Emergency visit, high (level 4) at TMC Bonham Hospital. CPT 99284.
What TMC Bonham Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,452cash price (self-pay)
$1,936list price
$100–$1,011range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina_chip | Medicaid | $100 |
| Superior_star_plus | Medicaid | $125 |
| Uhc_star_plus | Medicaid | $125 |
| Molina_star_plus | Medicaid | $131 |
| Wellpoint_star_plus | Medicaid | $131 |
| Superior_star | Medicaid | $134 |
| Uhc_star | Medicaid | $134 |
| Molina_star | Medicaid | $140 |
| Superior_chip | Medicaid | $140 |
| Wellpoint | Medicaid | $140 |
| Blue_cross_blue_shield_of_tx | Managed_care | $149 |
| Blue_cross_blue_shield_of_tx | HMO | $149 |
| Blue_cross_blue_shield_of_tx | PPO | $149 |
| Blue_cross_blue_shield_of_tx | Qhp | $263 |
| Aetna_medicare | Medicare | $407 |
| Humana_choice_care | Medicare | $407 |
| United_healthcare | Medicare | $407 |
| Ambetter | Qhp | $638 |
| Cigna | HMO | $699 |
| Aetna | PPO | $1,011 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.