Emergency visit, high (level 4) at Memorial Hospital. CPT 99284.
What Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$2,259cash price (self-pay)
$3,765list price
$469–$3,276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare [201] | Bjc Hb United Health Care Community | $1,727 |
| Healthscope Benefits [258] | Bjc Hb United Health Care Community | $1,727 |
| Cigna [202] | Bjc Hb Cigna Local Plus Community | $1,988 |
| Cigna [202] | Bjc Hb Cigna Special Community | $2,003 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $2,041 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $2,041 |
| Sarah Bush Lincoln [636] | Bjc Hb Consociate Care Coe Community | $2,041 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $2,071 |
| Health Alliance [224] | Bjc Hb Health Alliance Community | $2,071 |
| Humana [203] | Bjc Hb Humana Choicecare Community | $2,093 |
| Allied Benefits [498] | Bjc Hb Hope Trust | $2,184 |
| Hope Trust [806] | Bjc Hb Hope Trust | $2,184 |
| Apwu Health Plan [216] | Bjc Hb Cigna HMO/PPO Community | $2,187 |
| Priority Health [648] | Bjc Hb Cigna HMO/PPO Community | $2,187 |
| Cigna [202] | Bjc Hb Cigna HMO/PPO Community | $2,187 |
| Nalc Health Benefit Plan [242] | Bjc Hb Cigna HMO/PPO Community | $2,187 |
| Aetna [200] | Bjc Hb Aetna Commercial Community | $2,259 |
| Allied Benefits [498] | Bjc Hb Aetna Commercial Community | $2,259 |
| Coresource [497] | Bjc Hb Aetna Commercial Community | $2,259 |
| Fmh Benefit Service Inc [222] | Bjc Hb Aetna Commercial Community | $2,259 |
| Mail Handlers [495] | Bjc Hb Aetna Commercial Community | $2,259 |
| BCBS Oos [607] | Bjc Hb Anthem Choice Community | $2,556 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Choice Commun | $2,556 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Choice Community | $2,556 |
| BCBS Oos [607] | Bjc Hb Anthem Access Community | $2,587 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Access Commun | $2,587 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Access Community | $2,587 |
| Healthcare Sol Mercy [609] | Bjc Hb St Johns Health System | $2,824 |
| Med-Pay [480] | Bjc Hb St Johns Health System | $2,824 |
| Medica [661] | Bjc Hb Wellfirst First Health Community | $3,012 |
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