Emergency visit, high (level 4) at Mercy Hospital South. CPT 99284.
What Mercy Hospital South publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$980cash price (self-pay)
$2,786list price
$98.02–$1,823range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health Contracted [320128] | Hb Samc Humana Choice Care | $501 |
| Novasys Contracted [320285] | Hb Samc Centene/Ambetter Exchange | $691 |
| Sunflower Health Plan Contracted [320369] | Hb Samc Centene/Ambetter E | $691 |
| Ambetter Contracted [320452] | Hb Samc Centene/Ambetter Exchange | $691 |
| Medica Contracted [320239] | Hb Samc Medica Exchange New 010122 | $805 |
| Blue Cross And Blue Shield [20053] | Hb Samc Anthem Blue Preferred Eff | $947 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $967 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $967 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $996 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $996 |
| Aither Health Contracted [320449] | Hb Stlo Samc Shine Solar Dec New 1 | $996 |
| Aither Health Contracted [320449] | Hb Stlo Samc Schaefer Autobody Dec | $996 |
| Aither Health Contracted [320449] | Hb Stlo Samc Laclede Chain Dec New | $996 |
| Aither Health Contracted [320449] | Hb Stlo Samc Woodard Dec New 04012 | $996 |
| Auxiant Contracted [320462] | Hb Stlo Samc Dec Hydromat | $996 |
| Auxiant Contracted [320462] | Hb Stlo Samc Fcb Banks Dec | $996 |
| Auxiant Contracted [320462] | Hb Stlo Samc Buchheit Dec New 070122 | $996 |
| Auxiant Contracted [320462] | Hb Stlo Samc City Of Jackson Dec New 010 | $996 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $996 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $996 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $996 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $996 |
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