Emergency visit, high (level 4) at Eastern New Mexico Medical Center. CPT 99284.
What Eastern New Mexico Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$375cash price (self-pay)
$1,786list price
$116–$1,697range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $116 |
| BCBS Nm Mcd | BCBS Nm Mcd | $271 |
| Presbyterian MCD | Presbyterian MCD | $271 |
| NM Medicaid | NM Medicaid | $280 |
| NM Medicaid Non Par | NM Medicaid Non Par | $280 |
| Molina Medicaid NM | Molina Medicaid NM | $284 |
| UHC Medicaid NM | UHC Medicaid NM | $298 |
| Self Pay | Self Pay | $375 |
| NODE Medicare Non Par | NODE Medicare Non Par | $406 |
| NODE Medicare Traditional | NODE Medicare Traditional | $406 |
| NODE Presbyterian MCR ADV | NODE Presbyterian MCR ADV | $406 |
| NODE Molina MCR ADV | NODE Molina MCR ADV | $411 |
| NODE ChampVA | NODE ChampVA | $413 |
| Tricare | NODE Tricare | $413 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $413 |
| TriWest | NODE TriWest | $413 |
| Node BCBS Nm Mcr Adv | Node BCBS Nm Mcr Adv | $419 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $427 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $427 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $427 |
| NM Work Comp | NM Work Comp | $643 |
| Capstar | Capstar | $893 |
| Health Connections | Health Connections | $909 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $936 |
| BCBS Nm All | BCBS Nm All | $1,024 |
| UHC Apa | UHC Apa | $1,116 |
| Zelis NMMIP | Zelis NMMIP | $1,125 |
| NODE Molina Health Exchange | NODE Molina Health Exchange | $1,128 |
| Presbyterian Commercial | Presbyterian Commercial | $1,202 |
| BCBS NM | BCBS NM Exchange | $1,250 |
Inpatient
$697cash price (self-pay)
$1,786list price
$643–$1,661range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NM Work Comp | NM Work Comp | $643 |
| Self Pay | Self Pay | $697 |
| Capstar | Capstar | $804 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $936 |
| UHC Apa | UHC Apa | $1,116 |
| Zelis NMMIP | Zelis NMMIP | $1,125 |
| FirstCare TX | FirstCare TX | $1,340 |
| Admar | Admar | $1,429 |
| Omni | Omni | $1,429 |
| Multiplan Primary | MultiPlan Primary | $1,500 |
| Aetna | Aetna ALL | $1,504 |
| Healthsmart | Healthsmart | $1,518 |
| Multiplan Complementary | Multiplan Complementary | $1,554 |
| Zelis | Zelis | $1,572 |
| Affordable | Affordable | $1,661 |
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