emergency visit, high (level 4) at Nebraska Methodist Hospital. CPT 99284.
What Nebraska Methodist Hospital publishes for this service, straight from its standard-charges file, last updated February 14, 2026.
Outpatient / ER
$143cash price (self-pay)
$1,710list price
$109–$5,016range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare Advantage | $420 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $420 |
| Humana | Humana Medicare Advantage | $420 |
| Wellmark Medicare Advantage | Wellmark Medicare Advantage | $424 |
| BCBS | BCBS Medicare Advantage | $426 |
| Medica | Medica Medicare Advantage | $426 |
| United Healthcare | UHC Medicare Advantage | $426 |
| Molina Medicare Advantage | Molina Medicare Advantage | $429 |
| Wellmark | Wellmark PPO | $464 |
| BCBS | BCBS | $491 |
| BCBS | BCBS Select | $491 |
| NE Furniture Mart | NE Furniture Mart | $688 |
| Elite Choice | Elite Choice | $884 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $884 |
| Midlands Choice | Midlands Choice | $1,047 |
| Wellmark | Wellmark HMO | $1,277 |
| Aetna | Aetna | $1,496 |
| Medica | Elevate by Medica | $1,774 |
| Medica Choice | Medica Choice | $2,087 |
| UHC | UHC Nexus | $2,321 |
| United Healthcare | UHC | $2,721 |
Inpatient
$461cash price (self-pay)
$2,323list price
$641–$3,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Wellmark HMO | $1,161 |
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