Emergency Department Visit, Moderate Severity

CPT 9928438 Colorado hospitals reporting a negotiated rate

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 of per-hospital medians — half of reporting hospitals’ median 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.

In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, 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 listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

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

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

In an emergency, go to the nearest ER — federal law protects most insured patients from out-of-network balance bills for emergency care, and Good Faith Estimates apply to scheduled care instead. Afterward: review the bill, contact your insurer, and if you're uninsured ask about financial assistance.

Know your rights under the No Surprises Act (CMS) →

Common questions

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

How much does Emergency Department Visit, Moderate Severity cost in Colorado?

Across 38 Colorado hospitals that publish a commercial negotiated rate, the median is $2,118. The middle half of hospitals fall between $1,423 and $3,071 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Emergency Department Visit, Moderate Severity under 101 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

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 publish any discounted cash price they offer self-pay patients — 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.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

Emergency care has its own federal protections: under the No Surprises Act, most insured patients can't be balance-billed for out-of-network emergency care — you pay your plan's in-network cost-sharing. Good Faith Estimates apply to scheduled care, not emergencies. If a bill looks wrong, contact your insurer and the hospital's billing office. If you're uninsured, ask the hospital about financial assistance — nonprofit hospitals are required to have a financial-assistance policy.

Know your rights under the No Surprises Act (CMS) →

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 machine-readable file reports rates against this code.

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