Emergency visit, high (level 4) at OrthoNebraska. CPT 99284.
What OrthoNebraska publishes for this service, straight from its standard-charges file, last updated December 27, 2025.
Outpatient / ER
—cash price (self-pay)
$1,404list price
$391–$1,459range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicaid | $407 |
| BCBS Network Blue | Medicare Advantage | $415 |
| Humana | Medicare Advantage | $415 |
| United Healthcare | Aarp Medicare Supplement | $415 |
| United Healthcare | Medicare Advantage | $415 |
| Paramount Group - Wellcare | Medicare Advantage | $419 |
| Immanuel Pathways | All Products | $423 |
| Allied | National Global | $539 |
| Allied | Insurance IL | $539 |
| BCBS Network Blue | Bluecard | $551 |
| Ambetter | Commercial-Exchange | $622 |
| Carrum Health | Vflex | $622 |
| Carrum Health | Voluntary Model | $622 |
| Partners Health Alliance | Medicare Advantage | $622 |
| Optum Health | All Products | $702 |
| Midlands Choice | Cigna Nfm | $786 |
| Midwest Network | All Products | $786 |
| BCBS Wellmark Blue | All Products | $885 |
| Self Pay | Self Pay | $913 |
| Paramount Group - Ambetter | Medicare Advantage | $925 |
| Aetna | All Products | $1,004 |
| Humana | Choicecare | $1,123 |
| Multiplan | Pho | $1,264 |
| BCBS Of Nebraska Select | All Products | $1,334 |
| United Healthcare | Exchange Plans | $1,334 |
| Midlands Choice | Medica | $1,389 |
| Amerigroup | Medicaid | $1,404 |
Inpatient
—cash price (self-pay)
$1,404list price
$391–$1,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Health | All Products | $913 |
| BCBS Wellmark Blue | All Products | $941 |
| Humana | Choicecare | $1,194 |
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