Emergency visit, high (level 4) at Physicians Surgical Hospitals. CPT 99284.
What Physicians Surgical Hospitals publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$763cash price (self-pay)
$1,526list price
$399–$1,576range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Care Commercial [1371] | Firstcare HMO [137103] | $473 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $717 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $717 |
| Umr [2035] | Umr Oon Potter Co [203506] | $717 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $717 |
| Amerigroup Commercial [5055] | Wellpoint Fka Amerigroup Mcare Sup [505 | $717 |
| Aetna Medicaid Replacement [3510] | Aetna Better Health [351001] | $717 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $717 |
| United Healthcare Centennial Care [2250] | UHC Comm Mcaid Health Pla [ | $717 |
| Cigna [1260] | Cigna Pantex [126003] | $717 |
| Caprock Health Plans [1200] | Caprock Health Plan [120004] | $717 |
| Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac | $717 |
| Curative [7085] | Curative [708500] | $717 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $763 |
| Sana Benefits [5005] | Sana Benefits [500500] | $763 |
| Rh Administrators [1885] | Rh Administrators [188500] | $1,068 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $1,068 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $1,068 |
| Phcs [1780] | Freedom Life [178009] | $1,068 |
| Phcs [1780] | Phcs Multiplan [178000] | $1,068 |
| Assurant Health [1105] | Assurant Health [110501] | $1,068 |
| Federated Mutual [1365] | Federated Mutual [136500] | $1,068 |
| Cherokee Insurance [1245] | Cherokee Insurance [124500] | $1,068 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $1,068 |
| Beech Street [1170] | Beech Street/Cappcare Misc [117000] | $1,068 |
| Web Tpa [2115] | Web Tpa [211501] | $1,068 |
| Cigna [1260] | Cigna [126008] | $1,108 |
| Healthpartners [1500] | Healthpartners [150000] | $1,108 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $1,108 |
| United Healthcare [2060] | United Healthcare Shared Svcs [206010] | $1,109 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.