Emergency visit, high (level 4) at Memorial Hospital at Stone County. CPT 99284.
What Memorial Hospital at Stone County publishes for this service, straight from its standard-charges file, last updated June 18, 2026.
Outpatient / ER
$1,506cash price (self-pay)
$2,152list price
$111–$3,108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Products | $111 |
| Cigna | Marketplace | $158 |
| Sas Mhg | HDHP | $323 |
| UHC | Mscan | $328 |
| UHC | Chip | $328 |
| Molina | Mscan | $338 |
| UHC | Medicare Advantage PPO | $426 |
| UHC | Marketplace | $430 |
| Magnolia Health | Medicaid | $435 |
| Blue Cross | Medicare Advantage | $443 |
| Blue Cross | Bc State | $447 |
| Aetna | Medicare Advantage | $448 |
| Magnolia Health | Medicare Advantage | $448 |
| Well Care | Medicare Advantage | $448 |
| Humana | Medicare Advantage | $452 |
| Blue Cross | All Products | $464 |
| Blue Cross | Federal | $464 |
| Molina | Chip | $476 |
| Magnolia Health | All Products | $633 |
| Molina | All Products | $675 |
| First Choice | Drg | $687 |
| Sas Non-Mhg | All Products | $687 |
| Mhg | All Products | $724 |
| Fox Everett | Hub | $823 |
| Mpcn | All Products | $861 |
| Primewell | Marketplace | $1,013 |
| Cigna | PPO | $1,291 |
| Sas Mhg | Employees | $1,313 |
| UHC | Exchange Facility | $1,370 |
| First Choice | Percentage | $1,549 |
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