Emergency visit, high (level 4) at Mercy Hospital Ardmore. CPT 99284.
What Mercy Hospital Ardmore publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,833cash price (self-pay)
$4,194list price
$62.00–$2,962range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ardm Ok Med | $379 |
| Humana Medicaid Contracted [320486] | Hb Ardm Ok Medicaid (Soonercare) | $379 |
| Aetna Medicaid Contracted [320009] | Hb Ardm Ok Medicaid (Soonercare) | $379 |
| Medicaid [20240] | Hb Ardm Ok Medicaid (Soonercare) | $379 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Ardm Medicare/Mgd | $422 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ardm Medicare/Mgd Med | $422 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ardm Medicare/Mgd | $422 |
| Aetna Medicare Advantage Contracted [320010] | Hb Ardm Medicare/Mgd Me | $422 |
| BCBS Medicare Advantage Contracted [320047] | Hb Ardm Medicare/Mgd Med | $422 |
| Medicare [20244] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Windsor Medicare [20424] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Mercy Hospice Okc [20252] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Mental Health Network Medicare [20250] | Hb Ardm Medicare/Mgd Medicare | $422 |
| Independent Health [20197] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Kindful Hospice [20434] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Halo Hcr Inc Hospice [20432] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Elara Caring Aspire Hospice [20433] | Hb Ardm Medicare/Mgd Medicare 10 | $422 |
| Medical Associates Health [20444] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Cross Timbers Hospice [20098] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Horizons Medicare [20190] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Health First Health Plans Medicare [20170] | Hb Ardm Medicare/Mgd Medi | $422 |
| Generic Medicare Managed Care [20137] | Hb Ardm Medicare/Mgd Medicare | $422 |
| American Health Advantage Of Ok Medicare [20019] | Hb Ardm Medicare/Mg | $422 |
| BCBS Medicare Advantage [20047] | Hb Ardm Medicare/Mgd Medicare 100% | $422 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ardm Medicare/ | $422 |
| Mc Generic Anthem [20456] | Hb Ardm Blue Choice | $426 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Choice | $426 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Advantage PPO | $426 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Preferred | $426 |
| Mc Anthem [20455] | Hb Ardm Blue Choice | $426 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.