Emergency visit, high (level 4) at Mangum Regional Medical Center. CPT 99284.
What Mangum Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$114cash price (self-pay)
$1,308list price
$79.81–$1,703range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare East - All Plans | Tricare East - All Plans | $79.81 |
| Aetna (Coventry) - All Other Plans | Aetna (Coventry) - All Other Plan | $110 |
| UHC Mcr Adv | UHC Mcr Adv | $113 |
| Aetna Mcr Adv | Aetna Mcr Adv | $114 |
| Ok Cmplte Wellcare | Ok Cmplte Wellcare | $114 |
| UHC Va Ccn | UHC Va Ccn | $114 |
| BCBS Mcr Adv | BCBS Mcr Adv | $114 |
| BCBS Select Mcr Adv | BCBS Select Mcr Adv | $114 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $114 |
| Aetna First Health | Aetna First Health | $115 |
| BCBS Blue Native | BCBS Blue Native | $117 |
| BCBS Blue Adv/Lincs | BCBS Blue Adv/Lincs | $126 |
| BCBS Blue Preferred PPO | BCBS Blue Preferred PPO | $128 |
| BCBS Blue Choice | BCBS Blue Choice | $137 |
| Ok Cmplte Ambetter Of Ok - All Other Plans | Ok Cmplte Ambetter Of Ok | $137 |
| Hs Technology - All Plans | Hs Technology - All Plans | $137 |
| UHC Commercial - All Other Plans | UHC Commercial - All Other Plans | $139 |
| BCBS Blue Traditional - All Other Plans | BCBS Blue Traditional - All | $173 |
| Humana Hlthy Horiz Mcaid | Humana Hlthy Horiz Mcaid | $376 |
| Ok Cmplte Soonerselect Mcaid | Ok Cmplte Soonerselect Mcaid | $376 |
| Aetna Betterhealth Mcaid | Aetna Betterhealth Mcaid | $376 |
| Healthchoice Ip/Op Only- All Plans | Healthchoice Ip/Op Only- All Plan | $528 |
| Cigna Ip/Op Only - All Plans | Cigna Ip/Op Only - All Plans | $1,192 |
| Preferred Community PPO Ip/Op Only- All Plans | Preferred Community Pp | $1,362 |
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