Emergency visit, high (level 4) at Johnson Regional Medical Center. CPT 99284.
What Johnson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated November 25, 2025.
Outpatient / ER
$224cash price (self-pay)
$687list price
$120–$967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | HMO Network | $120 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | PFFS | $120 |
| Humana D/B/A ChoiceCare Network | Medicare HMO,POS,PPO,PFFS | $120 |
| United Healthcare | Medicare Advantage Benefit Plan | $120 |
| NovaSys Health | Medicare Products | $123 |
| Arkansas Blue Cross Blue Shield | PPO Network | $248 |
| Arkansas First Source | PPO Network | $248 |
| Arkansas Blue Cross Blue Shield Health Advantage | HMO Network | $248 |
| Cigna | Benefit Plans | $625 |
| United Healthcare | All Payer Appendix | $650 |
Inpatient
$224cash price (self-pay)
$687list price
$120–$967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | HMO Network | $120 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | PFFS | $120 |
| Humana D/B/A ChoiceCare Network | Medicare HMO,POS,PPO,PFFS | $120 |
| United Healthcare | Medicare Advantage Benefit Plan | $120 |
| NovaSys Health | Medicare Products | $123 |
| Arkansas Blue Cross Blue Shield Health Advantage | HMO Network | $223 |
| Arkansas Blue Cross Blue Shield | PPO Network | $248 |
| Arkansas First Source | PPO Network | $248 |
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