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Emergency visit, high (level 4) at Platte County Hospital. CPT 99284.

What Platte County Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.

Outpatient / ER

$2,393cash price (self-pay)
$1,106list price
$258–$1,084range insurers pay
Insurance planNegotiated rate
Banner Health | Banner Choice Plus/Banner Select$394
Humana | Medicare Advantage$394
Medica | Medicare Advantage$394
TriWest Healthcare Alliance Corp - VA CCN | Tricare$394
United Healthcare | Nebraska Medicaid/CHIP$394
InterWest Health | Medicare Advantage$402
Prime Health Services | Medicare Advantage$402
WyoBlue Advantage | Medicare Advantage (PPO)$402
United Healthcare | Medicare Advantage$531
Platte County Detention Center | Platte County Detention Plan$657
Blue Cross Blue Shield of Wyoming | Institutional$762
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$782
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$1,046

Inpatient

$2,393cash price (self-pay)
$1,106list price
$430–$1,084range insurers pay
Insurance planNegotiated rate
Platte County Detention Center | Platte County Detention Plan$657
Blue Cross Blue Shield of Wyoming | Institutional$762
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$1,046
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All common services at Platte County Hospital