Emergency visit, high (level 4) at Methodist Jennie Edmundson. CPT 99284.
What Methodist Jennie Edmundson publishes for this service, straight from its standard-charges file, last updated February 15, 2026.
Outpatient / ER
$384cash price (self-pay)
$2,223list price
$109–$3,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Medicare Advantage | Wellmark Medicare Advantage | $267 |
| BCBS | BCBS Select | $373 |
| BCBS | BCBS | $380 |
| Humana | Humana Medicare Advantage | $420 |
| Wellmark | Wellmark HMO - MJE | $422 |
| Wellmark | Wellmark PPO - MJE | $464 |
| Medica | Medica Medicare Advantage | $501 |
| Molina Medicare Advantage | Molina Medicare Advantage | $503 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $530 |
| Elite Choice - MJE | Elite Choice - MJE | $540 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $556 |
| Midlands Choice | Midlands Choice - MJE | $588 |
| Aetna | Aetna Medicare Advantage | $594 |
| United Healthcare | UHC Medicare Advantage | $597 |
| BCBS | BCBS Medicare Advantage | $630 |
| Aetna | Aetna | $775 |
| NE Furniture Mart | NE Furniture Mart | $1,142 |
| Medica | Elevate by Medica | $1,774 |
| Medica Choice | Medica Choice | $2,087 |
| UHC | UHC Nexus | $2,321 |
| United Healthcare | UHC | $2,721 |
Inpatient
$384cash price (self-pay)
$2,223list price
—range insurers pay
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