Emergency visit, high (level 4) at Banner Wyoming Medical Center. CPT 99284.
What Banner Wyoming Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$1,046cash price (self-pay)
$2,490list price
$426–$2,440range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Medicare Advantage | $426 |
| Humana | Medicare Advantage | $435 |
| InterWest Health | Medicare Advantage | $435 |
| Prime Health Services | Medicare Advantage | $435 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $439 |
| NaphCare, Inc. | Federal Prison System | $576 |
| NaphCare, Inc. | Medicare | $618 |
| Banner Health | Banner Choice Plus/Banner Select | $672 |
| Blue Cross Blue Shield of Wyoming | Blue Select PPO | $1,626 |
| Blue Cross Blue Shield of Wyoming | Institutional | $1,663 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $2,042 |
| Hue Health, Inc | Commercial | $2,117 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,166 |
| Medica | Commercial | $2,241 |
| First Choice Health Network | Commerical | $2,366 |
| Multiplan | Commercial | $2,366 |
| Coventry | Commercial | $2,390 |
| First Health | Medical Rental | $2,390 |
| InterWest Health | Auto & General Liability | $2,415 |
| InterWest Health | Group Health | $2,415 |
| Prime Health Services | Auto & General Liability | $2,415 |
| Prime Health Services | Group Health | $2,415 |
| InterWest Health | Workers' Comp | $2,440 |
| Prime Health Services | Worker's Comp | $2,440 |
Inpatient
$1,046cash price (self-pay)
$2,490list price
$2,117–$2,440range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hue Health, Inc | Commercial | $2,117 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,166 |
| First Choice Health Network | Commerical | $2,366 |
| Multiplan | Commercial | $2,366 |
| Coventry | Commercial | $2,390 |
| First Health | Medical Rental | $2,390 |
| InterWest Health | Auto & General Liability | $2,415 |
| InterWest Health | Group Health | $2,415 |
| Prime Health Services | Auto & General Liability | $2,415 |
| Prime Health Services | Group Health | $2,415 |
| InterWest Health | Workers' Comp | $2,440 |
| Prime Health Services | Worker's Comp | $2,440 |
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