Emergency visit, high (level 4) at Chicot Memorial Medical Center. CPT 99284.
What Chicot Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,055cash price (self-pay)
$1,055list price
$51.00–$528range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Arkansas | Default | $51.00 |
| Medicare B AR JH | Default | $108 |
| Blue Cross Blue Shield of AR | Default | $248 |
| Humana | Medicare Advantage | $414 |
| Medicare A AR J7 | Default | $414 |
| Primewell Vantage Health Plan | Medicare Advantage | $414 |
| Aetna | Medicare Advantage | $422 |
| United Healthcare | Medicare Advantage | $454 |
| Aetna | Default | $464 |
| Ambetter | Default | $528 |
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