Emergency visit, high (level 4) at Presbyterian Espanola Hospital. CPT 99284.
What Presbyterian Espanola Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$427cash price (self-pay)
$796list price
$421–$736range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Presbyterian Health Plan | Medicare Managed Care - Hmo | $421 |
| Care Improvement Plus | Medicare Managed Care Plan | $433 |
| Bcbs | Medicare Managed Care Plan | $438 |
| Aetna | Medicare Managed Care Plan | $442 |
| Molina Healthcare | Medicare Managed Care Plan | $450 |
| Humana | Medicare Managed Care Plan | $459 |
| Western Sky Community Care | Medicare Managed Care Plan | $463 |
| Presbyterian Health Plan | Select/Silver Select Plan Other Commercial | $644 |
| Wellpoint | Formerly Amerigroup Medicare Managed Care Plan | $736 |
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