Emergency visit, high (level 4) at Peterson Regional Medical Center. CPT 99284.
What Peterson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$1,300cash price (self-pay)
$2,000list price
$352–$2,100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Essential | $352 |
| Blue Cross Blue Shield | Indemnity/Traditional | $352 |
| Blue Cross Blue Shield | Medicare Advantage | $352 |
| Blue Cross Blue Shield | POS/PPO | $352 |
| Humana ChoiceCare | Medicare Advantage | $419 |
| Aetna | Medicare Advantage | $428 |
| Devoted Health | Medicare Advantage | $453 |
| United Healthcare | STAR+PLUS | $495 |
| Ambetter/Superior Health | Commercial/Exchange | $503 |
| Superior HealthPlan | CHIP | $1,000 |
| Aetna | Commercial | $1,600 |
| Humana ChoiceCare | PPO | $1,900 |
| United Healthcare | Commercial | $1,900 |
| Superior HealthPlan | STAR/STAR+PLUS | $2,100 |
Inpatient
$1,300cash price (self-pay)
$2,000list price
$1,300–$1,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health | Medicare Advantage | $1,300 |
| Aetna | Commercial | $1,600 |
| Blue Cross Blue Shield | Blue Essential | $1,840 |
| Blue Cross Blue Shield | Indemnity/Traditional | $1,840 |
| Blue Cross Blue Shield | Medicare Advantage | $1,840 |
| Blue Cross Blue Shield | POS/PPO | $1,840 |
| Humana ChoiceCare | PPO | $1,900 |
| United Healthcare | Commercial | $1,900 |
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