Emergency visit, high (level 4) at Banner Churchill Community Hospital. CPT 99284.
What Banner Churchill Community Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$2,097cash price (self-pay)
$1,024list price
$266–$993range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $266 |
| Optum | Medicare | $328 |
| Banner Health | Banner Choice Plus/Banner Select | $358 |
| SilverSummit Healthplan | Medicare Advantage | $358 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $358 |
| Humana | Medicare Advantage | $380 |
| Hometown Health | HMO | $922 |
| Hometown Health | PPO/EPO | $922 |
| SilverSummit Healthplan | Commercial Exchange | $922 |
| United Healthcare | Commercial | $922 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $942 |
| Aetna | Medical Rental Products | $963 |
| Multiplan | Commercial | $963 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $967 |
| Hometown Health | Lease Networks | $973 |
| Coventry | Commercial | $983 |
| Coventry | Workers Comp | $983 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $993 |
Inpatient
$2,097cash price (self-pay)
$1,024list price
$922–$993range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hometown Health | HMO | $922 |
| Hometown Health | PPO/EPO | $922 |
| SilverSummit Healthplan | Commercial Exchange | $922 |
| United Healthcare | Commercial | $922 |
| Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat | $942 |
| Multiplan | Commercial | $963 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $967 |
| Hometown Health | Lease Networks | $973 |
| Coventry | Commercial | $983 |
| Coventry | Workers Comp | $983 |
| Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme | $993 |
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