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Emergency visit, high (level 4) at Allendale County Hospital. CPT 99284.

What Allendale County Hospital publishes for this service, straight from its standard-charges file, last updated May 28, 2026.

Outpatient / ER

$208cash price (self-pay)
$313list price
$7.71–$167range insurers pay
Insurance planNegotiated rate
Aetna_medicare_open_plan | Medicare$87.45
Allwell_medicare_plan | Medicare$87.45
Devoted_health_plan | Medicare$87.45
Emblem_health_plan | Medicare$87.45
Eon_health_plan | Medicare$87.45
Freedom_health_plan | Medicare$87.45
Healthsun_health_plan_plan | Medicare$87.45
Humana_gold_plan | Medicare$87.45
Pruitt_health_premier_plan | Medicare$87.45
United_healthcare_medicare_solutions_plan | Medicare$87.45
Wellcare_medicare_advantage_plan | Medicare$87.45
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All common services at Allendale County Hospital