Emergency visit, high (level 4) at Moberly Regional Medical Center. CPT 99284.
What Moberly Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,485cash price (self-pay)
$5,498list price
$114–$4,454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $114 |
| MO Medicaid | MO Medicaid | $363 |
| Non Par Medicaid | MO Medicaid Non Par | $363 |
| NODE Tricare | NODE Tricare | $421 |
| NODE Medicare Non Par | NODE Medicare Non Par | $440 |
| NODE Medicare Traditional | NODE Medicare Traditional | $440 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $448 |
| Node Va | Node Va | $448 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $449 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $462 |
| Centurion Correctional | Centurion Correctional | $560 |
| Corizon | Corizon | $560 |
| US Department of Labor | NODE US Dept of Labor | $560 |
| Home State Health Plan | Home State Health Plan Medicaid | $599 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $599 |
| UHC Medicaid | UHC Medicaid | $599 |
| Pathway/Pathway X | Blue Pathway/Pathway X | $634 |
| Healthscope Benefits | Orscheln Employee Group | $752 |
| Home State Health Plan | Home State Exchange | $828 |
| NaphCare | NaphCare | $850 |
| Blue Preferred | Blue Preferred | $877 |
| Humana | Humana Behavioral Health | $1,000 |
| United Behavioral Health MCD | United Behavioral Health MCD | $1,100 |
| Self Pay | Self Pay | $1,485 |
| Cigna | Cigna | $1,716 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,957 |
| Blue Access | Blue Access | $2,084 |
| Access Health Services, LLC | Vantos Health Employee Plan | $3,574 |
| Aetna | Aetna | $3,618 |
| Aetna | Aetna First Health | $3,618 |
Inpatient
$2,639cash price (self-pay)
$5,498list price
$1,716–$4,454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $1,716 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,957 |
| Self Pay | Self Pay | $2,639 |
| Access Health Services, LLC | Vantos Health Employee Plan | $3,574 |
| Aetna | Aetna | $3,618 |
| Aetna | Aetna First Health | $3,618 |
| Blue Traditional | Blue Traditional | $4,111 |
| Multiplan Primary | MultiPlan Primary | $4,124 |
| Aetna | Aetna Auto | $4,399 |
| Coventry Wc | Coventry Wc | $4,399 |
| Multiplan | Multiplan Complementary | $4,454 |
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