Emergency visit, high (level 4) at Mountainview Hospital. CPT 99284.
What Mountainview Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$5,959cash price (self-pay)
$5,959list price
$108–$7,369range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sierra HPN | MCD | $108 |
| Legacy Provider Network | WORKERSCOMP | $292 |
| Community Care Health | MGMCD | $300 |
| CorVel | WORKERSCOMP | $308 |
| Comp-Med Workers Comp | WORKERSCOMP | $314 |
| Olympus MedSave USA | WCOMP | $324 |
| Health Services Coalition | COMM | $2,688 |
| Sierra | HMO | $2,827 |
| Sierra | PPO | $2,827 |
| Centene | HIX | $3,347 |
| United | AllPayerAppendix | $3,465 |
| Select Health | HIX | $4,416 |
| Anthem | HIX | $4,506 |
| Anthem | HMO | $4,506 |
| Anthem | Pathway | $4,506 |
| Prominence HealthFirst | COMM | $4,800 |
| Select Health | COMM | $4,800 |
| Anthem | PPO | $5,632 |
| Aetna | HMO | $6,146 |
| Aetna | PPO | $6,146 |
| Cigna | OAP | $6,228 |
| Hometown Health Providers | HMO/PPO/POS | $7,018 |
| Hometown Health Providers | ThirdPartyAdministratior(TPA) | $7,369 |
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