Emergency visit, high (level 4) at University Health Lakewood Medical Center. CPT 99284.
What University Health Lakewood Medical Center publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$843cash price (self-pay)
$1,533list price
$10.00–$1,533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uh Discount Yellow Card | Uh Discount Yellow Card | $10.00 |
| Uh Discount Blue Card | Uh Discount Blue Card | $50.00 |
| Uh Discount Orange Card | Uh Discount Orange Card | $50.00 |
| BCBS Blue Metro Aca | BCBS Blue Metro Aca | $231 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $416 |
| Home State Medicare Advantage | Home State Medicare Advantage | $416 |
| Humana Medicare Advantage | Humana Medicare Advantage | $416 |
| Medicare | Medicare | $416 |
| United Healthcare Medicare Advantage | United Healthcare Medicare Adva | $416 |
| Ambetter Exchange | Ambetter Exchange | $474 |
| BCBS Blue Select Exchange | BCBS Blue Select Exchange | $573 |
| BCBS Freedom Network Select | BCBS Freedom Network Select | $711 |
| BCBS Blue Select Plus | BCBS Blue Select Plus | $714 |
| Aetna HMO | Aetna HMO | $755 |
| Aetna PPO/Exchange | Aetna PPO/Exchange | $755 |
| Oscar Exchange | Oscar Exchange | $800 |
| UHC Medicaid | UHC Medicaid | $813 |
| Cigna Commercial | Cigna Commercial | $827 |
| BCBS Blue Care | BCBS Blue Care | $832 |
| Home State Medicaid | Home State Medicaid | $839 |
| Self-Pay | Self-Pay | $843 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $864 |
| BCBS Preferred Care Blue | BCBS Preferred Care Blue | $903 |
| Multiplan | Multiplan | $1,119 |
| United Healthcare Exchange | United Healthcare Exchange | $1,159 |
| Self Pay Choice | Self Pay Choice | $1,226 |
| United Healthcare (HMO/PPO) | United Healthcare (HMO/PPO) | $1,447 |
| BCBS Preferred Care | BCBS Preferred Care | $1,473 |
| BCBS Freedom Network | BCBS Freedom Network | $1,533 |
Inpatient
$843cash price (self-pay)
$1,533list price
$632–$1,533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uh Discount Orange Card | Uh Discount Orange Card | $632 |
| Self-Pay | Self-Pay | $843 |
| Multiplan | Multiplan | $1,119 |
| Self Pay Choice | Self Pay Choice | $1,226 |
| BCBS Preferred Care | BCBS Preferred Care | $1,404 |
| BCBS Freedom Network | BCBS Freedom Network | $1,533 |
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All common services at University Health Lakewood Medical Center