Emergency visit, high (level 4) at Sierra Vista Hospital. CPT 99284.
What Sierra Vista Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$188cash price (self-pay)
$1,093list price
$106–$1,147range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | Tricare | $284 |
| Medadv_bcbs | BCBS Medicare Advantage | $430 |
| Medadv_humana | Humana Medicare Advantage | $430 |
| Medadv_uhc | United Healthcare Medicare Advantage | $430 |
| Presby_medicare | Presbyterian Medicare Advantage | $430 |
| Wellmed | Wellmed | $430 |
| Medadv_molina | Molina Medicare Advantage | $451 |
| Friday_health_plan | Friday Health Plan | $470 |
| Bcbsnm_turq_medicaid | BCBS New Mexico Turquoise Medicaid | $486 |
| Molina_turq_medicaid | Molina Turquoise Medicaid | $486 |
| Presby_turq_medicaid | Presbyterian Turquoise Medicaid | $486 |
| United_turq_medicaid | BCBS New Mexico Turquoise Medicaid | $486 |
| Presbyterian | Presbyterian Commercial | $538 |
| BCBS | Blue Cross Blue Shield | $571 |
| Zelis | Zelis Network Solutions | $571 |
| Multiplan | Multiplan | $605 |
| First_health | First Health Network | $625 |
| Humana | Humana Commercial | $659 |
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