Emergency visit, high (level 4) at Mercy Hospital Southeast. CPT 99284.
What Mercy Hospital Southeast publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$924cash price (self-pay)
$3,067list price
$92.37–$2,681range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Cape Mo Medicaid | $363 |
| Pace Of The Ozarks Contracted [320518] | Hb Cape Medicare And 100% Man | $410 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Cape UHC | $410 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Medicare And | $410 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Home State M | $410 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Cape Medicare And | $410 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Cape Medicare And 100% M | $410 |
| Kindful Hospice Contracted [320434] | Hb Cape Medicare And 100% Manage | $410 |
| Tricare Contracted [320380] | Hb Cape Tricare | $410 |
| Acentra Health Contracted [320527] | Hb Cape Medicare And 100% Managed | $410 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Cape Medicare | $410 |
| Medica Medicare Advantage Contracted [320477] | Hb Cape Medicare And 1 | $410 |
| American Health Advantage Of Mo Mcr HMO Contracted [320264] | Hb Cape | $422 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Wellcare Ky | $431 |
| Provider Partners Health Plans Contracted [320450] | Hb Cape Provider | $472 |
| Home State Medicaid Contracted [320189] | Hb Cape Home State Managed M | $483 |
| Medicaid Pending [20241] | Hb Cape Home State Managed Medicaid | $483 |
| Ambetter Contracted [320452] | Hb Cape Home State Ambetter Exchange Bh | $530 |
| United Healthcare Medicaid Contracted [320397] | Hb Cape UHC Managed M | $545 |
| United Healthcare Contracted [320396] | Hb Cape Dec Rates Ip 150% Op 1 | $615 |
| BCBS Medicaid Contracted [320046] | Hb Cape Missouri Care Health Plan/ | $653 |
| Medicaid Pending [20241] | Hb Cape Missouri Care Health Plan/Healthy B | $653 |
| Centivo Contracted [320505] | Hb Cape Centivo 165% Medicare New 110124 | $690 |
| Auxiant Contracted [320462] | Hb Cape City Of Jackson Dec 165% W/O Seq | $690 |
| Consociate Consolidated Health Contracted [320490] | Hb Cape Dec Conso | $718 |
| Preferred Health Plan Contracted [320522] | Hb Cape City Of Cape Dec 1 | $731 |
| Auxiant Contracted [320462] | Hb Cape Dec Buchheit Ip 225% Op 200% Def | $820 |
| United Healthcare Contracted [320396] | Hb Cape UHC Exchange | $1,003 |
| Hope Trust Contracted [320488] | Hb Cape Dec Hope Trust Ip 250% Op 250 | $1,025 |
| Mc Anthem [20455] | Hb Cape Anthem Blue Preferred/Alliance | $1,637 |
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