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Emergency visit, high (level 4) at Ascension St. John Jenks. CPT 99284.

What Ascension St. John Jenks publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$758cash price (self-pay)
$2,049list price
$132–$1,591range insurers pay
Insurance planNegotiated rate
Aetna Whole Health | 2659_mcok, Baok, Ohok Aetna Whole Health 20241001$132
First Health | 2649_baok, Jpok, Mcok, Ohok First Health 20241001$500
Aetna HMO/PPO | 2658_mcok, Baok, Ohok Aetna HMO 20241001$1,591
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All common services at Ascension St. John Jenks