Emergency visit, high (level 4) at Missouri Baptist Sullivan Hospital. CPT 99284.
What Missouri Baptist Sullivan Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$1,279cash price (self-pay)
$2,132list price
$469–$3,276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare [211] | Bjc Hb Medicare Advantra Mhs | $469 |
| Aetna Medicare [211] | Bjc Hb Medicare Gold Advantage Mhs | $469 |
| Essence Healthcare [221] | Bjc Hb Medicare Essence Mhs | $469 |
| Humana Medicare [228] | Bjc Hb Medicare Humana Mhs | $473 |
| Humana Medicare Alt [672] | Bjc Hb Medicare Humana Mhs | $473 |
| Cox Health [757] | Bjc Hb Medicare Coxhealth Mhs | $492 |
| BCBS Medicare Alt [649] | Bjc Hb Medicare Anthem Advantage Mhs | $497 |
| BCBS Medicare Oos [611] | Bjc Hb Medicare Anthem Advantage Mhs | $497 |
| BCBS Medicare Oos IL [612] | Bjc Hb Medicare Anthem Advantage Mhs | $497 |
| Blue Cross Blue Shield Medicare [263] | Bjc Hb Medicare Anthem Advanta | $497 |
| Devoted Health Plan [847] | Bjc Hb Medicare Devoted Mhs | $515 |
| Mercy Behavioral Health [573] | Bjc Hb Mercy Behavioral Health | $1,011 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $1,156 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $1,156 |
| Sarah Bush Lincoln [636] | Bjc Hb Consociate Care Coe Community | $1,156 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $1,173 |
| Health Alliance [224] | Bjc Hb Health Alliance Community | $1,173 |
| Allied Benefits [498] | Bjc Hb Hope Trust | $1,237 |
| Cigna [202] | Bjc Hb Cigna Local Plus Rural | $1,298 |
| Cigna [202] | Bjc Hb Cigna Special Rural | $1,326 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Preferred Mhs | $1,409 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Preferred Mhs | $1,409 |
| BCBS Oos [607] | Bjc Hb Anthem Choice Rural | $1,448 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Choice Rural | $1,448 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Choice Rural | $1,448 |
| Apwu Health Plan [216] | Bjc Hb Cigna HMO/PPO Rural | $1,465 |
| Priority Health [648] | Bjc Hb Cigna HMO/PPO Rural | $1,465 |
| Cigna [202] | Bjc Hb Cigna HMO/PPO Rural | $1,465 |
| BCBS Oos [607] | Bjc Hb Anthem Access Rural | $1,475 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Access Rural | $1,475 |
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