Emergency visit, high (level 4) at Liberty Hospital. CPT 99284.
What Liberty Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$581cash price (self-pay)
$2,083list price
$124–$4,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Select Plus | $401 |
| Blue Cross Blue Shield | PAR Traditional | $401 |
| Blue Cross Blue Shield | Preferred Care Blue ACA | $401 |
| United Healthcare | Choice Plus | $401 |
| United Healthcare | HMO | $401 |
| United Healthcare | PPO | $401 |
| Aetna | Medicare Advantage | $418 |
| Blue Cross Blue Shield | Blue Care | $418 |
| Blue Cross Blue Shield | Blue Select/Blue Select Plus - ACA | $418 |
| United Healthcare | Medicare Advantage | $418 |
| Healthy Blue | Healthy Blue Medicaid | $422 |
| AllWell Medicare Advantage | Medicare Advantage | $422 |
| Humana | Medicare Advantage | $426 |
| UHC Community Plan of MO | UHC Community Plan Medicaid | $443 |
| PPHP Medicare Advantage | Medicare Advantage | $460 |
| Ambetter Health | Ambetter ACA | $531 |
| Home State Health | Home State Medicaid | $577 |
| Aetna | Aetna Select | $581 |
| Aetna | Choice POS II | $581 |
| Aetna | HMO | $581 |
| Aetna | KC Network Plus | $581 |
| Aetna | Open Access | $581 |
| Aetna | Open Choice | $581 |
| Aetna | PPO | $581 |
| Centrus Health Direct | Non-Exclusive | $625 |
| Centrus Health Direct | Exclusive | $729 |
| Centivo | Nebraska Furniture Mart | $747 |
| 6 Degrees Health | 6 Degrees Health | $1,001 |
| Allied National | Freedom Advantage | $1,250 |
| First Health | First Health | $1,396 |
Inpatient
$581cash price (self-pay)
$2,083list price
$581–$1,700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Select | $581 |
| Aetna | Choice POS II | $581 |
| Aetna | HMO | $581 |
| Aetna | KC Network Plus | $581 |
| Aetna | Open Access | $581 |
| Aetna | Open Choice | $581 |
| Aetna | PPO | $581 |
| Allied National | Freedom Advantage | $1,250 |
| Blue Cross Blue Shield | Freedom Network Select | $1,466 |
| QuikTrip | QuikTrip | $1,666 |
| Blue Cross Blue Shield | Freedom Network | $1,700 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.