Emergency visit, high (level 4) at Pawhuska Hospital. CPT 99284.
What Pawhuska Hospital publishes for this service, straight from its standard-charges file, last updated September 26, 2026.
Outpatient / ER
$114cash price (self-pay)
$461list price
$97.47–$1,396range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Indian Nation Profee Only - All Plans | Indian Nation Profee Only - Al | $114 |
| Evolutions Choice Ntwrk Profee Only - All Other Pl | Evolutions Choice | $125 |
| Evolutions Select/Adv Ntwrk Profee Only | Evolutions Select/Adv Ntwrk | $137 |
| Healthsmart Accel - Terminated | Healthsmart Accel - Terminated | $143 |
| Healthsmart PPO/POS - Terminated | Healthsmart PPO/POS - Terminated | $154 |
| Galaxy Health Ntwk - Terminated | Galaxy Health Ntwk - Terminated | $323 |
| Fpn-Fortified Prov Ntwrk Profee Only - All Plans | Fpn-Fortified Prov | $369 |
| Healthsmart Hpo - Terminated | Healthsmart Hpo - Terminated | $369 |
| BCBS Select Mcr Adv | BCBS Select Mcr Adv | $409 |
| BCBS Mcr Adv | BCBS Mcr Adv | $448 |
| Tricare - All Plans | Tricare - All Plans | $448 |
| UHC Mcr Adv | UHC Mcr Adv | $448 |
| UHC Va Ccn | UHC Va Ccn | $448 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $448 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $452 |
| Aetna Mcr Adv | Aetna Mcr Adv | $456 |
| Healthcare Highways - All Plans | Healthcare Highways - All Plans | $514 |
| Healthchoice Ip/Op Only - All Plans | Healthchoice Ip/Op Only - All Pl | $528 |
| Cigna - All Plans | Cigna - All Plans | $541 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $561 |
| Multiplan - All Plans | Multiplan - All Plans | $595 |
| Community Care Comm - All Plans | Community Care Comm - All Plans | $601 |
| Aetna - All Other Plans | Aetna - All Other Plans | $642 |
| Ambetter - All Plans | Ambetter - All Plans | $658 |
| BCBS Blue Adv | BCBS Blue Adv | $666 |
| BCBS Blue Choice | BCBS Blue Choice | $666 |
| BCBS Blue Trad - All Other Plans | BCBS Blue Trad - All Other Plans | $666 |
| BCBS Blue Pref | BCBS Blue Pref | $666 |
| BCBS Bluelincs/Native/Myblue/Keyblue | BCBS Bluelincs/Native/Myblue/Ke | $666 |
| First Health (Aetna) | First Health (Aetna) | $679 |
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