Emergency visit, high (level 4) at Wright Memorial Hospital. CPT 99284.
What Wright Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$490cash price (self-pay)
$817list price
$386–$817range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement Plan [1250] | Devoted Health Medicare Advantage [ | $386 |
| Medicaid Managed Care (Mo) [2250] | Healthy Blue Missouri [22572] | $508 |
| Medicaid Managed Care (Mo) [2250] | UHC Community Plan Of Mo [22517] | $508 |
| Medicaid Managed Care (Mo) [2250] | Home State Health Plan [22506] | $550 |
| Commercial-Contracted [8000] | Healthlink HMO [80009] | $654 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $694 |
| Aetna [5000] | Aetna Nap [50014] | $694 |
| Commercial-Contracted [8000] | Providrs Care Network [80021] | $752 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $817 |
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