Emergency visit, high (level 4) at Southwest Medical Center. CPT 99284.
What Southwest Medical Center publishes for this service, straight from its standard-charges file, last updated July 22, 2026.
Outpatient / ER
$244cash price (self-pay)
$317list price
$57.18–$1,467range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan_phcs_medical_assistance_program_plan | Medicaid | $57.75 |
| Aetna_medicaid_plan | Medicaid | $90.35 |
| Multiplan_phcs_medicaid_plan | Medicaid | $90.35 |
| Sunflower_ks_medicaid_plan | Medicaid | $90.35 |
| United_healthcare_medicaid__plan | Medicaid | $90.35 |
| National_beef_packing_plan | Commercial | $168 |
| Blue_cross_blue_shield_kansas_plan | Commercial | $198 |
| Coventry_aetna_plan | Commercial | $256 |
| United_healthcare_medicare_plan | Medicare | $384 |
| Health_choice_plan | Commercial | $1,104 |
| Wppa_plan | Commercial | $1,104 |
| Multiplan_phcs_primary_network_plan | Commercial | $1,341 |
| United_healthcare_commercial_plan | Commercial | $1,372 |
| Multiplan_phcs_auto_plan | Commercial | $1,420 |
| Omni_network_plan | Commercial | $1,420 |
| Multiplan_phcs_complementary_network_plan | Commercial | $1,467 |
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