Emergency visit, high (level 4) at Lee's Summit Medical Center. CPT 99284.
What Lee's Summit Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,370cash price (self-pay)
$4,370list 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 | $988 |
| Humana | EPO | $988 |
| Humana | HMO | $988 |
| BCBS | FreedomNetworkSelect | $1,180 |
| Humana | POS | $1,245 |
| Humana | PPO | $1,245 |
| Coventry | WCOMP | $1,757 |
| BCBS | FreedomNetwork | $1,792 |
| BCBS | PC | $1,792 |
| Coventry KC MO | WCOMP | $1,792 |
| Ambetter | Commercial-Exchange | $1,839 |
| BCBS | Participating | $1,879 |
| BCBS | Traditional | $1,879 |
| OHA Network | MissouriWCOMP | $2,185 |
| Oscar | HIX | $2,233 |
| Multiplan | PrimaryNetwork | $2,316 |
| CorVel Corporation | MOWC | $2,841 |
| United | AllPayerAppendix | $2,907 |
| BCBS | Blue-Care(HMO) | $3,064 |
| BCBS | BlueAccess | $3,064 |
| BCBS | Preferred-CareBlue(PPO) | $3,064 |
| Multiplan | ComplimentaryNetwork | $3,234 |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,278 |
| Multiplan | WCOMPMissouri | $3,496 |
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