Emergency visit, high (level 4) at Mission Hospital. CPT 99284.
What Mission Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$553cash price (self-pay)
$2,493list price
$102–$2,920range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Mgmcd | $458 |
| United | BHMGMCD | $465 |
| WellCare | MGMCD | $472 |
| AmeriHealth | MGMCD | $476 |
| Partners Health Management | MGMCD | $481 |
| Vaya Health | MedicaidDirect | $481 |
| Vaya Health | MedicaidTailoredPlan | $481 |
| Cigna | Hix | $857 |
| Cigna | Ifp | $857 |
| CIGNA | NewBusiness | $900 |
| Caresource | Hix | $1,097 |
| United | GlobalBenefitPlanAppendix | $1,122 |
| CIGNA | ExistingBusiness | $1,149 |
| MedCost | ULTRARATE | $1,404 |
| United | OptionsPPO | $1,473 |
| Aetna | COMM | $1,752 |
| Multiplan | COMM | $1,994 |
| Avalon Administrative Services | COMM | $2,119 |
| MedCost | STANDARD | $2,119 |
| Prime Health | COMM | $2,194 |
| Prime Health | WCOMP | $2,194 |
| Prime Health | INDIGENTCARE | $2,243 |
| United | AllPayerAppendix | $2,678 |
| AmeriHealth Caritas | Commercial-Exchange | $2,920 |
| Ambetter | HIX | $2,920 |
| Oscar | HIX | $2,920 |
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