Emergency visit, high (level 4) at Powell Valley Healthcare. CPT 99284.
What Powell Valley Healthcare publishes for this service, straight from its standard-charges file, last updated September 11, 2026.
Outpatient / ER
$239cash price (self-pay)
$1,333list price
$115–$1,733range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Va/Triwest - All Plans | Va/Triwest - All Plans | $613 |
| Cigna - All Plans | Cigna - All Plans | $1,172 |
| Pacific Source - All Plans | Pacific Source - All Plans | $1,200 |
| Wyo-Ben - All Plans | Wyo-Ben - All Plans | $1,200 |
| Aetna - All Plans | Aetna - All Plans | $1,200 |
| First Choice Health - All Plans | First Choice Health - All Plans | $1,240 |
| Ebms - All Plans | Ebms - All Plans | $1,266 |
| UHC- All Plans | UHC- All Plans | $1,266 |
| Allegiance - All Plans | Allegiance - All Plans | $1,266 |
| BCBS - All Plans | BCBS - All Plans | $1,266 |
| Mountain Health Coop - All Plans | Mountain Health Coop - All Plans | $1,421 |
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