Emergency visit, high (level 4) at Children's Hospital Medical Center_Burnet. CPT 99284.
What Children's Hospital Medical Center_Burnet publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$342cash price (self-pay)
$670list price
$55.54–$1,725range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem_OH | Managed_Care_Medicaid_Plan | $66.06 |
| CareSource_OH | Managed_Care_Medicaid_Plan | $66.06 |
| Humana_OH | Managed_Care_Medicaid_Plan | $66.06 |
| AmeriHealth_Caritas_OH | Managed_Care_Medicaid_Plan | $67.94 |
| Molina_OH | Managed_Care_Medicaid_Plan | $69.20 |
| Buckeye_OH | Managed_Care_Medicaid_Plan | $72.35 |
| Aetna_Better_Health_KY | Managed_Care_Medicaid_Plan | $74.05 |
| Passport_KY | Managed_Care_Medicaid_Plan | $77.01 |
| Humana_KY | Managed_Care_Medicaid_Plan | $77.75 |
| Wellcare_KY | Managed_Care_Medicaid_Plan | $77.75 |
| United_Health_Care_KY | Managed_Care_Medicaid_Plan | $78.12 |
| United_Health_Care_OH | Managed_Care_Medicaid_Plan | $78.64 |
| Anthem_IN | Managed_Care_Medicaid_Plan | $98.54 |
| MHS_IN | Managed_Care_Medicaid_Plan | $98.54 |
| CareSource_IN | Managed_Care_Medicaid_Plan | $103 |
| Medical_Mutual_of_Ohio_Insurance | All_Exchange_Plans | $387 |
| Parkview_Signature_Care_Insurance | PPO_Plan | $467 |
| Margaret_Mary_Health_Insurance | All_Commercial_Plans | $483 |
| Parkview_Signature_Care_Insurance | EPO_Plan | $520 |
| United_Health_Care_Insurance | All_Commercial_Plans | $555 |
| CareSource_OH_Insurance | All_Exchange_Plans | $575 |
| Medical_Mutual_of_Ohio_Insurance | All_Commercial_Plans | $577 |
| Aetna_Insurance | All_Commercial_Plans | $589 |
| Anthem_Insurance | Non_Traditional_Plans | $589 |
| Beechstreet_Insurance | All_Commercial_Plans | $599 |
| Anthem_Insurance | Traditional_Plans | $609 |
| Cigna_Health_Care_Insurance | All_Commericial_Plans | $637 |
| Point_Comfort_Insurance | All_Commercial_Plans | $778 |
| Health_Ohio_Network_Insurance | Elite_Plan | $1,126 |
| Custom_Design_Benefits_Insurance | All_Commercial_Plans | $1,138 |
Inpatient
$342cash price (self-pay)
$670list price
$55.54–$1,725range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem_OH | Managed_Care_Medicaid_Plan | $61.11 |
| CareSource_OH | Managed_Care_Medicaid_Plan | $61.11 |
| Humana_OH | Managed_Care_Medicaid_Plan | $61.11 |
| AmeriHealth_Caritas_OH | Managed_Care_Medicaid_Plan | $62.84 |
| Molina_OH | Managed_Care_Medicaid_Plan | $64.01 |
| Aetna_Better_Health_KY | Managed_Care_Medicaid_Plan | $64.80 |
| Buckeye_OH | Managed_Care_Medicaid_Plan | $66.92 |
| Passport_KY | Managed_Care_Medicaid_Plan | $67.38 |
| Humana_KY | Managed_Care_Medicaid_Plan | $68.03 |
| Wellcare_KY | Managed_Care_Medicaid_Plan | $68.03 |
| United_Health_Care_KY | Managed_Care_Medicaid_Plan | $68.36 |
| United_Health_Care_OH | Managed_Care_Medicaid_Plan | $72.74 |
| Anthem_IN | Managed_Care_Medicaid_Plan | $96.41 |
| MHS_IN | Managed_Care_Medicaid_Plan | $99.30 |
| CareSource_IN | Managed_Care_Medicaid_Plan | $101 |
| Medical_Mutual_of_Ohio_Insurance | All_Exchange_Plans | $387 |
| Parkview_Signature_Care_Insurance | PPO_Plan | $467 |
| Margaret_Mary_Health_Insurance | All_Commercial_Plans | $483 |
| Parkview_Signature_Care_Insurance | EPO_Plan | $520 |
| United_Health_Care_Insurance | All_Commercial_Plans | $555 |
| CareSource_OH_Insurance | All_Exchange_Plans | $575 |
| Medical_Mutual_of_Ohio_Insurance | All_Commercial_Plans | $577 |
| Aetna_Insurance | All_Commercial_Plans | $589 |
| Anthem_Insurance | Non_Traditional_Plans | $589 |
| Beechstreet_Insurance | All_Commercial_Plans | $599 |
| Anthem_Insurance | Traditional_Plans | $609 |
| Cigna_Health_Care_Insurance | All_Commericial_Plans | $637 |
| Point_Comfort_Insurance | All_Commercial_Plans | $778 |
| Health_Ohio_Network_Insurance | Elite_Plan | $1,090 |
| Custom_Design_Benefits_Insurance | All_Commercial_Plans | $1,138 |
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All common services at Children's Hospital Medical Center_Burnet