Emergency visit, high (level 4) at Washakie Medical Center. CPT 99284.
What Washakie Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$2,390cash price (self-pay)
$1,106list price
$258–$1,084range insurers pay
| Insurance plan | Negotiated 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 |
| Blue Cross Blue Shield of Wyoming | Institutional | $753 |
| Medica | Commercial | $758 |
| First Health | Medical Rental | $764 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $764 |
| Multiplan | Commercial | $776 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $777 |
| First Choice Health Network | Commerical | $780 |
| Hue Health, Inc | Commercial | $780 |
| Coventry | Commercial | $789 |
| Coventry | Workers Comp | $789 |
| InterWest Health | Auto & General Liability | $797 |
| InterWest Health | Group Health | $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 | $1,014 |
Inpatient
$2,390cash price (self-pay)
$1,106list price
$492–$1,084range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $753 |
| First Health | Medical Rental | $764 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $764 |
| Multiplan | Commercial | $776 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $777 |
| First Choice Health Network | Commerical | $780 |
| Hue Health, Inc | Commercial | $780 |
| Coventry | Commercial | $789 |
| Coventry | Workers Comp | $789 |
| InterWest Health | Auto & General Liability | $797 |
| InterWest Health | Group Health | $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 | $1,014 |
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