Emergency visit, high (level 4) at Northeast Regional Medical Center. CPT 99284.
What Northeast Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$621cash price (self-pay)
$2,587list price
$114–$2,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $114 |
| Medicaid | MO Medicaid | $363 |
| Non Par Medicaid | MO Medicaid NON PAR | $363 |
| NODE ChampVA | NODE ChampVA | $421 |
| NODE Tricare | NODE Tricare | $421 |
| NODE Medicare Non Par | NODE Medicare Non Par | $440 |
| NODE Medicare Traditional | NODE Medicare Traditional | $440 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $448 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $448 |
| NODE Anthem MCR ADV | NODE Anthem MCR ADV | $449 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $462 |
| Blue Pathway/Pathway X | Blue Pathway/Pathway X | $515 |
| Home State Medicaid | Home State Medicaid | $545 |
| Centurion Correctional | Centurion Correctional | $560 |
| US Department of Labor | NODE US Dept of Labor | $560 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $592 |
| UHC Medicaid | UHC Medicaid | $599 |
| Self Pay | Self Pay | $621 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $789 |
| Home State Exchange | Home State Exchange | $806 |
| Naphcare | Naphcare | $850 |
| Cigna | Cigna AT Still | $880 |
| Immergrun | Immergrun | $895 |
| Aetna | Aetna Truman | $962 |
| Cigna | Cigna | $1,012 |
| Blue Prefrerred | Blue Preferred | $1,079 |
| Blue Access | Blue Access | $1,111 |
| Aetna | Aetna ALL | $1,169 |
| Aetna | Aetna First Health | $1,169 |
| Aetna | Aetna Coventry | $1,239 |
Inpatient
$1,423cash price (self-pay)
$2,587list price
$789–$2,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $789 |
| Cigna | Cigna AT Still | $880 |
| Aetna | Aetna Truman | $962 |
| Cigna | Cigna | $1,012 |
| Aetna | Aetna ALL | $1,169 |
| Aetna | Aetna First Health | $1,169 |
| Aetna | Aetna Coventry | $1,239 |
| Self Pay | Self Pay | $1,423 |
| Access Health Services, LLC | Vantos Health Employee Plan | $1,682 |
| Multiplan | Multiplan Primary | $1,940 |
| Coventry Wc | Coventry Wc | $2,070 |
| Multiplan | Multiplan Complementary | $2,070 |
| Aetna | Aetna Auto | $2,158 |
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