Emergency visit, high (level 4) at Ochsner St. Mary. CPT 99284.
What Ochsner St. Mary publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$366cash price (self-pay)
$1,831list price
$164–$2,936range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Military � Tricare - Behavioral Health | All Payor | $164 |
| Healthy Blue (Healthy Louisiana) | All Payor | $232 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $232 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $232 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $232 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $239 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $239 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $387 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $387 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $387 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $387 |
| Humana � Medicare Advantage | All Payor | $387 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $387 |
| Ochsner Health Plan | All Payor | $387 |
| Optum Va Ccn | All Payor | $387 |
| Peoples Health Network � Medicare Advantage | All Payor | $387 |
| Triwest Military - Tricare | All Payor | $415 |
| Zelis | All Payor | $583 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $713 |
| Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $713 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $740 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $740 |
| Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $740 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $773 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $825 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $825 |
| Verity Commercial And First Choice Network | All Payor | $989 |
| First Health Network | All Payor | $1,227 |
| Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $1,250 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $1,282 |
Inpatient
$366cash price (self-pay)
$1,831list price
—range insurers pay
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.