Emergency visit, high (level 4) at Ochsner Choctaw General Hospital. CPT 99284.
What Ochsner Choctaw General Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$176cash price (self-pay)
$232list price
$91.60–$978range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana � Military Tri-Care | All Payor | $91.60 |
| Cigna Healthcare � Commercial | All Payor | $108 |
| United Healthcare - Commercial Exchange Plan | All Payor | $115 |
| United Healthcare - Commercial HMO PPO | All Payor | $115 |
| Blue Cross And Blue Shield Of Alabama | All Payor | $117 |
| Aetna Health Inc. PPO/POS | All Payor | $117 |
| Prime Health Services PPO | All Payor | $127 |
| Prime Health Services PPO -Workers Comp | All Payor | $145 |
| Cor Vel | All Payor | $146 |
| Select Administrative Services Network | All Payor | $162 |
| Zelis | All Payor | $173 |
| Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $174 |
| Primewell Health Services � Commercial | All Payor | $176 |
| Primewell Health Services Commercial Exchange Plan | All Payor | $176 |
| Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | $178 |
| Humana � Medicare Advantage | All Payor | $178 |
| Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $178 |
| Optum Va Ccn | All Payor | $178 |
| Primewell Health Services � Medicare Advantage | All Payor | $178 |
| United Healthcare - Medicare Advantage | All Payor | $178 |
| Simpra Medicare Advantage | All Payor | $180 |
| Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All | $180 |
| Patrius Health Medicare Advantage � Ahs | All Payor | $182 |
| Shared Health Mississippi | All Payor | $187 |
| Prime Health Services PPO - Medicare Advantage | All Payor | $205 |
| Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $219 |
| Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $328 |
| Truecare� Mississippi Managed Medicaid | All Payor | $345 |
| Magnolia Health Plan � Ambetter | All Payor | $545 |
Inpatient
$912cash price (self-pay)
$1,200list price
—range insurers pay
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