Emergency visit, high (level 4) at Hillcrest Hospital South. CPT 99284.
What Hillcrest Hospital South publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$940cash price (self-pay)
$3,134list price
$379–$2,507range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $721 |
| Oscar Insurance Company [7005] | Oscar Insurance Company [700500] | $721 |
| Hooray Health [8000] | Hooray Health [800000] | $721 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $721 |
| Osma Health Network [2345] | Osma Health [234500] | $721 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $1,107 |
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $1,107 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $1,235 |
| Pba [1775] | Professional Benefit Admin [177500] | $1,235 |
| Cigna [1260] | Cigna [126008] | $1,235 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $1,348 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $1,348 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $1,348 |
| Healthcare Highways [2210] | Taro Health Plan [221010] | $1,348 |
| Healthcare Highways [2210] | Health Plans Inc [221008] | $1,348 |
| Resource One Administrators [2815] | Resource One Administrators [2815 | $1,348 |
| The Kempton Group Administrators [2905] | Advantage Health Plan-No PPO | $1,410 |
| Multiplan [1680] | Providence Health Plan [168004] | $1,846 |
| Medica [2910] | Medica Quest [291001] | $1,846 |
| Phcs [1780] | Lifestyle Health Plans [178013] | $2,351 |
| Employee Benefit Management Services [2445] | Employee Benefit Managem | $2,351 |
| Community Care [1290] | Community Care Medicare Supplement [129003] | $2,351 |
| Multiplan [1680] | Ihc Hs [168011] | $2,507 |
| New Era Life Insurance Company [1705] | Philadelphia American Life [17 | $2,507 |
| Mutual Of Omaha [1685] | Mutual Of Omaha [168500] | $2,507 |
| Trustmark [2030] | Starmark [203000] | $2,507 |
| Phcs [1780] | Group Health Cooperative Scw [178012] | $2,507 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $2,507 |
| Allied National Global Care [1035] | Allied National [103500] | $2,507 |
| Healthcost Solutions [2415] | Healthcost Solutions [241501] | $2,507 |
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