Emergency visit, high (level 4) at Memorial Hospital at Gulfport. CPT 99284.
What Memorial Hospital at Gulfport publishes for this service, straight from its standard-charges file, last updated June 18, 2026.
Outpatient / ER
$165cash price (self-pay)
$550list price
$103–$3,108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia Health | Medicaid | $103 |
| Aetna | All Products | $111 |
| UHC | Medicare Advantage PPO | $114 |
| UHC | Exchange Non-Facility | $115 |
| UHC | Exchange Facility | $115 |
| Humana | All Products | $118 |
| Aetna | Medicare Advantage | $119 |
| Blue Cross | Federal | $129 |
| Blue Cross | Bc State | $130 |
| Mpcn | All Products | $131 |
| UHC | Facility | $157 |
| Cigna | Open Access Plan | $157 |
| Cigna | Marketplace | $157 |
| Molina | All Products | $224 |
| Magnolia Health | All Products | $232 |
| UHC | Mscan | $303 |
| Sas Mhg | HDHP | $323 |
| UHC | Chip | $328 |
| Molina | Mscan | $338 |
| Blue Cross | Medicare Advantage | $384 |
| Magnolia Health | Medicare Advantage | $387 |
| Well Care | Medicare Advantage | $387 |
| Humana | Medicare Advantage | $391 |
| UHC | Marketplace | $430 |
| Blue Cross | All Products | $464 |
| Molina | Chip | $476 |
| First Choice | Drg | $687 |
| Sas Non-Mhg | All Products | $687 |
| Mhg | All Products | $724 |
| Fox Everett | Hub | $737 |
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