Emergency visit, highest (level 5) at Alta Vista Regional Hospital. CPT 99285.
What Alta Vista Regional Hospital publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$2,728cash price (self-pay)
$5,455list price
$323–$5,455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial HMO PPO | Western Sky Ambetter | $323 |
| Medicaid HMO | Molina Of TX Mcd | $346 |
| Medicaid Ffs | Az Ffs Medicaid | $346 |
| Medicaid Ffs | Colorado Ffs Medicaid | $346 |
| Medicaid Ffs | Ia Ffs Medicaid | $346 |
| Medicaid Ffs | Wy Ffs Medicaid | $346 |
| Php Centennial | Php Centennial | $346 |
| Medicaid HMO | Turquoise BCBS Mcd | $419 |
| Medicaid HMO | Turquoise Molina Mcd | $419 |
| Medicaid HMO | Turquoise Presb Mcd | $419 |
| Medicaid HMO | Turquoise UHC Mcd | $419 |
| Medicaid HMO | Turquoise Care Mcd | $419 |
| Medicaid Ffs | Medicaid Consultec | $419 |
| Medicaid Ffs | Nm Ffs Medicaid | $419 |
| Commercial HMO PPO | Pres Ind Sel | $419 |
| Commercial HMO PPO | Presby Ind Sel | $419 |
| Medicare HMO | Aetna Medicare Advantage | $764 |
| UHC Advantage | UHC Advantage | $764 |
| Medicare HMO | BCBS Medicare | $787 |
| Medicare | Medicare | $873 |
| Medicare HMO | Molina Medicare Advantage | $873 |
| Misc Medicare Advantage | Misc Medicare Advantage | $873 |
| Medicare HMO | Humana Mcr PPO | $873 |
| Champus | Triwest | $873 |
| Medicare HMO | Aarp UHC Life1 | $873 |
| Medicare HMO | Cigna Medicare Advantage | $873 |
| Medicare HMO | Presby Medicare Adv | $873 |
| Workers Comp | Workers Comp | $2,237 |
| Self Pay | Self Pay | $2,728 |
| Other Covernment | Nm Behavioral Hlth | $3,409 |
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