Emergency visit, high (level 4) at Arkansas Children's Northwest. CPT 99284.
What Arkansas Children's Northwest publishes for this service, straight from its standard-charges file, last updated August 13, 2026.
Outpatient / ER
$72.02cash price (self-pay)
$1,494list price
$45.48–$389range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arkansas Total Care | Medicaid | $193 |
| Care Source | Medicaid | $193 |
| Blue Cross | All Plans | $257 |
| Empower | Medicaid | $299 |
| Summit | Medicaid | $299 |
| MEDIPAK | Medicare Advantage | $389 |
| United Healthcare | Medicare Advantage | $389 |
| Wellcare | Medicare Advantage | $389 |
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