Emergency visit, high (level 4) at AllianceHealth Madill. CPT 99284.
What AllianceHealth Madill publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$563cash price (self-pay)
$1,609list price
$180–$2,435range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE US Dept of Labor | NODE US Dept of Labor | $180 |
| Preferred Community Choice PPO | Preferred Community Choice PPO | $241 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $246 |
| NODE Global Health MCR ADV | NODE Global Health MCR ADV | $332 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $332 |
| NODE Medicare Non Par | NODE Medicare Non Par | $332 |
| NODE Medicare Traditional | NODE Medicare Traditional | $332 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $332 |
| NODE Indian Health Service Managed Care | NODE Indian Health Service M | $338 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $338 |
| Node Va | Node Va | $338 |
| NODE BCBSOK Native Blue MCR ADV | NODE BCBSOK Native Blue MCR ADV | $342 |
| NODE ChampVA | NODE ChampVA | $348 |
| NODE Tricare | NODE Tricare | $348 |
| 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 | OK Medicaid Non Par | $376 |
| OK Medicaid | OK Medicaid SoonerCare | $376 |
| Self Pay | Self Pay | $563 |
| HealthChoice | HealthChoice | $639 |
| OK Work Comp | OK Work Comp | $739 |
| BCBSOK | BCBSOK BlueLincs | $793 |
| Coventry | Coventry | $805 |
| BCBSOK | BCBSOK BluePreferred | $860 |
| GlobalHealth | GlobalHealth | $998 |
| Healthcare Highways | Healthcare Highways | $1,006 |
| BCBSOK | BCBSOK BlueChoice | $1,034 |
| PHCS | PHCS Savility | $1,126 |
| BCBSOK | BCBSOK BlueTraditional | $1,190 |
Inpatient
$563cash price (self-pay)
$1,609list price
$241–$1,368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Community Choice PPO | Preferred Community Choice PPO | $241 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $246 |
| Self Pay | Self Pay | $563 |
| Node Va | Node Va | $777 |
| Coventry | Coventry | $805 |
| Healthcare Highways | Healthcare Highways | $1,006 |
| Multiplan | MultiPlan Primary | $1,207 |
| Multiplan | Multiplan Complementary | $1,255 |
| Aetna | Aetna | $1,287 |
| First Health | First Health | $1,319 |
| Cigna | Cigna ALL | $1,368 |
| Evolutions Healthcare Systems | Evolutions Healthcare Systems | $1,368 |
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