Why is the price range for Emergency Department Visit, Moderate Severity so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.2× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

What does CPT 99284 mean?

CPT 99284 is the CPT (Current Procedural Terminology) code for Emergency Department Visit, Moderate Severity. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Emergency Department Visit, Moderate Severity

CPT 9928438 Colorado hospitals reporting

Emergency department evaluation and management of moderate severity (Level 4). The most-common ED level for adults with significant non-life-threatening symptoms.

Typical insured price · Colorado

$1,423to$3,071

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $2,118.

$1,423$3,071

Cash price (median)

$1,892

What you'd pay self-pay

Gross charge (median)

$4,205

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 38 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 99284
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 38

How they price Emergency Department Visit, Moderate Severity

Across 38 Colorado hospitals that publish a commercial negotiated rate for CPT 99284, the typical insured price for Emergency Department Visit, Moderate Severity runs $1,423 to $3,071 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $2,118 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $1,892, against a median gross charge of $4,205.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

· Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

39 hospitals

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Family Health West Hospital Fruita Median negotiated $83 25th–75th $83 – $83 Cash — Payers 1	$83	$83 – $83	—	1
Grand River Health Rifle Gross charge $1,589 Median negotiated $382 25th–75th $382 – $382 Cash $795 Payers 1	$382	$382 – $382	$795	1
Boulder Community Health Foothills Hospital Gross charge $3,007 Median negotiated $428 25th–75th $190 – $2,196 Cash $1,504 Payers 32	$428	$190 – $2,196	$1,504	32
Community Hospital Grand Junction Gross charge $259 Median negotiated $445 25th–75th $438 – $482 Cash $145 Payers 7	$445	$438 – $482	$145	7
Lincoln Community Hospital Hugo Gross charge $1,283 Median negotiated $461 25th–75th $461 – $461 Cash $1,283 Payers 14	$461	$461 – $461	$1,283	14
Valley View Hospital Glenwood Springs Gross charge $623 Median negotiated $469 25th–75th $469 – $469 Cash $530 Payers 3	$469	$469 – $469	$530	3
Uchealth Estes Valley Medical Center Estes Park Gross charge $553 Median negotiated $525 25th–75th $337 – $536 Cash $415 Payers 15	$525	$337 – $536	$415	15
Uchealth Parkview Medical Center Pueblo Gross charge $1,820 Median negotiated $944 25th–75th $473 – $3,038 Cash $728 Payers 12	$944	$473 – $3,038	$728	12
Hca Healthone Aurora Medical Center of Aurora Median negotiated $1,410 25th–75th $876 – $3,945 Cash — Payers 4	$1,410	$876 – $3,945	—	4
Uchealth Greeley Hospital Gross charge $1,819 Median negotiated $1,419 25th–75th $964 – $2,070 Cash $1,091 Payers 12	$1,419	$964 – $2,070	$1,091	12
Uchealth Medical Center of the Rockies Loveland Gross charge $1,819 Median negotiated $1,437 25th–75th $799 – $1,746 Cash $1,273 Payers 18	$1,437	$799 – $1,746	$1,273	18
Uchealth Poudre Valley Hospital Fort Collins Gross charge $1,819 Median negotiated $1,437 25th–75th $799 – $1,746 Cash $1,273 Payers 18	$1,437	$799 – $1,746	$1,273	18
Denver Health Medical Center Gross charge $4,390 Median negotiated $1,506 25th–75th $717 – $3,529 Cash $1,537 Payers 7	$1,506	$717 – $3,529	$1,537	7
Pikes Peak Regional Hospital Woodland Park Gross charge $1,954 Median negotiated $1,544 25th–75th $895 – $1,661 Cash $1,563 Payers 12	$1,544	$895 – $1,661	$1,563	12
Commonspirit St Mary Corwin Hospital Pueblo Gross charge $3,920 Median negotiated $1,568 25th–75th $114 – $3,019 Cash $1,568 Payers 17	$1,568	$114 – $3,019	$1,568	17
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $2,243 Median negotiated $1,743 25th–75th $325 – $2,108 Cash $897 Payers 15	$1,743	$325 – $2,108	$897	15
Hca Healthone Presbyterian St Luke S Medical Center Median negotiated $1,761 25th–75th $924 – $3,945 Cash — Payers 4	$1,761	$924 – $3,945	—	4
Commonspirit St Thomas More Hospital Ca on City Gross charge $2,939 Median negotiated $1,999 25th–75th $441 – $2,498 Cash $1,176 Payers 17	$1,999	$441 – $2,498	$1,176	17
Uchealth Yampa Valley Medical Center Steamboat Springs Gross charge $2,467 Median negotiated $2,082 25th–75th $1,817 – $2,393 Cash $2,220 Payers 12	$2,082	$1,817 – $2,393	$2,220	12
Uchealth Memorial Hospital Central Colorado Springs Gross charge $4,205 Median negotiated $2,153 25th–75th $1,408 – $2,970 Cash $1,892 Payers 14	$2,153	$1,408 – $2,970	$1,892	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $4,205 Median negotiated $2,153 25th–75th $1,408 – $2,970 Cash $1,892 Payers 14	$2,153	$1,408 – $2,970	$1,892	14
Uchealth Highlands Ranch Hospital Gross charge $5,689 Median negotiated $2,335 25th–75th $1,482 – $3,357 Cash $1,707 Payers 12	$2,335	$1,482 – $3,357	$1,707	12
Uchealth Grandview Hospital Colorado Springs Gross charge $5,689 Median negotiated $2,342 25th–75th $1,430 – $3,292 Cash $1,991 Payers 13	$2,342	$1,430 – $3,292	$1,991	13
Uchealth Longs Peak Hospital Longmont Gross charge $5,689 Median negotiated $2,440 25th–75th $1,424 – $3,357 Cash $1,991 Payers 16	$2,440	$1,424 – $3,357	$1,991	16
Uchealth University of Colorado Hospital Aurora Gross charge $5,842 Median negotiated $2,452 25th–75th $1,409 – $3,409 Cash $2,045 Payers 16	$2,452	$1,409 – $3,409	$2,045	16
Commonspirit Mercy Hospital Durango Gross charge $4,002 Median negotiated $2,601 25th–75th $357 – $3,432 Cash $1,601 Payers 18	$2,601	$357 – $3,432	$1,601	18
Commonspirit Longmont United Hospital Gross charge $8,357 Median negotiated $2,754 25th–75th $126 – $6,184 Cash $3,343 Payers 18	$2,754	$126 – $6,184	$3,343	18
Commonspirit St Francis Hospital Gross charge $8,357 Median negotiated $2,813 25th–75th $123 – $6,644 Cash $3,343 Payers 18	$2,813	$123 – $6,644	$3,343	18
Commonspirit Orthocolorado Hospital Gross charge $8,357 Median negotiated $3,157 25th–75th $503 – $6,644 Cash $3,343 Payers 15	$3,157	$503 – $6,644	$3,343	15
Commonspirit St Anthony North Hospital Gross charge $8,357 Median negotiated $3,343 25th–75th $344 – $6,790 Cash $3,343 Payers 19	$3,343	$344 – $6,790	$3,343	19
Commonspirit St Anthony Hospital Lakewood Gross charge $8,357 Median negotiated $3,348 25th–75th $1,972 – $7,166 Cash $3,343 Payers 17	$3,348	$1,972 – $7,166	$3,343	17
Children S Hospital Colorado Colorado Springs Gross charge $6,180 Median negotiated $3,399 25th–75th $2,750 – $4,326 Cash $4,017 Payers 33	$3,399	$2,750 – $4,326	$4,017	33
Commonspirit St Francis Hospital Interquest Gross charge $8,357 Median negotiated $3,443 25th–75th $114 – $7,103 Cash $3,343 Payers 16	$3,443	$114 – $7,103	$3,343	16
Commonspirit St Anthony Summit Medical Center Gross charge $7,951 Median negotiated $4,770 25th–75th $1,017 – $6,748 Cash $3,180 Payers 16	$4,770	$1,017 – $6,748	$3,180	16
Hca Healthone Rose Medical Center Gross charge $12,082 Median negotiated $6,613 25th–75th $2,050 – $8,457 Cash $12,082 Payers 13	$6,613	$2,050 – $8,457	$12,082	13
Hca Healthone Swedish Medical Center Gross charge $11,262 Median negotiated $6,613 25th–75th $1,987 – $7,883 Cash $11,262 Payers 13	$6,613	$1,987 – $7,883	$11,262	13
Hca Healthone Mountain Ridge Thornton Gross charge $15,578 Median negotiated $6,613 25th–75th $2,263 – $10,905 Cash $15,578 Payers 15	$6,613	$2,263 – $10,905	$15,578	15
Hca Healthone Sky Ridge Medical Center Gross charge $14,520 Median negotiated $6,613 25th–75th $2,235 – $10,164 Cash $14,520 Payers 13	$6,613	$2,235 – $10,164	$14,520	13
Prowers Medical Center Lamar Gross charge $424 Median negotiated — 25th–75th — Cash $254 Payers —	—	—	$254	—

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Emergency Department Visit, Moderate Severity in Colorado?: Across 38 Colorado hospitals reporting a commercial negotiated rate for CPT 99284, the 25th-to-75th percentile band runs $1,423 to $3,071 per hospital median. The 50th-percentile (Colorado median) is $2,118.
Why is the price range for Emergency Department Visit, Moderate Severity so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.2× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
What's the cash price for Emergency Department Visit, Moderate Severity if I don't have insurance?: The median discounted cash price across reporting Colorado hospitals is $1,892. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does CPT 99284 mean?: CPT 99284 is the CPT (Current Procedural Terminology) code for Emergency Department Visit, Moderate Severity. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.