Emergency visit, high (level 4) at Menorah Medical Center. CPT 99284.
What Menorah Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,715cash price (self-pay)
$4,715list price
$105–$7,092range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MGMCD | $105 |
| United | KSMGMCD | $105 |
| HealthyBlue | MGMCD | $107 |
| Aetna Better Health | MCD | $109 |
| Unicare | MGMCD | $109 |
| Sunflower State Health Plan | MCD | $300 |
| United | MOMGMCD | $363 |
| Home State Health Plan | MCD | $381 |
| Humana | ASO | $1,066 |
| Humana | EPO | $1,066 |
| Humana | HMO | $1,066 |
| BCBS | FreedomNetworkSelect | $1,084 |
| Humana | POS | $1,344 |
| Humana | PPO | $1,344 |
| Ambetter | Commercial-Exchange | $1,839 |
| BCBS | FreedomNetwork | $1,886 |
| BCBS | PC | $1,886 |
| Coventry | WCOMP | $1,895 |
| Coventry KC MO | WCOMP | $1,933 |
| BCBS | Participating | $2,122 |
| BCBS | Traditional | $2,122 |
| Oscar | HIX | $2,233 |
| Multiplan | PrimaryNetwork | $2,499 |
| United | AllPayerAppendix | $3,007 |
| CorVel Corporation | MOWC | $3,064 |
| BCBS | Blue-Care(HMO) | $3,356 |
| BCBS | BlueAccess | $3,356 |
| BCBS | Preferred-CareBlue(PPO) | $3,356 |
| Multiplan | ComplimentaryNetwork | $3,489 |
| CCO, Inc. | COMM | $3,536 |
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