Emergency visit, high (level 4) at Mercy Hospital Ada. CPT 99284.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$1,106cash price (self-pay)
$2,870list price
$116–$4,136range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Provider Partners Health Plans Contracted [320450] | Hb Ada Medicare/M | $413 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ada | $413 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ada Medi | $413 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ada Medicare/Mgd | $413 |
| Kindful Hospice Contracted [320434] | Hb Ada Medicare/Mgd Medicare 100 | $413 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ada Medicare/Mgd | $413 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ada Medicare/Mgd Medicar | $413 |
| Tricare Contracted [320380] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Qual Choice Contracted [320325] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ada Medicare/Mgd Medic | $413 |
| BCBS Medicare Advantage Contracted [320047] | Hb Ada Medicare/Mgd Medi | $413 |
| Aetna Medicare Advantage Contracted [320010] | Hb Ada Medicare/Mgd Med | $413 |
| Kindful Hospice [20434] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Medical Associates Health [20444] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Halo Hcr Inc Hospice [20432] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Elara Caring Aspire Hospice [20433] | Hb Ada Medicare/Mgd Medicare 100 | $413 |
| Tricare [20380] | Hb Ada Tricare | $413 |
| Mercy Hospice Okc [20252] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Windsor Medicare [20424] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Medicare [20244] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Horizons Medicare [20190] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Mental Health Network Medicare [20250] | Hb Ada Medicare/Mgd Medicare | $413 |
| Cross Timbers Hospice [20098] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Generic Medicare Managed Care [20137] | Hb Ada Medicare/Mgd Medicare 1 | $413 |
| Health First Health Plans Medicare [20170] | Hb Ada Medicare/Mgd Medic | $413 |
| Independent Health [20197] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| BCBS Medicare Advantage [20047] | Hb Ada Medicare/Mgd Medicare 100% | $413 |
| Medica Medicare Advantage Contracted [320477] | Hb Ada Medica Medicare | $421 |
| Medica Medicare Advantage [20477] | Hb Ada Medica Medicare New 031523 | $421 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ada Cigna Mcr | $426 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.