Emergency visit, high (level 4) at AllianceHealth Durant. CPT 99284.
What AllianceHealth Durant publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$393cash price (self-pay)
$3,278list price
$113–$2,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $113 |
| Aetna BetterHealth Medicaid OK | Aetna BetterHealth Medicaid OK | $376 |
| Centene OK Complete Health Medicaid OK | Centene OK Complete Health Me | $376 |
| Humana Healthy Horizons Medicaid OK | Humana Healthy Horizons Medicaid | $376 |
| OK Medicaid Non Par | OK Medicaid Non Par | $376 |
| OK Medicaid | OK Medicaid SoonerCare | $376 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $396 |
| NODE Medicare Non Par | NODE Medicare Non Par | $396 |
| NODE Medicare Traditional | NODE Medicare Traditional | $396 |
| Department of Veterans Affairs | NODE ChampVA | $403 |
| NODE Tricare | NODE Tricare | $403 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $403 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $403 |
| Node Va | Node Va | $403 |
| NODE BCBS Native Blue MCR ADV | NODE BCBS Native Blue MCR ADV | $408 |
| NODE Sterling MCR ADV | NODE Sterling MCR ADV | $408 |
| Self Pay | Self Pay | $459 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $482 |
| NODE US Dept of Labor | NODE US Dept of Labor | $503 |
| HealthChoice | HealthChoice | $639 |
| Prime Health Work Comp OK | Prime Health Work Comp OK | $716 |
| OK Work Comp | OK Work Comp | $739 |
| BCBSOK | BCBSOK BlueLincs | $836 |
| Cigna | Cigna ALL | $882 |
| BCBSOK | BCBSOK BluePreferred | $908 |
| UHC | UHC Apa | $954 |
| BCBSOK | BCBSOK BlueChoice | $1,092 |
| Healthcare Highways | Healthcare Highways | $1,092 |
| Customer Linx | Customer Linx | $1,967 |
| PHCS Savility | PHCS Savility | $2,295 |
Inpatient
$688cash price (self-pay)
$3,278list price
$459–$2,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $459 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $482 |
| Cigna | Cigna ALL | $1,000 |
| UHC | UHC Apa | $1,026 |
| Healthcare Highways | Healthcare Highways | $1,092 |
| Customer Linx | Customer Linx | $1,967 |
| PHCS Savility | PHCS Savility | $2,295 |
| Healthsmart | Healthsmart | $2,491 |
| First Health | First Health CCN | $2,622 |
| Multiplan Complementary | Multiplan Complementary | $2,622 |
| MultiPlan Primary | MultiPlan Primary | $2,622 |
| Prime Health Services | Prime Health Services | $2,622 |
| Aetna | Aetna | $2,786 |
| One Health Plan | One Health Plan | $2,786 |
| Preferred Community Choice PPO | Preferred Community Choice PPO | $2,786 |
| Comprehensive Medical Care | Comprehensive Medical Care | $2,950 |
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