Emergency visit, high (level 4) at Community Hospital. CPT 99284.
What Community Hospital publishes for this service, straight from its standard-charges file, last updated October 2, 2026.
Outpatient / ER
$2,143cash price (self-pay)
$1,106list price
$188–$1,084range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus | $288 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $288 |
| Humana | Medicare Advantage | $288 |
| Medica | Medicare Advantage | $288 |
| NaphCare, Inc. | Federal Prison System | $288 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $288 |
| InterWest Health | Medicare Advantage | $293 |
| Prime Health Services | Medicare Advantage | $293 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $293 |
| United Healthcare | Medicare Advantage | $387 |
| United Healthcare | Nebraska Medicaid/CHIP | $394 |
| Blue Cross Blue Shield of Wyoming | Institutional | $759 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $777 |
| First Choice Health Network | Commerical | $780 |
| Hue Health, Inc | Commercial | $780 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $780 |
| Medica | Commercial | $784 |
| Coventry | Commercial | $789 |
| Coventry | Workers Comp | $789 |
| First Health | Medical Rental | $789 |
| Midlands Choice | Commercial | $789 |
| InterWest Health | Auto & General Liability | $797 |
| InterWest Health | Group Health | $797 |
| Multiplan | Commercial | $797 |
| Prime Health Services | Auto & General Liability | $797 |
| Prime Health Services | Group Health | $797 |
| InterWest Health | Workers' Comp | $805 |
| Prime Health Services | Worker's Comp | $805 |
| United Healthcare | Commercial | $1,051 |
Inpatient
$2,143cash price (self-pay)
$1,106list price
$496–$1,084range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $759 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $777 |
| First Choice Health Network | Commerical | $780 |
| Hue Health, Inc | Commercial | $780 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $780 |
| Coventry | Commercial | $789 |
| Coventry | Workers Comp | $789 |
| First Health | Medical Rental | $789 |
| Midlands Choice | Commercial | $789 |
| InterWest Health | Auto & General Liability | $797 |
| InterWest Health | Group Health | $797 |
| Multiplan | Commercial | $797 |
| Prime Health Services | Auto & General Liability | $797 |
| Prime Health Services | Group Health | $797 |
| InterWest Health | Workers' Comp | $805 |
| Prime Health Services | Worker's Comp | $805 |
| United Healthcare | Commercial | $1,051 |
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