Emergency visit, high (level 4) at Mercy St Francis Hospital. CPT 99284.
What Mercy St Francis Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$248cash price (self-pay)
$795list price
$105–$6,455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kancare [20213] | Hb Mtnv Aetna Better Healthcare (Kancare) | $105 |
| Kancare Contracted [320213] | Hb Mtnv Aetna Better Healthcare (Kancare | $105 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Mtnv Managed Medi | $132 |
| Qual Choice Contracted [320325] | Hb Mtnv Managed Medicare | $132 |
| Kindful Hospice Contracted [320434] | Hb Mtnv Managed Medicare | $132 |
| Medical Associates Health Contracted [320444] | Hb Mtnv Managed Medica | $132 |
| Provider Partners Health Plans Contracted [320450] | Hb Mtnv Managed M | $132 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Mtnv Managed Medicare | $132 |
| Medica Medicare Advantage Contracted [320477] | Hb Mtnv Managed Medica | $132 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Mtn | $132 |
| Pace Of The Ozarks Contracted [320518] | Hb Mtnv Managed Medicare | $132 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Mtnv Managed | $132 |
| Acentra Health Contracted [320527] | Hb Mtnv Managed Medicare | $132 |
| Blue Cross And Blue Shield [20053] | Hb Mtnv Managed Medicare | $132 |
| Cross Timbers Hospice [20098] | Hb Mtnv Managed Medicare | $132 |
| BCBS Medicare Advantage Contracted [320047] | Hb Mtnv Managed Medicare | $132 |
| Cigna Medicare Advantage Contracted [320072] | Hb Mtnv Managed Medicar | $132 |
| Kindful Hospice [20434] | Hb Mtnv Managed Medicare | $132 |
| Elara Caring Aspire Hospice [20433] | Hb Mtnv Managed Medicare | $132 |
| Halo Hcr Inc Hospice [20432] | Hb Mtnv Managed Medicare | $132 |
| Mercy Hospice Okc [20252] | Hb Mtnv Managed Medicare | $132 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Mtnv Managed M | $132 |
| Indian Health Service Contracted [320198] | Hb Mtnv Managed Medicare | $132 |
| Humana Medicare Advantage Contracted [320194] | Hb Mtnv Managed Medica | $132 |
| Globalhealth Contracted [320145] | Hb Mtnv Managed Medicare | $132 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Mtnv Managed Medi | $132 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Mtnv Wellcare Med | $132 |
| Healthscope Contracted [320182] | Hb Mtnv Dec Orscheln 125% Mcr | $132 |
| BCBS Medicaid Contracted [320046] | Hb Mtnv Mo Care/Healthy Blue | $399 |
| Cigna Healthcare [20071] | Hb Mtnv Cigna | $426 |
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