Emergency visit, high (level 4) at Lone Peak Hospital. CPT 99284.
What Lone Peak Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$3,998cash price (self-pay)
$3,998list price
$706–$5,947range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence | FocalPointPlus | $706 |
| Regence | FocalPoint | $786 |
| Regence | Individual | $935 |
| Regence | Preferred | $935 |
| Regence | RealValue | $935 |
| Regence | Participating | $1,149 |
| Regence | Traditional | $1,149 |
| Bright Health | HIX | $1,596 |
| Cigna | IFPLP | $1,639 |
| Molina | HIX | $1,852 |
| Cigna | OAPNBN | $1,852 |
| Cigna | Exclusive | $2,129 |
| PEHP | Exclusive | $3,044 |
| Aetna | PeakPreference | $3,578 |
| Humana | MCRHMO | $3,615 |
| Humana | MCRPPO | $3,615 |
| PEHP | Summit | $3,641 |
| MotivHealth | COMM | $4,438 |
| MotivHealth | TPARental | $4,438 |
| Aetna | StandardNetwork | $4,690 |
| Imagine Health Wise | PPO | $5,258 |
| Select Health ER | COMM | $5,437 |
| Aetna | AetnaSignatureAdministrators | $5,792 |
| Aetna | UtahConnectedNetwork | $5,947 |
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