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Emergency visit, high (level 4) at Intermountain Health Cedar City Hospital. CPT 99284.

What Intermountain Health Cedar City Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.

Outpatient / ER

$1,867cash price (self-pay)
$2,489list price
$119–$2,396range insurers pay
Insurance planNegotiated rate
Aetna | Medicare Adv HMO$119
Aetna | Medicare Adv PPO$119
American Health | Medicare Adv UT HMO I-SNP$119
Health Choice | Medicaid$119
Health Partners of Nevada | Medicare Advantage$119
Health Plan of Nevada | Medicaid$119
Healthy U | Medicaid$119
Humana | Medicare Choice PPO$119
Molina | Medicaid$119
Molina | Medicare Choice Care HMO$119
Molina | Medicare Complete Care HMO SNP$119
Regence BCBS | MedAdvantage PPO$119
SelectHealth | Medicaid$119
Southwest Behavioral Health | Behavioral Health$119
UHC | Medicare Advantage$119
SelectHealth | Med Individual ACA$285
CorVel Corporation | Workers Comp$1,867
Corporation of the President | Workers Comp$1,867
Injury Care of Nevada | Workers Comp$1,867
BYU Risk Management | Workers Comp$2,116
BYU Athletic Department | Commercial$2,240
Campbell Scientific | Commercial$2,240
Deseret Mutual | All Other$2,240
Deseret Mutual | Select$2,240
EMI Health | Mint$2,240
EMI Health | Network Care$2,240
EMI | Commercial$2,240
Franklin County | Commercial$2,240
Global Excel | Commercial$2,240
Juniper Systems | Commercial$2,240

Inpatient

$1,867cash price (self-pay)
$2,489list price
$1,494–$2,396range insurers pay
Insurance planNegotiated rate
CorVel Corporation | Workers Comp$1,867
Corporation of the President | Workers Comp$1,867
Injury Care of Nevada | Workers Comp$1,867
BYU Risk Management | Workers Comp$2,116
Health Choice | Medicaid$2,215
Health Plan of Nevada | Medicaid$2,215
Healthy U | Medicaid$2,215
Molina | Medicaid$2,215
AWH Connected | Connected Utah$2,240
Aetna | Connected$2,240
Aetna | Extended$2,240
BYU Athletic Department | Commercial$2,240
Campbell Scientific | Commercial$2,240
Deseret Mutual | All Other$2,240
Deseret Mutual | Select$2,240
EMI Health | Mint$2,240
EMI Health | Network Care$2,240
EMI | Commercial$2,240
Franklin County | Commercial$2,240
Global Excel | Commercial$2,240
Juniper Systems | Commercial$2,240
LW Miller | Commercial$2,240
Managed Care Admin | Commercial$2,240
MedCare International | Commercial$2,240
MotivHealth | Commercial$2,240
PEHP | Capital Care$2,240
PEHP | Summit Exclusive$2,240
Prodegi Corp Benefit | Commercial$2,240
Regence BCBS | BlueOption$2,240
Cigna | HMO$2,365
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All common services at Intermountain Health Cedar City Hospital