Emergency visit, high (level 4) at Saint Luke's Hospital of Kansas City. CPT 99284.
What Saint Luke's Hospital of Kansas City publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,625cash price (self-pay)
$2,708list price
$105–$2,708range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $105 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $109 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $109 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $116 |
| Medicaid Managed Care (Mo) [2250] | UHC Community Plan Of Mo [22517] | $363 |
| Medicaid Managed Care (Mo) [2250] | Home State Health Plan [22506] | $388 |
| Medicaid Managed Care (Mo) [2250] | Healthy Blue Missouri [22572] | $526 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $695 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $695 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Allen Anderson Cushing | $695 |
| Commercial-Contracted [8000] | Childrens Spot Foundation [80018] | $894 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $988 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $1,181 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $1,181 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $1,181 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $1,181 |
| First Health [5512] | First Health Medishare [55122] | $1,605 |
| First Health [5512] | First Health Misc [55116] | $1,605 |
| First Health [5512] | First Health Repricing Addrs [55113] | $1,605 |
| First Health [5512] | First Health Uprehs [55119] | $1,605 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $1,605 |
| Transplants-Case Rates [5750] | Cigna Lifesource [57511] | $1,625 |
| Transplants-Case Rates [5750] | Humana Commercial Transplant [57515] | $1,760 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $1,771 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $1,771 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $1,822 |
| Blue Cross Blue Shield [4000] | Bc Of Ks Exchange HMO [40026] | $1,822 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care [40010] | $1,822 |
| Cigna [7000] | Cigna Indemnity [70004] | $1,896 |
| Cigna [7000] | Cigna Leased PPO [70003] | $1,896 |
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