Emergency visit, high (level 4) at Mercy Hospital Carthage. CPT 99284.
What Mercy Hospital Carthage publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$378cash price (self-pay)
$1,126list price
$105–$2,224range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kancare [20213] | Hb Cthg Kancare UHC Medicaid | $105 |
| Kancare [20213] | Hb Cthg Aetna Better Health (Kancare) | $105 |
| Kancare Contracted [320213] | Hb Cthg Kancare UHC Medicaid | $105 |
| Kancare Contracted [320213] | Hb Cthg Aetna Better Health (Kancare) | $105 |
| BCBS Medicaid Contracted [320046] | Hb Cthg Kancare Healthy Blue Medic | $105 |
| Devoted Health Medicare Contracted [320500] | Hb Cthg Devoted Health M | $119 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Cthg Managed Medi | $134 |
| Qual Choice Contracted [320325] | Hb Cthg Managed Medicare | $134 |
| Medica Medicare Advantage Contracted [320477] | Hb Cthg Managed Medica | $134 |
| Pace Of The Ozarks Contracted [320518] | Hb Cthg Managed Medicare | $134 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Cth | $134 |
| United Healthcare Contracted [320396] | Hb Cthg Medicare | $135 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Cthg UHC | $135 |
| Centivo Contracted [320505] | Hb Cthg Centivo 165% Medicare | $135 |
| Humana Medicaid Contracted [320486] | Hb Cthg Ok Medicaid | $379 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Cthg Ok Med | $379 |
| Medicaid [20240] | Hb Cthg Ok Medicaid | $379 |
| Aetna Medicaid Contracted [320009] | Hb Cthg Ok Medicaid | $379 |
| BCBS Medicaid [20046] | Hb Cthg Mo Care/Healthy Blue | $399 |
| BCBS Medicaid Contracted [320046] | Hb Cthg Mo Care/Healthy Blue | $399 |
| Nhc Advantage Medicare Contracted [320282] | Hb Jopl Nhc Advantage Mcr | $431 |
| Insurance System Inc Contracted [320465] | Hb Jopl Mnck Cthg Health S | $443 |
| Health Systems Inc Contracted [320174] | Hb Jopl Mnck Cthg Health Sys | $443 |
| Mo Medicaid Bh Carve Out [320315] | Hb Cthg Mo Medicaid | $508 |
| Medicaid [20240] | Hb Cthg Mo Medicaid | $508 |
| Home State Medicaid Contracted [320189] | Hb Cthg Home State | $554 |
| United Healthcare Medicaid Contracted [320397] | Hb Cthg UHC Mo Medica | $559 |
| Show-Me Health Administrators Contracted [320483] | Hb Aura Bryv Cthg | $581 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Pathways Exchange | $844 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Blue Preferred | $961 |
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