Emergency visit, high (level 4) at Golden Plains Community Hospital. CPT 99284.
What Golden Plains Community Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$1,212cash price (self-pay)
$1,732list price
$319–$1,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All Commercial | $319 |
| United Healthcare Medicare Advantage | Medicare Advantage | $398 |
| WellMed | Medicare Advantage | $398 |
| Aetna Medicare Advantage | Medicare Advantage | $398 |
| Humana Medicare Advantage | Medicare Advantage | $398 |
| Blue Cross - Blue Advantage | HMO | $521 |
| Blue Cross Essentials HMO | HMO | $545 |
| Blue Cross PPO / Traditional | PPO/Traditional | $591 |
| Aetna | All Commercial | $1,126 |
| United Healthcare Commercial | All Commercial | $1,243 |
Inpatient
$1,212cash price (self-pay)
$1,732list price
$1,039–$1,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $1,039 |
| Blue Cross Essentials HMO | HMO | $1,091 |
| Aetna | All Commercial | $1,126 |
| Blue Cross PPO / Traditional | PPO/Traditional | $1,178 |
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