Emergency visit, high (level 4) at Delta Memorial Hospital. CPT 99284.
What Delta Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$485cash price (self-pay)
$954list price
$51.00–$906range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Summit Administration Services, Inc | Default | $51.00 |
| Wellcare Health Plan Inc MCR Adv | Default | $231 |
| Humana Advantage Care Plans Med Advantage | All Plans | $278 |
| United Healthcare | Medicare Advantage | $343 |
| Blue Cross Blue Shield of AR | Default | $626 |
| Blue Cross Blue Shield of AR | PPO | $626 |
| United Healthcare | Default | $741 |
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