Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Emergency Department Level 4 Visit High/Urgent Severity
Falls, MT
See all hospitals reporting CPT 99284 →Price type
Benefis Hospitals Inc’s median price of $1.2k is 91% above the median hospital's median price ($629), higher than 73% of the 2,555 hospitals reporting CPT 99284. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $151.01 | $151.01 | $151.01 – $151.01 |
| 2 | Aetna bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 3 | Anthem bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 4 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 5 | Kaiser bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 6 | Medicare bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 7 | WellCare bhs hb medicare other · outpatient | $426.30 | $426.30 | $426.30 – $426.30 |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $865.80 | $865.80 | $865.80 – $865.80 |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $915.08 | $915.08 | $915.08 – $915.08 |
| 10 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $999.00 | $999.00 | $999.00 – $999.00 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $1,066 | $1,066 | $1,066 – $1,066 |
| 12 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $1,084 | $1,084 | $1,084 – $1,084 |
| 13 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $1,132 | $1,132 | $1,132 – $1,132 |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $1,132 | $1,132 | $1,132 – $1,132 |
| 15 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $1,146 | $1,146 | $1,146 – $1,146 |
| 16 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 17 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 18 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 19 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 20 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $1,225 | $1,225 | $1,225 – $1,225 |
| 21 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $1,225 | $1,225 | $1,225 – $1,225 |
| 22 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $1,265 | $1,265 | $1,265 – $1,265 |
Last updated: Mar 26, 2026
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