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Emergency visit, highest (level 5) at Banner Churchill Community Hospital. CPT 99285.

What Banner Churchill Community Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.

Outpatient / ER

$2,470cash price (self-pay)
$1,455list price
$378–$1,411range insurers pay
Insurance planNegotiated rate
Aetna | Commercial$378
Optum | Medicare$466
Banner Health | Banner Choice Plus/Banner Select$509
SilverSummit Healthplan | Medicare Advantage$509
TriWest Healthcare Alliance Corp - VA CCN | Tricare$509
Humana | Medicare Advantage$540
Hometown Health | HMO$1,310
Hometown Health | PPO/EPO$1,310
SilverSummit Healthplan | Commercial Exchange$1,310
United Healthcare | Commercial$1,310
Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat$1,339
Aetna | Medical Rental Products$1,368
Multiplan | Commercial$1,368
Cigna Healthcare & Life Insurance Company – WY | Commercial$1,374
Hometown Health | Lease Networks$1,382
Coventry | Commercial$1,397
Coventry | Workers Comp$1,397
Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme$1,411

Inpatient

$2,470cash price (self-pay)
$1,455list price
$1,310–$1,411range insurers pay
Insurance planNegotiated rate
Hometown Health | HMO$1,310
Hometown Health | PPO/EPO$1,310
SilverSummit Healthplan | Commercial Exchange$1,310
United Healthcare | Commercial$1,310
Anthem Blue Cross Blue Shield Colorado | HMO/Indemnity/PPO/Pathway/Pat$1,339
Multiplan | Commercial$1,368
Cigna Healthcare & Life Insurance Company – WY | Commercial$1,374
Hometown Health | Lease Networks$1,382
Coventry | Commercial$1,397
Coventry | Workers Comp$1,397
Prominence HealthFirst (fka NV Preferred Healthcare Providers) | Comme$1,411
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All common services at Banner Churchill Community Hospital