Emergency visit, high (level 4) at Mercy Hospital Jefferson. CPT 99284.
What Mercy Hospital Jefferson publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,342cash price (self-pay)
$3,731list price
$116–$2,310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Healthcare Contracted [320071] | Hb Stlo Wash Jefn Samc Cigna Be | $451 |
| Sunflower Health Plan Contracted [320369] | Hb Stlo Wash Jefn Centene | $691 |
| Novasys Contracted [320285] | Hb Stlo Wash Jefn Centene Exchange/Ambet | $691 |
| Ambetter Contracted [320452] | Hb Stlo Wash Jefn Centene Exchange/Ambe | $691 |
| Home State Health Plan Contracted [320187] | Hb Stlo Wash Jefn Centene | $691 |
| Medica Contracted [320239] | Hb Jefn Medica Exchange | $750 |
| Show-Me Health Administrators Contracted [320483] | Hb Wash Jefn Dec S | $935 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Dec Show Me Ben | $935 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Schaefer Autobody Dec N | $963 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Level Health Dec | $963 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Shine Solar | $963 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Woodard Dec | $963 |
| Imagine 360 Contracted [320494] | Hb Wash Jefn Dec Robinson Constructi | $963 |
| Reflect Health Contracted [320492] | Hb Wash Jefn Ww Wood Dec | $963 |
| Ebms Contracted [320493] | Hb Wash Jefn Crader Distributing Dec New 09 | $963 |
| Auxiant Contracted [320462] | Hb Wash Jefn Dec Hydromat | $963 |
| Auxiant Contracted [320462] | Hb Wash Jefn Fcb Banks Dec | $963 |
| Auxiant Contracted [320462] | Hb Wash Jefn Buchheit Dec New 070122 | $963 |
| Auxiant Contracted [320462] | Hb Wash Jefn City Of Jackson Dec New 010 | $963 |
| Aither Health Contracted [320449] | Hb Wash Jefn Shine Solar Dec New 1 | $963 |
| Aither Health Contracted [320449] | Hb Wash Jefn Schaefer Autobody Dec | $963 |
| Aither Health Contracted [320449] | Hb Wash Jefn Woodard Dec New 04012 | $963 |
| Aither Health Contracted [320449] | Hb Wash Jefn Laclede Chain Dec New | $963 |
| Healthlink Contracted [320179] | Hb Wash Jefn Sapaugh Motors Dec New 1 | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Dec Quick Trip | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Dec Clayco | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Schaefer Autobo | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Dec Eba - Emplo | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn Easter Seals De | $963 |
| Mercy Benefit Admin Contracted [320251] | Hb Wash Jefn City Of Jackson | $963 |
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