Emergency visit, high (level 4) at Mercy Hospital Springfield. CPT 99284.
What Mercy Hospital Springfield publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$1,430cash price (self-pay)
$3,157list price
$51.00–$4,067range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid Contracted [320046] | Hb Sprg Kancare Healthy Blue Medic | $105 |
| Kancare [20213] | Hb Cthg Kancare UHC Medicaid | $105 |
| Kancare [20213] | Hb Sprg Aetna Better Health (Kancare) | $105 |
| Kancare Contracted [320213] | Hb Cthg Kancare UHC Medicaid | $105 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Medicare | $114 |
| Medicaid [20240] | Hb Sprg/Jopl Ark Medicaid | $151 |
| Mo Medicaid Bh Carve Out [320315] | Hb Sprg Mo Medicaid | $363 |
| Medicaid [20240] | Hb Sprg Mo Medicaid | $363 |
| Aetna Medicaid Contracted [320009] | Hb Sprg Ok Medicaid | $379 |
| Medicaid [20240] | Hb Sprg Ok Medicaid | $379 |
| Evolutions Health Care Contracted [320124] | Hb Sprg Evolutions | $527 |
| Home State Medicaid Contracted [320189] | Hb Sprg Home State Health Pl | $545 |
| Home State Medicaid [20189] | Hb Sprg Home State Health Plan | $545 |
| BCBS Medicaid Contracted [320046] | Hb Sprg Missouri Care Plan/Healthy | $599 |
| BCBS Medicaid [20046] | Hb Sprg Missouri Care Plan/Healthy Blue | $599 |
| United Healthcare Medicaid Contracted [320397] | Hb Sprg UHC Mo Medica | $617 |
| Novasys Contracted [320285] | Hb Sprg Ambetter Exchange Mo | $1,129 |
| Sunflower Health Plan Contracted [320369] | Hb Sprg Ambetter Exchange | $1,129 |
| Home State Health Plan Contracted [320187] | Hb Sprg Ambetter Exchange | $1,129 |
| Medica Contracted [320239] | Hb Sprg Lebn Medica Exchange | $1,525 |
| Medica [20239] | Hb Sprg Lebn Medica Exchange | $1,525 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Pathways Exchange | $1,531 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Alliance | $1,740 |
| Mc Anthem [20455] | Hb Sprg Anthem Alliance | $1,740 |
| Mercy Benefit Admin Contracted [320251] | Hb Sprg Jopl Dec Clayco | $1,957 |
| Blue Cross And Blue Shield [20053] | Hb Sprg Anthem Blue Access | $2,002 |
| Mc Anthem [20455] | Hb Sprg Anthem Blue Access | $2,002 |
| Mc Generic Anthem [20456] | Hb Sprg Anthem Blue Access | $2,002 |
| Point C Contracted [320238] | Hb Sprg Dec Src Holdings | $2,035 |
| Point C [20238] | Hb Sprg Dec Src Holdings | $2,035 |
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