Emergency visit, high (level 4) at Fort HealthCare. CPT 99284.
What Fort HealthCare publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$398cash price (self-pay)
$1,244list price
$109–$2,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medicaid | $109 |
| Humana | All Products | $115 |
| United Healthcare | All Products Facility | $123 |
| Fort Care | All Products | $355 |
| United Healthcare | VACCN | $410 |
| Anthem | Medicare Advantage | $410 |
| Dean Health Plan | Medicare Advantage | $410 |
| Humana | Medicare Advantage | $410 |
| Molina | Medicare Advantage | $410 |
| Quartz | Medicare Advantage | $410 |
| United Healthcare | Medicare Advantage | $410 |
| United Healthcare | Americhoice Medicare | $410 |
| Aetna | Medicare Advantage | $496 |
| Veteran Evaluation Services | All Products | $513 |
| Group Health Cooperative | All Products | $796 |
| Dean Health Plan | All Products | $806 |
| Alliance | All Products | $883 |
| MercyCare | All Products | $916 |
| Aetna | All Products | $923 |
| Trilogy | All Products | $1,082 |
| Quartz | All Products | $1,166 |
| Cigna | All Products | $1,169 |
| Centivo | Intermediate | $1,680 |
| Centivo | Broad | $1,750 |
| Anthem | Blue Priority WI | $2,691 |
| Anthem | All Products | $2,991 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.