Emergency visit, high (level 4) at Methodist Olive Branch Hospital. CPT 99284.
What Methodist Olive Branch Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$504cash price (self-pay)
$2,289list price
$51.00–$1,493range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $51.00 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $51.00 |
| MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Ol | $328 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - Olive Branch | $328 |
| MS - MEDICAID [300025] | HB MEDICAID MS - Olive Branch | $328 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive | $328 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms Mscan Mlh-Ms Contract | $328 |
| Transplant Optum Medicare [450095] | Hb Medicare Advantage / Managed C | $390 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $390 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $390 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $390 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $390 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $390 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $390 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Ms Contr | $390 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $390 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $390 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $390 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $390 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $390 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $390 |
| Medicare [400001] | Hb Medicare-Ms Contract | $390 |
| Va Hospital [600005] | Hb Va - Ms Contract | $390 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $390 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $390 |
| Tricare [600001] | Hb Tricare - Ms Contract | $396 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Ms Contract | $410 |
| BCBS Commercial [200011] | HB BCBS MS - Olive Branch | $443 |
| BCBS MS [200002] | HB BCBS MS - Olive Branch | $443 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $450 |
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