Emergency visit, high (level 4) at Dardanelle Regional Medical Center. CPT 99284.
What Dardanelle Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$373cash price (self-pay)
$1,551list price
$373–$1,551range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Self-Pay | $388 |
| MEDICARE MANAGED 100Percentage | MEDICARE MANAGED 100Percentage | $388 |
| Humana Gold (Mcr) | Humana Gold (Mcr) | $392 |
| TriCare | TriCare | $394 |
| UHC Medicare Advantage | UHC Medicare Advantage | $397 |
| Aetna Medicare | Aetna Medicare | $399 |
| Ambetter | Ambetter | $485 |
| ALLWELL (MCR)q | ALLWELL (MCR) | $485 |
| Cigna | Cigna | $620 |
| BCBS - Exchange | BCBS - Exchange | $704 |
| BCBS of AR | BCBS of AR | $806 |
| Coresource / Luminare | Coresource / Luminare | $1,163 |
| Aetna / Coventry | Aetna / Coventry | $1,241 |
| Union Pacific Railroad | Union Pacific Railroad | $1,318 |
| Non Contracted | Non Contracted | $1,551 |
Inpatient
$1,492cash price (self-pay)
$1,551list price
$373–$1,551range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Self-Pay | $388 |
| Union Pacific Railroad | Union Pacific Railroad | $1,318 |
| Non Contracted | Non Contracted | $1,551 |
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