Emergency visit, high (level 4) at Labette Health. CPT 99284.
What Labette Health publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$141cash price (self-pay)
$354list price
$94.35–$702range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Montgomery County | Midlevels Non Facility | $94.35 |
| Montgomery County | Midlevels Facility | $94.35 |
| UHCCP | Managed Medicaid | $105 |
| Aetna | Medicare Advantage Non Facility | $105 |
| Multiplan (PHCS Medicaid network) | Managed Medicaid Facility | $106 |
| Celtic Sunflower | Managed Medicaid - Clinic | $106 |
| Multiplan (PHCS Medicaid network) | Managed Medicaid | $106 |
| Celtic Sunflower | Managed Medicaid - Hospital | $107 |
| Healthy Blue | Managed Medicaid | $107 |
| Aetna | Medicare Advantage Facility | $114 |
| Kansas Superior Select | Medicare Advantage Non Facility | $114 |
| Kansas Superior Select | Medicare Advantage Facility | $117 |
| Montgomery County | All Products Physician Non Facility | $139 |
| Montgomery County | All Products Physician Facility | $139 |
| Allwell Sunflower | Medicare Advantage HMO | $384 |
| BCBS | Medicare Advantage | $384 |
| Humana | Medicare Advantage | $384 |
| United Healthcare | Medicare Advantage | $384 |
| Wellcare | Medicare Advantage | $384 |
| Kansas Superior Select | Medicare Advantage | $395 |
| Ambetter | All Products | $441 |
| Multiplan | All Products | $603 |
| United Healthcare | All Products | $617 |
| ChoiceCare (First Health Network) | All Products | $638 |
| Health Partners of Kansas, Inc | All Products | $638 |
| BCBS | All Products | $695 |
| Montgomery County | All Products | $702 |
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