Emergency visit, high (level 4) at Smith County Memorial Hospital. CPT 99284.
What Smith County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$206cash price (self-pay)
$206list price
$105–$1,062range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sunflower Comm Exchange-All Other Plans | Sunflower Comm Exchange-All | $144 |
| Sunflower Mcr Adv | Sunflower Mcr Adv | $144 |
| Multiplan-All Plans | Multiplan-All Plans | $185 |
| Sunflower Medicaid | Sunflower Medicaid | $206 |
| Wppa-All Plans | Wppa-All Plans | $596 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $602 |
| Health Partners Of Ks PPO-All Plans | Health Partners Of Ks PPO-All Pl | $602 |
| UHC - All Other Plans | UHC - All Other Plans | $602 |
| BCBS Of Ks-All Plans | BCBS Of Ks-All Plans | $688 |
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