Emergency visit, high (level 4) at Merit Health Wesley. CPT 99284.
What Merit Health Wesley publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$600cash price (self-pay)
$2,857list price
$104–$2,857range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | AL Medicaid | $104 |
| Veterans Eval Services | Veterans Eval Services | $112 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $320 |
| Magnolia | Magnolia Medicaid | $324 |
| Medicaid | MS Medicaid | $324 |
| Medicaid | MS Medicaid Non Par | $324 |
| United Healthcare | UHC Medicaid MS | $324 |
| Magnolia MCD MS CHIP | Magnolia MCD MS CHIP | $328 |
| Molina Medicaid MS | Molina Medicaid MS | $328 |
| CareSource TrueCare | CareSource TrueCare | $331 |
| Molina CHIP | Molina CHIP | $350 |
| NODE Tricare | NODE Tricare | $358 |
| First Choice | NODE First Choice Shared Health of MS MCR ADV | $365 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $372 |
| NODE First Choice American Health MCR ADV | NODE First Choice American | $372 |
| NODE First Choice Aetna MCR ADV | NODE First Choice Aetna MCR ADV | $376 |
| NODE ChampVA | NODE ChampVA | $377 |
| LA Medicaid Non Par | LA Medicaid Non Par | $436 |
| Advanced Health Systems | Advanced Health Systems | $447 |
| BCBS | BCBS Ms Fmp | $468 |
| MS Work Comp | MS Work Comp | $528 |
| First Choice | First Choice Occunet | $556 |
| First Choice | First Choice Preferred | $556 |
| CHS Group Health Plan | CHS Group Health Plan | $571 |
| Self Pay | Self Pay | $600 |
| First Choice Molina | NODE First Choice Molina Exchange | $630 |
| Cigna | Cigna | $806 |
| First Choice LGP | First Choice LGP | $808 |
| TriMed Billing Solutions | TriMed Billing Solutions LLC | $857 |
| Molina Exchange | Molina Exchange | $1,100 |
Inpatient
$857cash price (self-pay)
$2,857list price
$320–$2,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $320 |
| CHS Group Health Plan | CHS Group Health Plan | $571 |
| Self Pay | Self Pay | $857 |
| TriMed Billing Solutions | TriMed Billing Solutions LLC | $857 |
| First Choice | PHCS | $1,714 |
| First Choice | First Choice Stratose | $2,286 |
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