Emergency visit, high (level 4) at Coffeyville Regional Medical Center. CPT 99284.
What Coffeyville Regional Medical Center publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$928cash price (self-pay)
$1,325list price
$98.48–$1,325range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource Kansas QHP | Medicaid Advantage | $98.48 |
| BCBS Kansas | Medicaid Advantage | $98.48 |
| Sunflower State Health Plan | Medicaid | $98.48 |
| Oklahoma Complete Health | Medicaid Advantage | $98.48 |
| Aetna Better Health Administrators, LLC | Medicaid Advantage | $106 |
| Humana | Medicare Advantage | $422 |
| Aetna Network Services, LLC | Medicaid Advantage | $424 |
| Coventry | Medicare Advantage | $426 |
| Caresource Kansas QHP | Medicare Advantage | $426 |
| TriWest | Champus | $426 |
| United Healthcare | Commercial | $426 |
| Optum Care Network � Kansas City | Medicare Advantage | $469 |
| Humana | Commercial | $795 |
| BCBS Kansas | Commercial | $954 |
| Health Partners of Kansas | Commercial | $1,193 |
| Montgomery County | Commercial | $1,325 |
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