Emergency visit, high (level 4) at Cibola General Hospital. CPT 99284.
What Cibola General Hospital publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$329cash price (self-pay)
$1,354list price
$182–$1,219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs_nm_turquoise | BCBS Turquoise Care | $268 |
| Presby_turquoise | Presbyterian Turquoise Care | $268 |
| Molina_turquoise | Molina Turquoise Care | $375 |
| Tricare | Tricare | $392 |
| Uhc_turquoise | UHC Turquoise Care | $442 |
| Medicare | Medicare | $610 |
| Presbyterian_srcare | Presbyterian Senior Care | $610 |
| Uhc_mcradv | United Healthcare Medicare Advantage | $610 |
| Core_civic | Core Civic | $616 |
| Humana_mcradv | Humana Medicare Advantage | $616 |
| Bcbsnm_community_hmo | BCBS New Mexico Community HMO | $642 |
| Selfpay | Self Pay | $706 |
| Bcbsnm_bav | BCBS New Mexico Blue Advantage HMO | $750 |
| Bcbs_nm | Blue Cross Blue Shield New Mexico | $750 |
| Presbyterian_health | Presbyterian Health Commercial | $750 |
| Zelis | Zelis | $750 |
| First_health | Aetna - Coventry - First Health | $777 |
| Humana | Humana | $794 |
| UHC | United Healthcare Commercial | $794 |
| Cigna | Cigna | $1,151 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.