Emergency visit, high (level 4) at Belton Regional Medical Center. CPT 99284.
What Belton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,409cash price (self-pay)
$5,409list price
$105–$7,092range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | KSMGMCD | $105 |
| HealthyBlue | MGMCD | $107 |
| Aetna Better Health | MCD | $109 |
| Amerigroup | MGMCD | $109 |
| Unicare | MGMCD | $109 |
| Sunflower State Health Plan | MCD | $300 |
| Humana | ASO | $1,223 |
| Humana | EPO | $1,223 |
| Humana | HMO | $1,223 |
| BCBS | FreedomNetworkSelect | $1,244 |
| Humana | POS | $1,542 |
| Humana | PPO | $1,542 |
| Ambetter | Commercial-Exchange | $1,839 |
| BCBS | FreedomNetwork | $1,947 |
| BCBS | PC | $1,947 |
| Coventry | WCOMP | $2,175 |
| BCBS | Participating | $2,218 |
| BCBS | Traditional | $2,218 |
| Coventry KC MO | WCOMP | $2,218 |
| Oscar | HIX | $2,233 |
| OHA Network | MissouriWCOMP | $2,705 |
| Multiplan | PrimaryNetwork | $2,867 |
| United | AllPayerAppendix | $2,907 |
| BCBS | Blue-Care(HMO) | $3,356 |
| BCBS | BlueAccess | $3,356 |
| BCBS | Preferred-CareBlue(PPO) | $3,356 |
| CorVel Corporation | MOWC | $3,516 |
| Aetna | IVLHIX | $3,682 |
| Multiplan | ComplimentaryNetwork | $4,003 |
| Multiplan | WCOMPMissouri | $4,328 |
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