Emergency visit, high (level 4) at Mercy Hospital Ozark. CPT 99284.
What Mercy Hospital Ozark publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$316cash price (self-pay)
$1,256list price
$12.00–$1,204range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellcare Medicare Advantage Contracted [320421] | Hb Ozkar Novasys Mcr | $350 |
| Tricare Contracted [320380] | Hb Ozkar Tricare | $365 |
| Tricare [20380] | Hb Ozkar Tricare | $365 |
| Medicaid [20240] | Hb Ozkar Ok Medicaid | $379 |
| Novasys Contracted [320285] | Hb Ozkar Novasys Ambetter Exchange | $501 |
| Sunflower Health Plan Contracted [320369] | Hb Ozkar Novasys Ambetter | $501 |
| Ambetter Contracted [320452] | Hb Ozkar Novasys Ambetter Exchange | $501 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $742 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $742 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $742 |
| Aetna [20008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $804 |
| Mc Anthem [20455] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $806 |
| Blue Cross And Blue Shield [20053] | Hb Wldar,Ozkar,Prsar BCBS Comm/Ex | $806 |
| Usable Contracted [320409] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $806 |
| Novasys Contracted [320285] | Hb Ftsm Novasys | $866 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $1,051 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $1,051 |
| Multiplan Contracted [320270] | Hb Ftsm,Wldar,Ozkar,Prsar Multi Plan | $1,051 |
| Municipal Health Plan Contracted [320271] | Hb Wldar,Ozkar,Prsar Munic | $1,051 |
| Mercy Benefit Admin Contracted [320251] | Hb Hb Wldar,Ozkar,Prsar,Bnva | $1,051 |
| Humana Contracted [320193] | Hb Wldar,Ozkar,Prsar Humana | $1,051 |
| Aither Health Contracted [320449] | Hb Wldar,Ozkar,Prsar,Bnvar Dec Woo | $1,051 |
| Aither Health Contracted [320449] | Hb Wldar,Ozkar,Prsar,Bnvar, Bryvl | $1,051 |
| Reflect Health Contracted [320492] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv D | $1,051 |
| Imagine 360 Contracted [320494] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec | $1,051 |
| Ebms Contracted [320493] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Crader | $1,051 |
| Show-Me Health Administrators Contracted [320483] | Hb Wldar,Ozkar,Prs | $1,051 |
| 90 Degree Benefits Contracted [320436] | Hb Wldar,Ozkar,Prsar,Bnvar De | $1,051 |
| Multiplan [20270] | Hb Ftsm,Wldar,Ozkar,Prsar Multi Plan | $1,051 |
| Qual Choice Contracted [320324] | Hb Ftsm,Wldar,Ozkar,Prsar, Bnvar Qua | $1,108 |
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