Emergency visit, high (level 4) at West Carroll Memorial Hospital. CPT 99284.
What West Carroll Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Inpatient
—cash price (self-pay)
$454list price
$22.82–$454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Supplemental Benefits | Cigna Supplemental Benefits | $22.82 |
| Umr | Umr | $51.26 |
| Omaha Insurance Company | Omaha Insurance Company | $90.80 |
| Pan-American Life Insurance Company | Pan-American Life Insurance Comp | $90.80 |
| United Of Omaha Life Insurance Company | United Of Omaha Life Insuranc | $90.80 |
| Arkansas Medicaid | Arkansas Medicaid | $99.54 |
| La-Dhh-Medicaid | La-Dhh-Medicaid | $99.54 |
| Umr Nreca | Umr Nreca | $106 |
| Peoples Health | Peoples Health | $114 |
| Unitedhealthcare | Unitedhealthcare | $114 |
| Tricare Tdefic | Tricare Tdefic | $140 |
| Blue Advantage | Blue Advantage | $141 |
| United Healthcare Insurance Company | United Healthcare Insurance Comp | $141 |
| Wellcare By Allwell | Wellcare By Allwell | $143 |
| Louisiana Blue Medicare Advantage | Louisiana Blue Medicare Advantage | $163 |
| Blue Cross And Blue Shield Of Louisiana | Blue Cross And Blue Shield O | $169 |
| Blue Cross And Blue Shield Of Louisiana | Ogb Plans | $169 |
| HMO Of Louisiana | HMO Of Louisiana | $169 |
| HMO Of Louisiana | Ogb Plans | $169 |
| Insurance Systems Inc | Insurance Systems Inc | $176 |
| Aetna Better Health Of Louisiana | Aetna Better Health Of Louisiana | $219 |
| Amerihealth Caritas Louisiana | Amerihealth Caritas Louisiana | $219 |
| Humana Inc. | Humana Inc. | $219 |
| Louisiana Healthcare Connections | Louisiana Healthcare Connections | $219 |
| Unitedhealthcare Of Louisiana Inc | Unitedhealthcare Of Louisiana Inc | $219 |
| Healthy Blue | Healthy Blue | $228 |
| Cigna Health And Life Insurance Company | Cigna Health And Life Insura | $363 |
| Aetna | Aetna | $374 |
| Summit | Summit | $409 |
| Christian Care Medi-Share | Christian Care Medi-Share | $454 |
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