Emergency visit, high (level 4) at Mountainview Regional Medical Center. CPT 99284.
What Mountainview Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$576cash price (self-pay)
$2,181list price
$116–$3,888range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $116 |
| BCBS Medicaid NM | BCBS Medicaid NM | $271 |
| Presbyterian | Presbyterian Medicaid NM | $271 |
| NM Medicaid | NM Medicaid | $280 |
| Medicaid Non Par | NM Medicaid NON PAR | $280 |
| Molina | Molina Medicaid NM | $284 |
| United Healthcare | UHC Medicaid NM | $298 |
| NODE Medicare Non Par | NODE Medicare Non Par | $406 |
| NODE Medicare Traditional | NODE Medicare Traditional | $406 |
| NODE Molina MCR ADV | NODE Molina MCR ADV | $406 |
| Presbyterian | NODE Presbyterian MCR ADV | $406 |
| Department of Veterans Affairs | NODE ChampVA | $413 |
| NODE Tricare | NODE Tricare | $413 |
| NODE TriWest | NODE TriWest | $413 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $419 |
| United Healthcare | NODE UHC MCR ADV | $419 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $427 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $427 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $427 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $427 |
| US Department of Labor | NODE US Dept of Labor | $516 |
| Self Pay | Self Pay | $589 |
| Naphcare Federal Prison | NODE Naphcare | $723 |
| NODE Molina Health Exchange | NODE Molina Health Exchange | $768 |
| Work Comp NM | Work Comp NM | $785 |
| NODE BCBS NM Federal | NODE BCBS NM State Employees | $826 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,121 |
| Presbyterian Commercial | Presbyterian Commercial | $1,240 |
| BCBS Exchange NM | BCBS NM Exchange | $1,327 |
| Cigna | Cigna All | $1,327 |
Inpatient
$1,025cash price (self-pay)
$2,181list price
$769–$1,960range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Work Comp NM | Work Comp NM | $785 |
| Self Pay | Self Pay | $1,047 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $1,121 |
| Zelis NMMIP | Zelis NMMIP | $1,374 |
| Pchs | Phcs | $1,483 |
| Zelis | Zelis | $1,527 |
| First Health | First Health | $1,636 |
| Aetna | Aetna | $1,745 |
| Admar PPO | Admar PPO | $1,919 |
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