Emergency visit, high (level 4) at Mercy Primary Care - 1165 East Cherry. CPT 99284.
What Mercy Primary Care - 1165 East Cherry publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$256cash price (self-pay)
$341list price
$38.17–$307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Boon Chapman Contracted [320055] | Pb Stl Dec Krey Distributing | $38.17 |
| Mercy Benefit Admin [20251] | Pb Stl Dec Hermann | $42.91 |
| Medicaid [20240] | Pb Stl Illinois Public Aid (IL Mcd) | $83.69 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $116 |
| Medicare [20244] | Pb Stl Mcr Area 99 | $116 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Aetna Medicare O | $118 |
| Cigna Medicare Advantage Contracted [320072] | Pb Stl Cigna Mcr | $118 |
| Essence Healthcare Medicare Contracted [320122] | Pb Stl Essence Healt | $118 |
| Devoted Health Medicare Contracted [320500] | Pb Stl Devoted Mcr Adv M | $121 |
| American Health Advantage Of Mo Mcr [10473] | Pb Stl Missouri Medicare | $124 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $130 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $130 |
| Cigna Healthcare Contracted [320071] | Pb Stl Cigna Connect D1-2 | $130 |
| BCBS Medicaid Contracted [320046] | Pb Stl Missouri Care/Healthy Blue | $134 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Preferred Fsc 4 Contr | $136 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Access Choice Fsc 4 C | $140 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Access Fsc 4 Contract | $149 |
| Mc Anthem [20455] | Pb Stl Blue Access Fsc 4 Contract | $149 |
| Centivo Contracted [320505] | Pb Stl Centivo Commercial Mo 99 | $157 |
| Humana Contracted [320193] | Pb Stl Humana / Choicecare Commercial | $159 |
| Healthlink Contracted [320179] | Pb Stl Dec Healthlink HMO A2 | $161 |
| Healthlink Contracted [320179] | Pb Stl Healthlink HMO Fsc A2 (Pain At | $161 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $163 |
| Medica [20239] | Pb Stl Medica | $165 |
| Medica Contracted [320239] | Pb Stl Medica | $165 |
| Humana Contracted [320193] | Zzz Pb Stl Choice Care | $166 |
| Healthsmart Preferred Care [20184] | Pb Stl Dec Sumnerone | $166 |
| Healthsmart Preferred Care Contracted [320184] | Pb Stl Dec Sumnerone | $166 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Edmonds Dental | $166 |
| First Health Contracted [320128] | Pb Stl First Health | $170 |
Inpatient
$256cash price (self-pay)
$341list price
$38.17–$307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Boon Chapman Contracted [320055] | Pb Stl Dec Krey Distributing | $38.17 |
| Mercy Benefit Admin [20251] | Pb Stl Dec Hermann | $42.91 |
| Medicaid [20240] | Pb Stl Illinois Public Aid (IL Mcd) | $83.69 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $116 |
| Medicare [20244] | Pb Stl Mcr Area 99 | $116 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Aetna Medicare O | $118 |
| Cigna Medicare Advantage Contracted [320072] | Pb Stl Cigna Mcr | $118 |
| Essence Healthcare Medicare Contracted [320122] | Pb Stl Essence Healt | $118 |
| Devoted Health Medicare Contracted [320500] | Pb Stl Devoted Mcr Adv M | $121 |
| American Health Advantage Of Mo Mcr [10473] | Pb Stl Missouri Medicare | $124 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $130 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $130 |
| Cigna Healthcare Contracted [320071] | Pb Stl Cigna Connect D1-2 | $130 |
| BCBS Medicaid Contracted [320046] | Pb Stl Missouri Care/Healthy Blue | $134 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Preferred Fsc 4 Contr | $136 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Access Choice Fsc 4 C | $140 |
| Blue Cross And Blue Shield [20053] | Pb Stl Blue Access Fsc 4 Contract | $149 |
| Mc Anthem [20455] | Pb Stl Blue Access Fsc 4 Contract | $149 |
| Centivo Contracted [320505] | Pb Stl Centivo Commercial Mo 99 | $157 |
| Humana Contracted [320193] | Pb Stl Humana / Choicecare Commercial | $159 |
| Healthlink Contracted [320179] | Pb Stl Dec Healthlink HMO A2 | $161 |
| Healthlink Contracted [320179] | Pb Stl Healthlink HMO Fsc A2 (Pain At | $161 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $163 |
| Medica [20239] | Pb Stl Medica | $165 |
| Medica Contracted [320239] | Pb Stl Medica | $165 |
| Humana Contracted [320193] | Zzz Pb Stl Choice Care | $166 |
| Healthsmart Preferred Care [20184] | Pb Stl Dec Sumnerone | $166 |
| Healthsmart Preferred Care Contracted [320184] | Pb Stl Dec Sumnerone | $166 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Edmonds Dental | $166 |
| First Health Contracted [320128] | Pb Stl First Health | $170 |
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All common services at Mercy Primary Care - 1165 East Cherry