Emergency visit, moderate (level 3) at Banner Churchill Community Hospital. CPT 99283.
What Banner Churchill Community Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$738cash price (self-pay)
$625list price
$163–$606range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $163 |
| Optum | Medicare | $200 |
| Banner Health | Banner Choice Plus/Banner Select | $219 |
| SilverSummit Healthplan | Medicare Advantage | $219 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $219 |
| Humana | Medicare Advantage | $232 |
| Hometown Health | HMO | $563 |
| Hometown Health | PPO/EPO | $563 |
| SilverSummit Healthplan | Commercial Exchange | $563 |
| United Healthcare | Commercial | $563 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $575 |
| Aetna | Medical Rental Products | $588 |
| Multiplan | Commercial | $588 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $590 |
| Hometown Health | Lease Networks | $594 |
| Coventry | Commercial | $600 |
| Coventry | Workers Comp | $600 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $606 |
Inpatient
$738cash price (self-pay)
$625list price
$563–$606range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hometown Health | HMO | $563 |
| Hometown Health | PPO/EPO | $563 |
| SilverSummit Healthplan | Commercial Exchange | $563 |
| United Healthcare | Commercial | $563 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $575 |
| Multiplan | Commercial | $588 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $590 |
| Hometown Health | Lease Networks | $594 |
| Coventry | Commercial | $600 |
| Coventry | Workers Comp | $600 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $606 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.