Emergency visit, high (level 4) at Valley County Health System. CPT 99284.
What Valley County Health System publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$277cash price (self-pay)
$395list price
$61.60–$1,019range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $110 |
| Medica | Medicare Advantage | $110 |
| United Healthcare | Medicare Advantage | $110 |
| Humana | Medicare Advantage | $112 |
| Great Plains | Medicare Advantage | $115 |
| Nebraska Total Care | Managed Medicaid | $132 |
| United Healthcare Community Plan | Managed Medicaid | $132 |
| Molina | Managed Medicaid/CHIP | $138 |
| WellCare | Medicare Advantage/Dual Needs Plan | $141 |
| Molina | Dual Eligible Plan | $141 |
| Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | $141 |
| Aetna | Medicare Advantage | $205 |
| Medica | Commercial Plans/Care System Products | $222 |
| Medica | Individual and Family Business Plans | $246 |
| Blue Cross Blue Shield of Nebraska | Commercial | $258 |
| Multiplan/PHCS | Primary/Complementary PPO | $355 |
Inpatient
$277cash price (self-pay)
$674list price
$280–$1,019range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Individual and Family Business Plans | $613 |
| Blue Cross Blue Shield of Nebraska | Commercial | $647 |
| Medica | Commercial Plans/Care System Products | $647 |
| Multiplan/PHCS | Primary/Complementary PPO | $661 |
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