Emergency visit, high (level 4) at Rock County Hospital. CPT 99284.
What Rock County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$733cash price (self-pay)
$830list price
$63.00–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $191 |
| Midlands Choice | PPO | $218 |
| Oscar | HMO | $218 |
| Molina | Medicare Advantage | $335 |
| Molina | Commercial | $555 |
| United Healthcare | Commercial | $736 |
| Nebraska Total Care | Commercial | $747 |
| Integrated Health Plan | PPO | $788 |
| Interplan Health Group | Commercial | $788 |
| Blue Cross Blue Shield of Nebraska | PPO | $797 |
| Coventry Health Care | Commercial | $797 |
| First Health | Commercial | $797 |
| Mutually Preferred | Commercial | $797 |
| MultiPlan | PPO | $805 |
| PPO Next | PPO | $805 |
| Medica | Commercial | $852 |
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