Emergency visit, high (level 4) at Jackson County Memorial Hospital. CPT 99284.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$356cash price (self-pay)
$706list price
$213–$1,002range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthcare Highways | Sync PPO | $423 |
| Coventry | Medicare Advantage | $434 |
| Humana | Medicare Advantage | $434 |
| Humana | Veteran Services Project Hero | $434 |
| United Healthcare | PPO | $480 |
| Oklahoma Health Network (OHN) | PPO | $494 |
| Coventry | PPO | $522 |
| Coventry | First Health PPO | $564 |
| Phcs | Multiplan Savility PPO | $564 |
| Aetna | Gatekeeper | $586 |
| Aetna | Non Gatekeeper | $600 |
| Cigna | PPO | $600 |
| Phcs | Multiplan PPO | $635 |
| Preferred Community Choice | PPO | $635 |
| Humana | PPO | $670 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.