Emergency visit, high (level 4) at Mountain View Hospital. CPT 99284.
What Mountain View Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$3,813cash price (self-pay)
$3,813list price
$714–$5,761range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence | FocalPointPlus | $714 |
| Regence | FocalPoint | $794 |
| Regence | Individual | $946 |
| Regence | Preferred | $946 |
| Regence | RealValue | $946 |
| Regence | Participating | $1,164 |
| Regence | Traditional | $1,164 |
| 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 | $3,466 |
| Humana | MCRHMO | $3,615 |
| Humana | MCRPPO | $3,615 |
| PEHP | Summit | $3,641 |
| MotivHealth | COMM | $3,781 |
| MotivHealth | TPARental | $3,781 |
| Imagine Health Wise | PPO | $4,042 |
| Aetna | StandardNetwork | $4,543 |
| Select Health ER | COMM | $5,437 |
| Aetna | AetnaSignatureAdministrators | $5,611 |
| Aetna | UtahConnectedNetwork | $5,761 |
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