Emergency visit, high (level 4) at Memorial Hospital. CPT 99284.
What Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$245cash price (self-pay)
$1,060list price
$76.13–$1,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Mcaid-All Plans | Molina Mcaid-All Plans | $354 |
| Ne Total Care Mcaid-All Plans | Ne Total Care Mcaid-All Plans | $354 |
| UHC Mcaid | UHC Mcaid | $354 |
| Medica Mcare Cost | Medica Mcare Cost | $357 |
| UHC Mcr Adv | UHC Mcr Adv | $357 |
| BCBS Mcr Adv | BCBS Mcr Adv | $357 |
| Beshp Mcr Adv - All Plans | Beshp Mcr Adv - All Plans | $357 |
| Medica Mcr Adv | Medica Mcr Adv | $357 |
| Tricare - All Plans | Tricare - All Plans | $357 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $364 |
| Ambetter Comm - All Plans | Ambetter Comm - All Plans | $547 |
| Medica Comm-All Other Plans | Medica Comm-All Other Plans | $564 |
| Medica Elevate | Medica Elevate | $564 |
| Optum Veterans Ccn-All Plans | Optum Veterans Ccn-All Plans | $604 |
| BCBS Select Bluechoice | BCBS Select Bluechoice | $604 |
| Phcs PPO-All Plans | Phcs PPO-All Plans | $620 |
| BCBS Network Blue - All Other Plans | BCBS Network Blue - All Other Pl | $626 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $627 |
| UHC Comm-All Other Plans | UHC Comm-All Other Plans | $635 |
| UHC Exch | UHC Exch | $635 |
| Aetna-All Plans | Aetna-All Plans | $639 |
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