Emergency visit, high (level 4) at Children's Mercy Kansas City Adele Hall Campus. CPT 99284.
What Children's Mercy Kansas City Adele Hall Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$148cash price (self-pay)
$1,694list price
$103–$2,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Blue | All KS Medicaid Plans | $110 |
| Home State Health | All MO Medicaid Plans | $546 |
| United Healthcare Community Plan | All MO Medicaid Plans | $605 |
| Healthy Blue | All MO Medicaid Plans | $613 |
| Sunflower Health Plan | All KS Medicaid Plans | $748 |
| United Healthcare Community Plan | All KS Medicaid Plans | $852 |
| Cigna | CMH Employee Plans | $862 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $885 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $973 |
| Medica | Select by Medica | $988 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $1,019 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $1,019 |
| Aetna | ACA Marketplace/Exchange Plans | $1,025 |
| United Healthcare | Core Essential Plans | $1,030 |
| QuikTrip | All Commercial Plans | $1,082 |
| Health Midwest Comprehensive Care | All Commercial Plans | $1,083 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $1,096 |
| WPPA ProviDRs Care | All Commercial Plans | $1,102 |
| Orscheln | All Commercial Plans | $1,110 |
| Nebraska Furniture Mart | All Commercial Plans | $1,113 |
| Wellfit/Centrus | All Commercial Plans | $1,113 |
| Centivo | All Commercial Plans | $1,116 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $1,117 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $1,132 |
| Humana | All Commercial Plans | $1,132 |
| United Healthcare | All Other Commercial Plans | $1,145 |
| Aetna | All Other Commercial Plans | $1,164 |
| Cigna | All Other Commercial Plans | $1,193 |
| Blue Cross Blue Shield of Kansas City | All Other Commercial Plans | $1,200 |
| Blue Cross Blue Shield of Kansas City | PHP Plan | $1,206 |
Inpatient
$148cash price (self-pay)
$1,694list price
$103–$2,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan | All KS Medicaid Plans | $103 |
| Healthy Blue | All KS Medicaid Plans | $110 |
| United Healthcare Community Plan | All MO Medicaid Plans | $111 |
| Sunflower Health Plan | All KS Medicaid Plans | $111 |
| Healthy Blue | All MO Medicaid Plans | $126 |
| Home State Health | All MO Medicaid Plans | $126 |
| Cigna | CMH Employee Plans | $862 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $885 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $973 |
| Medica | Select by Medica | $988 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $1,019 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $1,019 |
| Aetna | ACA Marketplace/Exchange Plans | $1,025 |
| United Healthcare | Core Essential Plans | $1,030 |
| QuikTrip | All Commercial Plans | $1,082 |
| Health Midwest Comprehensive Care | All Commercial Plans | $1,083 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $1,096 |
| WPPA ProviDRs Care | All Commercial Plans | $1,102 |
| Orscheln | All Commercial Plans | $1,110 |
| Nebraska Furniture Mart | All Commercial Plans | $1,113 |
| Wellfit/Centrus | All Commercial Plans | $1,113 |
| Centivo | All Commercial Plans | $1,116 |
| Humana | All Commercial Plans | $1,132 |
| United Healthcare | All Other Commercial Plans | $1,145 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $1,146 |
| Aetna | All Other Commercial Plans | $1,164 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $1,175 |
| Cigna | All Other Commercial Plans | $1,193 |
| Blue Cross Blue Shield of Kansas City | All Other Commercial Plans | $1,200 |
| Blue Cross Blue Shield of Kansas City | PHP Plan | $1,206 |
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All common services at Children's Mercy Kansas City Adele Hall Campus