Emergency visit, high (level 4) at SSM Health St. Mary's Hospital - Jefferson City. CPT 99284.
What SSM Health St. Mary's Hospital - Jefferson City publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$163cash price (self-pay)
$1,275list price
$416–$752range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthCare | Medicare Managed Care Plan | $416 |
| Centene Wellcare | Medicare Managed Care Plan | $418 |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $424 |
| Humana | Medicare Managed Care Plan | $425 |
| Essence | Medicare Managed Care Plan | $439 |
| Centurion | All Commercial Plans | $585 |
| Health Systems | All Commercial Plans | $710 |
| 6 Degress Health | All Commercial Plans | $752 |
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All common services at SSM Health St. Mary's Hospital - Jefferson City